Fine hand use
Items from the DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire are used to assess fine hand use. Subsequently a defined movement sequence is evaluated visually.
Fine hand use
Screening
Procedure: Initially the assessment of fine hand use is based on the patient’s subjective responses to the following items from the DASH questionnaire:
Please rate your ability to do the following activities in the last week by circling the number below the appropriate response.
1. Write
2. Turn a key
The patient chooses the most appropriate answer from the following options: No difficulty / Mild difficulty / Moderate difficulty / Severe difficulty / Unable
Documentation example:
In addition, the doctor assesses the patient’s fine hand use by watching them picking up and putting down a paperclip:
Moberg Test – Picking up
Supplementary testing
Required material: Various objects, container, stopwatch
Procedure: The objects are placed on a table in front of the patient, always in the same order. The patient (with eyes open) is asked to pick up the objects from the table and place them in the container, one after another, with one hand. The unimpaired hand is tested first, then the afflicted one. The time required for each hand is measured and recorded, together with the time difference.
Documentation example:
