Depending on the age and disability of the child or adult the activity can be presented in many ways to assess and treat:

• Physical and Motor Components
• Perceptual Aspects
• Cognitive Abilities
• Communication Skills

Physical and Motor Components

• Grasp used
• Laterality
• Manipulation of cube (unilateral or bilateral integration)
• Eye-hand co-ordination (any tremor noted)
• Diametric (over or under shooting)
• Sided neglect

Perceptual Aspects

• Visual fields (evidence of Hemianopia etc)
• Figure Ground difficulties
• Picture completion and sequencing
• Position in space
• Crossing midline

Cognitive Abilities

• Problem solving
• Numeracy skills and colour recognition
• Social interaction (turn taking and sharing in a group setting)
• Attention span and concentration
• Imaginative and symbolic play (what other uses for the cubes)
• Ability to follow instructions

Communication Skills

• Use of language
• Use of gesture (eye contact, facial expression)
• Listening skills

Alternative Games

If the child or adult is unable to grasp the concept of hooking the cubes onto the board, or physically unable to manipulate them onto the board, they can be assessed for all of the previous reasons, but in a simplified manner:

• Making trains,
• Colour matching or Copying coloured patterns into the tracts (this also requires a degree of motor planning as the cubes only fit into the tracts in one direction)
• Stacking them into a tower
• Following game rules in a group activity

Once assessment and the areas of concern have been noted, the hookboard can  be presented in following treatment sessions to reassess progress.