Outcome Instruments for Prosthetics : Clinical Applications - 27/11/13

Doi : 10.1016/j.pmr.2013.09.002

Allen W. Heinemann, PhD ^a,^b,^⁎ , Lauri Connelly, OTR/L ^a, Linda Ehrlich-Jones, PhD, RN ^a,^b, Stefania Fatone, PhD, BPO ^b
^a Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, 345 E Superior Street, Chicago, IL 60611, USA
^b Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, 710 North Lake Shore Drive, #1022, Chicago, IL 60611, USA

^∗Corresponding author. Center for Rehabilitation Outcomes, Research, Rehabilitation Institute of Chicago, 345 E Superior Street, Chicago, IL 60611.

Résumé

Outcome measurement is crucial to assuring high-quality patient services and improving the quality of services provided by prosthetists. This article summarizes recent evidence on the measurement properties of outcome measures, and updates previously published summaries of outcome instruments. The review focuses on measures of mobility, functional status, quality of life, and patient satisfaction, and includes both performance-based and patient-reported outcomes. Amputation-specific and general measures that are suitable for patients served by prosthetists are discussed. It is encouraging that responsiveness of measures is often reported, as this information is needed to improve clinical utility.

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Keywords : Artificial limbs, Amputation, Assessment of patient outcomes, Outcome and process assessment (health care), Prostheses, Treatment outcome

Plan

Key points

Introduction: nature of the problem

Review methods

Search results

Lower limb amputation–specific functional instruments

Prosthesis Evaluation Questionnaire—Mobility Scale (PEQ-MS and PEQ-MS 12/5)

Locomotor Capabilities Index (LCI, LCI-5, LCI10-4)

Amputee Mobility Predictor (AMP, AMPPRO, and AMPnoPro)

L-Test of Functional Mobility (L-Test)

Orthotics and Prosthetics Users’ Survey Lower Extremity Functional Status (OPUS-LEFS)

Generic lower limb functional instruments

Timed Up and Go (TUG)

Berg Balance Scale (BBS)

Activities-Specific Balance Confidence Scale (ABC Scale)

Patient-Specific Functional Scale (PSFS)

Timed Walking Tests (2MWT, 6MWT)

Distance Walking Tests (10mWT)

Upper limb amputation–specific functional instruments

Assessment of Capacity for Myoelectric Control (ACMC)

Orthotics and Prosthetics Users’ Survey Upper Extremity Functional Status (OPUS-UEFS)

Activities Measure for Upper Limb Amputees (AM-ULA)

Box and Blocks Test (BBT)

Jebsen-Taylor Test of Hand Function (JTHF)

Lower limb amputation–specific health-related quality of life

Socket Comfort Score (SCS)

Trinity Amputation and Prosthesis Experience Scales—Revised (TAPES-R)

Orthotics and Prosthetics Users’ Survey Health-Related Quality of Life (OPUS-HRQOL)

Generic health-related quality of life instruments

Patient-Reported Outcomes Measurement Information System (PROMIS)

Amputation-specific health-related quality of life instruments

Amputation-specific patient satisfaction instruments

Orthotics and Prosthetics Users’ Survey Satisfaction with Device and Services

Controversies and future considerations

Summary

Funding: This research was funded by the National Institute on Disability and Rehabilitation Research (NIDRR) of the US Department of Education under Grant No. H133E080009 (Principal Investigators: Steven Gard and Stefania Fatone). The opinions contained in this publication are those of the grantee and do not necessarily reflect those of the Department of Education.