Box and Blocks Test

The Box and Blocks Test is a functional test used in upper limb rehabilitation.[1] The test is used to measure the gross manual dexterity of a patient, or of a person using an upper limb prosthetic device.[2][3]

Box and Blocks Test
Medical diagnostics
SynonymsBBT
Purposemanual dexterity measure

The test consists of a box with a partition in the middle. Blocks are placed at one side of the partition. The box is placed at a table. The test subject is seated, facing towards the box. During the tests the test subject is given 60 seconds to move as many blocks as possible from one side to the other, by using only his tested hand.[4] The tested hand can be either the subjects own hand or a prosthetic device operated by the subject. The number of displaced blocks is a measure of the gross manual dexterity. A higher number of displaced blocks indicates a better gross dexterity. The outcome can be compared to reference values of healthy test subjects,[5] or reference values of tests performed with a prosthesis.[6] The Box and Blocks Test enables measuring progress of gross hand dexterity during rehabilitation.[7]

References
  1. Marcus, Shelley; מרכוס, שלי (1992-01-01). "הערכות לתפקוד היד: סקירה ספרותית / Functional Evaluation of The Hand: a Critical Review". IJOT: The Israeli Journal of Occupational Therapy / כתב עת ישראלי לריפוי בעיסוק. 1 (4): E104–E112. JSTOR 23460030.
  2. Hebert, Jacqueline S.; Lewicke, Justin; Williams, Thomas R.; Vette, Albert H. (2014-01-01). "Normative data for modified Box and Blocks test measuring upper-limb function via motion capture". Journal of Rehabilitation Research and Development. 51 (6): 918–932. doi:10.1682/JRRD.2013.10.0228. ISSN 1938-1352. PMID 25356979.
  3. Haverkate, Liz; Smit, Gerwin; Plettenburg, Dick H. (2016-02-01). "Assessment of body-powered upper limb prostheses by able-bodied subjects, using the Box and Blocks Test and the Nine-Hole Peg Test". Prosthetics and Orthotics International. 40 (1): 109–116. doi:10.1177/0309364614554030. ISSN 1746-1553. PMID 25336050.
  4. "Box and Block Test Instructions" (PDF). www.rehabmeasures.org. Rehabilitation Institute of Chicago. Archived from the original (PDF) on 21 December 2016. Retrieved 16 June 2016.
  5. Mathiowetz, Virgil; Volland, Gloria; Kashman, Nancy; Weber, Karen (1985). "Adult norms for the Box and Block Test of manual dexterity". Am J Occup Ther. 39 (6): 386–391. doi:10.5014/ajot.39.6.386. PMID 3160243.
  6. Haverkate, Liz; Smit, Gerwin; Plettenburg, Dick H (2016). "Assessment of body-powered upper limb prostheses by able-bodied subjects, using the Box and Blocks Test and the Nine-Hole Peg Test". Prosthetics and Orthotics International. 40: 109–16. doi:10.1177/0309364614554030. PMID 25336050.
  7. "Rehab Measures: Box and Block Test". www.rehabmeasures.org. Rehabilitation Institute of Chicago. Archived from the original on 2 May 2016. Retrieved 16 June 2016.
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