Get the free AMPUTEE MOBILITY PREDICTOR - University of Delaware - udel

AMPUTEE MOBILITY PREDICTOR Name: Date: Address: Post Code: Gender: Female Amputation: Left Male DOB: Age: Right Date of Amputation: Amputation Level: Cause of Amputation: Condition of Contralateral

How to fill out amputee mobility predictor

How to fill out the Amputee Mobility Predictor:

1. Begin by reviewing the instructions and familiarizing yourself with the scoring criteria.
2. First, assess the individual's level of amputation. Determine if it is above-knee, below-knee, or hip disarticulation.
3. Evaluate the individual's sitting balance by observing their ability to maintain an upright posture without support.
4. Assess the individual's ability to stand from a seated position. Observe if they require any assistance or use any assistive devices.
5. Evaluate the individual's standing balance by observing their ability to maintain an upright position without support.
6. Observe the individual's ability to perform various tasks, such as walking on level ground, walking up and down stairs, and walking on uneven surfaces.
7. Note any difficulties or limitations the individual experiences while performing these tasks.
8. Assess the individual's need for assistive devices, such as canes, crutches, or prostheses, and determine their level of independence with these devices.
9. Score each section of the Amputee Mobility Predictor according to the specified criteria, considering the individual's performance and level of assistance required.
10. Review the completed form and ensure all necessary information has been recorded accurately.

Who needs the Amputee Mobility Predictor?

1. Amputees: The Amputee Mobility Predictor is specifically designed for individuals who have undergone amputations. It helps assess their mobility and functional abilities.
2. Rehabilitation Professionals: Physical therapists, occupational therapists, and other healthcare professionals who work with amputees may need the Amputee Mobility Predictor to evaluate and monitor patients' progress.
3. Insurance Companies: The Amputee Mobility Predictor can be used by insurance companies to assess an individual's functional capabilities and determine the need for assistive devices or rehabilitation services.
4. Researchers: The Amputee Mobility Predictor is frequently used in research studies to measure the impact of various interventions and treatments on amputees' mobility and functional outcomes.

For pdfFiller’s FAQs

What is amputee mobility predictor?

Amputee Mobility Predictor (AMP) is a questionnaire designed to assess the functional ability and mobility of individuals with lower limb amputations.

Who is required to file amputee mobility predictor?

Individuals with lower limb amputations who are undergoing rehabilitation or seeking mobility assistance may be required to fill out the amputee mobility predictor.

How to fill out amputee mobility predictor?

The amputee mobility predictor can be filled out by answering the questions in the questionnaire honestly and accurately based on your current mobility and functional abilities.

What is the purpose of amputee mobility predictor?

The purpose of the amputee mobility predictor is to evaluate the mobility and function of individuals with lower limb amputations in order to provide appropriate assistance and support.

What information must be reported on amputee mobility predictor?

The information reported on the amputee mobility predictor may include details about the individual's mobility, balance, walking ability, use of prosthetics, and any assistance devices used.

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