Medicine:Box and Blocks Test

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Box and Blocks Test
Medical diagnostics
SynonymsBBT
Purposemanual dexterity measure

In rehabilitation medicine, 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 a person using an upper limb prosthetic device.[2][3]

The test consists of a box with a partition in the middle. The box is placed on the table with blocks placed on one side of the partition. The test subject is given 60 seconds to move as many blocks as possible from one side of the partition to the other, using only the tested hand (the subject's own hand or a prosthetic device operated by the subject).[4] The number of displaced blocks is a measure of the gross manual dexterity, where a higher number of displaced blocks indicates better fine motor skill. The outcome can be compared to reference values from healthy test subjects[5] or from tests performed with a prosthesis,[6] enabling the measurement of progression 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. 
  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. http://resolver.tudelft.nl/uuid:6cb734fc-5d5e-45f0-b4b7-42bdde07eaae. 
  4. "Box and Block Test Instructions". Rehabilitation Institute of Chicago. Archived from the original on 21 December 2016. https://web.archive.org/web/20161221123223/http://www.rehabmeasures.org/PDF%20Library/Box%20and%20Blocks%20Test%20Instructions.pdf. 
  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. http://repository.tudelft.nl/view/ir/uuid%3A6cb734fc-5d5e-45f0-b4b7-42bdde07eaae/. 
  7. "Rehab Measures: Box and Block Test". Rehabilitation Institute of Chicago. Archived from the original on 2 May 2016. https://web.archive.org/web/20160502084438/http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=917. Retrieved 16 June 2016.