The Hand Accumulation aNd Dexterity FUnctional Limits–Shriners (HANDFULS): A New Clinically Feasible Measure of Hand Volume and In-Hand Manipulation for Children

This study proposes a hand outcome measure that addresses a gap in the literature and clinical practice in the measurement of hand function. Plain-Language Summary: The Hand Accumulation aNd Dexterity FUnctional Limits-Shriners (HANDFULS) offers a new, clinically feasible outcome tool for measuring in-hand manipulation (the number of seconds per marble a child or adolescent needs to collect marbles in one hand). HANDFULS simultaneously considers palmar workspace volume (the number of marbles a child or adolescent can comfortably fit in one hand) as a foundation for future testing with various patient populations to provide meaningful and relevant information about hand function.