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The SIGAM Mobility Grades
A population specific measure for lower limb amputees
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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
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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
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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
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Let’s try an example…
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