title: A normative study of the Nine Hole Peg Test in Bangladesh.
abstract: BACKGROUND
  The Nine Hole Peg Test (NHPT) is a simple, quick assessment often used by occupational therapists to assess finger dexterity.
  
  
  OBJECTIVE
  The purpose of this study was to standardize the NHPT in Bangladesh so Bangladeshi therapists can administer and interpret this test with relevant cultural norms.
  
  
  METHODS
  This study includes an inter-rater reliability (IRR) study and a normative study with Bangladeshi participants.
  
  
  RESULTS
  In the IRR study, four raters were placed into 6 teams of two to establish reliability between individuals in each team. Intra-Class Correlation (ICC) results showed a high inter-rater reliability with ICC average ratings of 0.882-0.998 between individual raters of each team. Culturally relevant norms were developed for the NHPT using a sample of 180 participants (females, n=90 and males, n=90) ranging in age from 18 to 60 years. The data from the 1st trials were analyzed between age categories of both 5 and 10-year increments. Normative data was found to be clinically significant across collapsed age groups: 18-39, 40-49, and 50-60 years of age for each gender.
  
  
  CONCLUSIONS
  These age categories were used to standardize the NHPT in Bangladesh, making it a culturally relevant finger dexterity test for the Bangladeshi population.
authors: Western Michigan University, Kalamazoo, MI, USA.
authors: Debra
authors: D
authors: Lindstrom-Hazel
authors: Bangladesh Health Professions Institute, Academic Institute of the Centre for the Rehabilitation of the Paralysed, Dhaka, Bangladesh.
authors: Umme
authors: U
authors: Aeyman
authors: Disabled Rehabilitation and Research Association, Dhaka, Bangladesh.
authors: Syed Shakawat
authors: SS
authors: Hossain
authors: Bangladesh Health Professions Institute, Academic Institute of the Centre for the Rehabilitation of the Paralysed, Dhaka, Bangladesh.
authors: Md Julker
authors: MJ
authors: Nayan
authors: Centre for Child and Adolescent Health, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors: Suman Kanti
authors: SK
authors: Chowdhury
authors: Western Michigan University, Kalamazoo, MI, USA.
authors: Jessica
authors: J
authors: Rector
authors: Western Michigan University, Kalamazoo, MI, USA.
authors: Kristen
authors: K
authors: Collins
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh; D005260:Female; D005385:Fingers / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology*; D015588:Observer Variation; D009788:Occupational Therapy; D012016:Reference Values; D013647:Task Performance and Analysis; D055815:Young Adult
keywords: Occupational therapy; culturally relevant; finger dexterity; normative