COSMIN database

A narrative review of dexterity assessments

Yancosek, K. E. and Howell, D.
NARRATIVE REVIEW: This article is a narrative review of the psychometric properties (reliability and validity) and other characteristics (cost, time to administer, and year of publication) of commercially available manual and finger dexterity assessments used for adults in the United States. Complete research articles related to dexterity assessments were gathered from online database searches and individually critiqued for scientific rigor based on reliability and validity. Articles relating to 14 dexterity assessments were reviewed. All but three tools had established reliability, seven tools had all five forms of validity established, and two had only face and content validity. The results of this review provide information to those interested in fine motor skill acquisition, impairment, or functional recovery after injury. Therapists may use this information to choose the best assessment instrument to evaluate a patient's recovery of function over time. This review adds to the evidence-based, best-practice literature related to assessment and outcome measurements of patients with limited dexterity function participating in rehabilitation.
J Hand Ther
0894-1130 (Print)
Publication year:
258-69; quiz 270
Functional status:
Physical functioning
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the circulatory system
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Diseases of and symptoms related to the nervous system
Injury, poisoning and certain other consequences of external causes
PRO / non-PRO:
Non-patient Reported Outcome
Type of measurement instrument:
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
BBT - Box and Block Test
Crawford Small Parts Dexterity Test
FDT - Functional Dexterity Test
Grooved Pegboard Test
JTHFT - Jebsen Taylor Hand Function Test (versions: MJTHFT) [alias: JTT]   
MMDT - Minnesota Manual Dexterity Test [alias: CMDT - Complete Minnesota Dexterity Test][alias: MDT]   
MPUT - Moberg Pick-Up Test
MRMT - Minnesota Rate of Manipulation Test
NHPT - Nine-Hole Peg Test   
O'Connor Finger Dexterity Test
PPBT - Purdue Pegboard Test
SODA - Sequential Occupational Dexterity Assessment   
WMFT - Wolf Motor Function Test (versions: S-WMFT)