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 (ARAT) PDF assessment form for upper extremity function
ARAT

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.

Category

Rehabilitation
Mobility
Movement System
Physical health

Disease

Rehabilitation
Assessment
Clinical Measurement

Source

(Lyle, 1981)

Author Name

Lyle, R.C. (1981)

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.

ARAT Scoring

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.

View scoring form

Advantages

Outcome tracking

Measures healthcare intervention results systematically.

Reliable data

Provides consistent measurements for clinical research.

Treatment planning

Develops personalised strategies based on assessment data.

10
Minutes
19
Questions

Collect Action Research Arm Test data with WeGuide, the all in one patient engagement platform

Streamline upper limb assessment. Digitise the Action Research Arm Test to track recovery and improve patient outcomes.

Support Your patient in no time - all under your own brand

Our platform combines the knowledge of 100+ digital health solutions built, letting you easily build your patient engagement app for research or clinical use. Collect PROMs, support patients on waiting lists, or gather vital signs data. This is how:

Learn More

Program Builder

Import your clinical or research protocol, upload your forms and and off you go.
Learn More
We Guide

Whitelabelling

Get your own app in the store and created a trusted environment for your patients or participants.
Learn More

Turn on components, dependent on your usecase

Setup Program Information, Collect Wearable data.
Learn More

Support The Full Journey

Use WeGuide to support your patients or participants in the full journey, starting from screening & consent to collecting recurring data for months to come..
Learn More

It’s your turn

Every WeGuide project, saves researchers and clinicians - 9 months and $450,000 - creating impactful digital health solutions.

By clicking organise a demo, you’re confirming that we can contact you to set up a demonstration.
Thank you! Your submission has been received!
Oops! Something went wrong. Please try again.
No items found.