A normative study of the Nine Hole Peg Test in Bangladesh

Debra Lindstrom-Hazel, Umme Aeyman, Syed Shakawat Hossain, Md Julker Nayan, Suman Kanti Chowdhury, Jessica Rector, Kristen Collins

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


BACKGROUND: The Nine Hole Peg Test (NHPT) is a simple, quick assessment often used by occupational therapists to assess finger dexterity. OBJECTIVE: The purpose of this study was to standardize the NHPT in Bangladesh so Bangladeshi therapists can administer and interpret this test with relevant cultural norms. METHOD: This study includes an inter-rater reliability (IRR) study and a normative study with Bangladeshi participants. RESULTS: In the IRR study, four raters were placed into 6 teams of two to establish reliability between individuals in each team. Intra-Class Correlation (ICC) results showed a high inter-rater reliability with ICC average ratings of 0.882-0.998 between individual raters of each team. Culturally relevant norms were developed for the NHPT using a sample of 180 participants (females, n=90 and males, n=90) ranging in age from 18 to 60 years. The data from the 1st trials were analyzed between age categories of both 5 and 10-year increments. Normative data was found to be clinically significant across collapsed age groups: 18-39, 40-49, and 50-60 years of age for each gender. CONCLUSION: These age categories were used to standardize the NHPT in Bangladesh, making it a culturally relevant finger dexterity test for the Bangladeshi population.

Original languageEnglish
Pages (from-to)403-409
Number of pages7
Issue number3
StatePublished - 2015


  • Occupational therapy
  • culturally relevant
  • finger dexterity
  • normative


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