Which rehabilitation outcome measure should you use?
Nov 04, 2017 · A 21-item (AMPPRO) and 20-item (AMPnoPRO) objective measure; Static and dynamic sitting and standing activities, as well as transfer and gait skills of progressing difficulty are performed ; Score range: AMPPRO 0-42 (47 if assistive device is included) and AMPnoPRO 0-38 (43 if assistive device is included). Higher scores indicate better mobility.
Can a bilateral amputee use the ampnopro?
Conclusion: The AMPnoPRO predicted mobility outcome statistically (largest amount of explained variance). Clinical relevance This study explored the possibility of statistically predicting mobility outcome in lower limb amputees at the end of rehabilitation, using motor ability tests conducted in early rehabilitation.
What does ampnopro stand for?
Objectives: To describe the development of the Amputee Mobility Predictor (AMP) instrument designed to measure ambulatory potential of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis, and to test its reliability and validity. Design: Measurement study using known groups method and concurrence with existing measures.
What is the range of the ampnopro score?
AMPUTEE MOBILITY PREDICTOR ASSESSMENT TOOL – AMPnoPRO Instructions: Testee is seated in a hard chair 40-50cm height with arms. The following maneuvers are tested with or without the prosthesis. Advise the person of each task or group of tasks prior to performance. Please avoid unnecessary chatter throughout
What is AMPnoPRO?
It assesses the mobility of people with lower limb amputation prior to prosthetic fitting and predicts function following prosthetic prescription. The AMP has two sub-categories: Amputee Mobility Predictor with prosthesis (AMPPRO) and Amputee Mobility Predictor without prosthesis (AMPnoPRO).Nov 4, 2017
How do you use amputee mobility predictor?
1:5210:36Amputee Mobility Predictor - Setup and Instruction - YouTubeYouTubeStart of suggested clipEnd of suggested clipItem two sitting reach while sitting have the patient extend their arms forward and then hold a 12-MoreItem two sitting reach while sitting have the patient extend their arms forward and then hold a 12-inch ruler. About 12 inches beyond their extended arms.
What is amputee mobility predictor tool?
Amputee mobility predictor (AMP) is a quick and easily administered assessment tool designed to measure the functional status of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis. ... AMP can be used before prosthetic fitting to predict functional mobility after prosthetic fitting.
What are K levels?
Sue | K-levels are a rating system used by Medicare to indicate a person's rehabilitation potential. The system is a rating from 0 through 4 and it indicates a person's potential to use a prosthetic device if they had a device that worked well for them and they completed rehabilitation to use the device properly.Sep 30, 2013
What is a K1 Ambulator?
K1 – The patient has the ability or potential to use a prosthesis for transfers or ambulation (walking) on level surfaces at a fixed cadence (speed). This is the typical level of the limited and unlimited household ambulator.
What is locomotor index?
The Locomotor Capabilities Index (LCI) is a 14-item questionnaire specifically designed to measure walking ability of lower-limb amputees. The LCI was developed in Canada in 1993 as part of the Prosthetic Profile of the Amputee questionnaire [11,12].
What is a microprocessor knee?
Microprocessor knees, sometimes referred to as computer-controlled knees, use technology that offers safer walking with less effort, making it easier to navigate hills, ramps, and uneven terrain with greater stability.
What are the levels of amputation?
Levels of AmputationForequarter.Shoulder Disarticulation (SD)Transhumeral (Above Elbow AE)Elbow Disarticulation (ED)Transradial (Below Elbow BE)Hand/ Wrist Disarticulation.Transcarpal (Partial Hand PH)Transmetacarpal.
How do you assess K level?
To properly determine what level you fall into, he will administer one of the below methods of assessment:Amputee Mobility Predictor.Distance Walk Tests.Timed Walk Tests.Prosthesis Evaluation Questionnaire.Timed Up and Go.Patient Assessment Validation Evaluation Test.
What does 0 mean in AMP?
Most AMP items offer 3 scoring choices: 0 indicates inability to perform the task, 1 implies minimal level of achievement or that some assistance was required in completing the task, and 2 denotes complete independence or mastery of the task.
What is an AMP?
Amputee mobility predictor (AMP) is a quick and easily administered assessment tool designed to measure the functional status of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis.
What it measures
21-item performance-based functional test designed specifically for people with lower limb loss. The score can be used to differentiate between the DMERC Medicare Functional Categories Levels (MFCL). The AMPnoPro can assist with determining sitting and standing ability, standing balance, dynamic balance, and gait attributes.
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What is outcome measure?
An Outcome Measure is a qualitative or quantitative measurement of outcome, 1 generally in response to a rehabilitation intervention in the context of physiatry, 2 and will be referred to as Rehabilitation Measure of Outcome (RMO) in this article.
When was FIM developed?
The FIM ® was developed in 1987 by UDSMR to address the limitations of the Barthel Index. and was endorsed by the American Academy of Physical Medicine and Rehabilitation and the American Congress of Rehabilitation Medicine.
Objective
- Amputee mobility predictor (AMP) is a quick and easily administered assessment tool designed to measure the functional status of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis. The test was also designed to be clinically feasible in that it takes less than 10 to 15 minutes to administer and requires very little equ...
Intended Population
- Unilateral or Bilateral Lower limb amputees. However, bilateral amputee subjects with amputation levels higher than trans-tarsal foot amputations may be tested only with the AMPPRO because it is not physically possible for them to perform the AMPnoPRO. However, an AMP-Bilat was developed that adapted the scoring for people with bilateral limb loss. These changes included …
Methods of Use
- The total score range for the AMP is 0 to 42 points. In its AMPnoPRO configuration, the highest possible score is 38 points because item 8, single-limb standing, is eliminated (standing on the prosthetic side is impossible). By using an assistive device, the subjects’ potential total score possibilities increase by 5 points (to 43 and 47 points for the AMPnoPRO and AMPRO, respectiv…
Validity
- The concurrent validity of the AMP was tested against 2 known tests, the 6-minute walk, which is a rehabilitation standard, and the Amputee Activity Survey (AAS), which has been shown to be a valid subjective instrument for amputee subjects. The 6-minute walk distance showed a moderate to high positive relationship with both the AMPnoPRO and AMPPRO (r =.69, P<.0001; r=.82, P<.0…
Reliability
- Gailey et al tested the intra and inter-rater reliability of the AMP with and without a prosthesis using Intra-class correlation coefficients (ICCs). The inter-rater score demonstrated excellent reliability (.99) for the AMPPRO and the AMPnoPRO. Test-retest intra-rater reliability also had excellent reliability, with rater 1 and rater 2 ICC scores of .96 and .98, respectively, for the AMPP…
Resources
- -Amputee mobility predictor -Predictor, A. M., Index, L. C., Group, S. I., Medicine, A., Index, R. M., Index, T. B., … Classification, I. (2005). Lower Limb Prosthetic Outcome Measures : A Review of the Literature 1995 to 2005 Elizabeth Condie , Grad Dip Phys , FCSP , Helen Scott , Grad Dip Phys , MCSP , and Shaun Treweek , BSc , PhD American Academy of Orthotists and Prosthetists Lower …