The Hand Assessment for Infants (HAI)

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NYU Langone Medical Center - Main Hospital

550 First Avenue

New York, NY 10016

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A new assessment of hand function has recently been developed for infants at risk of developing cerebral palsy (CP) in the age range 3-12 months old. The development of this test has been done in collaboration between research groups at IRCCS Fondazione Stella Maris in Pisa Italy, and at the Karolinska Institutet in Stockholm, Sweden. The HAI intends to measure the degree and quality of goal directed actions performed with each hand separately as well as with both hands together. The outcome of the test renders a separate score for each hand, illustrating possible asymmetric hand use as well a measure a criterion referenced measure of general upper limb ability, as well as age norm references. As a first step the HAI has been validated for infants with clinical signs of unilateral cerebral palsy. The HAI is scored on 17 items (12 unimanual and 5 bimanual) scored on a 3-point rating scale.

The course teaches the reliable use of the HAI, in two steps: The first step involves a two day workshop where participants will learn about the constructs underlying the HAI, test procedures, test objects used, and scoring of infants from video recordings. A HAI manual with detailed scoring criteria and a computer based scoring form will be provided. Following the course, the participants will be able to create their own test kit according to instructions given during the course. Feedback on the selected toys will be provided during the certification procedure. Additionally participants will be required to achieve satisfactory scoring of test cases; some of which are provided by videos, and two from self-produced HAI play sessions.


Upon completion of this course, participants will be able to:

  • Demonstrate how to select appropriate toys for a HAI play session

  • Demonstrate the set-up and video-recording of the session and how toys are used to provoke active hand use in infants

  • Produce reliable scores according to the criteria in the manual

  • Understand the constructs upon which the HAI is based and describe psychometric evidence

  • Interpret and communicate outcomes from the testing procedures

Course Tutors

Associate Professor Lena Krumlinde-Sundholm, Reg OT, PhD. Lena is a senior researcher at the Karolinska Institutet in Stockholm and an Occupational Therapist with many years of experience in pediatrics

Linda Ek, Reg OT, MSc, PhD student, working at the Sachsska Pediatric Hospital in Stockholm and studying for a PhD at the Karolinska Institutet

For questions about content: Lena.Krumlinde.Sundholm@ki.se

Course hours as follows:

  • November 14, 2017. Registration will begin at 8:30. Course will be from 9 am to 5 pm

  • November 15, 2017. 9 am to 3 pm

  • A one hour lunch break will be provided each day. Bring lunch or grab on your own.

Contact Hours: This course will provide 13 hours of contact hours. The CEUS will be via docmented and provided certificate electronically after the completion of the course.

Classification code: This course meets the AOTA classification code of Occupational Therapy Process: Outcomes.

This course level is introductory; appropriate for an OT, OTA, and/or OT student.

Materials: This workshop will be in a lecture format with hands on opportunities at times. Please bring whatever you need for notetaking. There is a guest wifi if needed. Learners will be provided with educational material needed for participation.

Cancellation Policy: NYU Langone Health reserves the right to cancel any workshop due to insufficient registration or extenuating circumstances. If a course is canceled by the organizer, a full refund will be provided to all registrants. Learners must make the organizer aware of a need for cancellation within two weeks for a full refund. If a cancellation occurs afterwards, the learner will receive a 50% refund..

Special needs and requests: Please contact the organizers at least two weeks prior to the course with your ADA needs.

If you have questions about course content please email lena.krumlinde.sundholm@ki.se.

For the organizers, email holly.cohen@nyumc.org or melissa.schaeffer@nyumc.org. Feel free to email us with a list of local hotels.

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA

We are happy to provide a list of local hotels for your stay.

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NYU Langone Medical Center - Main Hospital

550 First Avenue

New York, NY 10016

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