2.1 - outcome measures

functional lower-limb amputee gait (FLAG)

_________________ is an observational gait analysis for people with an amputation

RANCHO gait analysis (the massive, comprehensive assessment)

the functional lower-limb amputee gait (FLAG) outcome measure is a condensed version of the _______________

T (most of the time, long list of advantages - validity, reproducibility, sensitive to important changes, resistant to cognitive impairment, less influence by education/culture/language)

T/F: performance based tests are the gold standard

• 10 meter walk test

• 2 or 6 minute walk test

• timed up and go

• amputee mobility predictor (AMPpro/nopro)

• comprehensive high activity mobility predictor (CHAMP)

list some examples of performance based measures used with the amputee population (5)

F (single item tasks are measures like 10mWT, 2/6MWT, TUG)

T/F: the AMPpro/nopro and CHAMP outcome measures are single item tasks

the EBAR ties an intervention to pts performance

what is the good thing about integrating the EBAR with the AMP outcome measure

PROsthetic Mobility Performance Test

what does the PROMPT stand for

performance based

advantages of (performance based or self report):

• Clear face validity

• Good reproducibility

• Sensitive to important changes

• Resistant to cognitive impairment

• Less influenced by education, culture and language

performance based

disadvantages of (performance based or self report):

• Required large number of tasks to be comprehensive

• NOT all tasks are relevant to specific patients

• Space, equipment, time can be barriers

• Administrators may need training

• Score may be difficult to interpret

self report

advantages of (performance based or self report):

• Provide unique information about individuals’ experiences, perceptions, and opinions

• Ease of administration, minimal risk, and non-invasive nature

• Can be more comprehensive

• Can be customized (as appropriate)

self report

disadvantages of (performance based or self report):

• Response bias (recall, frame shift, desirability/distortion, etc.)

• Development often NOT rigorous (item development, validity, etc.)

• activities specific balance confidence (ABC)

• prosthesis evaluation questionnaire (PEQ)

• orthotic and prosthetic user’s survey (OPUS)

• prosthetic limb users survey (PLUS)

  • mobility (PLUS-M)

  • falls (PLUS-F)

  • attention (PLUS-A)

what are some examples of patient report outcome measures (PRO) for patients with prosthetic (4)

• 4 square step test

• L test

(but the evidence and recommendations are always evolving)

as of now this point in time, what are the recommended performance based measures with people with prosthetics from literature reviews

• ABC

• PEQ (mobility)

• PLUS-M

(but the evidence and recommendations are always evolving)

as of now this point in time, what are the recommended self-report measures with people with prosthetics from literature reviews

• AMPnoPro

• transfemoral fitting predictor (TFP)

• single-leg balance test

• basic amputee mobility score (BAMS)

(but the evidence and recommendations are always evolving)

as of now this point in time, what are the recommended performance based measures with people who are non-ambulatory from literature reviews

• AMP

• TUG

• 2MWT

• CHAMP or 6MWT for high functioning

(but the evidence and recommendations are always evolving)

as of now this point in time, what are the recommended performance based measures with people with prosthetics from the ISPO COMPASS

• PEQ (residual limb health, utility)

• trinity amputation and prosthesis experience scales-revised (TAPES-R)

(but the evidence and recommendations are always evolving)

as of now this point in time, what are the recommended self-report measures with people with prosthetics from the ISPO COMPASS

F (THERE IS NO UNIVERSAL AGREEMENT ON ANY MEASURE)

T/F: the AMPpro/nopro and CHAMP are the best measure based on universal agreement