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Table 1 SHAP functionality profiles, tasks and modifications to the tasks for use in the SHAP-C

From: Preliminary study of the Southampton Hand Assessment Procedure for Children and its reliability

SHAP SHAP-C adjustments
FP AO tasks Objects and protocola Downsized objects Modified protocol
S Light sphere Wooden sphere transferred from location 1 to location 2 Sphere (diam. = 3 cm, weight = 1 g) -
Tr Light tripod Wooden prism transferred from location 1 to location 2 - -
P Light power Wooden cylinder transferred from location 1 to location 2 Cylinder (height = 10 cm, diam. = 3 cm, weight =5 g) -
L Light lateral Wooden shape in form of a square mug transferred from location 1 to location 2 - The object is positioned with the handle lateral to the side where the participant had the simulator on, not facing the participant.
Tp Light tip Wooden rectangular prism transferred from location 1 to location 2 - -
E Light extension Wooden rectangular prism transferred from location 1 to location 2 - -
S Heavy sphere Metal sphere transferred from location 1 to location 2 Sphere (diam. = 3 cm, weight = 37 g) -
Tr Heavy tripod Metal prism transferred from location 1 to location 2 - -
P Heavy power Metal cylinder transferred from location 1 to location 2 Cylinder (height = 10 cm, diam. = 3 cm, weight = 187 g) -
L Heavy lateral Metal shape in form of a squared mug transferred from location 1 to location 2 - The object is positioned with the handle lateral to the side where the participant had the simulator on, not facing the participant.
Tp Heavy tip Metal rectangular prism transferred from location 1 to location 2 - -
E Heavy extension Metal rectangular prism transferred from location 1 to location 2 - -
  ADL tasks    
Tp Pick up coins Picking up independently four coins and placing them into a jar. - The coins were dragged to the edge of the table by the participant. The assessor held the coins with index finger at the edge of the table while the participant picked up the coin and placed it in a jar.b
Tr + Tp Undo buttons Undoing four different sized buttons. - -
Tr + P Food cutting Cutting a plasticine block with a knife. - The assessor helped with fixating the knife in the prosthesis.b
E Page turning Pick up a 4 × 6 inch (10.2 × 15.2 cm) card from location 1, turn it over, and place it in location 2. - -
S Remove jar lid Pick up the jar with the non-assessed hand, open the lid with the assessed hand using a flexion grip with the lid in the palm. Smaller jam jar (diam. = 4 cm, diam. lid = 4.2 cm, height = 9 cm, weight = 76 g)  
L Pour water from jug Place the jug with 100 ml of water with the handle oriented to the side of the assessed hand. Lift it up by the handle and pour the water into a jar. Only 50 ml water was used. -
S Pour water from carton Fill in the carton with 200 ml of water, grasp it, and pour the water into the jar. Smaller juice carton with 100 ml water (length = 5.1 cm, width = 3.7 cm, height = 11 cm, weight = 6 g) -
P Move a full jar Lift a full jar with water from location 1 to location 2 over a barrier (the carton). Location 1 of the jar is the opposite side of the assessed hand. Smaller jam jar 150 ml water (diam. = 3.7 cm, height 10.1 cm, weight = 91 g) -
P Move an empty tin Lift an empty tin from location 1 to location 2 over the barrier (the carton). Location 1 of the jar is the opposite side of the assessed hand. Smaller tin (diam. = 3.5 cm, height = 9 cm, weight = 11 g) -
L + E Move a tray The tray is placed on the opposite side of the assessed hand. The closed SHAP unit is placed with the longer side facing the participant to serve as a barrier. Using both hands and remaining seated, pick up the tray from location 1, pass it over the barrier and place it in location 2. Lighter tray (length = 42 cm, width = 26 cm, weight = 558 g) The unit kit was placed with the shorter side facing the participant.
L + Tp Rotate a key 90° Rotate the key from a vertical position 90° to a white mark using a lateral grip. - -
L + Tp Open/close a zip Open and close a zipper. An extension to the zipper’s pull-tab (paperclip) The assessor held the pull-tab for easier grasping.b
P Rotate a screw 90° The screwdriver is placed on the form-board on the side of the assessed hand. The screw is clipped on the exterior of SHAP unit on the side of the assessed hand. Both hands can be used to guide the screwdriver to the screw, but only the assessed hand is turning the screwdriver. - The participant picked up the screwdriver with the non-assessed hand and passed it over to the assessed hand. The assessor helped with fixating the screwdriver in the prosthesis.b
P Rotate a door handle With the assessed hand, rotate a door handle until open. - -
  1. Modifications in SHAP-C: (1) downsized objects, (2) slightly modified positioning of a few objects on the form-board, and (3) the assessor timed the tasks and not the participant.
  2. Abbreviations and notations: SHAP–Southampton Hand Assessment Procedure, SHAP-C–Southampton Hand Assessment Procedure for Children, AO–abstract objects, ADL–activities of daily living, FP–functionality profile, S–Spherical (n = 4 tasks), Tr–Tripod (n = 4 tasks), P–Power (n = 7 tasks), L–Lateral (n = 6 tasks), Tp–Tip (n = 6 tasks), E–Extension (n = 4 tasks), ‘-’ no modification was applied.
  3. aThe tasks are executed with the hand under assessment. Location 1 and location 2 are specified on the form-board for each task.
  4. bAdjustments performed for the prosthetic hands (based on the pilot study); for non-disabled hands, the adjustment was unnecessary.