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. METHOD: 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. CONCLUSION: These age categories were used to standardize the NHPT in Bangladesh, making it a culturally relevant finger dexterity test for the Bangladeshi population.

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Introduction: There is growing recognition that Occupational Therapist has a significant role along with other professional in wheelchair skills training. In rehabilitation center, wheelchair skills are provided as a part of community re-integration process of people with spinal cord injury. However, individual capacity, confidence, performance in wheelchair skills should be prioritized in collaborative treatment plan to ensure occupational functioning of people with spinal cord injury in the community. Objectives: The objectives are to find out the level of wheelchair skills capacity, confidence, and performance of persons with SCI and determine correlation among capacity, confidence and performance. Methodology: This cross-sectional descriptive study was carried out in the community among purposively selected ninety manual wheelchair users using the WST-Q version 4.3. Non-parametric test was used to determine correlation among wheelchair skills capacity, confidence and performance. Result: The median (inter-quartile range) values for WST-Q capacity, WST-Q confidence, and WST-Q performance were 74.26% (57.02%-78.78%), 75.75% (66.66%-80.01%), and 72.00% (54.54%-76.47%). The total WST-Q capacity scores correlated significantly with the total WST-Q confidence scores (r=.955; p<.000) and total WST-Q performance scores (r=.888; p<.000). Success rates were <70% for12 of the 34 individual skills on the WST-Q. Conclusion: Wheelchair skills training enhance confidence and participation among people with spinal cord injury. Occupational therapist should focus on improving participation in occupational functioning at community level.

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