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Using your affected arm to complete tasks or activities

Home > Your consultation > Using your affected arm to complete tasks or activities

In each panel please select/click on the amount of difficulty that you or your carer/caregiver have experienced in doing the activity, over the last 7 days.

This assessment is designed to help you evaluate how you use your affected arm in everyday activities.

Each question relates to a specific task and asks you to rate the level of difficulty experienced when performing that activity.

  • Part 1 asks about using your affected arm — either by yourself with your unaffected arm, by a carer/caregiver, or through a combination of your own effort and assistance from a carer/caregiver.

  • The section does not ask about caring for your affected arm in order to complete the tasks.

  • Be as accurate as possible. Consider how the activity feels most of the time, rather than on a particularly good or bad day.

  • Base your answers on your usual performance, not on what you think you could do with help.

  • Select one option per activity — from No difficulty to Unable to do activity.

  • There are no right or wrong answers. The purpose is to identify areas that may benefit from treatment and to track progress over time.

  • If you are unsure how to rate a task, think about how much extra time, effort, or assistance is needed compared to before your arm difficulty began.

  • Once all items have been rated, a total score will be automatically generated. This score helps guide the next stage of treatment planning.

After completing the assessment, you will move on to Part 2 – Treatment Planning, where you can set goals and select potential interventions based on the assessment results.

Part 1 | Assessment

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Items 1, 2, 3, 4, 5, 6 and 7

Select as many as appropriate:

Active Function treatment goal options

  • To be able to extend the wrist and fingers and grasp a fork and to bring it to your mouth to eat within 12 weeks.
  • To be able to extend the wrist and fingers and pick up a pen/pencil and sign your signature on a sheet of paper within 12 weeks.
  • To be able to extend the wrist and fingers and grasp a cup and to bring it to your mouth to eat within 12 weeks
Involuntary movement - Associated Reaction
  • To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks
  •   To prevent your hand forming a fist when undertaking a difficult activity such as doing up buttons.
Contracture Prevention
  • Maintain current range of movement in the fingers of the left hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the left wrist at neutral for 4 months.

Functional task practice

  • Hand task practice (e.g. reach, grasp, release) incorporating Constraint induced movement therapy (CIMT),
  • Active reach, grasp, release exercise with repetition to enable progression.
  • Dynamic/exercise splints to support exercise programmes.
  • Consider games and virtual reality supported games
Reach and grasp of objects on a table 1Reach and grasp of objects on a table 2Reach and grasp of objects on a table 3  1. Reach and grasp of objects on a table
wrist extension splint for exercise 2. Wrist extension splint for exercise
GamesGames 1Games 3 3. Games

Strengthening exercises

Exercise programme specifically designed to increase muscle strength at the wrist and hand (consider number of repetitions recommended and weight or resistance required).
Wrist extension reps gripping weight Wrist extension reps gripping weight 1  1. Wrist extension reps gripping weight
Wrist and finger extension without weight 2. Wrist and finger extension without weight

Incorporation of functional tasks and re-learning into daily use

  • Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities’
  • Meal preparation
  • Washing and dressing
  • Eating and drinking
  • Hobbies
  • Work
  • Phone, computer and technology usage.
Eating with a knife and fork  1. Eating with a knife and fork
Eating with a spoon 2. Eating with a spoon
3. Applying deodorant
Keyboard use 4. Keyboard use
Mobile phone use 5. Mobile phone use
Drinking from a cup 6. Drinking from a cup
Cutting vegetables 7. Cutting vegetables

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time of a specific task or exercise.

Functional Electrical Stimulation

FES application and exercise for wrist/finger extensionFES application and exercise for wrist/finger extension 2  1. FES application and exercise for wrist/finger extension

Preparatory stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of fingers and wrist  1. Extension of fingers and wrist 
Extension of thumb and webspace Extension of thumb and webspace 2  2. Extension of thumb and webspace
Extension of fingers and wrist on tray table  1. Extension of fingers and wrist on tray table
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table

Extension of elbow on tray table 2Extension of the elbowConsistent positioning programme with fingers, hand, thumb and wrist in extension on a wheelchair tray table or arm support.

Positioning in a slingExtension of elbow on tray table 2Consistent positioning of fingers, hand thumb and wrist in extension in an arm support or sling (e.g. Lancaster Sling).

Resting splint in extension/resting position of fingers and wrist  1. Resting splint in extension/resting position of fingers and wrist
Extension of thumb and webspace on splint 2. Extension of thumb and webspace on splint

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dynamic Exercise Splintwrist extension splint for exerciseConsider exercise splint provision, such as the Saebo-Flex or simple wrist cock-up (wrist held in neutral or slightly extended) splint

Items 8, 9, 10, 11, 12 and 13

Select as many as appropriate:

Active Function treatment goal options

To be able to extend the elbow and grasp a fork and to bring it to the mouth to eat within 2 weeks.

Please add in the patient goal based on the advice above

Involuntary movement - Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the fingers of the left hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the left wrist at neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Functional task practice

  • Hand task practice (e.g. reach, grasp, release) incorporating Constraint induced movement therapy (CIMT),
  • Active reach, grasp, release exercise with repetition to enable progression.
  • Dynamic/exercise splints to support function (task practice) exercise programmes.
  • Consider games and virtual reality supported games
CIMT practice 1CIMT practice 2CIMT practice 3CIMT practice 4  1. CIMT practice
Reach and grasp cup or beaker  2. Reach and grasp cup or beaker
Games e.g. Nintendo Switch 3. Games e.g. Nintendo Switch
Dynamic exercise splint (wrist extension) 3. Dynamic exercise splint (wrist extension)

Strengthening exercises

Exercise programme specifically designed to increase muscle strength at the elbow (consider number of repetitions recommended and weight or resistance required).
Wrist finger extension 1. Wrist finger extension
Wrist finger flexion 2. Wrist finger flexion
Dynamic Exercise Splint 3. Dynamic Exercise Splint

Incorporation of functional tasks and re-learning into daily use

Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities’
  • Meal preparation
  • Washing and dressing
  • Eating and drinking
  • Hobbies
  • Work
  • Phone, computer and technology usage
Eating with a knife and fork 1. Eating with a knife and fork
Eating with a spoon 2. Wrist finger flexion
3. Applying deodorant
Keyboard use 4. Keyboard use
Mobile phone use 5. Mobile phone use
Drinking from a cup 6. Drinking from a cup
Cutting vegetables 7. Cutting vegetables

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

FES application and exercise for wrist/finger extensionFES application and exercise for wrist/finger extension 2Electrical Stimulation

Functional Electrical Stimulation
1. FES for elbow extension.
 

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Preparatory stretch

Active Assisted or Passive stretch of elbow (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of elbow 1. Extension of elbow

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Extension of elbow on tray table Extension of elbow on tray table 2 1. Extension of elbow on tray table
Positioning in a sling 2. Positioning in a sling

Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Positioning in a slingConsistent positioning of elbow in an arm support or sling (e.g. Lancaster Sling).

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Resting splint in extension/resting position of elbow 1Resting splint in extension/resting position of elbow 2 1. Resting splint in extension/resting position of elbow

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Dynamic Exercise SplintConsider exercise splint provision, such as the Saebo-Flex or simple wrist cock-up (wrist held in neutral or slightly extended) splint.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Part 1 | Assessment

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Items 1, 2, 3, 4, 5, 6 and 7

Select as many as appropriate:

Active Function treatment goal options

  • To be able to extend the wrist and fingers and grasp a fork and to bring it to your mouth to eat within 12 weeks.
  • To be able to extend the wrist and fingers and pick up a pen/pencil and sign your signature on a sheet of paper within 12 weeks.
  • To be able to extend the wrist and fingers and grasp a cup and to bring it to your mouth to eat within 12 weeks
Involuntary movement - Associated Reaction
  • To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks
  •   To prevent your hand forming a fist when undertaking a difficult activity such as doing up buttons.
Contracture Prevention
  • Maintain current range of movement in the fingers of the left hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the left wrist at neutral for 4 months.

Functional task practice

  • Hand task practice (e.g. reach, grasp, release) incorporating Constraint induced movement therapy (CIMT),
  • Active reach, grasp, release exercise with repetition to enable progression.
  • Dynamic/exercise splints to support exercise programmes.
  • Consider games and virtual reality supported games
Reach and grasp of objects on a table 1Reach and grasp of objects on a table 2Reach and grasp of objects on a table 3  1. Reach and grasp of objects on a table
wrist extension splint for exercise 2. Wrist extension splint for exercise
GamesGames 1Games 3 3. Games

Strengthening exercises

Exercise programme specifically designed to increase muscle strength at the wrist and hand (consider number of repetitions recommended and weight or resistance required).
Wrist extension reps gripping weight Wrist extension reps gripping weight 1  1. Wrist extension reps gripping weight
Wrist and finger extension without weight 2. Wrist and finger extension without weight

Incorporation of functional tasks and re-learning into daily use

  • Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities’
  • Meal preparation
  • Washing and dressing
  • Eating and drinking
  • Hobbies
  • Work
  • Phone, computer and technology usage.
Eating with a knife and fork  1. Eating with a knife and fork
Eating with a spoon 2. Eating with a spoon
3. Applying deodorant
Keyboard use 4. Keyboard use
Mobile phone use 5. Mobile phone use
Drinking from a cup 6. Drinking from a cup
Cutting vegetables 7. Cutting vegetables

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time of a specific task or exercise.

Functional Electrical Stimulation

FES application and exercise for wrist/finger extensionFES application and exercise for wrist/finger extension 2  1. FES application and exercise for wrist/finger extension

Preparatory stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of fingers and wrist  1. Extension of fingers and wrist 
Extension of thumb and webspace Extension of thumb and webspace 2  2. Extension of thumb and webspace
Extension of fingers and wrist on tray table  1. Extension of fingers and wrist on tray table
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table

Extension of elbow on tray table 2Extension of the elbowConsistent positioning programme with fingers, hand, thumb and wrist in extension on a wheelchair tray table or arm support.

Positioning in a slingExtension of elbow on tray table 2Consistent positioning of fingers, hand thumb and wrist in extension in an arm support or sling (e.g. Lancaster Sling).

Resting splint in extension/resting position of fingers and wrist  1. Resting splint in extension/resting position of fingers and wrist
Extension of thumb and webspace on splint 2. Extension of thumb and webspace on splint

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dynamic Exercise Splintwrist extension splint for exerciseConsider exercise splint provision, such as the Saebo-Flex or simple wrist cock-up (wrist held in neutral or slightly extended) splint

Items 8, 9, 10, 11, 12 and 13

Select as many as appropriate:

Active Function treatment goal options

To be able to extend the elbow and grasp a fork and to bring it to the mouth to eat within 2 weeks.

Please add in the patient goal based on the advice above

Involuntary movement - Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the fingers of the left hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the left wrist at neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Functional task practice

  • Hand task practice (e.g. reach, grasp, release) incorporating Constraint induced movement therapy (CIMT),
  • Active reach, grasp, release exercise with repetition to enable progression.
  • Dynamic/exercise splints to support function (task practice) exercise programmes.
  • Consider games and virtual reality supported games
CIMT practice 1CIMT practice 2CIMT practice 3CIMT practice 4  1. CIMT practice
Reach and grasp cup or beaker  2. Reach and grasp cup or beaker
Games e.g. Nintendo Switch 3. Games e.g. Nintendo Switch
Dynamic exercise splint (wrist extension) 3. Dynamic exercise splint (wrist extension)

Strengthening exercises

Exercise programme specifically designed to increase muscle strength at the elbow (consider number of repetitions recommended and weight or resistance required).
Wrist finger extension 1. Wrist finger extension
Wrist finger flexion 2. Wrist finger flexion
Dynamic Exercise Splint 3. Dynamic Exercise Splint

Incorporation of functional tasks and re-learning into daily use

Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities’
  • Meal preparation
  • Washing and dressing
  • Eating and drinking
  • Hobbies
  • Work
  • Phone, computer and technology usage
Eating with a knife and fork 1. Eating with a knife and fork
Eating with a spoon 2. Wrist finger flexion
3. Applying deodorant
Keyboard use 4. Keyboard use
Mobile phone use 5. Mobile phone use
Drinking from a cup 6. Drinking from a cup
Cutting vegetables 7. Cutting vegetables

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

FES application and exercise for wrist/finger extensionFES application and exercise for wrist/finger extension 2Electrical Stimulation

Functional Electrical Stimulation
1. FES for elbow extension.
 

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Preparatory stretch

Active Assisted or Passive stretch of elbow (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of elbow 1. Extension of elbow

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Extension of elbow on tray table Extension of elbow on tray table 2 1. Extension of elbow on tray table
Positioning in a sling 2. Positioning in a sling

Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Positioning in a slingConsistent positioning of elbow in an arm support or sling (e.g. Lancaster Sling).

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Resting splint in extension/resting position of elbow 1Resting splint in extension/resting position of elbow 2 1. Resting splint in extension/resting position of elbow

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Resting splint in extension/resting position of elbow 2Resting splint in extension/resting position of elbow 1Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Dynamic Exercise SplintConsider exercise splint provision, such as the Saebo-Flex or simple wrist cock-up (wrist held in neutral or slightly extended) splint.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.