ArticleEuropean journal of pediatrics2022
Reliability and agreement of the Nine Hole Peg Test in patients with unilateral spastic cerebral palsy.
Article in European journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Clinical Tools for Assessing One-Handed Skills in Children With Cerebral Palsy: An Umbrella Review.Occupational therapy international · 2025Pooled it
- Effect of an Outdoor-Focused Licensed Child Care Program on Child, Caregiver, and Educator Outcomes, Inclusion, and Accessibility: Protocol for the Sending Preschoolers Outside (SPROUT) Prospective Cohort Study.JMIR research protocols · 2026Article
- Usability of a virtual reality circle drawing task to assess upper-limb motor performance in children and young people with cerebral palsy: pilot study.BMC pediatrics · 2026Article
- Motor and Sensory Benefits of Mirror Therapy in Children and Adolescents with Unilateral Cerebral Palsy: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Efficacy of Hand Arm Bimanual Intensive Therapy in Improving Real-World Bimanual Performance and Identifying Predictors for Therapy Success in Children with Unilateral Cerebral Palsy.Physical & occupational therapy in pediatrics · 2025Article
- The Relationship Between Reduced Hand Dexterity and Brain Structure Abnormality in Older Adults.Geriatrics (Basel, Switzerland) · 2024Article
- Feasibility of At-Home Hand Arm Bimanual Intensive Training in Virtual Reality: Case Study.JMIR formative research · 2024Article
- The Use of TheraBracelet Upper Extremity Vibrotactile Stimulation in a Child with Cerebral Palsy-A Case Report.Electronics · 2024Article
- Translation, Cross-Cultural Adaptation, and Feasibility of the NHPT-E of Manual Dexterity for the Spanish Population.Healthcare (Basel, Switzerland) · 2024Article
- Hand Dexterity Is Associated with the Ability to Resolve Perceptual and Cognitive Interference in Older Adults: Pilot Study.Geriatrics (Basel, Switzerland) · 2023Article
- Bibliometric Analysis of Research on the Use of the Nine Hole Peg Test.International journal of environmental research and public health · 2022Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Upper extremity involvement is one of the most common motor impairments in children with unilateral spastic cerebral palsy (CP). One tool for the assessment of manual function in CP is the Nine Hole Peg Test (NHPT). However, the reliability of the NHPT in patients with unilateral CP is unknown. This study aimed to analyze the intra-rater inter-session reliability of the NHPT in unilateral spastic CP, for its use in clinical practice and research. A total of 27 participants with spastic unilateral CP were included. Reliability was verified by the intraclass correlation coefficient (ICC), standard error of measurement, and minimum detectable change. The agreement was analyzed by the Bland-Altman method. An excellent intra-rater reliability was observed for the non-affected side (ICC = 0.94) and the affected side (ICC = 0.96). The minimal detectable change was 4 and 12 s for the non-affected and affected side, respectively. There were no significant biases between repetitions. Conclusions: The NHPT showed excellent intra-rater inter-session reliability in patients with spastic unilateral CP. In addition, the test shows adequate agreement and proportionally small errors to assess manual dexterity. What is Known: • The Nine Hole Peg Test (NHPT) is widely used to assess dexterity in patients with neurological conditions. • The NHPT has demonstrated appropriate measurement properties in healthy children and adults with neurological conditions. What is New: • The NHPT presents excellent reliability, small measurement errors, and adequate agreement for the assessment of patients with cerebral palsy. • The measurement error of the NHPT in unilateral cerebral palsy may be up to 13% of the total time to perform it.
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