Assessing prosthetic patient outcomes pre to post intervention is crucial in determining future patient management and review of practice. An earlier piece of work looked at case-based outcomes of 21 transfemoral prosthetic users who transitioned from a standard mechanical knee joint to a microprocessor-controlled prosthetic intended for active patients requiring a higher level of functional ability. Results were generally positive, however, the set of 13 outcome measures used did not include patient satisfaction or goals. Additionally, strong and significant (p<0.05) correlations were measured between the Locomotor Capability Index (LCI-5) and Activity-specific Balance Confidence (ABC) Scale scores (ρ=0.855), Amputee Mobility Predictor (AMP) and LCI-5 (ρ=0.855), 10 metre timed walk test and L-Test of functional mobility (ρ=0.943) and the L-Test and 2 Minute Walk Test (2MWT) (ρ=-0.902), indicating possible redundancy. It was also noted that there was a lack of consensus regarding use of rehabilitation outcome measures, and the methods used to assess reliability, validity, consistency, ceiling and floor effects and the minimal clinically important difference. A review of existing outcome measures was undertaken and a toolset identified specifically for active amputees - the Active Prosthetic Users’ Mobility Evaluation Tool Set (APUMET). This includes the Prosthetic Evaluation Questionnaire, 2MWT, AMP, Gait Profile Score, Goal Attainment Scale, Activity Monitoring and Cognitive Demand Task Testing.
|Publication status||Published - 15 Mar 2019|
|Event||British Association of Prosthetists and Orthotists Conference - Harrogate Convention Centre, Harrogate, United Kingdom|
Duration: 15 Mar 2019 → 17 Mar 2019
|Conference||British Association of Prosthetists and Orthotists Conference|
|Period||15/03/19 → 17/03/19|
- prosthetic users
- mobility evaluation