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Amputee Mobility Predictor - Physiopedia
The dust is finally settling after Facebook's latest . The initial shock has waned, and brands are now figuring out how to approach the unavoidable shift. And while it (still) may seem like the death of organic reach to many, there's more opportunity to be had than ever before.
WBC count, 216 glucose level
- Vascular team diagnoses gangrene
- OR for open TMT amputation
Poor blood flow to incision site post-TMT amputation
7/17: Popliteal Artery to distal Anterior Tibial Artery Reverse Vein Bypass
Bypass successful, but foot deemed non-viable
7/22: Standard Transtibial Below-Knee Amputation
Corinne Pro, SPT
Discharge to Sunnyview 7/24
Pt fitted with shrinker
Prescribed and educated on the use of insulin for diabetes control
116 Glucose level
Currently 1.7 Million people in the US
- 70% Vascular disease
- 22% Trauma (MVA, farming)
- 4% Malignancy
- 4% Congenital Anomaly
75% occur in later years of life (55 and on)
-82% due to vascular disease (half of this is diabetes)
3 year survival rate with diabetes and lower limb amputation is 50%
18.8 million people in the US with diagnosed diabetes
7 million undiagnosed
Immediate Post-Operative PT Intervention for Lower Extremity Amputees
- Proper bed positioning
Positioning to Prevent Contracture
** 30 seconds per stretch
- Prone hip flexor stretch
- Supine hamstring stretch
- Isometrics (glute/quad sets)
-Gentle exercise against gravity to patient tolerance (variable range)
-PRE to uninvolved limb as tolerated
-Upper extremity strength (chair dips)
Functional Outcome Measures
Functional Independence Measure (FIM)
Developed in 1983
18 items, motor and cognitive subscales
-Geriatrics, MS, Stroke, SCI, General Pain
Use in amputee population
- Total FIM score is not useful for predicting prosthetic use and success for future rehab (Leung EC, Rush PJ, Devlin M, 2006)
- Motor subscale score is highly predictive of successful prosthetic rehab (Leung EC, Rush PJ, Devlin M, 2006)
- Predictability higher in patients with fewer comorbidites (Muecke L, Shekar S, Dwyer D, Israel E, Flynn JP, 1992)
- Time consuming
Amputee Mobility Predictor without Prosthesis
20 Items, 38 possible points
Specifically designed to assess mobility without prosthesis and predict level of function with prosthesis
15 minutes or less to complete
High interrater(.99)and intrarater(.97) reliability
Excellent tool for classification of patients into Medicare K-levels (classification system that determines the prosthetic components for which Medicare will pay)
Free to administer, no training necessary
(Gailey et al, 2002)
Activity Measure for Post-Acute Care
Tool specifically designed for use in all rehab settings
- Allows for continued assessment as patient is transferred between settings
269 Items divided into 3 subscales: basic mobility (131), daily activities (88), and cognition (50)
Short forms for quicker testing
More sensitive to change than the FIM (Coster et al, 2006)
Appropriate for a variety of diagnoses- including amputees!
PPT – Amputee Mobility Predictor PowerPoint …
That said, there's no time like the present to get in front of these changes, and the imminent success of your brand is contingent on your ability to adapt to the times. This means re-evaluating your current strategies and finding ways to connect with your audiences on a deeper, more meaningful level. In this webinar, our founder and CEO Paul Berry will discuss how to survive the latest demands the media world is facing, and what you need to do to protect the future of your brand.
At RebelMouse, we're experts at our craft. We make it our mission to stay up to date with all of the latest happenings in the digital sphere, and the work we do reflects this. We're constantly adding customized offerings to our services portfolio to ensure our technology is adapted to seamlessly propel you into the future of media.
The Amputee Mobility Predictor: An Instrument to …
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