Instructions
There are four subtests: Grasp, Grip, Pinch, Gross Movement. Items in each are ordered so that:

• if the subject passes the first, no more need to be administered and he scores top marks for that subtest;
• if the subject fails the first and fails the second, he scores zero, and again no more tests need to be performed in that subtest;
• otherwise he needs to complete all tasks within the subtest

Activity

Grasp

1. Block, wood, 10 cm cube (If score = 3, total = 18 and to Grip)
   Pick up a 10 cm block
2. Block, wood, 2.5 cm cube (If score = 0, total = 0 and go to Grip)
   Pick up 2.5 cm block
3. Block, wood, 5 cm cube
4. Block, wood, 7.5 cm cube
5. Ball (Cricket), 7.5 cm diameter
6. Stone 10 x 2.5 x 1 cm

   Coefficient of reproducibility = 0.98
   Coefficient of scalability = 0.94

Grip

1. Pour water from glass to glass (If score = 3, total = 12, and go to Pinch)
2. Tube 2.25 cm (If score = 0, total = 0 and go to Pinch)
3. Tube 1 x 16 cm
4. Washer (3.5 cm diameter) over bolt

   Coefficient of reproducibility = 0.99
   Coefficient of scalability = 0.98

Pinch

1. Ball bearing, 6 mm, 3rd finger and thumb (If score = 3, total = 18 and go to Grossmt)
2. Marble, 1.5 cm, index finger and thumb (If score = 0, total = 0 and go to Grossmt)
3. Ball bearing 2nd finger and thumb
4. Ball bearing 1st finger and thumb
5. Marble 3rd finger and thumb
6. Marble 2nd finger and thumb

   Coefficient of reproducibility = 0.99
   Coefficient of scalability = 0.98

Grossmt (Gross Movement)

1. Place hand behind head (If score = 3, total = 9 and finish)
2. (If score = 0, total = 0 and finish)
3. Place hand on top of head
4. Hand to mouth

   Coefficient of reproducibility = 0.98
   Coefficient of scalability = 0.97

References

Carroll D. “A quantitative test of upper extremity function.”
J Chronic Diseases. 1965;18:479-491.

Crow JL, Lincoln NNB, Nouri FM, De Weerdt W. “The effectiveness of EMG biofeedback in the treatment of arm function after stroke.
International Disability Studies. 1989;11:155-160.

De Weerdt WJG, Harrison MA. “Measuring recovery of arm-hand function in stroke patients: a comparison of the Brunnstrom-Fugl-Meyer test and the Action Research Arm test.
Physiotherapy Canada. 1985;37:65-70.

Lyle RC. “A performance test for assessment of upper limb function in physical rehabilitation treatment and research.”
Int J Rehabil Res. 1981;4:483-492.