Amputee Mobility Predictor Scoring Form
This file provides detailed instructions and a scoring form for the Amputee Mobility Predictor (AMP). It is designed for healthcare professionals assessing the mobility of amputees. Utilize this resource to evaluate the functional capabilities of patients effectively.
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How do I fill this out?
To fill out the AMP scoring form, first ensure the testee is seated comfortably in a hard chair. Next, follow the instructions for each maneuver, providing guidance as needed. Finally, record the testee's performance based on the provided scoring criteria.

How to fill out the Amputee Mobility Predictor Scoring Form?
1
Ensure the testee is seated properly.
2
Explain the tasks to the testee.
3
Conduct the maneuvers as per the instructions.
4
Use the provided criteria to assess performance.
5
Record the results accurately.
Who needs the Amputee Mobility Predictor Scoring Form?
1
Physical therapists who assess amputee patients.
2
Rehabilitation centers focusing on mobility improvement.
3
Surgeons involved in post-operative assessments.
4
Amputee support groups seeking standardized mobility assessments.
5
Researchers studying lower limb mobility and rehabilitation.
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1
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What are the instructions for submitting this form?
To submit the AMP scoring form, complete all fields accurately and ensure clarity in your entries. Once finalized, you can email the form to the designated healthcare provider or rehabilitation center. It is recommended to keep a copy for your records as well.
What are the important dates for this form in 2024 and 2025?
In 2024 and 2025, keep track of your assessments and ensure timely evaluations using the AMP scoring form. This document is a critical tool for healthcare professionals involved in amputee rehabilitation. Remember to update your records periodically for ongoing assessments.

What is the purpose of this form?
The Amputee Mobility Predictor (AMP) is designed to assess the mobility of individuals with lower limb amputations. This scoring form allows healthcare professionals to evaluate patients’ abilities and progress over time. By accurately filling out the AMP, practitioners can tailor rehabilitation strategies to enhance mobility and quality of life for amputees.

Tell me about this form and its components and fields line-by-line.

- 1. Sitting balance: Assess the ability to sit upright independently for 60 seconds.
- 2. Sitting reach: Evaluate the ability to reach forward and grasp an object.
- 3. Chair transfers: Assess the ability to transfer between chairs.
- 4. Arising from chair: Evaluate the ability to stand up from a seated position.
- 5. Standing balance: Assess balance while standing for specified durations.
What happens if I fail to submit this form?
If you fail to submit the AMP scoring form, you may miss out on valuable assessments of patient mobility. This could lead to unclear rehabilitation progress and hinder effective treatment plans.
- Incomplete assessments: Failure to assess patients thoroughly may impact their recovery.
- Lack of progress tracking: Without submission, tracking patient improvement over time is hindered.
- Delayed rehabilitation adjustments: Not submitting may delay necessary changes in therapy approaches.
How do I know when to use this form?

- 1. Pre-surgery evaluations: Assess baseline mobility prior to amputation.
- 2. Post-operative assessments: Evaluate progress after surgery.
- 3. Rehabilitation planning: Tailor rehabilitation exercises based on mobility scores.
- 4. Routine check-ups: Monitor ongoing mobility for long-term amputee care.
- 5. Research studies: Collect data on mobility outcomes for clinical trials.
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What formats can I export the AMP scoring form to?
You can export the edited PDF in standard formats suitable for printing and sharing.
Who is the intended audience for the AMP scoring form?
The form is designed for healthcare providers working with lower limb amputees.
Are there any guidelines for filling out the form?
Yes, the form includes instructions for each task to ensure accurate scoring.
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