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Modified Mobility Scale for Patients with Osteogenesis Imperfecta

Purpose: To monitor the mobility of a patient with osteogenesis imperfecta using a modification of Bleck's ambulation efficiency scale.

Description

Engelbert et al modified the mobility efficiency scale of Bleck for patients with osteogenesis imperfecta. This expanded scale allow closer monitoring of patient mobility after therapeutic interventions. The authors are from Wilhelmina Children's Hospital in Utrecht, The Netherlands.


 

The original walking (ambulation) efficiency scale of Bleck ranged from 0 (none possible) to 4 (walk in community). This is discussed later under general musculoskeletal disorders. The modification consists of subdividing the 4 walking levels depending on whether a walking aid is needed.

 

Patient selection: age > 24 months of age

Walking Status

Walking Aid

Scale

unable to walk at all

NA

1

therapy walker

requires use of crutches or canes

2

therapy walker

does not require crutches or canes

3

about the house

requires use of crutches or canes

4

about the house

does not require crutches or canes

5

in the neighborhood

requires use of crutches or canes

6

in the neighborhood

does not require crutches or canes

7

in the community

requires use of crutches or canes

8

in the community

without use of crutches or canes

9

 

where:

• Walking in the neighborhood in Bleck's scale used the ability to walk 2-3 blocks.

 


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Specialty

Objective

ICD-10