Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 7, 2013
   Pages 843 — 854

Abstract — Amputee Mobility Predictor-Bilateral: A performance-based measure of mobility for people with bilateral lower-limb loss

Michele A. Raya, PhD, PT, SCS, ATC;1 Robert S. Gailey, PhD, PT;1–2* Ignacio A. Gaunaurd, PhD, MSPT;2 Heather Ganyard, DPT;1 Justin Knapp-Wood, DPT;1 Karrie McDonough, DPT;1 Tiffany Palmisano, DPT1

1Department of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, FL; 2Functional ??Outcomes Research and Evaluation Center, Miami Department of Veterans Affairs Healthcare System, Miami, FL

Abstract — The Amputee Mobility Predictor (AMP) is an outcome measure designed to assess mobility and functional capabilities for people with unilateral lower-limb amputation. No comparable measure exists for those with bilateral lower-limb amputation (BLLA). The purpose of this study was to examine the utility of the AMP-Bilateral (AMP-B) to measure the ability to perform functional tasks related to participation in advanced skill activities in those with BLLA and to determine whether AMP-B scores correlated with 6-minute walk test (6MWT) performance. Twenty-six male servicemembers (SMs) completed the study: 12 with bilateral transtibial amputation (BTTA), 7 with bilateral transfemoral amputation (BTFA), and 7 with combination transtibial and transfemoral amputation (TTA/TFA). Significant differences existed between the AMP-B scores (p < 0.001), AMP scores (p < 0.001), and 6MWT distance (p < 0.05) for SMs with BTTA and TTA/TFA and SMs with BTTA and BTFA but not between those with BTFA and TTA/TFA. Scoring of five AMP items was modified because they necessitate at least one intact knee joint to generate the necessary torque requirements to perform the activity without upper-limb assistance. Minor modifications in scoring of the AMP do not alter total score and allow clinicians to determine the mobility and functional capabilities of SMs with BTFA and TFA/TTA.

Key words: 6-minute walk test, Amputee Mobility Predictor, Amputee Mobility Predictor-Bilateral, bilateral amputation, mobility, New Injury Severity Score, outcome measure, servicemembers, traumatic amputation, veterans.

View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 7
This article and any supplementary material should be cited as follows:
Raya MA, Gailey RS, Gaunaurd IA, Ganyard H, Knapp-Wood J, McDonough K, Palmisano T. Amputee Mobility Predictor-Bilateral: A performance-based measure of mobility for people with bilateral lower-limb loss. J Rehabil Res Dev. 2013;50(7):961–68.
ResearcherID/ORCID: Robert S. Gailey, PhD, PT: I-3458-2013; Ignacio A. Gaunaurd, PhD, MSPT: I-3490-2013

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Last Reviewed or Updated  Thursday, October 31, 2013 2:55 PM

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