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Updated: Jun 21, 2026
07:54
Design, Fabrication, and Administration of the Hand Active Sensation Test (HASTe)
Published on: September 8, 2015
Development and validation of the hand assessment tool
Sanjiv H Naidu1, Daniel Panchik, Vernon M Chinchilli
1Pinnacle Health Hand Center, Mechanicsburg, Pennsylvania 17050, USA. snaidu3555@comcast.com
Summary
A new Hand Assessment Tool (HAT) effectively measures activity limitations in patients with hand and wrist injuries. This reliable and valid instrument shows excellent consistency and correlation with other standard questionnaires.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Medical Device Development
Background:
- Activity limitations significantly impact quality of life for individuals with hand and wrist injuries.
- Existing measurement tools may not fully capture the nuances of functional deficits in this population.
Purpose of the Study:
- To develop and validate a self-administered tool, the Hand Assessment Tool (HAT), for assessing activity limitations in patients with hand and wrist injuries.
- To evaluate the reliability and validity of the HAT instrument.
Main Methods:
- The Hand Assessment Tool (HAT) was administered to 94 new hand surgery clinic patients.
- Patients also completed the SF-12 and Disabilities of Arm, Shoulder, and Hand Questionnaire (DASH).
- Statistical analyses, including Cronbach's alpha and concordance correlation coefficient, were used to assess reliability and validity.
Main Results:
- The HAT demonstrated excellent internal consistency (Cronbach's alpha = 0.91).
- Test-retest reliability was good (concordance correlation coefficient = 0.73).
- The HAT showed excellent correlation with the DASH and modest agreement with the SF-12 physical score.
Conclusions:
- The Hand Assessment Tool (HAT) is a reliable and valid instrument for evaluating activity limitations in individuals with hand and wrist injuries.
- The HAT provides a valuable tool for clinicians and researchers assessing functional status in this patient group.
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