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Eye-hand coordination (EHC) is critical for activities of daily living. EHC is dependent
on the integrity of multiple brain systems and therefore is often disrupted by central
nervous system pathology. Impairments can occur in ocular motor, manual motor, or
ocular-manual motor control, that is, eye, hand, or EHC. Impaired EHC affects visually
guided actions, such as reaching, grasping, wielding tools, and manipulating objects.
This is true in acute pathologies, such as stroke and neurotrauma, as well as more
chronic neurodegenerative conditions, such as Parkinson disease.
Despite its clinical relevance, EHC is not often systematically assessed. Using 3
simple measures (fig 1), health care providers may rapidly identify and characterize deficits in EHC while
also assessing visual function and eye and limb movement.
Fig 1Flow diagram for rapid eye-hand coordination assessment. Examiner performs three assessments
finger-to-nose, finger-to-knee, and finger chase. Finger-to-nose is performed with
targets in both central and peripheral vision; if deficits are noted, tests are repeated
by providing proprioceptive ± audio feedback.