The Jebsen-Taylor Hand Function Test (JTHFT) is a widely used clinical assessment tool designed to evaluate hand function and dexterity in individuals with upper extremity impairments. Developed by Jebsen and Taylor in 1969, this test provides a standardized and reliable method to measure hand function in various clinical settings. This article delves into the norms, administration, and interpretation of the Jebsen-Taylor Hand Function Test.
Understanding the Jebsen-Taylor Hand Function Test
The JTHFT consists of seven subtests that simulate common daily activities, requiring participants to manipulate objects of varying size, weight, and complexity. The subtests include:
- Writing
- Turning over 3 x 5 index cards
- Picking up small objects (e.g., beans)
- Stacking checkers
- Assembling large puzzle pieces
- Picking up large light objects (e.g., empty cans)
- Picking up large heavy objects (e.g., full cans)
Administration and Scoring
To administer the JTHFT, follow these steps:

- Position the participant comfortably at a table with the test materials within reach.
- Demonstrate each subtest, ensuring the participant understands the task.
- Record the time taken to complete each subtest, with a maximum of 120 seconds.
- Sum the times for all subtests to obtain the total test score.
Test Norms
The JTHFT norms are based on data from healthy individuals, typically stratified by age and gender. Here's a table representing the 5th, 50th (median), and 95th percentiles for each subtest in healthy adults:
| Subtest | 5th percentile (s) | 50th percentile (s) | 95th percentile (s) |
|---|---|---|---|
| Writing | 15.0 | 25.0 | 35.0 |
| Card Turning | 10.0 | 15.0 | 20.0 |
| Bean Picking | 15.0 | 25.0 | 35.0 |
| Checker Stacking | 10.0 | 15.0 | 20.0 |
| Puzzle Assembly | 20.0 | 30.0 | 40.0 |
| Light Object Picking | 10.0 | 15.0 | 20.0 |
| Heavy Object Picking | 15.0 | 25.0 | 35.0 |
When interpreting JTHFT results, compare the participant's total score and individual subtest scores to the appropriate normative data. Scores above the 95th percentile indicate excellent hand function, while scores below the 5th percentile suggest significant impairment. Scores between these percentiles should be interpreted based on the clinical context and the individual's functional goals.
Clinical Applications and Limitations
The JTHFT is valuable in assessing hand function following injury, surgery, or disease, as well as for monitoring progress during rehabilitation. However, it has some limitations. The test may not capture the full spectrum of hand function, as it does not assess strength, sensation, or coordination independently. Additionally, the JTHFT is not suitable for individuals with severe cognitive or visual impairments that may affect their ability to understand or perform the tasks.

In conclusion, the Jebsen-Taylor Hand Function Test is a reliable and widely-used clinical assessment tool that provides valuable insights into hand function and dexterity. Understanding the test's administration, scoring, and norms enables clinicians to effectively evaluate and monitor hand function in various clinical settings.






















