What is the 9 hole peg test?

The 9 hole peg test is the gold standard for monitoring arm and hand function in clinical trials. This cardboard version gives you independence from your neurologist, empowering you to test and monitor your own disease progression.

Why is the 9 hole peg test important?

Preserving arm and hand function is critical for people with MS to remain independent and to preserve their quality of life. Over 90% of people with Multiple Sclerosis valued arm and hand function as being more important to them than leg function.

Although disease-modifying therapies (DMTs) may not be able to preserve lower limb function in people with MS who already have pre-existing walking problems, we hypothesise that some DMTs may be able to preserve arm and hand function.

Therefore, we are striving for future trials of new and existing DMTs to focus on arm and hand function.

How do I use the 9 hole peg test?

Frequently Asked Questions

Where can I get a Peg Test?

You can contact us for more information about how to get a peg test.

Where can I get a replacement score sheet?

Score-sheets can be downloaded and printed at home on an A4 printer.

Can I talk and have a conversation during the 9-HPT?

We would discourage you from talking during the tests as this may affect the results. Your concentration should be centered on completing the 9-HPT.

What should I do if I knock the whole 9-HPT apparatus on the floor?

Stop the test, reassemble the apparatus and start the test over.

What should I do if I cannot complete the 9-HPT with one hand?

If this happens, please record it on your score-sheet; it is important to know that you are not able to complete the test.

What should I do if I forgot to reset the stopwatch in between trials?

If the stopwatch was not reset you will have to be repeat the test.

What should I do if I forgot to turn the 9-HPT apparatus when switching to the non-dominant hand?

Start the test over and note the reason for the repeated test on the score-sheet.

What should I do if I realise the 9-HPT kit is missing pegs?

You can contact us to order a supply of new pegs. Alternatively, the pegs are 6mm x 30mm standard wooden dowels which you can purchase from a local DIY or hardware store