The Loss of upper limb function is one of the most devastating consequences of tetraplegia because of the severe impact on activities of daily living (ADL) and the resultant dependency on others. This therefore leads to a loss of privacy and reduced vocational opportunities. Individuals with tetraplegia have identified upper limb function as one of the most significant factors contributing to quality of life.
Current upper limb outcome measures are not sensitive enough to quantify subtle sensorimotor change in the hand and upper limb, provide no or insufficient information on psychometric properties, are specific designed for a selective group of individuals, and are not feasible during all phases of rehabilitation.
Therefore the The Graded and Redefined Assessment of Strength, Sensibility and Prehension (GRASSP)was developed:
The aim of the study is to evaluate the responsiveness and clinical meaningfulness of the GRASSP and is done in collaboration with research institutes in North America and Europe.