Jebsen-Taylor Hand Function Test
Original Editor - Joseph Ayotunde Aderonmu
Top Contributors - Joseph Ayotunde Aderonmu, Shaimaa Eldib and Kim Jackson
Introduction[edit | edit source]
The Jebsen-Taylor Hand Function Test (JTHFT) is a standardized and objective measure of fine and gross motor hand function using simulated activities of daily living (ADL). [1][2] The JTHFT has seven subsets which are writing, simulated page-turning, lifting small objects, simulated feeding, stacking, and lifting large, lightweight, and heavy objects. [1] JTHFT finds easy applicability in clinical settings since it can be administered in a short time by using readily available materials. [3]
Intended Population[edit | edit source]
A number of studies report that the JTHFT is a valid assessment tool for the measurement of hand dysfunctions from a variety of patient populations.[4][5][6][7] The JTHFT has been widely used in the clinical and research settings as well as in different patient populations such as those with
- Spinal cord injury
- stroke
- Cerebral palsy
- Multiple sclerosis
- Hand and wrist fractures
- osteoarthritis
- Rheumatoid arthritis[8][9][10][11][12][13]
Method of Use[edit | edit source]
To evaluate hand function using the JTHFT, each of its subset is timed and can be compared with the established norms. [1] The JTHFT includes a series of seven subtests representing fine motor, nonweighted and weighted hand function in ADL, which includes:
- Printing a 24-letter, third-grade reading difficulty sentence
- Turning over 7.6×12.7 cm (3×5-inch) cards (simulated page turning)
- Picking up small, common objects (e.g. pennies, paper clips, bottle caps) and placing them in a container
- Stacking checkers (test of eye-hand co-ordination)
- Simulated feeding
- Moving large empty cans
- Moving large weighted [0.45 kg (l lb)] cans.
The subtests are scored by recording the number of seconds required to complete each test.
Time Required[edit | edit source]
Length: 15-45 minutes to complete the JTHFT.
Scoring[edit | edit source]
Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance.
Equipment[edit | edit source]
- Stopwatch
- Chair (18” seat height)
- Desk/table (30” high)
- 4 sheets of unruled white paper
- Clipboard -Sentences typed in upper case centered on a 5x8” index card on a bookstand
- 5 index cards (ruled on one side only)
- Empty 1 pound coffee can
- 2 paper clips
- 2 regular sized bottle caps
- 2 U.S. pennies
- 5 kidney beans (~5/8” long)
- 1 regular teaspoon
- Wooden board (41 ½” long, 11 ¼” wide, ¾” thick)
- “C” clamp -Plywood (20” long, 2” wide, ½” thick) glued to the board
- 4 standard size (1 ¼” diameter) red wooden checkers
- 5 No. 303 cans
A test kit can be obtained which includes all instructions, items required for all sub-tests, a carrying bag, and blank record forms.
Procedure[edit | edit source]
A detailed procedure of the JTHFT is available in this document.
Evidence[edit | edit source]
Studies have shown that the JTHFT is a valid assessment tool for the measurement of hand dysfunction from a variety of patient populations.[4][5][6][7] Test–retest reliability was established from the original JTHFT, wherein results were found to be fairly to moderately consistent over time.[2] Several studies also demonstrated that the JTHFT had moderate to high test–retest reliability and excellent intrarater reliability (r=0.84 and 0.85, P<0.05) with absent practice effect (P<0.05).[2]
Additional Optional Modules[edit | edit source]
Because the writing subset of the JTHFT can be affected by hand dominance, modifications of the JTHFT have been described. Administering the remaining 6 sub-tests has been reported to have strong enough correlation with activities of daily living and deformity to maintain the validity of the modified JTHFT. [14]
Resources[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Jebsen R, Taylor N, Trieschmann R, Trotter M, Howard L. An objective and standardized test of hand function. Arch Phys Med Rehabil 1969; 50:311–319.
- ↑ 2.0 2.1 2.2 Takla MK, Mahmoud EA, Abd El-Latif N. Jebsen Taylor Hand Function test: Gender, dominance, and age differences in healthy Egyptian population. Bulletin of Faculty of Physical Therapy. 2018 Jul 1;23(2):85.
- ↑ Sears E, Chung K. Validity and responsiveness of the Jebsen-Taylor Hand Function Test. J Hand Surg Am 2010; 35:30–37.
- ↑ 4.0 4.1 Bovend’Eerdt H, Dawes H, Johansen-Berg H, Wade T. Evaluation of the Modified Jebsen Test of Hand Function and the University of Maryland Arm Questionnaire for Stroke. Clin Rehabil 2004; 18:195–202
- ↑ 5.0 5.1 Feys P, Duportail M, Kos D, van Asch P, Ketelaer P. Validity of the TEMPA for the measurement of upper limb function in multiple sclerosis. Clin Rehabil 2002; 16:166–173.
- ↑ 6.0 6.1 Vliet Vieland TP, van der Wijk TP, Jolie IM, Zwinderman AH. Determinants of hand function in patients with rheumatoid arthritis. J Rheumatol 1996;23:835–840.
- ↑ 7.0 7.1 Sharma S, Schumacher HR, McLellan AT. Evaluation of the Jebsen Hand Function Test for use in patients with rheumatoid arthritis. Arthritis Care Res 1994; 7:16–19.
- ↑ Beekhuizen S, Field-Fote C. Massed practice versus massed practice with stimulation: effects on upper extremity function and cortical plasticity in individuals with incomplete cervical spinal cord injury. Neurorehabil Neural Repair 2005; 19:33–45
- ↑ Alon G, Sunnerhagen S, Geurts H, Ohry A. A home-based, selfadministered stimulation program to improve selected hand functions of chronic stroke. NeuroRehabilitation 2003; 18:215–225
- ↑ Charles R, Wolf L, Schneider A, Gordon M. Efficacy of a child-friendly form of constraint-induced movement therapy in hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol 2006; 48:635–642.
- ↑ Feys P, Duportail M, Kos D, van Asch P, Ketelaer P. Validity of the TEMPA for the measurement of upper limb function in multiple sclerosis. Clin Rehabil 2002; 16:166–173.
- ↑ Kreder J, Agel J, McKee D, Schemitsch H, Stephen D, Hanel P. A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires. J Orthop Trauma 2006; 20:115–121.
- ↑ Rettig A, Luca L, Murphy S. Silicone implant arthroplasty in patients with idiopathic osteoarthritis of the metacarpophalangeal joint. J Hand Surg Am 2005; 30:667–672
- ↑ Davis Sears E, Chung KC. Validity and responsiveness of the Jebsen-Taylor Hand Function Test. J Hand Surg Am 2010;35(1):30–7
- ↑ Jebsen Taylor Hand Function Test, Jennifer Nichole.