RULM

The ULM was revised to address a ceiling effect and to make the test useful in a wider SMA population. The RULM consists of a total of 20 items for a maximum score of 37. Activities are graded from 0 to 2. The entry item (first activity chosen by the examiner) does not contribute to the final score.¹

RULM activities include¹:

• Bringing hands from lap to table;
• Drawing a line along a preprinted path without lifting the pencil from the paper;
• Picking up coin/token;
• Placing coin/token into cup (on table, horizontal; shoulder height, vertical);
• Reaching to the side and touching the coin/token; bringing hand at shoulder height and above;
• Pushing light button with one hand;
• Tearing paper;
• Opening Ziploc container;
• Raising 200 g cup to mouth;
• Lifting 200 g weight and bringing it from one circle to the other without sliding between horizontal circles (midline to outer circle on tested side);
• Lifting 500 g weight and bringing it from one circle to the other without sliding between horizontal circles (midline to outer circle on tested side);
• Lifting 200 g weight and bringing it from one circle to the other without sliding between diagonal circles (across midline, inner to outer circle on opposite side);
• Bringing 500 g sand weight from lap to table or eye level;
• Bringing both arms above head—shoulder abduction;
• Bringing 500 g weight above shoulder height—shoulder abduction;
• Bringing 1 kg weight above shoulder height—shoulder abduction;
• Bringing hand above shoulder height—shoulder flexion;
• Bringing 500 g weight above shoulder height—shoulder flexion;
• Bringing 1 kg weight above shoulder height—shoulder flexion.