1. The SIGAM Mobility Grades
A population specific measure for lower limb amputees

2. What is it?
A valid measure of lower limb amputee mobility suitable for routine clinical use and the monitoring of change
A patient self-reporting questionnaire from which the clinician can assign the appropriate ‘grade’ for a patient’s mobility
A six-grade scale that define mobility in terms of help required to mobilize, distance, use of aids, and ability to negotiate difficult terrain and weather conditions

3. A B C D E F Grades Limb wearing abandoned or cosmetic use only
Therapeutic use only for transfers, walking in therapy or use with nurses B
Walks on level ground less than or equal to 50m with/without aids C
Walks outdoors on level ground only, in good weather, more than 50m with/without aids D
Walks more than 50m. No aids, except in adverse terrain or weather. E
Normal or near normal gait F

4. Guidelines for use of SIGAM
Start at top with question 1.
Depending on the answer ‘Yes’ or ‘No’ follow the arrows to assign one grade A-E
Once you reach Grade…, that is the grade assigned. Do not proceed, except Grades C & D to assign a sub-grade
Sub-grades apply to the walking aid used most frequently

5. Let’s try an example…