Outcomes and Community Reintegration Flashcards
FIM
functional independence measure
what is the focus of FIM
burden of care
*covers ADLs, transfers, communication, problem solving
Is FIM specific to amputees
No
what are some functional measures you can do with amputees
- 2 or 6 minute walk test
- 10m walk test
- TUG
- L-test
what are some balance outcome measures you can do with amputees
- Berg
- DGI
- ABC scale
- SLS
Is one leg balance a reliable predictor of function in amputees
yes
K-level
describes functional level or potential functional level of amputee
does medicare require a K-level to be assigned
yes
K level 0
does not have the ability or potential to ambulate or transfer safely with or without assistance, and a prosthesis does not enhance quality of life or mobility
will medicare provide a prosthesis for K-level 0
no
K level 1
has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator
K level 2
has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator
K level 3
has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion
K level 4
has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. typical of the prosthetic demands of the child, active adult, or athlete
what is the issue with k levels
they are wide open for interpretation with the word “potential”
amputee mobility predictor
designed to help predict prosthetic potential
*this is what you use to determine k-level
The AMP has 21 items that measure (3)
1 - sitting/standing balance
2 - transfers
3 - gait parameters and gait quality
2 different kinds of amputee mobility predictor
AMP-pro (w/ prosthesis)
AMP-nopro (w/o prosthesis)
what is the amputee specific version of the TUG
L-test
what does the L-test involve
rise from an armless chair > walk 10 meters with a 90 degree turn > turn 180 > walk back and sit on chair
CHAMP
comprehensive high-level activity mobility predictor
- used for higher level amputees
what are 3 predictors of community re-entry for amputees
age
comfort of prosthesis
education level
as far as work environment, what are some things to consider with amputees
- excessive heat
- slippery surfaces
- unever surfaces
- heights (NOT recommended)
what is a great thing about golf for amputees?
it can be a more leisurely activity by using a gold cart, or you can make it a workout by walking the 18 holes
what is a great, non-WB workout for amputees
swimming
what is a great PWB workout for amputees
cycling
what are two sports that often require no adaptations for amputees
swimming and cycling
what are some advantages of a microprocessor controlled prostheses (3)
- stumble recovery
- variable cadence
- more natural gait
what are some disadvantages of a microprocessor controlled prosthesis? (5)
- cost
- weight
- sensitivity to environment
- power requirements
- cosmesis
