The Assisting Hand Assessment (AHA)

June 12-14, 2022
9:00-5:00 PM Sunday

9:00-5:00 PM Monday

8:30-12:30 PM Tuesday


$775.00 (Group Discounts Available)


Group Discounts

Groups of 4-6 from the same facility = 5% discount

Groups of 7+ from the same facility = 10% discount


For more information, email

Course Description

The Assisting Hand Assessment (AHA) is now a well-established and frequently used evaluative tool to measure how effectively children with unilateral hand dysfunction actually use their involved hand, collaboratively with their well-functioning hand, to perform bimanual tasks. For the child, the AHA is an enjoyable 10-to-15-minute semi-structured play session using a test-kit of selected toys requiring bimanual use. The AHA is then scored from structured video recordings of the observable performance skills during this play. The AHA measurement contains twenty items scored on a four-point rating scale. The outcome is an evaluative interval level measure which, together with the individual child's response profile, can guide intervention. AHA is a standardized test intended for children with unilateral Cerebral Palsy or Brachial Plexus Palsy between the ages of 18 months and 12 years. A teenage and adult version is currently being developed.

Validity and reliability of the AHA scores are well-documented in several studies. The AHA has been used as the principal outcome measure in several studies, e.g., in studies evaluating Constraint Induced Movement Therapy, and has demonstrated evidence of responsiveness to change. With the AHA also longitudinal development of hand function has been studied. Please visit the web site for more information.

The course teaches the Assisting Hand Assessment Version 5.0. It is conducted in two steps. First, a 2½-day training course is given, including information about the test construct, testing procedure, and scoring practice on a range of children from videos. A manual with detailed scoring criteria and a computer-based scoring form is provided. Second, to achieve certification the participant is to complete six additional cases and get satisfactory results. Some of these are from videos provided on a web-based e-learning platform, and some self-produced AHA play sessions. Individual feedback of these cases is provided. The AHA test kit for children between 18 months and 12 years, with specific toys, can be ordered from Handfast, Inc., at the course or later during the certification procedure.

Course Objectives

On completion of the course, participants will be able to:

1. Demonstrate the set-up, conduct and video record an Assisting Hand Assessment session and produce reliable scores according to the criteria in the manual.

2. Verbalize the concept and construct of the test and its psychometric properties.

3. Interpret and communicate the outcome of the test.

About the Instructor

Lena Krumlinde-Sundholm, Reg OT, PhD, Associate Professor, is an Occupational Therapist and a senior researcher at the Neuropediatric unit, Department of Woman's and Children's Health, Karolinska Institutet in Stockholm, Sweden.


Day 1

8:30- 9:00 Course Registration/Sign-in and continental breakfast

9:00-10:15 Introduction about the concept, theoretical background and development of the test

10:15-10:30 Break

10:30-12:00 Definitions of the test items and scoring criteria

12:00- 1:00 Lunch

1:00- 2:30 Continued; definitions of the test items and scoring criteria

2:30- 2:45 Break

2:45- 4:00 Scoring of children

4:00- 5:00 How to set up the test situation

Day 2
8:30- 9:00 Course Sign-in and continental breakfast

9:00-10:15 Validity, reliability and responsiveness to change

10:15-10:30 Break

10:30-12:00 Scoring of small children 18 months – 5 years

12:00- 1:00 Lunch

1:00- 2:30 Test situation with older children

2:30- 2:45 Break

2:45- 5:00 Scoring of older children 6-12 years

Day 3

8:00- 8:30 Course Sign-in and continental breakfast

8:30- 9:00 Certification procedure

9:00-10:30 Scoring of children

10:30-10:45 Break

10:45-11:45 AHA in the perspective of ICF and other tests

11:45-12:30 Concluding remarks


Texas Children's Hospital - West Campus

1st Floor Conference Center, Rooms WH-01A & WH-01B
18200 Katy Freeway
Houston, TX 77094

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Hotel Accommodations

Courtyard Houston I-10/Park Row

18010 Park Row
Houston, TX 77084


Distance .4 miles


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Hampton Inn & Suites I10 West Park Row

18014 Park Row Drive


Distance .4 miles

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Who Should Attend






16.75 contact hours or CCU's through TOTA.

Texas Children's Hospital is a preferred provider for the Texas Physical Therapy Association, APS #2303051TX.