Questionnaire Description

The Nine Hole Peg Test (NHPT) is a measurement tool used to assess the speed and accuracy of fine motor movements of the upper limb. The patient is asked to place nine small pegs from a container into corresponding holes on a board as quickly as possible, and then remove them and return them to the container. The time required to complete the procedure is recorded and serves as the main measurable parameter. The test is performed separately for each hand, and the participant is only allowed to use the hand being evaluated.

Data Analysis and Use

The measurement is based on the total time, in seconds, required to complete the test. The data collected are used to assess fine motor skills, monitor recovery in individuals with neurological or musculoskeletal conditions, evaluate upper limb functionality, and compare performance between the two upper limbs or with standard normative values.

Purpose

The purpose of the NHPT is to assess fine motor manipulation ability and hand-eye coordination. It is primarily used in the rehabilitation of adults and older individuals, in clinical studies involving conditions such as multiple sclerosis and stroke, as well as for monitoring the progression of motor function or the patient’s response to therapeutic interventions.

Calibration

Calibration of the tool is based on the time taken to complete the procedure. A shorter completion time corresponds to better performance. Time is recorded separately for each hand, and normative reference tables by age and gender are available for comparison. Through repeated measurements, it is possible to monitor the course of recovery or the deterioration of motor function.

Bibliography

Kellor, M., Frost, J., Silberberg, N., Iversen, I., & Cummings, R. (1971).