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We conducted a series of psychometric studies to assess constructs measured, applied an item response theory model to the data, then developed computerized adaptive testing algorithms. The results showed two distinct factors: \u2018Motor Function\u2019 and \u2018Pain\u2019. We developed two separate computerized adaptive tests which reduced the number of questions from six (\u2018Pain\u2019) and 16 (\u2018Motor Function\u2019) to a median of three questions each at a high level of precision (standard error of measurement &lt;0.3). For optimal measurement precision, the Impact of the Hand Nerve Disorders scale should be divided into two subscales and administered through computerized adaptive testing. 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