Selecting, Administering, and Interpreting Outcome Measures Among Adults with Lower-Limb Loss: An Update for Clinicians

Overview

Journal Curr Phys Med Rehabil Rep

Specialty Rehabilitation Medicine

Date 2021 Mar 26

PMID 33767921

Citations 6

Authors

Jaclyn Megan Sions

Emma Haldane Beisheim

Mayank Seth

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: To summarize outcome measurement research among adults with lower-limb loss (LLL) for clinicians.

Recent Findings: Houghton Scale, Prosthetic Evaluation Questionnaire-mobility subscale (PEQ-m), Prosthetic Limb Users Survey of Mobility (PLUS-M™), Activities-Specific Balance Confidence Scale (ABC), Amputee Mobility Predictor (AMP), Comprehensive High-Level Activity Mobility Predictor, Four Square Step Test (FSST), Narrowing Beam Walking Test (NBWT), L Test, 10 Meter Walk Test (10MWT), and 6 Minute Walk Test (6MWT) are appropriate for evaluating individual patient changes post-LLL. Post-LLL, Socket Comfort Score, Patient-Specific Functional Scale, Patient-Reported Outcomes Measurement Information System 29-Item Profile, Timed Up and Go, and 2 Minute Walk Test may be more appropriate for evaluating groups. Minimal detectable change is available for 15/20 reviewed measures. Many measures differ between mobility levels.

Summary: Quick, reliable measures for evaluating patient functional change include ABC, PEQ-m, PLUS-M™, FSST, and L Test; when resources allow, NBWT, 10MWT, 6WMT and AMP may be considered.

Citing Articles

Evaluating the Usability and Equivalence of Electronic Patient-Reported Outcome Measures for Individuals with a Lower-Limb Amputation.

Maronati R, Rigot S, Mummidisetty C, Jayaraman C, Hoppe-Ludwig S, Jayaraman A J Prosthet Orthot. 2024; 36(3):205-213.

PMID: 38966094 PMC: 11221574. DOI: 10.1097/jpo.0000000000000476.

Clinical mobility metrics estimate and characterize physical activity following lower-limb amputation.

Seth M, Pohlig R, Hicks G, Sions J BMC Sports Sci Med Rehabil. 2022; 14(1):124.

PMID: 35799260 PMC: 9264684. DOI: 10.1186/s13102-022-00518-x.

Use of Standardized Outcome Measures for People With Lower Limb Amputation: A Survey of Prosthetic Practitioners in the United States.

Morgan S, Rowe K, Fitting C, Gaunaurd I, Kristal A, Balkman G Arch Phys Med Rehabil. 2022; 103(9):1786-1797.

PMID: 35398048 PMC: 9452451. DOI: 10.1016/j.apmr.2022.03.009.

Postamputation Cognitive Impairment Is Related to Worse Perceived Physical Function Among Middle-Aged and Older Prosthesis Users.

Miller M, Hoffman R, Swink L, Barnes D, Christiansen C Arch Phys Med Rehabil. 2022; 103(9):1723-1729.

PMID: 35123974 PMC: 9536024. DOI: 10.1016/j.apmr.2021.12.025.

Use of a Single Wearable Sensor to Evaluate the Effects of Gait and Pelvis Asymmetries on the Components of the Timed Up and Go Test, in Persons with Unilateral Lower Limb Amputation.

Valle M, Casabona A, Sapienza I, Laudani L, Vagnini A, Lanza S Sensors (Basel). 2022; 22(1).

PMID: 35009638 PMC: 8747521. DOI: 10.3390/s22010095.

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