Validity and Reliability of Modified Box and Block Test and Targeted Box and Block Test in Patients With Stroke

The Modified Box and Block (mBBT) test is an upper extremity performance test.Unlike BBT, in mBBT, instead of randomly picking the cubes, 16 cubes are arranged in a certain order.

The cubes are asked to take the other cubes in that row, starting from the innermost left cube, first to the right, and then to the next upper row.

It is recorded how many seconds passed through 16 cubes placed at a certain level.

In tBBT, as in mBBT, the time of passing 16 cubes over the obstacle to the other side is recorded. However, the difference from mKBT is that 16 cubes are placed at a certain level, but the patients are asked to place the cubes on the other side in 4 cm squares where the cube will be placed.

These squares correspond to the left symmetrical position of the cube on the right.

In this way, patients have to place the cube they grasp only at the desired point.

9HPT is a dexterity test.The patient is asked to place the 9 wooden blocks into the 9 holes in the maximum amount of time.Then he is asked to take it out and put it back in its place. The total time is recorded.

The Fugl-Meyer Assessment is a disease-specific impairment index designed to assess motor function, balance, sensation qualities and joint function in hemiplegic post-stroke patients.The scale consists of four categories (Shoulder/Elbow/Forearm, Wrist, Hand/Finger, and Coordination) and evaluates 23 different movements in 33 sections.The maximum score is 66 points

Box and Block (mBBT) test is an upper extremity performance test. The patient is instructed to move as many blocks as possible, one at a time, from one compartment to the other for a period of 60 seconds. The number of cubes passed to the other side in 60 seconds is recorded.