A modified standardized nine hole peg test for valid and reliable kinematic assessment of dexterity post-stroke.

The stroke group had mainly mild to moderate impairment, so results do not apply to more severely affected hands. Only 28 of 30 stroke participants could follow the fixed peg order, so the test may be harder for people with memory or attention problems. The study used motion capture and a full marker set, which is not realistic for most clinics. Reliability was checked only within one session, not across days or repeated clinical visits. The modified test was not compared directly with the original NHPT. Speed was not controlled when comparing stroke and control movement differences. Cognition was not assessed, even though the fixed order may add memory demands. Subgroup analyses for sensory impairment and spasticity used small numbers.

Do not conclude that this standardized peg test improves stroke hand therapy. The movement analysis required motion capture, was done in 28 mostly mild post-stroke participants, and did not compare treatment or the original NHPT.