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Instrument Reviewers

Initially reviewed by Wendy Romney, PT, DPT, NCS, Cara Weisbach, PT, DPT, and the SCI EDGE task force of the Neurology Section of the APTA in 9/2012. Updated (added consideration) in 10/2024 by Alexandra Belen, Student PT; Mia Biscuti, Student PT; Nicole Gabriel, Student PT; Isabelina Alexis Gamboa, Student PT; Emily Mayer, Student PT; & Uzair Rasheed, Student PT under the direction of Irene Ward, PT, DPT, NCS

Professional Association Recommendation

Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association¡¯s Multiple Sclerosis Taskforce (MSEDGE), Parkinson¡¯s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (VEDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

For detailed information about how recommendations were made, please visit: 

Recommendations for use based on acuity level of the patient:

Recommendations based on SCI AIS Classification: 

Recommendations for entry-level physical therapy education and use in research:

Considerations

• The measure requires several items (see above)
• The box used in the original article (Fig 2) may not be readily available

Ekstrand et al., 2016 investigated the test-retest reliability and convergent validity of the Modified Sollerman Hand Function Test (mSHFT) that consists of the 3 items that most strongly correlated with the total score out of the original 20-item SHFT:

• #4 - picking up four coins using tip to tip pinch grip
• #8 - putting four nuts on bolts using pulp, lateral, or tripod pinch grip
• #10 - buttoning four buttons using pulp or lateral pinch grip

Among 45 participants with chronic stroke and a mean age of 65 (7) years, excellent test-retest-reliability of the total sum score of the mSHFT was found for the more-affected hand (Kappa coefficient = 0.95). The mSHFT also exhibited excellent convergent validity with the Nine Hole Peg Test (NHPT) (rho = -0.68) and adequate convergent validity with the Box and Block Test (BBT) (rho = 0.41) for the more-affected hand. Adequate convergent validity of the mSHFT was found with the NHPT (rho = -0.48) and the BBT (rho = 0.44) for the less-affected hand. The authors concluded the mSHFT may be preferred for persons with milder impairments of the upper extremity and, as a result of its reflecting activities of daily life, be a suitable alternative to the NHPT. 

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Bibliography

Brogardh, C. and Sjolund, B. H. (2006). "Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use." Clinical Rehabilitation 20(3): 218-227. 

Fattal, C. (2004). "Motor capacities of upper limbs in tetraplegics: a new scale for the assessment of the results of functional surgery on upper limbs." Spinal Cord 42(2): 80-90. 

Sollerman, C. and Ejeskar, A. (1995). "Sollerman hand function test. A standardised method and its use in tetraplegic patients." Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 29(2): 167-176. 

Weng, L. Y., Hsieh, C. L., et al. (2010). "Excellent reliability of the Sollerman hand function test for patients with burned hands." J Burn Care Res 31(6): 904-910.