Weighted and non-weighted hand function is assessed through: writing; turning over 3 by 5 inch cards; picking up small common objects; simulated feeding; stacking checkers; picking up large objects; and picking up large heavy objects. Time to complete each task is recorded.
Patients are required to perform all of the subtests with both the right and left hands, with the non-dominant hand tested first.
Administration of this test takes approximately 45 minutes.
Number of Items
Stopwatch, chair (18” seat height), desk/table (30” high), four sheets of unruled white paper, clipboard, sentences typed in all capital letters and centered on a 5×8” index card on a bookstand, 5 index cards (ruled on one side only), empty 1 pound coffee can, 2 paper clips, 2 regular sized bottle caps, 2 U.S. pennies, 5 kidney beans (~5/8” long), 1 regular teaspoon, wooden board (41 ½” long, 11 ¼” wide, ¾” thick), “C” clamp, plywood (20” long, 2” wide, ½” thick) glued to the board, 4 standard size (1 ¼” diameter) red wooden checkers, 5 No. 303 cans.
(see Jebsen 1969 for details)
Record the time necessary to complete each subtest (rounded the nearest second).
Norms for general population according to age, sex and hand (dominant or non-dominant) are available with the instruction manual.
Slow times reflect a less desirable performance.
No normative or published data has been reported for the SCI population.
MCID: not established in SCI SEM: not established in SCI MDC: not established in SCI
Test-retest reliability for the items ranged from Moderate to High (ranged from r = 0.60-0.99 (Pearson’s product-moment correlation)).
(Jebsen et al. 1969)
Correlation of the Jebsen Hand Function test is High with the overall Klein-Bell Scale score (Spearman’s r = -0.635) and Klein-Bell Scale–dressing subscale (Spearman’s r = -0.69), and Moderate with Klein-Bell Scale-bathing/hygiene subscale (-0.57) and Klein-Bell Scale-Eating subscale (-0.45).
(Lynch & Bridle 1989)
No values have been reported for the responsiveness of the Jebsen Hand Function Test for the SCI population at this time.
No values were reported for the presence of floor/ceiling effects in the Jebsen Hand Function Test for the SCI population at this time.
Bovend Eerdt TJH, Dawes H, Johansen-Berg H, Wade DT. Evaluation of the Modified Jebsen Test of Hand Function and the University of Maryland Arm Questionnaire for Stroke. Clinical Rehabilitation 2004; 18: 195-202. http://www.ncbi.nlm.nih.gov/pubmed/15053129
Spaulding SJ, McPherson HH, Strachota E, Kuphal M, Ramponi M. Jebsen Hand Function Test: Performance of the Uninvolved Hand in Hemiplegia and of Right-handed, Right and Left Hemiplegic Persons. Arch Phys Rehabil 1988;69:419-22. http://www.ncbi.nlm.nih.gov/pubmed/3377667