Sollerman Hand Function Test: A Standardised Method and its Use in Tetraplegic Patients

TLDR

A standardized hand function test using seven of the eight most common hand grips is introduced. The test comprises 20 activities of daily living, with a detailed procedure and scoring system, and its validity and reliability were assessed in 59 tetraplegic patients pre‑surgery. The test score strongly correlated with the accepted international functional classification (r = 0.76) and was significantly lower in patients lacking sensation compared to those with tactile gnosis.

Abstract

A standardised hand function test based on seven of the eight most common hand grips is reported. The test consists of 20 activities of daily living. The test procedure and the method of scoring are described as is our evaluation of the validity and reliability of the test. Fifty-nine tetraplegic patients were evaluated using the test before reconstructive surgery to their hands. The test score correlated well with the accepted international functional classification of the patient's arm (r = 0.76, p < 0.001). The mean test score in the arms of patients lacking sensation was significantly lower than in those with tactile gnosis (O:1–3 compared with OCu:1–3, p < 0.001).