Friday, March 29, 2024

P Ther assessment responses

Ralph W. Nobbe, CPO

Folks – original question, summary, and responses separated by ***
LOTS of interest in this!

Original question:
Can anyone provide a comprehensive (or partial) list of Physical therapy
gait/function/strength/balance tests that can be used to quantify
patient function? How much time is required for PT completion?
How are they reimbursed? CPT code.
Specifically interested in those that can be applied to K2/3/4 and lower
limb orthotics function.

Summary:
Most referenced AmpPro and AMPnoPro as well as the timed walk tests. IN
included only those that added separate comments. All de-identified.
Several people also directed me to DocSys. Scott Schall, CPO is your
contact there.

Keep in mind these tests are for corroborating information for the
medical records. Still helpful for O&P to know what tests to ask for and
suggest to the MD in the PTherapy referral request.
Some are applicable to both O&P devices. Talk with your PT’s.

A very good Reference article here:

http://www.oandp.org/academytoday/2009feb/2.asp

Responses:

Fear of Falling test, Berg Balance test, Amputee Mobility Predictor Two
versions with and without prosthetic device. There are many but the one
that are not validated studies are not of much real use.
***
Why not use the AMPPro app? It is easy to use and recognized by most as
a reliable way of determining K-levels.
***
physical performance test (CPT 97750)
gait training (CPT 97116)
orthotic training (CPT 97760)
prosthetic training (CPT 97761
therapeutic exercise (CPT 97110)
neuromuscular re-education of movement (CPT 97112)
***
Robert Gailey, PT, PhD developed the Amputee Mobility Predictor (AMP)
which takes about 20 minutes to complete. It can be adapted to be
conducted with or without a prosthesis, so help determine the activity
level of the person.
***
Activities-specific Balance Confidence Scale (ABC)
Amputee Mobility Predictor (AMPnoPRO)
Including WITH prosthesis:
2-Minute Walk Test (2MWT)
6-Minute Walk Test (6MWT)
Amputee Mobility Predictor (AMPPRO)
L Test of Functional Mobility (L Test)
Socket Comfort Score (SCS)
TUG – timed up and Go
***


Rebuilding Bodies, Restoring Lives…

Ralph W. Nobbe, CPO
Nobbe Orthopedics, Inc.
3010 State Street
Santa Barbara, CA 93105
(805) 687-7508 tel
(805) 687-6251 fax
[email protected]

www.nobbeorthopedics.com

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