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Assisting Hand Assessment (AHA) Adolescent Assisting Hand Assessment (A-AHA)

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Purpose
Assessment and outcome measure of bi-manual skills in unilateral impairment

Assesment Type

Objective

Patient Group

Cerebral Palsy

Age Group

Infants (0-2 years) | Children (3-12 years) | Adolescents (13-17 years)

ICF domain

Body Structure & Function

Area of assessment

Activities of Daily Living | Fine Motor

Key description

Description
Video recorded play session using standard items in test kit. Scored during later viewing of video. considering 20 predefined items, using a rating scale ranging 1 to 4 points.
Ad-AHA computerised scoring
Reliability / validity
Standardised test.
Excellent inter- and intrarater reliability 0.97
Ad-AHA good-to-excellent interrater and test–retest reliability in adolescents with unilateral CP.
Strengths / weaknesses
Assessors must complete a 3 day course and “calibration tests”
Assessment manual and scoring information only available to course attendees.

 

Cost

Test kit - £350 Course approx. £500

Equipment required

Video camera, test kit

Training required

Previous experience and training.

Considerations & references

www.ahanetwork.se
Louwers A, Beelen A, Holmefur M, Krumlinde-Sundholm L (2016) Development of the Assisting Hand Assessment for adolescents (Ad-AHA) and validation of the AHA from 18 months to 18 years. Developmental Medicine & Child Neurology Dec;58(12):1303-1309 https://pubmed.ncbi.nlm.nih.gov/27291981/

Time to complete
Test- 15 minutes
Scoring- not specified
Comments
Also :
mini AHA for 8-18m
AHA-ABI for children with acquired brain injuries.
AHA-PAD for children with upper limb prosthesis, amputations and deficiencies.

Available in other languages

https://www.seekfreaks.com/index.php/2015/12/19/resource-top-9-functional-balance-tests-for-school-based-pts/

https://pubmed.ncbi.nlm.nih.gov/27291981/

If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk