Standardized Assessment Tools For Amputees

Question 1

AMPPRO & AMPnoPRO

Answer 1

• Amputee mobility predictor
• designed to measure ambulatory potential of lower-limb amputees with and without prosthesis
• High intra and inter-rater reliability
  AMP range: 0-42
  AMPnoPRO range: 0-38

Question 2

Components to AMPPRO & AMPnoPRO

Answer 2

• sitting balance, sitting reach
• transfers
• sit to stand, sitting down
• standing balance, single leg standing balance (difficult!)
• standing reach, picking object off floor
• nudge test (to sternum x3)
• gait initiation, step length, foot clearance, turning
• variable cadence
• stepping over obstacle
• stairs w/o hand assist ideally

Question 3

Two minute walk test

Answer 3

• high inter and intra-rater reliability
• measures distance walked in two minutes
• lower in amputee patients than healthy older adults d/t much slower gait speed
• MDC = 34 m or 113 ft for amputees

Question 4

Timed up and go test

Answer 4

• walk 3 m and turn around, walk back and sit down
• high inter and intra-rater reliability
• avg time = 24.5 sec
• longer than normal older community dwelling adults (15 sec)
• normal is <12 sec

Question 6

Six minute walk test

Answer 6

• high interrater reliability
• moderate correlation with TUG and one-leg balance for sound leg and prosthetic leg (faster TUG = greater distance walked)
• MDC = 58 for elderly adults

Question 7

The L test

Answer 7

• 20 meter test with 2 transfers and 4 turns
• similar to TUG
• high inter and intra-rater reliability
• MDC = 3 sec can see large changes w/ this test
• high correlation with walk test and moderate with self-report measures

Question 8

Progression of outcome measures

Answer 8

• AMPRO/AMPnoPRO
• L test
• 2-min walk test
• CHAMP test (agility, only for appropriate pts)

Question 9

Comprehensive high-level activity mobility predictor (CHAMP)

Answer 9

• high inter and intra-rater reliability
• consists of:
  1. single limb stance
  2. edgren side step test
  3. T-test
  4. Illinois agility test
• good for high functioning high level amputees
• TT performed better than TF and bilateral amputee patients; longer single leg stance, greater distance, and faster *
  Score of 33 points = within range of service men without lower limb loss