The Hand Assessment for Infants (HAI): A New Test to Measure Infants Use of Hands, Each Hand Separately and Both Hands Together

September 29-30, 2019

A new assessment of hand function has recently been developed for infants at risk of developing cerebral palsy (CP) in the age range 3-12 months old. The development of this test has been done in collaboration between research groups at IRCCS Fondazione Stella Maris in Pisa Italy, and at the Karolinska Institutet in Stockholm, Sweden. The HAI intends to measure the degree and quality of goal directed actions performed with each hand separately as well as with both hands together. The outcome of the test renders a separate score for each hand, illustrating possible asymmetric hand use as well a measure a criterion referenced measure of general upper limb ability, as well as age norm references. As a first step the HAI has been validated for infants with clinical signs of unilateral cerebral palsy. The HAI is scored on 17 items (12 unimanual and 5 bimanual) scored on a 3-point rating scale. The HAI is a criterion referenced test useful for measuring hand function, and norm-referenced values are also provided. Preliminary results indicate high predictive validity for unilateral CP at 3.5-4.5 months of age.

The course teaches the reliable use of the HAI, in two steps: The first step involves a two day workshop where participants will learn about the constructs underlying the HAI, test procedures, test objects used, and scoring of infants from video recordings. A HAI manual with detailed scoring criteria and a computer based scoring form will be provided. Following the course, the participants will be able to create their own test kit according to instructions given during the course. Feedback on the selected toys will be provided during the certification procedure. Additionally participants will be required to achieve satisfactory scoring of test cases; some of which are provided by videos, and two from self-produced HAI play sessions.

Course Objectives

On completion of the course participants will be able to:

  • Demonstrate how to select appropriate toys for a HAI play session
  • Demonstrate the set-up and video-recording of the session and how toys are used to provoke active hand use in infants
  • Produce reliable scores according to the criteria in the manual
  • Understand the constructs upon which the HAI is based and describe early psychometric evidence
  • Interpret and communicate outcomes from the testing procedures


Texas Children's Hospital
Feigin Center
1102 Bates, 1st floor conference room
Houston, Texas 77030

Cost -  

Mini AHA: $400.00

HAI: $400.00

Both Courses: $725.00

Fee includes: Tuition, course handouts and refreshments; Test Kit Is NOT INCLUDED!

Earned credits -  

11 contact hours or CCU’s have been applied for HAI course Through TPTA and TOTA

Registration - Register online


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.

Susan Greaves, OT, MOT, PhD, Manager OT department Royal Children’s Hospital in Melbourne, Australia; Published author of articles in peer reviewed journals; chief investigator on 2 NHMR funded multi-site RCT’s on efficacy of upper limb interventions for children with cerebral palsy.


Day 1

  • 8:30-9:00 Registration/Continental breakfast
  • 9:00-10:00 Early Development of hand function in CP
  • 10:00-10:30 Review: Tests of hand function for infants
  • 10:30-10:45 BREAK
  • 10:45-12:00 Concept and development of the HAI
  • 12:00-1:00 LUNCH
  • 1:00-2:00 HAI Test Items
  • 2:00-2:30 Score Form
  • 2:30-3:30 Scoring of children
  • 3:30-4:45 BREAK
  • 4:45-5:00 The HAI Test Kit and play session

Day 2

  • 9:00-10:00 Psychometric properties
  • 10:00-10:30 Scoring of Children
  • 10:30-10:45 BREAK
  • 10:45-11:30 Scoring of Children continues
  • 11:30-12:30 Feedback procedure
  • 12:30-1:30 LUNCH
  • 1:30-2:45 Scoring of Children continues
  • 2:45-3:00 Questions and answers/Wrap up


Wyndham Medical Center
6800 Main
Houston, Texas 77030

  • Nightly rate: $115.00 (price varies based on room availability)
  • Reservations