Motor Activity Log (MAL): Assessing Upper Limb Function

The Motor Activity Log (MAL) is a trusted tool for tracking arm use after a stroke. It measures real-world performance rather than just clinic ability. This structured interview looks at common daily tasks like brushing teeth or using a fork. It focuses on the weaker arm and hand during routine activities at home. Patients rate themselves on two separate scales ranging from zero to five. The Amount of Use scale tracks how often the limb helps out, while the Quality of Movement scale checks how well it moves. This dual approach gives a clear picture of actual recovery progress. Clinicians often use it alongside treatments like constraint-induced movement therapy. It is quick to administer and helps therapists set practical goals. By highlighting the gap between what a patient can do and what they actually do, it supports better long-term outcomes in neurorehabilitation.