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Appropriateness of The Functional Test for the Hemiplegic Upper Extremity (FTHUE) for Clients with Visual or Cognitive Deficits

Veronica T. Rowe, PhD, OTR/L, CBIST

June 6, 2012

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Question

If the client has severe visual acuity problems, perceptual deficits or cognitive deficits, does that make the FTHUE a less useful tool?

 

Answer

I think that is always a possibility with any assessment.  You are allowed to make some accommodations if the person has visual acuity or perceptual deficits.   I think if they are severe enough, the FTHUE might not be an appropriate tool.  The tasks are fairly simple.  Cognitively, that is usually not a problem, but again if a person is having so much difficulty following simple directions or demonstrations, it may not be an appropriate one.  Beyond that though, I really have not found it to be not appropriate.  Again it can be used for someone that has very little movement all the way to clients that have more movement.  Compared to some of the other tests that have been used like the Wolf Motor Function Test or the AMAT, this is applicable to a wider population.


veronica t rowe

Veronica T. Rowe, PhD, OTR/L, CBIST

Dr. Veronica Rowe has over 24 years of experience as an occupational therapist, she has worked in various areas of adult and geriatric care including acute care, inpatient and outpatient rehabilitation, long term care, burns, hands, and psychiatric care, all areas with an emphasis in neurological disorders.  Prior to her work in academia, she spent her career in St. Louis, Missouri at St. Anthony’s Medical Center; Baltimore, Maryland at Johns Hopkins Bayview; and Atlanta, Georgia at Emory University.  She served as a project coordinator for numerous research studies at Emory University involving rehabilitation therapies for the neurologically compromised upper extremity, including constraint induced movement therapy, mental imagery, and use of robotic devices.  She has collaborated on several research studies involving task-specific training and neurorehabilitation assessment measures with the University of Southern California.  She is the author of numerous peer-reviewed articles, and has presented nationally, internationally, and virtually for a wide variety of audiences.  She is also a Certified Brain Injury Specialist Trainer. She has over 13 years of experience teaching in occupational therapy at the University of Central Arkansas and Georgia State University. She currently teaches and mentors research and neurological rehabilitation courses in occupational therapy.

 


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