Y HỌC PHỤC HỒI - Sollerman Hand Function Test

Introduction

Designed to measure grips that are needed for certain ADLs such as eating, driving, personal hygiene, and writing.
Includes subtests that represent common handgrips (volar, transverse volar, spherical volar and pinch positions – pulp, lateral, tripod, and the five finger) and activities (using a key; picking up coins from a flat surface; writing with a pen; using a phone; and pouring water from a jug).
The Sollerman (unlike the Jebsen Hand Function Test) considers the quality and level of difficulty with the performance which are important components with respect to hand function.
Sollerman hand function test is easy to perform and reliable. It has been used in the assessment of hand functions in post-surgical patients with tetraplegic conditions, chronic stroke, after replantation or revascularisation of upper extremity injuries, Dupuytren’s contracture and in patients undergoing long term haemodialysis.

Use the following EVALUATION FORM to evaluate your patient and PRINT THE FORM when the evaluation is completed.

The patient is seated comfortably with the test equipment placed on the table. The tasks are to be carried out in this position unless when standing is required for the task. Each subtest is timed with a keen observation on the hand function. Most subtests require the task to be carried out separately by each hand while some require both hands to be used.

Yale-lock with bolts mounted on a vertical wall 30 cm above bottom level.
Yale-key
4 coins of different size
Two purses mounted on a wall (20 cm above bottom level) w/ zips of different size
2 wooden blocks (size 7.5 and 10 cm)
Box (5cm edges)
Iron weight (3 kg)
2 screws with nuts (1 with spring resistance, the other without resistance)
Screwdriver with handle (2.5 cm diameter)
4 bolts of different size
4 nuts
2 jars (lid size 7.5 and 10cm diameter)
4 buttons with different button-hole sizes on pieces of cloth mounted on a plate.
Plate
Knife
Fork
lump of Play-doh
2 TubiGrip stockings of different sizes
Paper
Pen
Paper (A4 size)
Envelope (C6 size)
2 paper clips of different size
telephone
empty water jug (1 litre) with handle

Scoring takes into account the time taken, level of difficulty displayed, and the quality of performance using the correct pinch or grip position.
Patients are then scored on a 5-point scale from 0 (task cannot be performed at all) to 4 (task is completed without any difficulty within the time frame (20 seconds) and with the prescribed hand-grip of normal quality).
A total sum score (0-80) is created by adding up the scores from the different subtests.

Sollerman C & Ejeskär A. Sollerman Hand Function Test. A Standardised Method and its Use in Tetraplegic Patients. Scand J Plast Reconstr Hand Surg 1995;29:167-176.
http://www.ncbi.nlm.nih.gov/pubmed/7569815
Dellhag B & Burckhardt CS. Predictors of Hand Function in Patients with Rheumatoid Arthritis. Arthritis Care and Research 1995;8:16-20.
Fattal C. Motor capacities of upper limbs in tetraplegics: a new scale for the assessment of the results of functional surgery on upper limbs. Spinal Cord, 2004; 42: 80-90.
http://www.ncbi.nlm.nih.gov/pubmed/14765140