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BILATERAL AMPUTEE MOBILITY PREDICTOR SCORING FORM (Use for Bilateral TFA or Mixed TTA & TFA) CLIENT: DATE:Initial Instructions: Tested is seated in a hard chair with arms. The following maneuvers
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How to fill out bilateral amputee mobility predictor

How to fill out bilateral amputee mobility predictor
01
Gather all necessary information such as the length of residual limbs, the individual's height, weight, and age.
02
Start by filling out the basic personal information section, including the individual's name, contact details, and date of assessment.
03
Move on to the section that covers the individual's functional abilities, such as the ability to transfer, walk on level surfaces, negotiate stairs, and stand up from different surfaces.
04
Provide specific details regarding the individual's use of assistive devices, if any, such as prostheses or orthoses.
05
Answer questions related to the individual's level of independence in performing activities of daily living, such as grooming, bathing, dressing, and feeding.
06
In the next section, evaluate the individual's sitting balance, upper limb abilities, and prosthesis fit.
07
Assess the individual's mobility outside the home, including the ability to walk on different surfaces, use transportation, and navigate community environments.
08
Evaluate the individual's social functioning and participation in recreational activities.
09
Finally, review the completed form for accuracy and completeness before submitting it for further analysis or decision-making.
Who needs bilateral amputee mobility predictor?
01
Bilateral amputee mobility predictor is needed by individuals who have undergone amputation of both lower limbs and require a comprehensive assessment of their mobility and functional abilities.
02
This assessment tool can be used by healthcare professionals, clinicians, and prosthetists to evaluate the overall mobility and identify specific areas where the individual may require assistance or specialized interventions.
03
The bilateral amputee mobility predictor helps in determining the individual's level of independence, functional limitations, and need for prosthetic devices or assistive technology.
04
It is particularly useful for designing customized rehabilitation plans, setting goals, and determining the most appropriate interventions for improving mobility and overall quality of life.
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