ORLANDO, Fla. — Diane Atkins, OTR, FISPO presented results of a measure to identify a functional baseline index score for users of an electric multi-articulating hand and electric partial hand digits here at the American Academy of Orthotists and Prosthetists Annual Meeting and Scientific Symposium.

“Preliminary results support the benefits of the multiple prehensile grip patterns available with these prostheses. With this improved technology, it is imperative that experienced occupational therapists are actively integrated into the prosthetic fitting and training process of these advanced devices,” she said.

The functional baseline index score, or standard, is defined by four validated and standardized tests (Box and Blocks Test, Nine Hole Peg, Disabilities of the Arm, Shoulder and Hand and Southampton Hand Assessment Procedure). In the phase 1 study, 15 patients fit with electric prostheses were enrolled with three patients in each of five hand and/or digit amputation categories. The patients completed tasks on the four standardized tests.  

The results set the stage for the phase 2 study, which will compare the research design of the functional baseline index standard of individuals who have been fit with electric multi-articulating hand and digits with that of patients who have had toe transfers and hand transplantations. She said the functional baseline index standard will define what should be met or exceeded in hand surgery and hand transplant patients.

Diane Atkins


“If this standard is not met, evidence can be presented to the hand patient that would enable them to make an informed decision regarding amputation, and the opportunity to be fit with an electric multi-articulating hand or partial hand prosthesis.”

For more information:

Atkins D. Paper F8. Presented at: American Academy of Orthotists and Prosthetists Annual Meeting and Scientific Symposium. Feb. 20-23, 2013. Orlando, Fla.

Disclosure: Atkins is a consultant for Touch Bionics.

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