Jebsen-Taylor Test of Hand Function

Instrument Name: Jebsen-Taylor Test of Hand Function

Abbreviation: JTTHF

Points for Consideration:

Used in adults. Not used in pediatric populations.

Description of Tool:

The Jebsen-Taylor Test of Hand Function is a PerfO which measures the amount of time it takes to complete 7 tasks: Writing, Simulated page turning, Picking up small common objects,
Simulated feeding,
Stacking checkers,
Picking up large light objects, and Picking up large heavy objects. Higher scores represent longer times to perform the tasks.

Minimum Qualification Required by COA Administrator: MA or BA

Comment:

Also called Jebsen-Taylor Hand Function Test (JTHFT) or Jebsen Hand Function Test (JHFT)

Year: 1969

Objective of Development:

To measure fine and gross motor hand function

Population of Development: Age range (therapeutic indication):

20-94 years (Cerebral Palsy, Brain Diseases)

Pediatric Population(s) in which COA has been used:

Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Wounds and Injuries; Nervous System Diseases; Nutritional and Metabolic Diseases; Musculoskeletal Diseases; Cardiovascular Diseases; Mental disorders; Pathological Conditions, Signs and Symptoms; Endocrine System Diseases; Immune System Diseases; Skin and Connective Tissue Diseases; Eye Diseases

COA type:

Number of Items 7 tasks

Mode of Administration:

Data Collection Mode:

Time for Completion: 15 to 45 minutes

Response Scales: Time (seconds)

Summary of Scoring:

Available Score:
Global score of total time to complete 7 subtests

Weighting:
No

Score Interpretation:
Higher score = Longer time to perform the tasks

Evidence of Literature Review: Yes

Evidence of Instrument Review: Yes

Evidence of Clinical or Expert Input: Yes

Evidence of concept elicitation in target patient population: None identified

Evidence of a Saturation Grid: None identified

Evidence for Selection of Data Collection Method: None identified

Recall/Observation Period:

Evidence for Selection of Reponse Options: None identified

Evidence of cognitive interviewing of draft instrument in target patient population: None identified

Evidence of Preliminary Scoring of Items and Domains: None identified

Evidence related to respondent and administrator burden: None identified

Evidence of a Conceptual Framework: None identified

Evidence of an item-tracking matrix: None identified

Evidence related to item selection: None identiifed

Evidence of re-testing the final version: None identified

Internal consistency (Cronbach's alpha): None Identified

Test-retest Reliability (ICC):

Not applicable

Inter-rater/ inter-interviewer reliability (kappa):

Jebsen RH (1969)
- Pearson's correlation coefficients: For all 7 subtests and for both hands, r ranged between 0.6 and 0.99 (p<0.01 for all values) - t-test: No significant difference was found between the two administrations (data Not shown; p<0.05) - Was a definition of stability applied to identify stable patients: Yes; patients with stable hand disabilities - Time frame or interval between the two administrations: Not stated - Population/Disease: Patients with stable hand disabilities; n=26, mean age= 34.5 years± 20 years ConNolly AM (2015) Intra-rater reliability: - Intraclass Correlation Coefficient (ICC): - Writing Non-dominant hand: 0.79 - Writing dominant hand: 0.87 - Simulated page turning Non-dominant hand: 0.70 -Simulated pae turning dominant hand: 0.90 - Lifting smal common objects Non-dominant hand: 0.95 - Lifting smal common objects dominant hand: 0.94 - Simulated feeding Non-dominant hand: 0.58 - Simulated feeding -dominant hand: 0.73 - Stacking checkers Non-dominant hand: 0.82 - Stacking checkers dominant hand: 0.91 -Lifting light objects Non-dominant hand: 0.88 -Lifting light objects dominant hand: 0.85 - Lifting heavy objects Non-dominant hand: 0.92 - Lifting heavy objects dominant hand: 0.80 - Was a definition of stability applied to identify stable patients: The same day - Time frame or interval between the two administrations: 1 hour - Population/Disease: Non-ambulatory boys/men with Duchenne Muscular Dystrophy ; n= 91, mean age 16.7±4.5 years)

Evidence of test-retest or inter-rater reliability: Yes

Concurrent validity (convergent, divergent):

Corben LA (2018)
1.Correlation coefficient used: Not stated
- Measure: Nine Hole Peg Test (9HPT)
- Results: Significant correlation was found between JHFT and 9HPT: r= 0.58, p<0.001) - Population/Disease: Patients Friedreich ataxia; n=73, age range :Not stated Artilheiro MC (2017) 2. Correlation coefficient used: Spearman Correlation Coefficients - Measure: Performance of Upper Limb (PUL) total score and PUL shoulder, elbow and wirst - Results: p<0.001 for all results Significant correlation was found between PUL total score and JTT 2 (r= -0.758) Significant correlation was found between PUL total score and JTT 3 (r= -0.817) Significant correlation was found between PUL total score and JTT 4 (r= -0.780) Significant correlation was found between PUL total score and JTT 5 (r= -0.782) Significant correlation was found between PUL total score and JTT 6 (r= -0.853) Significant correlation was found between PUL total score and JTT total score (r= -0.706) - Population/Disease: Patients Friedreich ataxia (53%), limb-girdle muscular dystrophy (26.7%), Becker muscular dystropgy (10%), myotonic dystrophy type 1 (6.7%) and fascioscapulohumeral dystrophy (3.3%); n=30, age range :11 to 47 years (21.1±7.9 years) 3. Correlation coefficient used: Spearman Correlation Coefficients - Measure: Performance of Upper Limb (PUL) and PUL shoulder, elbow and wirst - Results: p<0.001 for all results Significant correlations were found between PUL shoulder and JTT subitems (excepted the first): r= -0.644 to -0.736 Significant correlation was found between PUL shoulder and JTT total score: r= -0.587 Significant correlations were found between PUL elbow and all JTT subitems (excepted the first): r= 0.658 to 0.751 Significant correlation was found between PUL elbow and JTT total score: r= -0.614 Significant correlations were found between PUL wrist and all JTT subitems (excepted the first): r= 0.714 to 0.868 Significant correlation was found between PUL wrist and JTT total score r= -0.730 - Population/Disease: Patients Friedreich ataxia (53%), limb-girdle muscular dystrophy (26.7%), Becker muscular dystropgy (10%), myotonic dystrophy type 1 (6.7%) and fascioscapulohumeral dystrophy (3.3%); n=30, age range :11 to 47 years (21.1±7.9 years)

Known-group validity:

Jebsen RH (1969)
KNown-groups validity:
1- Measure/Groups of patients: Two groups (males aged between 20 and 59 years: n=120; males aged between 60 and 94 years: n=30)
- A priori hypotheses: Not stated
- Were hypotheses confirmed: Not applicable
- Results: Males aged between 60 and 94 years required significantly more time than those aged between 20 and 59 years to perform all of the 7 subtests, with both the dominant hand or the Non-dominant hand (t-test, data Not shown; p<0.05) - Population/Disease: Patients with No hand disability; n=150, age range : 20-94 years 2- Measure/Groups of patients: Two groups (females aged between 20 and 59 years: n=120; females aged between 60 and 94 years: n=30) - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Females aged between 60 and 94 years required significantly more time than those aged between 20 and 59 years to perform all of the 7 subtests, with both the dominant hand or the Non-dominant hand (t-test, data Not shown; p<0.05), except for simulated feeding with both the dominant hand or the Non-dominant hand - Population/Disease: Patients with No hand disability; n=150, age range : 20-94 years Corben LA (2018) 3- Measure/Groups of patients: Correlation with disease duration - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Coefficient used: Not stated A significant correlation was found between JHFT and disease duration (rho= 0.40, p<0.001) - Population/Disease: Patients Friedreich ataxia; n=73, age range :Not stated Corben LA (2010) 4- Measure/Groups of patients: Correlation with disease duration - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Spearman Rank correlation coefficient A significant correlation was found between JHFT dominant hand and disease duration (r= -0.46, p<0.01) A significant correlation was found between JHFT Non-dominant hand and disease duration (r= -0.41, p<0.05) - Population/Disease: Patients Friedreich ataxia; n=38, age range 15.1-59.2; mean age (SD)= 31.6 (12.6) 5- Measure/Groups of patients: Correlation with Friedreich Ataxia Rating Scale - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Spearman Rank correlation coefficient A significant correlation was found between JHFT dominant hand and disease duration (r= -0.74, p<0.01) A significant correlation was found between JHFT Non-dominant hand and disease duration (r= -0.74, p<0.01) - Population/Disease: Patients Friedreich ataxia; n=38, age range 15.1-59.2; mean age (SD)= 31.6 (12.6)

Evidence of Translatability Assessment: None identified

Evidence related to missing data: None identified

Evidence for Selection of Recall Period: None identified

Evidence of Administration Instructions and Training Provided: None identified

Evidence of concurrent validity: Yes

Evidence of known-groups validity: Yes

Evidence of ability to detect change over time: Yes

Ability to detect change (Responsiveness):

Maciel FKL (2021)
Responsiveness:
Methods:
- Population/Disease: Patients with Duchenne Muscular Dystrophy; n= 28. Age range 6-19 years (mean 12.1±3.6 years)
- Time horizon: After 6 and 12 months
- Statistics used: ANOVA and Bonferroni's multiple comparisons
Results:
ANOVA
- An effect of the time on the performance of the upper limb was found (F2.54= 3.442; p= 0.001) in total JTT
- An effect of the time on the performance of the upper limb was found (F2.54= 4.182; p= 0.02) in 2JTT
- An effect of the time on the performance of the upper limb was found (F2.54= 8.385; p= 0.003) 3JTT
- An effect of the time on the performance of the upper limb was found (F2.54= 3.235; p= 0.047) 4JTT
- An effect of the time on the performance of the upper limb was found (F2.54= 3.512; p= 0.037) 5JTT

Bonferroni's multiple comparisons:
- For 2JTT a significant difference occured between the initial assessments and after 6 monts (p = 0.040) and between the initials assessments and after 12 months (p 0.010)
- For 3JTT a significant difference occured between the initial assessments and after 6 monts (p = 0.003) and between the initials assessments and after 12 months (p 0.001)
- For 4JTT a significant difference occured between the initials assessments and after 12 months (p 0.028)
- For 2JTT a significant difference occured between the initial assessments and after 6 monts (p = 0.034) and between the initials assessments and after 12 months (p 0.021)
- For total JTT a significant difference occured between the initials assessments and after 12 months (p 0.009)

Evidence of responder thresholds: None identified

Jebsen RH, Taylor N, Trieschmann RB, Trotter MJ, Howard LA. An objective and standardized test of hand function. Arch Phys Med Rehabil. 1969 Jun;50(6):311-9 (No abstract available)

[Conference Abstract] Corben LA, Nguyen KD, Pathirana PN. Developing an Instrumented Measure of Upper Limb Function in Friedreich Ataxia. Cerebellum. 2021 Jan 5.
(https://pubmed.ncbi.nlm.nih.gov/33400236/)

Maciel FKL, Santos ALYDS, Sá CDSC. RESPONSIVENESS OF UPPER LIMB SCALES AND TRUNK CONTROL FOR THE EVOLUTION OF PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY. Rev Paul Pediatr. 2021 Feb 24;39:e2020045.
(https://pubmed.ncbi.nlm.nih.gov/33656143/)

ConNolly AM, Malkus EC, Mendell JR. Outcome reliability in Non-ambulatory boys/men with Duchenne muscular dystrophy. Muscle Nerve. 2015 Apr;51(4):522-32.
(https://pubmed.ncbi.nlm.nih.gov/25056178/)

Corben LA, Tai G, Wilson C. A comparison of three measures of upper limb function in Friedreich ataxia. J Neurol. 2010 Apr;257(4):518-23.
(https://pubmed.ncbi.nlm.nih.gov/19823893/)

Artilheiro MC, Cardoso de Sá CD, Fávero FM. Hand Function in Muscular Dystrophies. Percept Mot Skills. 2017 Apr;124(2):441-451.
(https://pubmed.ncbi.nlm.nih.gov/28361653/)

Beagley SB, Reedman SE, Sakzewski L, Boyd RN. Establishing Australian Norms for the Jebsen Taylor Test of Hand Function in Typically Developing Children Aged Five to 10 Years: A Pilot Study. Phys Occup Ther Pediatr. 2016;36(1):88-109. doi: 10.3109/01942638.2015.1040571. Epub 2015 Sep 30. PMID: 26422461. (Full text article: https://pubmed.ncbi.nlm.nih.gov/26422461/)

Culicchia G, Nobilia M, Asturi M, et al. Cross-Cultural Adaptation and Validation of the Jebsen-Taylor Hand Function Test in an Italian Population. Rehabil Res Pract. 2016;2016:8970917. doi:10.1155/2016/8970917 (Full text article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967698/)

Hackel ME, Wolfe GA, Bang SM, Canfield JS. Changes in hand function in the aging adult as determined by the Jebsen Test of Hand Function. Phys Ther. 1992 May;72(5):373-7. doi: 10.1093/ptj/72.5.373. PMID: 1631206. (Full text article: https://pubmed.ncbi.nlm.nih.gov/1631206/)

Takla, Mary KN, Enas AK Mahmoud, and Neveen Abd El-Latif. "Jebsen Taylor Hand Function test: Gender, dominance, and age differences in healthy Egyptian population." Bulletin of Faculty of Physical Therapy 23.2 (2018): 85-93. (Full text article: https://bfpt.springeropen.com/track/pdf/10.4103/bfpt.bfpt_11_18.pdf)

None identified

Original language:
English

Translations:
Italian

Italian:
Nobilia M, Culicchia G, Tofani M, De Santis R, Savona A, GuariNo D, Valente D, Galeoto G. Italian Version of the Jebsen-Taylor Hand Function Test for the Assessment of Hand Disorders: A Cross-Sectional Study. Am J Occup Ther. 2019 May/Jun;73(3):7303205080p1-7303205080p6

Not reported

Not reported

Not reported

None identified