Tetraplegia Hand Activity Questionnaire (THAQ)

Download Clinical Summary PDF

Tool Description

  • Measure of arm and hand function in individuals with tetraplegia.
  • Consists of 9 subclasses:
    1. Self-care
    2. Dressing
    3. Continence
    4. Mobility
    5. Eating and drinking
    6. Work/admin/telecom
    7. Leisure
    8. Household
    9. Miscellaneous.

ICF Domain:

Activity – subcategory: Mobility.

Number of Items:

153

Brief Instructions for Administration & Scoring

Administration:

  • Self-report
  • Clinician asks individuals about level of difficulty, item importance and need for assistance.

Equipment: None.

Scoring:

  • Items are scored based on 3 dimensions:
    1. Performance or Doing (0 =  without difficulty to 3 = help from others);
    2. Use of an aid (0 = never to 3 = always);
    3. Importance of performing activity independently (0 = not important to 2 = very important).

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

  • Lower scores indicate a higher level of independence.
  • No meaningful cut-points or norms have been established for the SCI population.

Languages:

English.

Training Required:

None formally required.

Availability:

Unable to locate the scale for use at this time.

Clinical Considerations

  • Test is specific to the tetraplegic population (items were identified by client population) so this test is likely to be acceptable to individuals with SCI.
  • The test may not be useful when the individual is an in-patient as exposure to out of facility activities (i.e. community living, work, leisure) is required.

Measurement Property Summary

# of studies reporting psychometric properties: 1

Reliability:

No values were reported for the reliability of the THAQ for the SCI population.

Validity:

  • Experts were consulted to ensure content validity for the THAQ. The expert panel found activities relevant for evaluation in individuals with tetraplegia, not covered in other literature, to be used as THAQ items (69%), particularly within the domains leisure, work/administration/telecom, and continence, with 100%, 88% and 87% new items, respectively.

[Land et al. 2004]

Responsiveness:

No values were reported for the responsiveness of the THAQ for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the THAQ for the SCI population.

Reviewer

Dr. Janice Eng, Matthew Querée

Date Last Updated:

Dec 1, 2016

Download the measure

Download Worksheet:
Unable to locate the scale for use at this time.

Video

n/a

Scoring

  • Items are scored based on 3 dimensions:
    1. Performance or Doing (0 =  without difficulty to 3 = help from others);
    2. Use of an aid (0 = never to 3 = always);
    3. Importance of performing activity independently (0 = not important to 2 = very important).
  • Lower scores indicate a higher level of independence.

Equipment Needed

THAQ:

Land NE, Odding E, Duivenvoorden HJ, Bergen MP, Stam HJ. Tetraplegia Hand Activity Questionnaire (THAQ): the development, assessment of arm-hand function-related activities in tetraplegic patients with a spinal cord injury. Spinal Cord 2004;42:294-301.
http://www.ncbi.nlm.nih.gov/pubmed/14993892