Table 2. Tests under consideration
Author’s stated purpose Comments Action required
The Assisting Hand Intended to measure the effectiveness Potentially will be more useful as a research tool rather than Consider in future. Depending on results of validity
Assessment (AHA) with which the child makes use of a clinical tool (costly, time consuming, etc). In process of study, will be able to be used.
his/her affected hand in bimanual being validated for prosthetic users in both adults and
Box and Blocks Measure of gross manual This test could be useful to show differences in prehension More standardization of instructions for prosthetic
dexterity/prevocational test for function, change in control, and quality of movement. users. Reliability/validity need to be retested with
handicapped people. changes to instructions. Concurrent validity
Number 9 • Proceedings • 2009
needs to be tested with other instruments (i.e.,
Child Amputee Designed to assess the degree of parents’ Intrarater reliability has not been established. Requires intra-rater reliability testing to conﬁrm
Prosthetics Project- satisfaction with their child’s reliability.
Prosthesis prosthetic device in regards to ﬁt,
Satisfaction function, appearance, and service.
Disability of the Arm, Evaluates disability and symptoms in Multiple questions are not appropriate for unilateral Requires modiﬁcation to instructions to be
Shoulder, and Hand single or multiple disorders of the prosthetic users. More are appropriate for those with applicable to upper limb prosthetic users and
Measure (DASH) upper limb. bilateral limb loss. further validation studies.
Jebsen Standardized Intended to assess disability and Can be used to compare one terminal device with another or Requires validity testing for prosthetic users.
Test of Hand effectiveness of treatment related to for controls training.
Function hand function.
OPUS (UEFS section) Assesses functional status, QoL, and New study and recommendations based on study in Slovenia Evaluate UEFS with different samples (bilateral,
satisfaction with devices and services. with good recommendations, but caution due to limited using myo, varied levels of amputation).
Initially, primarily for LE needs, UEFS size, isolated clinic, and language. UEFS section of OPUS: Currently promising measure of manual
module revised and modiﬁed. the client rates the activity based on how they do it (with functioning following unilateral amputation. If
our without prosthesis) and this can lead to diversity with this OM is used the client should state if they are
responses. Should be compared with/followed up with the using a prosthesis or not using a prosthesis.
upcoming adult PUFI to see if it stands up or gives as
much information (more clinically useful information).
Sollerman Hand Objective measure of hand function. Recent upgrade of the kit to make it more portable. Not Needs validation studies with prosthetic users
Function Test validated with prosthetic users. Currently being used by
group in Göteborg in research and clinical areas.
Southampton Hand Objective measure of hand function. Developed for upper limb prosthetics, inter and intrarater is Publication of validation tests with prostheses.
Assessment complete, currently, insufﬁcient data on use with
Procedure (SHAP) prostheses.
Trinity Amputation and Multidimensional assessment to facilitate Has not been tested on all populations of UE amputees, Could potentially use TAPES sections that deal with
Prosthetic examination of the psychosocial report is valid, but it should be retested with other pain and perceived social reaction to prosthesis in
Experience Scales process involved in adjusting to an populations. Needs more items relating to upper limb to be conjunction with OPUS. Needs additional items
(TAPES) artiﬁcial limb, the speciﬁc demands of clinically useful. and validity testing.
wearing prosthesis, and potential
sources of maladjustment.
Unilateral Below Elbow Intended to determine whether the type Revision of subtests (outdated and culturally speciﬁc). Validity testing is required.
Test (UBET) of prosthesis used affects the child’s Different tasks are treated as equally difﬁcult, but this has
ability to accomplish functional tasks. not been established.
UNB Test of Prosthetic Intended to determine the progress of an Subtests are somewhat outdated and culturally speciﬁc. Revision of subtests and validity testing necessary.
Function individual child during the stage of Different tasks are treated as equally difﬁcult, but this has
functional training. not been established. Penalized for passive use. Could be
useful for adults and children if tasks are changed/reﬁned.
ACMC, Assessment of Capacity for Myoelectric Control; TAPES, Trinity Amputation and Prosthetic Experience Scales; UEFS, Upper Extremity Functional Status Module; OPUS, Orthotics and
Prosthetics user survey; OM, outcome; LE, lower extremity.
Upper Limb Prosthetic Outcome Measures Group