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Amputee mobility predictor scoring form 2026

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The document is an Amputee Mobility Predictor (AMP) scoring form designed to assess the mobility of individuals with unilateral or bilateral transtibial or transfemoral amputations. It includes a series of tests measuring sitting balance, standing balance, transfers, gait initiation, and obstacle navigation, among others. Each test is scored on a scale from 0 to 2, contributing to a total score that helps determine the patient's K-Level classification for prosthetic use. The K-Level indicates the individual's potential for ambulation and guides clinicians in prescribing appropriate prosthetic components.

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Click ‘Get Form’ to open the amputee mobility predictor scoring form in the editor.
Begin by entering the client’s name and date at the top of the form. This ensures that all information is accurately recorded.
Proceed to assess sitting balance. Indicate whether the client can sit upright independently for 60 seconds by selecting the appropriate score (0, 1).
For sitting reach, measure how far the client can reach forward to grasp a ruler. Record their ability to grasp without support.
Continue through each section, assessing transfers, standing balance, and gait initiation. Use clear scores based on observed performance.
At the end of the form, total the scores and determine the K-Level based on your calculations. Ensure all fields are completed before finalizing.

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What is the amputee mobility predictor?

Amputee mobility predictor (AMP) is a quick and easily administered assessment tool designed to measure the functional status of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis.

What is the process of getting a prosthesis?

Receiving Your Custom Prosthesis Our prosthetic care program consists of six basic steps: Evaluation, Authorization, Casting, Diagnostic Fitting, Fit and Delivery, and Follow-up. Usually each visit occurs two weeks apart but your actual visit timing may vary.

What is K2 prosthetic leg?

The Terion K2 is a reliable everyday companion, especially for users with an elevated need for safety. The prosthetic foot provides stability and safety while walking and standing in everyday life, both at home and in the vicinity.

amputee mobility predictor scoring

AMPnoPRO score interpretation AMPPRO scoring AMPnoPRO form AMPnoPRO calculator AMPnoPRO vs AMPPRO CHAMP outcome measure L Test of Functional mobility locomotor capabilities index (lci)

What are the different types of amputations?

Common types of amputation involve: Above-knee amputation, removing part of the thigh, knee, shin, foot and toes. Below-knee amputation, removing the lower leg, foot and toes. Arm amputation. Hand amputation. Finger amputation. Foot amputation, removing part of the foot. Toe amputation.

What does K3 level mean?

K3 \u2013 The patient has the ability or potential for ambulation (walking) with variable cadence (speed). This is the typical level of the community ambulator who can traverse most environmental barriers and may have vocational, therapeutic, or exercise beyond simple locomotion.

What is the AMPnoPRO?

It assesses the mobility of people with lower limb amputation prior to prosthetic fitting and predicts function following prosthetic prescription. The AMP has two sub-categories: Amputee Mobility Predictor with prosthesis (AMPPRO) and Amputee Mobility Predictor without prosthesis (AMPnoPRO).

What is Amppro?

What are amputee K levels?

K-levels are a rating system used by Medicare to indicate an amputee's rehabilitation potential. The system is a rating from 0 through 4 and it indicates a personâ\u20ac\u2122s potential to use a prosthetic device.