Award Date

5-15-2025

Degree Type

Doctoral Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Committee Member

Kai-Yu Ho

Second Committee Member

Daniel Young

Third Committee Member

Kai-Yu Ho

Number of Pages

24

Abstract

This scoping review aims to explore the use of performance-based outcome measures (PBOMs) and patient-reported outcome measures (PROMs) in assessing the function of individuals with lower limb loss (LLL). The review identified common PBOMs, such as the 6- and 2-minute walk tests, Timed Up and Go (TUG), and Amputee Mobility Predictor (AMP), which evaluate mobility and overall physical function. PROMs, like the Prosthesis Evaluation Questionnaire (PEQ), focus on the prosthetic experience, including comfort, satisfaction, and quality of life. Both PBOMs and PROMs assess patient function, yet with differing emphases; PBOMs primarily evaluate physical performance while PROMs capture broader health attributes, including psychological factors and the patient’s perception of their well-being. While PBOMs are more responsive to acute changes in function, they can be influenced by psychological factors, and are less effective in assessing long-term outcomes. PROMs, although valuable for long-term tracking, are susceptible to inaccuracies in self-assessment. The integration of both PBOMs and PROMs offers a comprehensive approach to evaluating functional status, providing complementary insights into physical and psychological function. This review also highlights gaps in the literature, particularly in the integration of physical therapy in post-amputation rehabilitation. The findings support the development of a Clinical Practice Guideline (CPG) to optimize outcome measure use in LLL rehabilitation, emphasizing the need for personalized interventions. Future research should focus on the use of these measures to refine and personalize rehabilitation protocols for individuals with LLL, ultimately enhancing patient outcomes.

Keywords

prosthetic; physical therapy; amputation; interventions; outcomes; outcome measure

Disciplines

Physical Therapy

File Format

pdf

File Size

295 KB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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