AmputeeMobilityPredictor.pptVIP

Amputee Mobility Predictor Louise Whitehead Physiotherapy Team Leader 27th October 2011 Introduction In 1995, Medicare adopted a 5 level functional classification system for amputees K levels developed K0 - K4 Bob Gailey developed the Amputee Mobility Predictor (AMP) to help to determine which K levels amputees fit into AMP PRO / AMPnoPRO K levels K0 – Patient does not have the ability or potential to walk or transfer with or without assistance and a prosthesis does not enhance their QOL or mobility K1 – Patient has the ability to use a prosthesis for transfers or walking on level surface at fixed cadence (indoor) K2 – Patient has the ability to walk indoors and outdoors including negotiating kerbs, stairs and uneven surfaces (community) K3 - Patient is able to walk with variable cadence and may require prosthetic consideration for work, hobbies or sport K4 – Patient requires a prosthesis which allows high impact, stress or energy levels, typical of a child, active adult or athlete AMP PRO Designed to assess an amputee’s existing mobility or potential to mobilise with a prosthesis Items taken from Tinetti’s Performance-Orientated Assessment of Mobility Problems (POMA) Duke Mobility Skills Profile (DMSP) No cost, easy quick to administer Equipment = stopwatch, ruler, pencil, 2 chairs, set of 3 steps and a 4” obstacle (step) 21 tasks - scored out of 47 Guidance notes for scoring Tasks Sitting balance Sitting reach (12”) Chair to chair transfer Sit to stand Attempt to stand Immediate standing balance Standing balance 30 secs Single limb stance Standing reach (12”) Nudge test Eyes closed Pick up object from floor Sit down (arms across chest) Achievement of tasks corresponds to K levels K0 = 1, 2 K1 = 3 – 7 K2 = 8 – 13 Tasks 14. Initiation of gait 15. Foot advancement 16. Foot clearance 17. Step continuity 18. 180 degree turn 19. Variable cadence 20. Step over 4” obstacle 21. Stairs + Walking aids used K3 + K4 relate to