Among assessments of hand function, which test is commonly used in unilateral CP in addition to AHA?

• A. Jebsen-Taylor Hand Function Test
• B. GMFM
• C. Box and Block Test
• D. PEDI-CAT

Answer: (C)

Assessing hand function in unilateral CP often benefits from a focused measure of unimanual dexterity to complement a bimanual assessment like the AHA. The Box and Block Test does exactly that: it measures how many blocks a person can move from one compartment to the other with one hand in 60 seconds. The score reflects the speed and dexterity of the affected hand, providing a clear, objective gauge of unimanual performance that’s quick to administer and widely used in pediatric CP populations. This makes it a practical choice to pair with AHA, which evaluates how well the affected hand assists in daily bimanual tasks. In contrast, the Jebsen-Taylor Hand Function Test covers a broader set of tasks and is more time-consuming; GMFM focuses on gross motor skills rather than fine hand dexterity; PEDI-CAT offers broad functional domains and is not a direct hand dexterity measure.