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Research Article  |   September 2003
The Functional Repertoire of the Hand and Its Application to Assessment
Author Affiliations
  • Marliese Kimmerle, PhD, is Associate Professor, Faculty of Human Kinetics, University of Windsor, Windsor, Ontario N9B 3P4, Canada; kimmerl@uwindsor.ca
  • Lynda Mainwaring, PhD, C Psych, is Assistant Professor, Faculty of Physical Education and Health, University of Toronto, Toronto, Ontario, Canada
  • Marlene Borenstein, BSc, OT, is Occupational Therapist, Rehabilitation Solutions Hand and Upper Extremity Program, University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada
Article Information
Geriatrics/Productive Aging / Hand and Upper Extremity / Hand and Wrist: Rehabilitation and Functional Repertoire
Research Article   |   September 2003
The Functional Repertoire of the Hand and Its Application to Assessment
American Journal of Occupational Therapy, September/October 2003, Vol. 57, 489-498. doi:10.5014/ajot.57.5.489
American Journal of Occupational Therapy, September/October 2003, Vol. 57, 489-498. doi:10.5014/ajot.57.5.489
Abstract

Functional assessment of the hand typically involves evaluation of proficiency using a test battery rather than identifying the range of hand skills available to a client. Establishing a client’s hand function by reference to the movement repertoire of his or her fully-functioning hand offers numerous benefits for clinicians and researchers. A functional repertoire model of the hand is proposed as a framework for guiding assessment and therapy. The model identifies four main components relating to hand function: personal constraints, hand roles, hand actions, and task parameters. The model provides a common language for assessment, program development, and research across populations. Application here is to hand-injured clients, but the framework is equally valuable for hand function assessment of developmentally and physically challenged individuals, persons with neuromuscular disorders, or geriatric populations.