Amputee Mobility Predictor - Setup and Instruction

Summary

The video introduces the Amputee Mobility Predictor (AMP), a tool aiding in prosthetic prescription for lower extremity amputees by assessing functional mobility and assigning K-Levels. It guides through setup, testing procedures, and clinical application of AMPPRO and AMPnoPRO versions, using various tests like balance, reach, and gait initiation. The video encourages downloading the toolkit from missiongait.org for further insights and resources.

Takeaways

• 🚶 The Amputee Mobility Predictor (AMP) is an outcome measure that helps in prescribing prosthetic components and assessing the functional mobility of lower extremity amputees.
• 🔧 The Amputee Mobility Predictor Toolkit is available for download at missiongait.org, offering information on K-Levels and how the AMP can support collaboration between physical therapists and prosthetists.
• 📚 The video provides a guide on setting up the AMP, performing tests with or without a prosthetic limb, and using a patient's score in a clinical setting.
• 🏠 For the setup, two hard chairs with armrests are placed at 90 degrees to each other, a 12-foot walkway is marked, and other necessary items like stairs, a stopwatch, and a ruler are prepared.
• 📝 The AMP clinical instrument includes checkboxes for the physical status of each lower extremity, and each test item is scored based on the initial attempt.
• 🧍‍♂️ Various balance and reach tests are conducted, including sitting balance, chair to chair transfer, and standing balance with or without an assistive device.
• 🚶‍♀️ Gait initiation, step length and height, step continuity, and turning are assessed as part of the AMP test, with specific instructions for both AMPPRO (with prosthetic) and AMPnoPRO (without prosthesis).
• 🔄 The variable cadence test requires the patient to walk the walkway four times at varying speeds to observe changes in cadence and asymmetries.
• 🚶‍♂️ Stepping over an obstacle and navigating stairs are part of the test, with specific scoring criteria for the use of assistive devices and patterns of movement.
• 🏆 The final item assesses the assistive device selection used by the patient during at least two test items, contributing to the overall AMPPRO or AMPnoPRO score.
• 📊 The AMP score, when compared with normative data, aids in prosthetic prescription through the patient's K-level and can be used for outcome measurement during rehabilitative care.

Q & A

What is the purpose of the Amputee Mobility Predictor (AMP)?

The Amputee Mobility Predictor is an outcome measure designed to assist in prescribing prosthetic components by assigning a K-Level and assessing functional mobility in lower extremity amputees.

Where can I find more information about the Amputee Mobility Predictor Toolkit?

You can find more information about the Amputee Mobility Predictor Toolkit and download it from missiongait.org.

What does the acronym AMPPRO stand for in the context of the AMP?

AMPPRO stands for the Amputee Mobility Predictor performed with a prosthetic limb.

What does AMPnoPRO refer to in the AMP procedure?

AMPnoPRO refers to the Amputee Mobility Predictor performed without a prosthesis.

What are the necessary materials required to perform the AMP tests?

The necessary materials include two hard chairs with armrests, a 12-foot walkway, stairs with a rail, a stopwatch, a pencil, a 12-inch ruler, a moveable box, and a copy of the AMP or AMPnoPRO clinical instrument.

How should the chairs be positioned for the AMP tests?

The two hard chairs with armrests should be placed at 90 degrees to each other.

What is the significance of the 'Sitting Balance' test in the AMP?

The 'Sitting Balance' test assesses the patient's ability to sit in a chair with arms folded across the chest for 60 seconds, which is scored as indicated on the AMP form.

How is the 'Chair to Chair Transfer' test performed in the AMP?

The patient transfers from one chair to another, which are positioned at 90 degrees from each other, using their arms as needed.

What is the 'Nudge Test' in the AMP and how is it conducted?

The 'Nudge Test' involves pushing on the patient’s sternum three times with the palm of the hand until the patient’s toes rise, assessing balance and stability.

How are the 'Step Length and Height' assessed for the AMPPRO?

For the AMPPRO, the assessor observes the patient's step length, ensuring the swing limb advances 12 inches, and also evaluates the foot clearance, scoring both aspects.

What is the 'Variable Cadence' test in the AMP and what is its purpose?

The 'Variable Cadence' test requires the patient to walk the 12-foot walkway four separate times, varying their speed as instructed, to observe changes in cadence and asymmetries.

How does the 'Stepping Over an Obstacle' test differ for above knee amputees?

For above knee amputees, they should lead with the prosthetic limb when stepping over or hopping over the obstacle, ensuring clearance over the box and maintaining a consistent stride.

What is the final item in the AMP test and what does it involve?

The final item, 'Assistive Device Selection', involves scoring the assistive device used by the patient for at least two of the test items.

How can the AMP score be utilized in clinical settings?

The AMP score can be used for prosthetic prescription through the patient’s K-level and for outcome measurement during rehabilitative care.

Where can I find additional resources and a direct link to the 'Amputee Mobility Predictor Toolkit'?

Additional resources and a direct link to the 'Amputee Mobility Predictor Toolkit' can be found on missiongait.org or in the description below the video.