Functional Ambulation Category
Objective[edit | edit source]
The Functional Ambulation Categories (FAC) is a 6-point functional walking test that evaluates ambulation ability, determining how much human support the patient requires when walking, regardless of whether or not they use a personal assistive device. The FAC is a quick visual measurement of walking, is simple to use, easy to interpret, and cost-effective because only stairs and 15m of indoor floor are needed to administer the test.
Intended Population[edit | edit source]
Method of Use[edit | edit source]
- Clinician- ticked box of walking ability
- 5 min to complete
- Pen and paper needed
- no training requires
Instrument[edit | edit source]
Scoring and Score Interpretation:
|1||Ambulator, dependent on physical assistance – level I||Indicates a patient who requires continuous manual contact to support body weight as well as to maintain balance or to assist coordination.|
|2||Ambulator, dependent on physical assistance – level II||Indicates a patient who requires intermittent or continuous light touch to assist balance or coordination.|
|3||Ambulator, dependent on supervision||Indicates a patient who can ambulate on level surface without manual contact of another person but requires standby guarding of one person either for safety or verbal cueing.|
|4||Ambulator, independent level surface only||Indicates a patient who can ambulate independently on level surface but requires supervision to negotiate (e.g. stairs, inclines, nonlevel surfaces).|
|5||Ambulator, independent||Indicates a patient who can walk everywhere independently, including stairs.|
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
- Excellent concurrent validity
Responsiveness[edit | edit source]
- moderate to large effect sizes when the FAC was used to evaluate change in ambulation over a period of 6-months
Links[edit | edit source]
Find it here.
Related information: here
References[edit | edit source]
- Wade D.T. Measurement in neurological rehabilitation. Oxford Medical Publications, Oxford. 1992.
- Mehrholz, J., Wagner, K., Rutte, K., Meiner, D. and Pohl, M. Predictive validity and responsiveness of the Functional Ambulation Category in hemiparetic patients after stroke. Archives of Physical Medicine Rehabilitation, 2007, 88, 1314-1319.
- Holden M.K., Gill K.M., Magliozzi M.R., Nathan J., Piehl-Baker L. Clinical gait assessment in the neurologically impaired Reliability and meaningfulness. Phys Ther. 1984; 64: 35-40