Volume 50 Number 7, 2013
Pages 905 — 918
Abstract — Development and reliability testing of the Comprehensive High-Level Activity Mobility Predictor (CHAMP) in male servicemembers with traumatic lower-limb loss
Robert S. Gailey, PhD, PT;1–2* Ignacio A. Gaunaurd, PhD, MSPT;1 Michele A. Raya, PhD, PT, SCS, ATC;2 Kathryn E. Roach, PhD, PT;2 Alison A. Linberg, DPT, ATC;3 MAJ (Ret) Stuart M. Campbell, MPT;4 LTC ??Daniel M. Jayne, MPT, OCS;5 COL (Ret) Charles Scoville, PT, DPT3
1Functional Outcomes Research and Evaluation Center, Miami Department of Veterans Affairs Healthcare System, Miami, FL; 2Department of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, FL; 3Military Advanced Training Center, Walter Reed Army Medical Center, Washington, DC; 4Center for the Intrepid, Brooke Army Medical Center, San Antonio, TX; 5Womack Army Medical Center, Fort Bragg, Fayetteville, NC
Abstract — The opportunity for wounded servicemembers (SMs) to return to high-level activity and return to duty has improved with advances in surgery, rehabilitation, and prosthetic technology. As a result, there is now a need for a high-level mobility outcome measure to assess progress toward high-level mobility during and after rehabilitation. The purpose of this study was to develop and determine the reliability of a new outcome measure called the Comprehensive High-Level Activity Mobility Predictor (CHAMP). The CHAMP consists of the Single Limb Stance, Edgren Side Step Test, T-Test, and Illinois Agility Test. CHAMP reliability was determined for SMs with lower-limb loss (LLL) (interrater: n = 118; test-retest: n = 111) and without LLL (n = 97). A linear system was developed to combine the CHAMP items and produce a composite score that ranges from 0 to 40, with higher scores indicating better performance. Interrater and test-retest intraclass correlation coefficient values for the CHAMP were 1.0 and 0.97, respectively. A CHAMP score equal to or greater than 33 points is within the range for SMs without LLL. The CHAMP was found to be a safe and reliable measure of high-level mobility in SMs with traumatic LLL.
Key words: agility, high-level activity, lower-limb loss, military personnel, mobility, OIF/OEF, outcome measures, reliability, traumatic amputation, Veterans.
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This article and any supplementary material should be cited as follows:
Gailey RS, Gaunaurd IA, Raya MA, Roach KE, Linberg AA, Campbell SM, Jayne DM, Scoville C. Development and reliability testing of the Comprehensive High-Level Activity Mobility Predictor (CHAMP) in male servicemembers with traumatic lower-limb loss. J Rehabil Res Dev. 2013;50(7):905–18.
http://dx.doi.org/10.1682/JRRD.2012.05.0099
Gailey RS, Gaunaurd IA, Raya MA, Roach KE, Linberg AA, Campbell SM, Jayne DM, Scoville C. Development and reliability testing of the Comprehensive High-Level Activity Mobility Predictor (CHAMP) in male servicemembers with traumatic lower-limb loss. J Rehabil Res Dev. 2013;50(7):905–18.
http://dx.doi.org/10.1682/JRRD.2012.05.0099
ResearcherID/ORCID: Robert S. Gailey, PhD, PT: I-3458-2013; Ignacio A. Gaunaurd, PhD, MSPT: I-3490-2013
Last Reviewed or Updated Thursday, October 31, 2013 2:55 PM
