Evaluation of the capabilities of upper extremity test (CUE-T) in children with tetraplegia

Kathryn Dent, Namrata Grampurohit, Christina Calhoun Thielen, Cristina Sadowsky, Loren Davidson, Heather B. Taylor, Jackie Bultman, John Gaughan, Ralph J. Marino, M. J. Mulcahey

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: The Capabilities of Upper Extremity Test (CUE-T) is a spinal cord injury (SCI)-specific instrument based on the CUE Questionnaire (CUE-Q). Objective: To evaluate the psychometric properties of CUE-T in children with cervical SCI and determine the lowest age appropriate for test administration. Method: In this repeated measures multicenter study, 39 youths, mean age 12.3 years and mean time post injury 5.14 years, completed two administrations of the CUE-T. Test-retest reliability, internal consistency, and known groups validity were measured. Concurrent and discriminant validity were measured against previously validated measures: CUE-Q, Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP), Spinal Cord Independence Measure (SCIM) III, SCIM III-Self Care (SCIM-SC), and SCIM-Mobility. Results: The CUE-T scores demonstrated strong test-retest reliability (ICC = 0.95), strong internal consistency (a = 0.90), and acceptable individual item agreement (? = 0.49). The hand subscale had better scores (p < .05) for the motor incomplete versus complete known groups, and the arm, hand, and side subscales had better scores (p < .05) for higher versus lower strength groups. The CUE-T had strong concurrent validity with the CUE-Q (r = 0.85-0.87), GRASSP (r = 0.78-0.90), and SCIM-SC (r = 0.70) and moderate-to-weak correlation with the total SCIM (r = 0.65) and SCIM-Mobility (r = 0.51). Children older than 6 years with mature grasp patterns were able to complete the CUE-T. Conclusion: The CUE-T scores are reliable and valid for use in children with cervical SCI older than 6 years of age.

Original languageEnglish (US)
Pages (from-to)239-251
Number of pages13
JournalTopics in Spinal Cord Injury Rehabilitation
Issue number3
StatePublished - Jun 1 2018


  • Capabilities of Upper Extremity Test
  • Pediatric
  • Spinal cord injury
  • Upper extremity

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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