Nine Hole Peg Test Instructions
The Nine Hole Peg Test should be conducted with the dominant arm first. One practice trial (per arm) should be provided prior to timing thetest. Timing should be performed with a stopwatch and recorded in seconds. The stop watch is started when the patient touches the first peg. The stop watch is stopped when the patient places the last pegin the container.
Set-up (Mathiowetz et al, 1985):
A square board with 9 holes, o holes are spaced 3.2 cm (1.25 inches) apart o each hole is 1.3 cm (.5 inches) deep 9 wooden pegs should be .64 cm(.25 inches) in diameter and 3.2 cm (1.25 inches) long A container that is constructed from .7 cm (.25 inches) of plywood, sides are attached (13 cm x 13 cm) using nails and glue The peg board shouldhave a mechanism to decrease slippage. Self-adhesive bathtub appliqués were used in the study. The pegboard should be placed in front of the patient, with the container holding the pegs on the side ofthe dominant hand.
Patient Instructions (Mathiowetz et al, 1985):
The instructions should be provided while the activity is demonstrated. The patient’s dominant arm is tested first. Instruct thepatient to: o “Pick up the pegs one at a time, using your right (or left) hand only and put them into the holes in any order until the holes are all filled. Then remove the pegs one at a time andreturn them to the container. Stabilize the peg board with your left (or right) hand. This is a practice test. See how fast you can put all the pegs in and take them out again. Are you ready? Go!” Afterthe patient performs the practice trial, instruct the patient: o “This will be the actual test. The instructions are the same. Work as quickly as you can. Are you ready? Go!” (Start the stop watch whenthe patient touches the first peg.) o While the patient is performing the test say “Faster” o When the patient places the last peg on the board, instruct the patient “Out again…faster.” o Stop the...
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