Mobility Predictor Test - Amputee Prosthetic Clinic 2025

Get Form
Mobility Predictor Test - Amputee Prosthetic Clinic Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Mobility Predictor Test - Amputee Prosthetic Clinic with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Mobility Predictor Test in our editor.
  2. Begin by filling in your personal information at the top of the form, including your name, gender, date of birth, and amputation details.
  3. Follow the initial instructions carefully. Ensure the client is seated properly and explain each task before they perform it.
  4. Proceed through each test item systematically. For example, for 'Sitting Balance', instruct the client to sit forward with arms folded for 60 seconds.
  5. Record observations and scores as you complete each task. Use the provided scoring system to evaluate performance accurately.
  6. Once all tasks are completed, review the total score section at the end of the form to determine K LEVEL based on AMP scores.

Start using our platform today to easily fill out and manage your Mobility Predictor Test!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Scores can range from 0 to 360 for BPDAI total activity (maximum 240 for total skin activity and 120 for mucosal activity), and 0 to 12 for BPDAI damage, with higher scores indicating greater disease activity or damage. BPDAI also has a separate subjective measure known as BPDAI-pruritus. ABSIS.
By using an assistive device, the subjects potential total score possibilities increase by 5 points (to 43 and 47 points for the AMPnoPRO and AMPRO, respectively), depending on the type of assistive device used during testing.
Walking with a poorly fit prosthesis or with sub-optimal gait habits can cause long term structural changes in the body that will result in muscular pain and eventually long term neurological pain. Most users of a prosthesis will at some time encounter back pain due to compensation for the loss of your limb.
The Prosthetic Observational Gait Scale (POGS) is a standardized set of 16 criteria for determining efficient gait in lower limb amputees.
The NUCOG is a 21-item screening instrument that examines aspects of attention, executive function, memory, language, and visuoconstructional function. The total score of the NUCOG represents general cognitive status and ranges from 0 to 100.