Bilateral Lower Extremity Amputations Ambulation Scale

Purpose: To evaluate the level of ambulation achieved by a patient with bilateral lower extremity amputations using the scale of Volpicelli et al.

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Evaluation

Are you evaluating a patient with bilateral lower extremity amputations?

Yes

Level of ambulation

Is the patient able to transfer self and propel the wheelchair?

Yes

Distance outside that the patient can walk with prostheses

blocks

Distance inside the house that the patient can walk with prostheses

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Grade of ambulation

Descriptor of ambulation level

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Other Testing
Severity, Prognosis, Stage
Complications
- Gait Abnormalities Associated with a Diabetic Foot

Monitoring

Response To Therapy
- Modified Mobility Scale for Patients with Osteogenesis Imperfecta
Disease Progression
- Balance Performance Oriented Mobility Assessment (BPOMA) of Tinetti
- Mobility Assessment Score of Parker and Palmer (Parker Mobility Score)

Patient Concerns

Disability And Performance
Quality Of Life
- Balance Performance Oriented Mobility Assessment (BPOMA) of Tinetti

Specialty

Sports Medicine & Rehabilitation

Objective

severity
prognosis
stage
disability and performance

ICD-10

S78 - Traumatic amputation of hip and thigh
S88 - Traumatic amputation of lower leg
S98 - Traumatic amputation of ankle and foot
T05.3 - Traumatic amputation of both feet
T05.4 - Traumatic amputation of one foot and other leg [any level, except foot]
T05.5 - Traumatic amputation of both legs [any level]
T05.6 - Traumatic amputation of upper and lower limbs, any combination [any level]

Info

Purpose: To evaluate the level of ambulation achieved by a patient with bilateral lower extremity amputations using the scale of Volpicelli et al.

Specialty: Sports Medicine & Rehabilitation

Objective: severity, prognosis, stage, disability and performance

ICD-10: S78, S88, S98, T05.3, T05.4, T05.5, T05.6,

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