The Composite Cerebellar Functional Severity Score is a quantitative tool to measure cerebellar severity independently from age. It is an assessment in addition to a clinical examination and has demonstrated its usefulness in epidemiological studies, clinical trials, and patient follow-up. It was validated in adults and children. The CCFS is a combination of the time to perform 2 tasks, a 9-hole pegboard and a click test. Both tasks include a series of alternative movements: placing pegs and finger-pointing cycles, adjusted on age. A score is calculated and used as a follow-up measure of cerebellar signs. Pr Alexandra Durr and Dr Sophie Tezenas du Montcel have the pleasure to give you access to this online version that has been developed to facilitate administration and increase reliability and reproducibility. You can find all information, technical explanations and blueprints to build your own CCFS Board. Laser cutter machine is the only technical machine you would need to build your CCFS Board. You can find this kind of machine in your university or city’s FabLab.
Licensed under CC BY-NC-SA, Creative Commons may be contacted at www.creativecommons.org .
Download the STL file to print it on a 3D Printer (Zortrax M300 like).
Download the DXF File to cut it on a laser-cutting machine.
Weld the resistors and the optoswitches according to the picture.
Weld the 11 pins male header to the Board and connect it according to the diagram
Screw it at its location in the case.
Power supply circuit
1. Place the interruptor on the case
2. Weld 2 wires to the interruptor
3. Complete the power supply circuit by welding wires between the battery case, the interruptor and the arduino board, according to the diagram.
Weld the wires and connect them to the arduino card according to the diagram
Screw it with the glue gun at its location according to the photo bellow:
Weld on a PCB plate the rotary button and the resistor and connect it according to the table
|SWITCH||Pin 12 AND 10kOhm Resistor to GND|
Screw it on the case according to the photo below
SD card Reader
Glue it with the glue gun at its location acording to the photo below :
Connect it to the arduino board according to the table :
Screw the arduino card at its location on the left inside the case.
Weld two wires on each button according to the photo below :
Place them on the plexiglass plate.
Connect them to the pins (40 ;42) and (44 ;46)
Screw the plate to the case
A flat or cross-head screwdriver (depending on the screws chosen)
A soldering iron
A glue gun
Thread taps If you don’t want to use thread taps, buy 3mm diameter wood screws instead of classic M3 screws
Laser cutting Machine (500mmX300mm)
3D printer (Zortrax like) (300mmX300mmX300mm)
|1||Arduino MEGA 2560|
|1||Platine SD Card Shield V4.0 for Arduino|
|1||SD card reader|
|1||slide switch ON/OFF|
|12||Screws 12mm M3|
|5||Screws 4mm M3|
|1||Kit vis à bois 3mm|
|1||Multiple colored wires|
|1||Sheet of pmma 3mm 600x600mm|
Instructions for CCFS Board use
First of all, be sure that the batteries are full and the SD card is available with free space.
– Start the CCFS
Use the ON/OFF button on the side
– File name
Name the file .csv which will be created to store the CCFS score. You can only use numbers from 0 to 9 to name the file. Use the « + » and « – » buttons to choose the set of numbers and press OK to implement the file’s name. When the name is correct, choose « V » on the screen to valid the name.
Press ok to continue.
Enter the age of your participant. Use the « + » and « – » buttons to choose the correct age and press OK.
– Nine-hole pegboard test (9hls)
The screen indicates the « nine-hole test », press OK when you and the participant are ready to start the test.
You should be seated face to face with the participant and the screen should be on your side.
The participant is seated and holds nine pegs in the non dominant hand and places them randomly, one by one, as fast as possible, with the other hand (the dominant one) in the board with nine holes. If the participant drops a peg, he/she has to repeat the test.
To repeat the test, you need to place the pegs in the remaining empty holes. Then, remove all the pegs from the board before renewing the test. Press OK. The screen indicates “repeat the test ?”; you can choose yes or no with the “+” and “-“ buttons. Validate your choice, by pressing OK. The participant can then perform this test again. If the participant drops the peg again during the repeat test, you should consider that he/she is not able to perform the nine-hole peg test.
An intermediate score appears on the screen at the end of this test. Press OK to continue and remove the pegs.
– Click test
To perform this test, you have to telescope the two arms supporting the buttons.
The screen indicates the « click test », press OK when you and the participant are ready to start the test.
The participant uses a dominant hand finger of his/her choice to press one button, alternately 10 times on each button, as fast as possible and strong enough in the middle of the buttons. The number of goes is indicated on the screen and you can stop the participant after 10 goes. PRESS OK.
The screen indicates “repeat the test ?” but you are not supposed to repeat this one except if the participant misunderstood the instructions.
To repeat the test, you can choose yes or no with the “+” and “-“ buttons. Validate your choice, by pressing OK.
• After each test, you get the score of the performed one
• During both tests, make sure the participant doesn’t take support on the table with his/her “working” arm.
– Save the CCFS score
When both tests are passed, the screen displays the CCFS score. Press OK to save the score on the SD Card. The screen indicates”Exam successfully saved.
– Repeat the tests with another participant or switch off the CCFS with the on/off button on the side.
Pierre Tissier – Email