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J Neurol Neurosurg Psychiatry. 1987 Jun; 50(6): 714–719.
PMCID: PMC1032076

Arm function after stroke: measurement and recovery over the first three months.


Four short, simple measures of arm function, suitable for use with patients recovering from acute stroke, are described. These tests are: the Frenchay Arm Test, the Nine Hole Peg Test, finger tapping rate and grip strength. Good interobserver and test-retest reliability was demonstrated for all tests, and the Frenchay Arm Test was shown to be valid. Normal values for all tests were established on 63 controls. It was found that the limited sensitivity of the Frenchay Arm Test could be improved using the Nine Hole Peg Test and grip strength. Recovery of arm function has been studied in a sample of 56 patients seen regularly over the first 3 months after their stroke, using these standard measures. The results demonstrated a wide variation in recovery curves between patients. The use of the Nine Hole Peg Test enabled further recovery to be detected after patients achieved a top score on the Frenchay Arm Test. Failure to recover measureable grip strength before 24 days was associated with absence of useful arm function at three months. Measurement of finger tapping rate was not useful.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • CARROLL D. HAND FUNCTION IN HEMIPLEGIA. J Chronic Dis. 1965 May;18:493–500. [PubMed]
  • Lyle RC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res. 1981;4(4):483–492. [PubMed]
  • Ashburn A. A physical assessment for stroke patients. Physiotherapy. 1982 Apr;68(4):109–113. [PubMed]
  • Fugl-Meyer AR, Jäskö L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31. [PubMed]
  • Wade DT, Langton-Hewer R, Wood VA, Skilbeck CE, Ismail HM. The hemiplegic arm after stroke: measurement and recovery. J Neurol Neurosurg Psychiatry. 1983 Jun;46(6):521–524. [PMC free article] [PubMed]
  • De Souza LH, Hewer RL, Miller S. Assessment of recovery of arm control in hemiplegic stroke patients. 1. Arm function tests. Int Rehabil Med. 1980;2(1):3–9. [PubMed]
  • Skilbeck CE, Wade DT, Hewer RL, Wood VA. Recovery after stroke. J Neurol Neurosurg Psychiatry. 1983 Jan;46(1):5–8. [PMC free article] [PubMed]
  • Wade DT, Wood VA, Hewer RL. Recovery after stroke--the first 3 months. J Neurol Neurosurg Psychiatry. 1985 Jan;48(1):7–13. [PMC free article] [PubMed]
  • Smith DL, Akhtar AJ, Garraway WM. Proprioception and spatial neglect after stroke. Age Ageing. 1983 Feb;12(1):63–69. [PubMed]
  • Hier DB, Mondlock J, Caplan LR. Recovery of behavioral abnormalities after right hemisphere stroke. Neurology. 1983 Mar;33(3):345–350. [PubMed]

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