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.
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Veronica T. Rowe, PhD, OTR/L
Veronica Rowe, PhD, OTR/L, is a tenured associate professor at Georgia State University in Atlanta, Georgia. She has been an OT for 29 years, during which time she worked clinically in various areas of adult care and has been involved with multiple large clinical research trials. She is also a Certified Brain Injury Specialist Trainer. She has spent the last 15 years teaching in OT schools and pursuing her research interests in adult neurorehabilitation after stroke or other brain injury. Her research is ongoing with multiple funded projects and resultant publications.
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