Box and Block Test (BBT)

Summary

What it measures:

Assesses unilateral gross manual dexterity

Target Population:

People with:

Stroke
Multiple sclerosis (MS)
Traumatic brain injury (TBI)
Neuromuscular disorders
Geriatric
Spinal cord injury (SCI)
Fibromyalgia

Recommendations from the Neurology Section of the American Physical Therapy Association's StrokEDGE Taskforce,

MSEDGE Taskforce,SCI EDGE Taskforce, and the TBI EDGE Taskforce 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:

http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations

Abbreviations:
HR	Highly recommend
R	Recommend
*LS / UR*	Reasonable to use, but limited study in target group / Unable to recommend
NR	Not recommended

Recommendations for use based on acuity level of the patient:

	Acute (CVA <2 mo post) (SCI <1 mo post)	Subacute (CVA 2-6 mo) (SCI 3-6 mo)	Chronic (>6 mo)
StrokEDGE	R	R	R

Recommendations based on level of care in which the assessment is taken:

	Acute Care	Inpatient Rehabilitation	Skilled Nursing Facility	Outpatient Rehabilitation	Home Health
StrokEDGE	R	R	R	R	R
MS EDGE	R	R	R	R	R

Recommendations based on EDSS Classification:

	EDSS 0.0 – 3.5	EDSS 4.0 – 5.5	EDSS 6.0 – 7.5	EDSS 8.0 – 9.5
MS EDGE	R	R	R	R

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

	Students should learn to administer this tool? (Y/N)	Students should be exposed to tool? (Y/N)	Is this tool appropriate for use in intervention research studies? (Y/N)
StrokEDGE	No	Yes	Yes
MS EDGE	No	Yes	Yes

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9-Hole Peg Test (9-HPT or NHPT)

For people with neurological conditions such as parkinson disease (early/mild, middle/moderate Hoehn and Yahr stages), stroke, brain injury.