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Support Begins to fall Staggers grabs catches self or uses assistive device Steady Content has been exerpted from Gailey RS Roach KE Applegate EB et al. The amputee mobility predictor an instrument to assess determinants of the lower-limb amputee s ability to ambulate. Appendix V Amputee Mobility Predictor AMP scoring form19 Amputee Mobility Predictor Questionnaire Initial instructions Testee is seated in a hard chair with arms. The following maneuvers are tested with or without the use of...
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How to fill out amputee mobility predictor

How to fill out amputee mobility predictor:
01
Start by obtaining the amputee mobility predictor form. You can usually find this form online or request it from a healthcare professional.
02
Carefully read the instructions provided with the form. Familiarize yourself with the different sections and the information you will be required to provide.
03
Begin filling out the form by entering your personal details such as your name, date of birth, and contact information. Ensure that you provide accurate and up-to-date information.
04
Move on to the section that asks about your amputation level. Specify whether you are an upper extremity or lower extremity amputee and the specific level of amputation (e.g., above-knee, below-elbow, etc.).
05
Next, you will be asked to rate your functional ability in different mobility tasks. Carefully assess your own abilities and choose the appropriate rating option for each task. These tasks may include walking, climbing stairs, standing from a seated position, etc.
06
Some forms may also ask about your use of assistive devices such as prosthetics or mobility aids. Provide accurate information regarding the types of devices you use and how frequently you use them.
07
Complete any additional sections or questions on the form, such as providing any relevant medical history or additional comments.
08
Once you have filled out all the required sections, carefully review your answers to ensure accuracy and completeness.
09
Finally, submit the form as instructed. If it needs to be submitted by a specific deadline, make sure to allow sufficient time for mailing or electronic submission.
Who needs amputee mobility predictor:
01
Individuals who have undergone amputation surgery.
02
Rehabilitation professionals, such as physical therapists or occupational therapists, who assist in the evaluation and treatment of amputees.
03
Insurance companies or government agencies responsible for determining eligibility or coverage for prosthetics and mobility aids.
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What is amputee mobility predictor?
The Amputee Mobility Predictor is a tool used to assess the mobility and functional abilities of individuals with lower limb amputations.
Who is required to file amputee mobility predictor?
The Amputee Mobility Predictor is typically administered by healthcare professionals, such as physical therapists or prosthetists, who are working with individuals with lower limb amputations.
How to fill out amputee mobility predictor?
The Amputee Mobility Predictor is filled out through a series of assessments and evaluations that measure various aspects of an individual's mobility and functional abilities. It may involve tasks such as walking, climbing stairs, or balancing.
What is the purpose of amputee mobility predictor?
The purpose of the Amputee Mobility Predictor is to provide healthcare professionals with a standardized tool to assess an individual's mobility and functional abilities. It can help guide treatment plans and monitor progress over time.
What information must be reported on amputee mobility predictor?
The Amputee Mobility Predictor collects information on various mobility and functional abilities, including walking speed, balance, ability to change directions, and ability to negotiate obstacles.
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