The person will hold onto a supportive grab bar or bed rail when directed. The direction may be verbal or a gesture such as pointing, but does not have to be hand-over-hand assistance.
To Verify
Sustained attention to grasping and moving can be verified by rote learning upper extremity range of motion exercises bilateral exercises. When done twice a day for 4 or 5 days, they should be able to follow the routine with a few cues to get started.
To Rule Out
To rule out ACL 3.0, give the command "let go" with a firm voice. If they cannot let go of an object upon request this confirms that they are not functioning in ACL 3.0.