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Appendix V: Amputee Mobility Predictor (AMP) scoring …

Standard of Care: Lower Extremity Amputation Copyright 2011 The Brigham and Women s Hospital, Inc., Department of Rehabilitation Services. All Rights Reserved. 36 Appendix V: Amputee Mobility Predictor (AMP) scoring form19 Amputee Mobility Predictor QuestionnaireInitial instructions: Testee is seated in a hard chair with arms. The following maneuvers are tested with or without the use ofthe prosthesis. Advise the person of each task or group of tasks prior to performance. Please avoid unnecessary chatter throughout the test. Safety first, no task should be performed if either the tester or testee is uncertain of a safe outcome. The Right Limb is: - PF - TT - KD - TF - HD - intact. The Left Limb is: - PF - TT - KD - TF - HD Sitting balance: sitforward inachair with arms folded across chest for Sitting reach: reach forward and grasp the ruler.

the sound and prosthetic limb up to 30s. Grade the quality, not the time. Cannot sit upright independently for 60s =0 Can sit upright independently for 60s =1 Does not attempt =0 Cannot grasp or requires arm support =1 Reaches forward and successfully grasps item =2 Cannot do or requires physical assistance =0

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