Evaluating Outcome Measures for People with Lower Limb Amputations: A Comparison between the Amputee Mobility Predictor and the 6-Minute Walk Test
Brian Quach, SPT
b.quach@usa.edu
University of St. Augustine for Health Sciences
627 words
June 22, 2015 An outcome measure (OM) is a test used to determine if there was a change in a patient’s status or outcome.1 Physical therapists (PTs) select OMs as a prognostic tool to determine a patient’s future status.1 But the use of OMs to evaluate people with amputations is a bit more complicated due to several factors such as day-to-day variations in activities, as well as lack of scientific evidence to guide selection and interpretation of measures.2 Though there is no consensus among researchers
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Overall, I do believe that elective amputation can be justified but there are always going to be those people that take it too far. Bionic technology is going to continue to expand and develop. New advancements will create more concerns and more controversial issues.
The higher the infirmity, the lower the percentage. Global rating of Knee Function scales deliver a technique of attaining statistics in a more quick, flexible, and efficient way. Although, with any conclusion quota important readings of outcomes can only be accepted with the thought of the clinometric assets, powers, and flaws of the tool. Single leg hop tests is a technique that your doctor may practice to define your aptitude to return to exercises, sports and events after knee surgery. It is generally practiced throughout the return to function stage in an anterior cruciate ligament restoration procedure. This is used to evaluate the useful firmness of your knee (Shen. W,
Strange as that this may sound, when a Wannabee person lose a limb they are actually gaining so much more of who they felt they are. As one Amputee said to his doctor “you have made me the happiest of all men by taking away from me a limb which put an invincible obstacle to my
As an Occupational Therapist, it is crucial to consider the wellbeing of Martha as a whole person. She is not merely a stroke patient. She is a homemaker, wife, and game enthusiast. Two conditions hindering her accomplishment of these meaningful occupations are her motor planning deficit and the lack of functionality in her right upper extremity (RUE). Martha has difficulty following multi- step commands, and relies heavily on the assistance of others with mobility, transfers, and activities of daily living (ADLs). Despite these, two of her strengths are her abilities to consistently answer yes/no questions by moving her head, and the mobility of her left upper extremity (LUE). She is alert and oriented to herself, and the strength and sensation in her LUE are within functional limits. These factors shape a client’s Occupational Therapy experience.
21. Alcock GK, Stratford PW. Validation of the Lower Extremity Functional Scale on athletic subjects with ankle sprains. Physiother Can. 2002;54:233-240.
Simon and Donahue developed the Identification of Functional Ankle Instability questionnaire (IdFAI), specifically designed to detect whether individuals meet a minimum criteria necessary for inclusion in an FAI population.(6)
Valent, Linda J.M. Et al. "Effects of Hand Cycle Training on Physical Capacity in Individuals With Tetraplegia: A Clinical Trial." Physical Therapy 89.10 (2009): 1051-060. Print.
There are several tests and measure that can be done in a physical therapy examination in order to rule out certain diagnoses, as well as come closer to a physical therapy diagnosis. First, an observation of the patient standing, walking, and sitting should be done in order to associate any visible deficits in the patient that could be associated to the ...
reminders about common misconceptions regarding null hypothesis significance testing. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. Retrieved from http://ehis.ebscohost.com
During workdays, physical therapists meet with their patients and discuss their goals. To achieve them, the physical therapists work with the patients and create plans that map out routines of exercise and stretches. Every time a patient returns to the office, the physical therapists examine and observe how they are progressing and determine how to help them even more (O*NET Online). They then begin to modify the old plans and find better ways for the patient to make a full recovery (O*NET Online). They also converse with the patient and their families to inform them of how to make the recovery go smoothly and quickly. The outcome of this treatment is that people who were injured or ill would recuperate and uphold a healthy life. Physical therapists use their knowledge of human biology to know how to challenge the patients with precaution and achieve a successful recovery (America’s Top 300 Jobs: A Complete Career Handbook). The physical therapists have to work with the patient to understand each other and their ideas. Also, physical therapists tend to talk with other physicians, occupational therapists, nurses, social workers, and physical therapists to find the best path to being healthy (Ameri...
According to APTA,” Measuring outcomes are an important components of physical therapist practice. They are important in direct management of individual patient care and for the opportunity they provide the profession in collectively comparing care and determining
There are an estimated 6.5 million stroke survivors in the country. Twenty percent of stroke survivors suffer from foot drop, the inability to raise the foot (WLS-TV Chicago, 2010). Lower limb hemiparesis and foot drop affects gait, which can have an impact on normal daily activities. One of the main goals of patients with hemiparesis is to be able to walk independently and return to their normal activities. Physical therapists know that poor gait from ankle and /or knee joint problems can affect the pelvis, lower back, spine and neck as the body tries to compensate for the defective gait. Using electrical stimulation to treat hemiparesis and foot drop can help a patient achieve functional gait and return to their normal activities.
Therapists gave much attention to functional outcomes for normal tasks. Activities of daily living (ADLs) were very important goals for amputee patients so that they could have as much control over their lives and independence as possible (Dillingham, T. R. (2002). . This had a profound effect on their mental healing as well as physical. The Fitzsimons General Hospital even had an unusual therapeutic intervention where the amputee patients would participate in skiing. Using special assistive equipment, over 100 amputee soldiers were able to ski (Dillingham, T. R. (2002) . This opened a door that not only grew the patients’ confidence but encouraged them to continue to push beyond their perceived boundaries and participate in aquatic and other leisure activities. This program dedicated treatment to more than just the physical healing, and focused on patient healing as a whole (Dillingham, T. R.
Prosthetic limbs, one of the examples of physical enhancement, have improved to such an extent that the capabilities and...
...ude neuro and orthopedic rehabilitation, exercises to improve functional levels of safety, gait training and strengthening, and transfer training, sit-to-stand exercises, stairs, and over-ground walking (2014).” Based on the patient’s level of ability the Bionic Leg contributes a great amount of motor assistance to the injured extremity. The Alter G Bionic Leg will change the lives of many injured patients.