OBJECTIVE To provide an overview of arm-hand function tests useful in tetraplegic subjects. Considerations for selection of an appropriate test are also provided. DATA SOURCES A Medline literature search was conducted covering the period from 1967 to March 2001. Relevant references cited in the selected papers were also considered, regardless of the year of publication. STUDY SELECTION This review was restricted to strength tests, functional and ADL tests. Only general tests and tests designed specifically to test tetraplegic persons written in English, or in Dutch were included in the review. RESULTS Information is provided on four types of strength tests, 10 general and five specific functional tests and eight ADL tests. CONCLUSION Many tests are available to measure upper extremity motor function in tetraplegics. Selection of a test is at first determined by the outcome value in which the investigator is interested. When the type of outcome value has been determined, the most suitable test has to be selected from the range of available tests. When two tests appear to be equally suitable, the availability of information on psychometric properties of the test when used in tetraplegic patients is a decisive factor. When information on the reliability, validity and sensitivity of a test is missing, it should be gathered before using the test.

中文翻译：

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评估四肢瘫痪患者的上肢运动功能测试。

目的概述可用于四肢瘫痪患者的手臂功能测试。还提供了选择适当测试的注意事项。资料来源对1967年至2001年3月这段时间的Medline文献进行了检索。无论发表年份如何，都考虑了所选论文中引用的相关参考文献。研究选择该评价仅限于强度测试，功能测试和ADL测试。该评价仅包括一般测试和专为测试用英语或荷兰语编写的四肢瘫痪者设计的测试。结果提供了有关四种类型的强度测试，10种常规和5种特定功能测试以及8种ADL测试的信息。结论许多测试可用于测量四肢瘫痪患者的上肢运动功能。首先，测试的选择取决于研究者感兴趣的结果值。确定结果值的类型后，必须从可用测试范围中选择最合适的测试。当两个测试看起来同样合适时，在四肢瘫痪患者中使用该测试的心理测量特性的信息便是决定性因素。如果缺少有关测试可靠性，有效性和敏感性的信息，则应在使用测试之前收集这些信息。在四肢瘫痪患者中使用该测试的心理测量特性的信息的可用性是决定性因素。如果缺少有关测试可靠性，有效性和敏感性的信息，则应在使用测试之前收集这些信息。在四肢瘫痪患者中使用该测试的心理测量特性的信息的可用性是决定性因素。如果缺少有关测试可靠性，有效性和敏感性的信息，则应在使用测试之前收集这些信息。