評估兒童手技巧之使用在臨床及研究中佔有相當重要的地位，不僅可協助判斷個案手技巧是否影響到職能表現或日常生活之參與，亦可分析手技巧不佳的癥結所在，進而尋求深入評估、擬定治療計畫及監測治療進展。作者統整近年來與手使用相關研究、理論和測驗發展之文獻，從手使用的描述用詞之確立、評估方式的整理、以及評估概念的發展趨勢，探究目前兒童手技巧評估之實務進展。同時，作者介紹一個新發展的兒童手技巧評估測驗，此測驗融合雙手評估、反映實際表現，且以職能為中心之三個最新發展趨勢，在自然環境下評量兒童使用手技巧於功能性活動的實際表現。藉由這篇綜合性探討與測驗的介紹，盼能夠提供職能治療同儕對於兒童手技巧評估有更新之認識，且作為選擇評估工具之參考。

Assessing children's hand skill use is crucial for occupational therapy professional practice and research. Children's hand skill assessments could assist therapists in determining whether any presenting hand skill problems are impacting children's occupational performance or daily life participation. As well, it could assist with analyzing and establishing hand skill profile for conducting further assessments, planning intervention, and/or monitoring change. In this article, the authors provide an up-to-date overview of children's hand skill assessments by reviewing recent literature and assessments related to children's hand skills. The overview includes review of common hand use terminologies, administration modes, and recent conceptual trend for children's hand skill assessments. Furthermore, a newly-developed Assessment of Children's Hand Skills (ACHS) is briefly introduced. The ACHS fulfills the recent trend toward including bimanual measurement, reflecting actual real-life hand skill performance, and being occupation-centered. The ACHS also allows assessing the effectiveness of 2-to 12-year-old children's hand skill performance in relevant daily environments via naturalistic observation. It is anticipated that occupational therapists could use this information to select proper children's hand skill assessments.