Abstract
An evaluation of upper extremity function in patients with severe hand disabilities in terms of pinch, grasp, grip, elbow flexion and extension, forearm pronation and supination was performed and scored. Scores on this basic test correlated fairly well with scores on a conventional hand activities of daily living test. The test has sufficient reliability and consistency to measure improvement or deterioration in function when performed serially. Application of the test to a large number of nursing home type patients has shown that upper extremity activity is meaningless without knowledge of the patient's overall physical and mental functioning. The hand evaluation can be used in properly selected patients to determine what functions of the upper extremity are impaired and need treatment. It can also be used to measure changes in hand function with advancing disease, surgical or other treatment.
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