The Shriners Hospital Upper Extremity Evaluation (SHUEE) utilizes the following testing materials.
Shriners Hospital Upper Extremity Evaluation (SHUEE) References
- Trombly CA. Evaluation of biomechanical and physiological aspects of motor performance. Occupational Therapy for Physical Dysfunction, 4th Ed., Williams & Wilkins, Baltimore, Maryland; 1995, pp 126-130.
- Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Therapy 1986; 67:206-207.
- House J, et al. A dynamic approach to the thumb-in-palm deformity in cerebral palsy.
This manual provides the examiner with an overview of the
and interpretation of the Shriners Hospital Upper Extremity Evaluation (SHUEE).
Evaluator training prior to clinical application of the SHUEE should include:
- Reading this manual
- Viewing the Key Interpretation video
- Completing the Video Proficiency test
Information regarding the assembly of a test kit has also been provided in this manual.
Shriners Hospital Upper Extremity Evaluation (SHUEE) Case Studies
The following section includes 3 case studies for viewing and scoring. The key gives explanation to the scores and will refer you to the section of the manual which explains the correct score. You can print out blank scoring forms by clicking the Forms link above. Score each case on your own and then view the provided scores by clicking the appropriate link. Questions in regards to scoring can be directed to the authors.
This manual is intended to instruct on the correct administration of the Shriners Hospital Upper Extremity Evaluation (SHUEE). After reading through the Introduction, Test Administration, and Test Scoring and Interpretation sections, proceed to the Case Studies section to view example SHUEE videos. Blank scoring forms are provided under the Forms section for practice. Correct scores for each case study are provided with the videos.
Jon Robert Davids, M.D., Assistant Chief of Orthopaedics at Shriners Hospitals for Children – Northern California, is an internationally recognized pediatric orthopaedic surgeon noted for his work in treating children with cerebral palsy.
Loren Davidson, M.D., is Medical Director for the Spinal Cord Injury program at Shriners Hospitals for Children – Northern California and Assistant Clinical Professor in the Department of Physical Medicine and Rehabilitation at the University of California Davis Health System.
Fatema Lakhani Iqbal, M.D., is the musculoskeletal pediatrician at Shriners Hospitals for Children — Northern California, where she is devoted to making a positive impact on the health and welfare of children through pediatrics and non-operative orthopaedics.
Vedant Kulkarni, M.D., is a board-certified orthopaedic surgeon at Shriners Hospitals for Children – Northern California and a Clinical Assistant Professor at UC Davis School of Medicine.
Condition: Spastic Diplegia, a form of Cerebral Palsy
Athena was diagnosed with spastic diplegia, a form of cerebral palsy, when she was 9 months old. Doctors told her parents, Molly and George that because of the spasticity their daughter may not walk.
That’s when the family’s medical marathon began. Athena had her first appointment at Shriners Hospital when she was 1 ½ years old, and her care continues today.