Lafayette Instrument 32025 Grooved Pegboard Test User Manual
- June 11, 2024
- Lafayette Instrument
Table of Contents
Model 32025
Grooved Pegboard Test
User Manual
Purpose
The Grooved Pegboard task measures eye-hand coordination and motor speed.
Cleaning Instructions
Isopropyl alcohol is preferred. No other cleaners are recommended. Do not use
bleach or hydrogen peroxide. Clean pins with Isopropyl alcohol only.
Disclaimer: The cleaning instructions for Lafayette Instrument products are a
recommendation of compatible cleaning materials only. Product end users are
responsible for instituting an appropriate cleaning regimen utilizing best
practices and techniques. Lafayette Instrument assumes no responsibility for
the cleanliness or sanitation of the products after initial use nor makes any
claim that the use of the recommended cleaning materials mitigates all risk of
potential cross infection.
Administration Instructions
The apparatus is placed with the peg tray oriented above the pegboard. The
person is instructed to insert the pegs, matching the groove of the peg with
the groove of the hole, filling the rows in a given direction as quickly as
possible, without skipping any slots. Using the right hand, the patient is
asked to work from left to right, and with the left hand, in the opposite
direction. The dominant hand is tested first. The patient is warned that only
one peg should be picked up at a time and that only one hand is to be used. If
a peg is dropped, the examiner does not retrieve it; rather, one of the pegs
correctly placed (usually, the first or second peg) is taken out and used
again.
The examiner demonstrates one row before allowing the patient to begin. A
practice trial is not given, and a trial may be discontinued after 5 min. In
the HRNES (Russell and Starkey, 1993) version, the person continues until all
pegs have been placed or until a time limit of 3 min has been reached. ln both
versions, the examiner begins timing after cueing the individual to begin.
Administration Time
The time required is 5 minutes.
Scoring
The score is computed for each hand separately and is the time required to
place the pegs.
Some researchers also record the number of pegs not placed and the number of
pegs dropped; these errors may be considered clinically and are rarely seen in
neurologically normal individuals (Heaton et al., 2004).
Demographic Effect
When each hand is considered separately, several trends emerge.
Age
Age has a strong impact on test scores, with performance improving (faster
times) in childhood (RosseIli et al., 2001; Solan, 1987) and declining with
advancing age (e.g., Bornstein, 1985; Concha et al., 1995; Mitrushina et al.,
2005; Ruff & Parker, 1993; Selnes et al., 1991). According to Heaton et al.
(2004), about 30 degrees to 31 degrees of the variance in test scores is
accounted for by age.
Gender
Some have found significant gender differences in performance, with women
outperforming men (Bornstein, 1985; Ruff & Parker, 1993; Schmidt et al.,
2000), perhaps reflecting differences in finger size (Peters et al., 1990).
However, others have noted that gender has little effect on test scores
(Concha et al., 1995; Heaton et al., 2004; Mitrushina et al., 2005),
accounting for less than 1% of the variance in test scores (Heaton et al.,
2004). No gender effect has been found in children (Rosselli et al., 2001).
Hand Preference
Performance is faster with the dominant/preferred hand (Bryden et al., 1998;
Heaton et al., 2004). Handedness (right, left) does not affect test scores
(Ruff & Parker, 1993).
Education/IQ
Some have reported that better educated individuals perform faster (Ruff St
Parker, 1993).
However, others have found that education has little or only a small effect
(Bernstein, 1985; Concha et al., 1995; Mitrushina et al., 2005; Selnes et
al.,1991), accounting for about 3% to 6% of the variance test scores (Heaton
et al., 2004).
Ethnicity
The impact of ethnicity has not been reported.
Intermanual Differences
Neither age, education, nor hand preference is related to intermanual
differences scores on the Grooved Pegboard (Bornstein, 1986c; Ruff & Parker,
1993; Thompson et al., 1987); however, intermanual differences tend to be
larger for females than for males (Rosselli et al., 2001; Thompson et al.,
1987; but see Bornstein, 1986c).
Normative Data
Adults
Heaton et al. (2004) have developed normative data based on a large sample of
Caucasians and African Americans (see Table 14-15), They provide norms
separately for these two ethnicity groups, organized by age, gender and
education.
The data set covers a wide range in terms of age (20-85 years) and education
(0-20 years), and exclusion criteria are specified. T scores lower than 40 are
classed as impaired. According to Heaton et al. (2004). Unfortunately, the
method for determining hand preference was not described. Mitrushina et al.
(2005) provide meta-norms, based on six studies and representing 2382
participants, aged 20 to 64 years. They noted that the integrity or the
results is undermined by the lack of consistency in reporting of hand
preference. Table 14-16 provides data (Ruff and Parker, 1993) based on a
sample of 357 individuals aged 16 to 70 years, ranging in education from 7 to
22 years. Participants were screened to exclude those with a positive history
of psychiatric hospitalization, chronic polydrug abuse, or neurological
disorders. Hand preference was evaluated using a lateral dominance
examination. The data agree reasonably well with those provided by Mitrushina
et al. (2005).
Children/Adolescents
Older normative data sets are available for children (Knights, 1970; Knights &
Moule, 1968; Trites, 1977). However, use of these norms is not recommended,
because they are quite dated and cell sizes are quite small. Recently,
Rosselli et al. (2001) used the 25-hole pegboard and provided data (see Table
14-17) on a sample of 290 Spanish-speaking children (141 boys, 149 girls),
aged 6 to 11 years, in Bogota, Colombia. None of the subjects was mentally
retarded. Based on the Waterloo Handedness questionnaire, 268 children were
right-handed, and 22 were left-handed. Rosselli et al. (2001) noted that the
older the group, the smaller the difference in performance between hands.
The performance of older children was similar to that of adults aged 40 to 59
years (e.g., Bernstein, 1985; Ruff & Parker, 1993), suggesting that additional
gains are made during adelescence. In line with this proposal, are the
findings by Paniak (personal communication, April 10, 2004) for a sample of
358 adolescents living in a large western Canadian city (see Table 14-18). The
exclusion criteria for this sample included failure of one or more grades,
enrollment in an English as a Second Language program, a history of
hospitalization for brain injury or behavioral problems, or participation in a
self-contained special education program. The sample was largely right-handed
and had a WISC-III Vocabulary scaled score of about 10 (SD=3).
Table 14-15
Characteristics of the Grooved Pegboard Normative Sample provided by Heaton et
al. (2004)
Number | 1482 |
---|---|
Age (years) | 20-85a |
Geographic location | Various States in the United States and Manitoba, Canada |
Sample Type | Individuals recruited as part of multicenter studies |
Education (years) | 0-20b |
Gender (%) | |
Male | 60.1 |
Female | 39.9 |
Race/Ethnicity | |
Caucasian | 839 |
African American | 643 |
Screening | No reported history of learning disability, neurological disorder, |
serious psychiatric disorder, or alcohol or drug abuse
a. Age groups: 20-34, 35- 39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69,
70-74, 75-79, and 80-89 years
b. Education groups: 7-8, 9-11, 12, 13-15, 16-17, and 18-20 years
Table 14-16
Mean Performance of Adults for Grooved Pegboard, by Education, Age, and Gender
| Less than or Equal To Grade 12| Greater than Grade 12
---|---|---
Age Group (Years)| N| M| SD| N| M| SD
Females, Preferred hand| | |
16-39| 30| 62.8| 8.9| 60| 57.8| 6.2
40-54| 14| 63.1| 4.4| 30| 63.3| 7.4
55-70| 15| 78.6| 11.7| 29| 75.3| 11.3
Females, Nonpreferred hand
16-39| 29| 66.8| 10.7| 60| 65.2| 10.3
40-54| 15| 69.6| 6.5| 30| 70.8| 8.9
55-70| 13| 84.3| 15.3| 29| 82| 12.5
Males, Preferred hand
16-39| 29| 67.8| 9.2| 60| 64.7| 10.9
40-54| 15| 71.9| 15.1| 30| 70.4| 10.9
55-70| 15| 83.7| 10.2| 30| 74.1| 13.0
Males, Nonpreferred hand
16-39| 29| 74.5| 10.9| 59| 67.8| 10.8
40-54| 15| 79.1| 14.9| 30| 73.7| 9.9
55-70| 15| 91| 12.7| 28| 83.5| 13.4
Note: Based on a sample of 357 healthy participants
Source: From Ruff & Parker 1993 © Perceptual and Motor Skills 1993.
Reprinted with Permission.
Table 14-17
Grooved Pegboard (Time in Seconds) Normative Data for Spanish- Speaking Boys
and Girls Aged 6-11 Years (25-Hole Pegboard), by Age
| 6-7 years (n=83)| 8-9 years (n=121)| 10-11 years (n=86)
---|---|---|---
Preferred Hand| 92.46 (17.80)| 81.96 (13.79)| 69.47 (10.47)
Nonpreferred Hand| 104.00 (21.44)| 93.58 (17.67)| 76.41 (12.22)
Source: Adapted from Rosselli et al., 2001.
Table 14-18
Mean Performance (Seconds) on Grooved Pegboard in Adolescents
Males | Females |
---|---|
Age (Years) | N |
Hand** | Left Hand |
12 | 38 |
13 | 39 |
14 | 46 |
15 | 29 |
Note: Based on a sample of 358 healthy adolescents in a large Western
Canadian city.
Source: C. Paniak, H. Miller & D. Murphy (personal communication, April 10,
2004).
Table 14-19
Grooved Pegboard Test-Retest Effects in 121 Normal Individuals Assessed After
Intervals of 2 to 16 Months
| Time 1| | Time 2| | T2-T1| | T1,T2
---|---|---|---|---|---|---|---
| (1)| | (2)| | (3)| (4)|
Measure| Mean| SD| Mean| SD| M| SD| r
Dominant| 69.66| 19.27| 68.68| 21.04| -0.98| 10.03| 0.86
Nondominant| 75.8| 21.56| 73.7| 19.69| -2.09| 11.11| 0.86
Note: Based on a sample of 121 normal individuals (mean age=43.6,
SD=19.6; mean education=12.0, SD=3.3) after retest intervals of about 2-16
months (mean=5.4, SD=2.5) One first subtracts the mean T2-T1 change (column 3)
from the difference between the two testings for the individual and then
compares it to 1.64 times the standard deviation of the difference (column 4).
The 1.64 comes from the normal distribution and is exceeded in the positive or
negative direction on 10% of the time if indeed there is no real change in
clinical condition.
Source: Adapted from Kikmen et al., 1999.
Table 14-20
Grooved Pegboard Test-Retest Effects in 605 Healthy Males Assessed After
Intervals of 2 to 24 Months
| Time 1| | Time 2| | T2-T1| | T1,T2
---|---|---|---|---|---|---|---
| (1)| | (2)| | (3)| (4)|
Measure| Mean| SD| Mean| SD| M| SD| r
Dominant| 64.2| 8.94| 61.7| 8.16| -2.5| 7.01| 0.67
Nondominant| 69.1| 10.39| 66.5| 9.55| -2.61| 7.37| 0.73
Note: Based on a sample of 605 healthy males, mostly Caucasian (mean
age=39.5, SD=8.5; mean education=16.4, SD=2.3) after retest intervals of about
2-24 months (mean=218 days, SD=95).
Source: Adapted from Levine et al., 2004.
Table 14-21
Regression Equasions for Estimating Restest Scores
Measure | Regression Equasion | Regression SD |
---|---|---|
Dominant | 22.57 + (.609 x Time 1 score) | 6.08 |
Nondominant | 20.15 + (.671 x Time 1 score) | 6.53 |
Note: Based on a sample of 605 healthy males, mostly Caucasian (mean
age=39.5, SD=8.5; mean education=16.4, SD=2.3) after retest intervals of about
2-24 months (mean=218 days, SD=95).
Source: Adapted from Levine et al., 2004.
Reliability
Test-Retest Reliability ond Practice Effects
With retest intervals of about 4 to 24 months, reliability coefficients are
marginal/high (.67 to .86) in normal individuals (aged 15 years and older;
Dikmen et al., 1999; Levine et al.,2004; Ruff & Parker, 1993). No information
is available for children. When repeated trials are given within a session,
performance improves particularly after the first trial (Schmidt et al.,
2000). With two or more sessions (e.g., assessments 1 and 2 occurring within 1
week of each other, assessments 3 and 4 about 3 and 6 months later),
performance improves steadily (McCaffrey et al., 1993; but see Bornstein et
al.,1987).
Detecting Change
When individuals are retested after intervals of about 2 to 24 months,
practice effects are evident (Dikrnen et al., 1999; Levine et al., 2004; Ruff
& Parker, 1993). Dikmen et al. (1999) examined a sample of 121 normal adults
(age M=43.6,SD=19.6; education M=12.0, SD=3.3) after retest intervals of about
2 to 16 months (M=5.4, SD=2.5). Table 14-19 provides information to assess
change, taking practice effects into account (RCI-PE). Using values in Table
14-19, one first subtracts the mean T2 — T1 change (column 3) from the
difference between the two testings for the individual and then compares the
result with 1.64 times the standard deviation of the difference (column 4).
The 1.64 comes from the normal distribution and is exceeded in the positive or
negative direction only 10% of the time if indeed there is no real change in
clinical condition. Drawing from a database of 605 well-educated men
(education M=16.4, SD=2.3), mostly Caucasian males (age M=39.5, SD=8.7),
Levine and colleagues (2004) used both RCI-PE and simple linear regression
approaches to derive estimates of change. The retest interval ranged from 4 to
24 months (M=218 days, SD=95). The length of retest interval did not
contribute significantly to the regression equation. Table 14-20 shows the
means, standard deviations of the change scores, and test-retest correlations
for use in RCI equations. Table 14-21 shows the regression formulas used to
estimate time 2 scores. The residual standard deviations for the regression
formulas are also shown and can be used to establish the normal range for
retest scores. For example, a 90% confidence interval can be created around
the scores by multiplying the residual standard deviation by 1.645, which
allows for 5% of people to fall outside of both the upper and lower extremes.
Individuals whose scores exceed the extremes are considered to have
significant changes.
Validity
Relationships With Other Measures
Pegboard time (dominant hand) shows a modest relation with tapping speed
(—.35; Schear & Sato, 1989), and factor analytic findings indicate that the
two tasks load differently (Baser & Ruff, 1987). Examination of relations
among manual performance tasks in healthy individuals suggests that finger
tapping and pegboard tasks are more closely related to one another than to
grip strength (Corey et al., 2001).
In addition to requiring motor execution, the pegboard task also requires
adequate vision.
Schear and Sato (1989) found a moderately strong correlation (—.62) between
nearvisual acuity and dominant-hand pegboard time.
Moderate/high associations have also been reported with measures of attention
(e.g., reaction time r= .31; TMT-Br=.46; Schear & Sato, 1989; Strenge et al.
2002), perceptual speed (Digit Symbol r= —.60; Schear & Sato, 1989) and
nonverbal reasoning (Block Design r= -34; Object Assembly r= —.45; Schear &
Sato, 1989; see also Haaland & Delaney, 1981).
There is little relation between pegboard scores (preferred hand) and grades
in academic subjects (Rosselli et al., 2001), although Solan (1987) noted a
moderate relation (r=~.41) with WRAT arithmetic.
Clinical Findings
There is evidence that pegboard-placing speed is reduced in a number of
conditions, including stroke (Haaland & Delaney,1981), tumor (Haaland &
Delaney, 1981), autism (Hardan et al.,2003), nonverbal learning disabilities
(Harnadek & Rourke,1994), Williams syndrome (MacDonald & Roy, 1988), bipolar
disorder (Wilder-Willis et al., 2001), endstage heart disease (Putzke et al.,
2000), toxic exposure (Bleecker et al., 1997; Mathiesen et al., 1999),
substance abuse (withdrawn cocaine users; Smelson et al., 1999), and HIV-1
infection (Carey et al.,2004; Hestad et al., 1993). Various drug treatments
(carbamazepine, phenytoin) also impair performance (Meadoret al., 1991).
The test is also a sensitive, but not totally accurate, indicator of
lateralized disturbances (Bornstein, 1986a; Haaland & Delaney, 1981).
Left cerebral lesions tend to attenuate the more typical pattern of manual
asymmetry; right lesions move the discrepancies in the opposite direction.
However, ipsilateral impairment is also seen—perhaps a reflection of the
significant sequencing, visual-spatial, and monitoring requirements of the
tasks (Haaland & Delaney, 1981). Lewis & Kupke (1992) also suggested that
difficulty adapting to a novel task, especially with the nonpreferred hand,
may affect performance.Typically, performances of the preferred and
nonpreferred hands are compared on motor tasks to determine whether there is
consistent evidence of poor performance with one hand relative to the other.
In general, performance with the preferred hand is superior (by about 10%) to
that with the nonpreferred hand (Mitrushina et al., 2005; Thompson et
al.,1987). However, there is considerable variability in the normal
population, and the preferred hand is not necessarily the faster one
(Bornstein, 1986c; Corey et al., 2001), especially when left-handed people are
considered (Corey et al., 2001; Thompson et al., 1987). Patterns indicating
equal or better performance with the nonpreferred hand occur with considerable
regularity in the normal population (about 25%), and neurological involvement
should not be inferred from an isolated lack of concordance. Fairly large
discrepancies between the hands on the Grooved Pegboard Test alone also cannot
be used to suggest unilateral impairment, because discrepancies of large
magnitude are not uncommon (about 20%) in the normal population (Bornstein,
1986a, 1986c; Thompson et al., 1987). In addition, intermanual discrepancies
(even of large magnitude) are not perfect predictors of the side of lesion
(Bornstein, 1986a). Greater confidence in the clinical judgment of impaired
motor function with one or the other hand can be gained from consideration of
the consistency of intermanual discrepancies across several motor tasks,
because truly consistent, deviant performances are quite rare in the normal
population (Bornstein, 1986a, 1986b; Thompson et al., 1987).
It is important to note that there may be reasons other than neurological
impairment for an individual to perform poorly on this task.
Deficits in tactile acuity at the fingertips can also translate into
significant difficulties in tasks, such as the Grooved Pegboard, that require
fine manipulations (Tremblay et al., 2002), Depression has also been
associated with lower performance (Hinkin et al., 1992) as are some
medications (e.g., Meador et al., 1991).
Ecological/Predictive Validity
Weak/modest associations have been noted between pegboard scores and daily
functioning (complex activities of daily living) in patients with multiple
sclerosis (Kessler et al.,1992) and after head injury (Farmer & Eakman, 1995).
In those with HIV infection, poor performance may represent an early sign of a
dementing process: Defective performance on the Grooved Pegboard was linked
with an increased risk of becoming demented over a 30-month foliow-up period
(Stern et al., 2001).
Malingering
Individuals simulating head injury tend to suppress their performance on the
Grooved Pegboard (Johnson & Lesniak-Karpiak, 1997; Rapport et al., 1998; but
see Wong et al., 1998), although warning participants of the possibility of
detection (Johnson & LesniakKarpiak, 1997) or coaching them on how to avoid
detection (Rapport et al., 1998) may improve test scores.
Greiffenstein and colleagues (1996) examined the average performance of the
dominant and nondominant hands on tests of motor functioning and reported that
compensationseeking patients with postconcussion syndrome (PCS) demonstrated a
nonphysiological profile on grip strength, finger tapping, and Grooved
Pegboard (grip strength < finger tapping < grooved pegs). However Rapport et
al. (1998) found that the presence of nonphysiological configurations (grip
strength < finger tapping < grooved pegs) showed poor predictive accuracy
among simulators and controls.
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Terms and Conditions
LIC Worldwide Headquarters
Toll-Free: 800-428-7545 (USA only)
Phone: 765-423-1505
Fax: 765-423-4111
sales@lafayetteinstrument.com
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(Outside the USA)
Mailing Address:
Lafayette Instrument Company
PO Box 5729
Lafayette, IN 47903, USA
Lafayette Instrument Europe
Phone: +44 1509 817700
Fax: +44 1509 817701
Email:
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If ordering instrumentation for use outside the USA, please specify the
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Following that time, prices are subject to change and will be re-quoted at
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Payment for up to 100% of the invoice value of custom products may be required
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Exchanges and Refunds
Please see the cancellation penalty as described above. No item may be
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reason for return. Unopened merchandise may be returned prepaid within thirty
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Repairs
Instrumentation may not be returned without first receiving a Return Goods
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call Lafayette Instrument to receive a RGA number. Your RGA number will be
good for 30 days. Address the shipment to:
Lafayette Instrument Company
3700 Sagamore Parkway North
Lafayette, IN 47904, USA.
Shipments cannot be received at the PO Box. The items should be packed well,
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repairs.
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to a thorough inspection. If a shipment arrives damaged, note damage on
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inspection within 10 days of the original delivery. Please call the Lafayette
Instrument Customer Service Department for repair or replacement of the
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Lafayette Instrument Company warrants equipment manufactured by the company to
be free of defects in material and workmanship for a period of one year from
the date of shipment, except as provided hereinafter. The original
manufacturer’s warranty will be honored by Lafayette Instrument for items not
manufactured by Lafayette Instrument Company, i.e. resell items. This assumes
normal usage under commonly accepted operating parameters and excludes
consumable products.
Warranty period for repairs or used instrumentation purchased from Lafayette
Instrument is 90 days. Lafayette Instrument Company agrees either to repair or
replace, at its sole option and free of part charges to the customer,
instrumentation which, under proper and normal conditions of use, proves to be
defective within the warranty period. Warranty for any parts of such repaired
or replaced instrumentation shall be covered under the same limited warranty
and shall have a warranty period of 90 days from the date of shipment or the
remainder of the original warranty period whichever is greater. This warranty
and remedy are given expressly and in lieu of all other warranties, expressed
or implied, of merchantability or fitness for a particular purpose and
constitutes the only warranty made by Lafayette Instrument Company.
Lafayette Instrument Company neither assumes nor authorizes any person to
assume for it any other liability in connection with the sale, installation,
service or use of its instrumentation. Lafayette Instrument Company shall have
no liability whatsoever for special, consequential, or punitive damages of any
kind from any cause arising out of the sale, installation, service or use of
its instrumentation. All products manufactured by Lafayette Instrument Company
are tested and inspected prior to shipment. Upon prompt notification by the
Customer, Lafayette Instrument Company will correct any defect in warranted
equipment of its manufacture either, at its option, by return of the item to
the factory, or shipment of a repaired or replacement part. Lafayette
Instrument Company will not be obliged, however, to replace or repair any
piece of equipment, which has been abused, improperly installed, altered,
damaged, or repaired by others. Defects in equipment do not include
decomposition, wear, or damage by chemical action or corrosion, or damage
incurred during shipment.
Limited Obligations Covered by this Warranty
- In the case of instruments not of Lafayette Instrument Company manufacture, the original manufacturer’s warranty applies.
- Shipping charges under warranty are covered only in one direction. The customer is responsible for shipping charges to the factory if return of the part is required.
- This warranty does not cover damage to components due to improper installation by the customer.
- Consumable and or expendable items, including but not limited to electrodes, lights, batteries, fuses, O-rings, gaskets, and tubing, are excluded from warranty.
- Failure by the customer to perform normal and reasonable maintenance on instruments will void warranty claims.
- If the original invoice for the instrument is issued to a company that is not the company of the end user, and not an authorized Lafayette Instrument Company distributor, then all requests for warranty must be processed through the company that sold the product to the end user, and not directly to Lafayette Instrument Company.
Export License
The U.S. Department of Commerce requires an export license for any polygraph
system shipment with an ULTIMATE destination other than: Australia, Japan, New
Zealand or any NATO Member Countries. It is against U.S. law to ship a
Polygraph system to any other country without an export license. If the
ultimate destination is not one of the above listed countries, contact us for
the required license application forms.
PO Box 5729.
Lafayette, IN 47903
Fax: 765-423-4111
3700 Sagamore Pkwy N
Lafayette, IN 47904
Tel: 765-423-1505
info@lafayetteinstrument.com
www.lafayetteinstrument.com
© 2023 by Lafayette Instrument Company, Inc.
All Rights Reserved. Rel. 3.6.23
Documents / Resources
|
Lafayette Instrument 32025 Grooved Pegboard
Test
[pdf] User Manual
32025, 32025 Grooved Pegboard Test, Grooved Pegboard Test, Test
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References
Read User Manual Online (PDF format)
Read User Manual Online (PDF format) >>