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The Info Chedoke versus AMAT versus TEBHU | Health News

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The Info Chedoke versus AMAT versus TEBHU | Health News


I cannot die in peace until hand rehab is evaluated with tests that have a good basement.  Good basements detect small changes during early recovery.  Many studies have reported no significant improvement after treatment even though test subjects reported using their hemiplegic hand more at home.  Explaining why showering is easier when you use the hemiplegic hand has been called subjective.  Why is there a discrepancy between formal hand tests and subject report?  Are researchers reporting what happens when you provide poor treatment or when you use tests loaded with difficult test items?  The table below compares the Chedoke Arm and Hand Activity Inventory, the Arm Motor Ability Test (AMAT), and the Test of Early Bilateral Hand Use (TEBHU).  TEBHU test items show that researchers can test five levels of hand use.
  
       Chedoke                                              AMAT                                      TEBHU
Finger mobility                                  Finger mobility                         Finger mobility
    Cut with knife                                    Cut with knife                          Cut with knife
    Button                                                Button                                     Button
    Draw line with pen/ruler                    Tie shoelaces                         Tie shoelaces
    Dial phone                                         Dial phone
    Wipe eyeglasses                               Flip light switch
    Squeeze t. paste on brush
                                                                                                                       
Wrist/forearm mobility                    Wrist/forearm mobility              Wrist/forearm mobility
    Unscrew jar lid                                 Unscrew jar lid                         Peel carrot
    Pour water from pitcher                   Comb hair                                Stir pot
    Pull zipper tab up                             Scoop up beans                       Zip coat
    Wring out washcloth                        Turn door knob
    Place container on table                  Take sandwich to mouth
                                                             Take phone to ear
                                                              
Hold but no reaching required         ?? hand use                            Reach for object and hold it still
    Hold jar                                            Don shirt w 2 hands                 Reach for and hold carrot   
    Hold drinking glass                          Discard paper towel                 Reach for and hold pot handle
    Hold bottom of zipper                      Lean on hemi arm                    Reach for/ hold food scraper
    Hold eyeglasses
    Hold toothbrush                                                                         Hand-to-hand transfer/ hold object
                                                                                                            Put deodorant in hemi hand
                                                                                                            Put t. paste tube in hemi hand
                                                                                                            Put remote in hemi hand/carry
                                                                                                            Put teabag in hand/hold
                                                                                                            Put envelope in hand/hold
                                                                                                            Put sandwich bag in hand/hold

                                                                                                      Trap object on surface/ hold it still
                                                                                                          Trap toilet paper on thigh       
                                                                                                          Trap return stub for bill on table
                                                                                                          Trap envelope on table


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