| 0 | Does not use | Does not use |
| 1 | Poor passive assist | Uses as stabilizing weight only |
| 2 | Fair passive assist | Can hold on to object placed in hand |
| 3 | Good passive assist | Can hold on to object and stabilize it for use by the other hand |
| 4 | Poor active assist | Can actively grasp object and hold it weakly |
| 5 | Fair active assist | Can actively grasp object and stabilize it well |
| 6 | Good active assist | Can actively grasp object and then manipulate it against other hand |
| 7 | Spontaneous use, partial | Can perform bimanual activities easily and occasionally uses the hand spontaneously |
| 8 | Spontaneous use, complete | Uses hand completely independently without reference to the other hand |
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