Action Research Arm Test: Assessing Upper Limb Function
The Action Research Arm Test assesses arm and hand function in stroke survivors. Therapists use specific grasping tasks to track recovery and plan effective rehabilitation programs.

Action Research Arm Test
The Action Research Arm Test is a standard tool for evaluating upper extremity performance after brain injury. Using a specialised kit with blocks and tubes, it assesses grasp, grip, pinch, and gross movement. This 19-item scale allows therapists to monitor functional recovery accurately.
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Disease
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What is Action Research Arm Test
The Action Research Arm Test (ARAT) is a key tool for checking arm function after a stroke. It helps therapists track recovery progress effectively. This assessment uses nineteen specific items split into four subscales. These cover grasp, grip, pinch, and gross movement to give a full picture of arm use. Clinicians score tasks on a four-point scale, ranging from zero for no movement to three for normal performance. The maximum total score sits at fifty-seven. Since the test is hierarchical, passing the hardest task means getting full points for that section immediately. It’s a quick way to measure upper limb recovery in stroke rehabilitation. The kit uses simple objects like blocks and marbles, so it's easy to set up in busy clinics. Therapists value it because it captures real changes in daily function, helping them guide treatment plans for much better long-term results.
The Action Research Arm Test can be scored using one main approach based on observational ratings. Clinicians rate performance on nineteen items across four subtests: Grasp, Grip, Pinch, and Gross Movement. Each task gets rated on a four point ordinal scale, ranging from 0 for no movement to 3 for normal performance. You simply sum these up to get a total score between 0 and 57. Higher numbers mean better arm function. It is smart to use the hierarchical rule, where testing stops if the patient aces the hardest item or fails the easiest one, saving heaps of time in the clinic.
Advantages
Measures healthcare intervention results systematically.
Provides consistent measurements for clinical research.
Develops personalised strategies based on assessment data.
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