Objective
Back
Both Hands Assessment (BoHA)
View Full Measure
Purpose
To measure the degree and quality of goal directed actions performed with each hand separately as well as with both hands together. Assessment and outcome measure
Assesment Type
Patient Group
Cerebral Palsy
Age Group
Infants (0-2 years) | Children (3-12 years)
ICF domain
Activity & Participation
Area of assessment
Fine Motor | Gross Motor
Key description
Children with bilateral cerebral palsy 18 months to 12 years
Description
A development of the Assisting Hand Assessment. A separate score for each hand, illustrating possible asymmetric hand use as well a measure of general upper limb ability. The BoHA is scored on 16 items (11 unimanual and 5 bimanual) scored on a 4-point rating scale.
Reliability / validity
Strong evidence of internal construct validity for measuring effectiveness of bimanual performance
A valid measure of bimanual performance for children with asymmetric and symmetric hand use
High correlation with MACS 0.89 https://onlinelibrary.wiley.com/doi/full/10.1111/dmcn.15127
Strengths / weaknesses
Can be time intensive
Cost
Course and materials approx £300
Equipment required
Kit
Training required
Formal training required
Considerations & references
References/ Links:
Development and Validation of the Both Hands Assessment for Children With Bilateral Cerebral Palsy - PubMed (nih.gov)
https://pubmed.ncbi.nlm.nih.gov/28467140/
Time to complete
10-30 mins
Comments
Easy to use in any language
If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk