Carpentry Training Manual Cd. That includes good physical condition and manual dexterity is retail space. Aybar, Elzbieta Carpenter, Jane Harris.

Purpose: The Brief Assessment of Motor Function Fine Motor Scale (FMS) allows rapid assessment, independent of age. This study was done to establish content validity of the FMS and to demonstrate FMS reliability.

Methods: A standard questionnaire (“Disagree” to “Agree,” 1–4) was emailed to 28 expert panel members. Ten children with diagnoses including Proteus, Sheldon-Freeman, Smith-Lemli-Opitz, and Smith-Magenis syndromes were videotaped for reliability trials. Nes Tiny Toon Adventures Cool Rom. Results: Expert panel members agreed that all 28 items should be included (means, 3.43–3.89); were functionally relevant (means, 2.93–3.82), were clearly worded (means, 2.71–3.61), and were easily discriminated (means, 3.32–4.0).

Kappa values for interrater and intrarater reliability were 0.978 and 0.993, respectively. Conclusions: Feedback from an expert Panel supported content validity of the Brief Assessment of Motor Function FMS. Kappa values for interrater and intrarater reliability suggest this is a reliable instrument for rapid, objective fine motor assessment. Rehabilitation Medicine Department (R.P., H.L.C., L.G.), Mark O. Hatfield Clinical Research Center, National Institutes of Health, Bethesda, Maryland; Ferkauf Graduate School of Psychology (M.C.C.), Yeshiva University, Bronx, New York; Bellevue Hospital Center (M.C.C.), New York, New York; and Center for Chronic Illness and Disability (L.G.), George Mason University, Fairfax, Virginia Address correspondence to: Rebecca Parks, MS, OTR/L, BCP, FAOTA, Bldg. 10-CRC, Room 1-1469, 10 Center Drive, MSC 1604, Bethesda, MD. E-mail: rparks@nih.gov The opinions presented in this article reflect the views of the authors and not necessarily those of the National Institutes of Health or the US Public Health Service.

As we are US federal employees, this article fits the description of a “US Government Work” and cannot be copyrighted (Copyright Revision Act, 1976). It is available for publication and there are no restrictions on its use, now or subsequently. INTRODUCTION The development of normal fine motor function follows a specific sequence, which has been documented extensively in the literature. From birth to two years, the development of fundamental hand skills occurs, including grasp, release, and bimanual skills. A child typically learns to button between ages three and four years and to snap between ages three and a half and four years. During the preschool years (ages four to six years), precision handling and manual dexterity develop such that in-hand manipulation, lacing and tying, tool use, visuomotor, and self-care skills are refined. Development of any of these skills can be directly affected by delays resulting from a variety of causes, including developmental disabilities, such as cerebral palsy.