SHUEE Case Studies

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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.

Case Studies I

Case Study 1:     Video    Case Study 1 scores

Tearing Paper: Note how she manipulates right upper extremity against left upper extremity by pulling the paper towards her body.

Wrist Extension: Note the wrist extension on the final toss of the ball.  Refer to the Wrist Segment Alignment scoring explanation.  To receive a wrist extension classification, the wrist does not need to maintain extension throughout the entire task.

Case Study 2:     Video    Case Study 2 scores

Donning Sock:  Note that the sock is held weakly by the subject.

Wrist Extension:  At no time during the ball toss does the wrist extend beyond flexion.  Refer to the Wrist Segment Alignment scoring explanation.

Case Study 3:     Video     Case Study 3 scores

String Beads:  The physical cue by the therapist indicates a score of 0.  Refer to the House Scale example video for a score of 0.

Thumb Segment:  While tearing the paper, the web space is closed with no visible light within the web space.  Refer to the Thumb Segmental Alignment scoring explanation.

Score Summary for all three studies

CASE STUDIES II

The following case studies are provided for more practice.  However, explanations of the provided scores are omitted.

Case Study 1:     Video    Case Study II – 1 scores

Case Study 2:     Video    Case Study II – 2 scores

Case Study 3:     Video    Case Study II – 3 scores

Case Study 4:     Video    Case Study II – 4 scores

Case Study 5:     Video    Case Study II – 5 scores

Score Summary for all Case Studies

Related Content

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Picture of a thumb in palm

SHUEE Test Scoring and Interpretation

Shriners Hospital Upper Extremity Evaluation (SHUEE) Test Scoring and Interpretation Scoring

The SHUEE data collection form consists of 2 pages. The first page is primarily descriptive and requires no scoring. The second page is utilized during the video taped portion and requires scoring of the Spontaneous Functional Analysis (SFA), the Dynamic Positional Analysis(DPA), and the Grasp/Release(GRA) segments on the actual SHUEE form. The SFA score is circled and the DPA score is marked in the grid with a check mark.

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SHUEE Test Administration

The Shriners Hospital Upper Extremity Evaluation (SHUEE) utilizes the following testing materials.

Download the printable version of SHUEE manual

Testing Materials

Billfold style wallet to hold paper money

Billfold style wallet to hold paper money

8 x 10 sheet of standard weight paper

8 x 10 sheet of standard weight paper

Two 2″ in diameter and approximately 1/2″ thick, flat sided, wooden beads. Stiff cord for stringing beads

Two 2″ in diameter and approximately 1/2″ thick, flat sided, wooden beads. Stiff cord for stringing beads

Three dollar sized bills made of standard weight paper

Three dollar sized bills made of standard weight paper

Four plastic coins of any size

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SHUEE Introduction

Objectives

This manual provides the examiner with an overview of the administration
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.

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SHUEE References

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.