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Box and Block Test (BBT)
Summary
What it measures:
Assesses unilateral gross manual dexterity
Target Population:
People with:
- Stroke
- Multiple sclerosis (MS)
- Traumatic brain injury (TBI)
- Neuromuscular disorders
- Geriatric
- Spinal cord injury (SCI)
- Fibromyalgia
Recommendations from the Neurology Section of the American Physical Therapy Association's StrokEDGE Taskforce,
MSEDGE Taskforce,SCI EDGE Taskforce, and the TBI EDGE Taskforce are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
|
Abbreviations: |
|
|
HR |
Highly recommend |
|
R |
Recommend |
|
LS / UR |
Reasonable to use, but limited study in target group / Unable to recommend |
|
NR |
Not recommended |
Recommendations for use based on acuity level of the patient:
|
|
Acute (CVA <2 mo post) (SCI <1 mo post) |
Subacute (CVA 2-6 mo) (SCI 3-6 mo) |
Chronic (>6 mo) |
|
StrokEDGE |
R |
R |
R |
Recommendations based on level of care in which the assessment is taken:
|
|
Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
|
StrokEDGE |
R |
R |
R |
R |
R |
|
MS EDGE |
R |
R |
R |
R |
R |
Recommendations based on EDSS Classification:
|
|
EDSS 0.0 – 3.5 |
EDSS 4.0 – 5.5 |
EDSS 6.0 – 7.5 |
EDSS 8.0 – 9.5 |
|
MS EDGE |
R |
R |
R |
R |
Recommendations for entry-level physical therapy education and use in research:
|
|
Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Is this tool appropriate for use in intervention research studies? (Y/N) |
|
StrokEDGE |
No |
Yes |
Yes |
|
MS EDGE |
No |
Yes |
Yes |
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Date: October 6, 2014
Contact: practice@apta.org
Content Type: Test & Measure
Paul Mintken, PT, Board-Certified Orthopaedic Clinical Specialist
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