measures functional limitation and assesses the amount of difficulty experienced in performing specific actions with one or both arms and hands in individuals with tetraplegia.
Questions focus on the individuals’ ability to reach or lift; pull and push with their arms; move and position their arm and wrist; use their hand and fingers; and press with the tip of the index finger.
The CUE has considerable potential clinical appeal because it reflects hand and/or arm function and scores can be derived for either limb, which is appealing given the number of individuals with incomplete injuries.
The method of item generation (discussions with physical and occupational therapists, with patients, colleagues and experts in scale design) would suggest the CUE is likely to be widely accepted with therapists and individuals with an SCI.
Marino RJ, Shea JA, Stineman MG. The Capabilities of Upper Extremity Instrument: Reliability and Validity of a Measure of Functional Limitation in Tetraplegia. Arch Phys Med Rehabil 1998;79:1512-21. http://www.ncbi.nlm.nih.gov/pubmed/9862292
Kalsi-Ryan S, Beaton D, Curt A, Duff S, Popovic MR, Rudhe C, Fehlings MG, Verrier MC. The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity. Journal of Neurotrauma, 2012; 29: 905-914. http://www.ncbi.nlm.nih.gov/pubmed/21568688
Marino RJ, Patrick M, Albright W, Leiby BE, Mulcahey M, Schmidt-Read M, Kern SB. Development of an objective test of upper-limb function in tetraplegia: The capabilities of upper extremity test. Am J Phys Med Rehabil 2012 Jun; 91(6): 478-486. https://www.ncbi.nlm.nih.gov/pubmed/22469875
Oleson CV, Marino RJ. Responsiveness and concurrent validity of the revised capabilities of upper extremity-questionnaire (CUE-Q) in patients with acute tetraplegia. Spinal Cord 2014 Aug; 52(8): 625-628. https://www.ncbi.nlm.nih.gov/pubmed/24891011
Marino RJ, Kern SB, Leiby B, Schmidt-Read M, Mulcahey MJ. Reliability and validity of the capabilities of upper extremity test (CUE-T) in subjects with chronic spinal cord injury. J Spinal Cord Med 2015 Jul; 38(4): 498-504. https://www.ncbi.nlm.nih.gov/pubmed/25297342