Frenchay Arm Test (FAT)

 

Frenchay Arm Test (FAT)

  What does the tool measure? The FAT measures upper extremity proximal control and dexterity during performance of functional tasks
  What types of clients can the tool be used for? The FAT can be used with, but is not limited to clients with stroke.
  Is this a screening or assessment tool? Assessment tool
Time to administer The FAT takes approximately 3 minutes to administer.
  Versions There are no alternative versions of the FAT.
Other Languages French and Dutch
Measurement Properties
  Reliability

Inter-rater reliability:
– One study examined the inter-rater reliability of the FAT in clients with stroke and found excellent inter-rater reliability.
Intra-rater reliability:
– One study examined the intra-rater reliability of the FAT in clients with stroke and found adequate to excellent intra-rater reliability.

  Validity Sensitivity/ Specificity
– Two studies compared the sensitivity of the FAT with that of the Nine-Hole Peg Test (NHPT) and found the NHPT to be more sensitive than the FAT for detecting impaired upper extremity function in clients with stroke.
  Floor/Ceiling Effects No studies have examined the floor/ceiling effects of the FAT in clients with stroke.
  Does the tool detect change in patients? No studies have investigated the responsiveness of the FAT in clients with stroke.
  Acceptability

The FAT has been criticized for lacking assessment of quality of movement and performance (Kopp, 1997). In addition, clients were found to either pass or fail all or most subtests, indicating that the FAT may not be sensitive to change (Hsieh, Hsueh, Chiang & Lin, 1998).
The FAT is quick to complete and should not produce any undue fatigue for patients.

Feasibility The FAT is short and easy to administer and score.
How to obtain the tool? For more information on the FAT, please visit the article by Parker, Wade & Langton Hewer (1986).