Manual Dexterity Assessment · 60 Second Block Transfer
Number of Blocks Transferred (60s)
Performance Data
Guidelines & Evidence
Verified
Last Review: 2026
When to Use
When to Use
Measure gross manual dexterity in stroke rehabilitation
Assess unilateral hand function in SCI, MS, cerebral palsy, and TBI
Screen for upper limb functional impairment in neurological and orthopaedic populations
Outcome measure in CIMT and hand rehabilitation trials
Monitor upper limb function during botulinum toxin or spasticity management programs
Test Description
Patient moves as many 2.5 cm wooden blocks as possible from one compartment of a box to the other within 60 seconds. Requires shoulder forward flexion, elbow extension, forearm rotation, and grip. Each hand tested separately. Score = number of blocks transferred. Normative data available for ages 20–94 by sex and dominant/non-dominant hand.
Related Scores in Practice
In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Action Research Arm Test (ARAT), Wolf Motor Function Test, Fugl-Meyer Assessment (FMA) or the Nine Hole Peg Test to formulate a comprehensive care plan.
Last Comprehensive Review: 2026