OTCohortJournal of hand therapy : official journal of the American Society of Hand Therapists2025

Pediatric normative data for the Complete Minnesota Dexterity Test.

Tami L Konieczny, Nellie P Butler, Lynne Allen-Taylor and 3 others

PMID 40274446

WHAT IT FOUND

Children aged 7 to 18 now have age-based scores for all five parts of the Complete Minnesota Dexterity Test, covering one-handed and two-handed tasks, with times getting faster each year.

The authors say one attempt per task is enough.

Key findings

01Age-based norms are now available for all five subtests of the Complete Minnesota Dexterity Test for children and adolescents aged 7 to 18, covering both one-handed and two-handed dexterity.

02Scores were highly consistent when each subtest was repeated minutes apart, and the authors conclude one trial of each subtest is enough for children rather than the two to four used with adults.

03CMDT scores correlated strongly with the Box and Block Test in both hands, supporting that the new test measures manual dexterity.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Only typically developing children took part. Any child with a known physical, cognitive or emotional condition was excluded, so these norms may not fit the children on your caseload who have other health conditions. The study did not collect socioeconomic status, race or ethnicity, so it is unclear how diverse the sample really was. Children volunteered through hospital email lists, flyers and community contacts, so those who took part may differ in dexterity from the general pediatric population. Reliability was best for children whose performance was not at the extremes, so scores may be less dependable for the fastest or slowest children. Recruitment took nearly ten years and was held back for almost two of them by COVID-19. Testing was done sitting and with reworded instructions, which differs from the published manual, and no pediatric norms existed before to check these against. The faster second attempt may reflect a learning effect, which the authors say matters if you use the CMDT to compare a child before and after treatment.

Declared interests

The authors declare they have no competing financial interests. The text supplied does not include a funding statement.

The easy way to misread this

These norms were built only on typically developing children. Any child with a known physical, cognitive or emotional condition was excluded, so do not use them to judge a child with a disability. A faster second attempt is also not treatment progress; the authors attribute the 3.3 to 8.8 second improvement between trials to a possible learning effect.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →