Functional Ambulation Category: Difference between revisions
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== Objective< | == Objective == | ||
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<ref>Wade D.T. Measurement in neurological rehabilitation. Oxford Medical Publications, Oxford. 1992.</ref>. | |||
== Intended Population | == Intended Population == | ||
It is used in [[Stroke]], [[MS Multiple Sclerosis|Multiple Sclerosis]] and other neurological conditions to measure their walking ability. | |||
== Method of Use == | == Method of Use == | ||
== | * Clinician- ticked box of walking ability | ||
* 5 min to complete | |||
* Pen and paper needed | |||
* no training requires | |||
== Instrument == | |||
Scoring and Score Interpretation<ref name=":0">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.</ref>: | |||
{| class="wikitable" | |||
|Score | |||
|Category | |||
|Interpretation | |||
|- | |||
|0 | |||
|Nonfunctional ambulator | |||
|- | |||
|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 == | == Evidence == | ||
=== Reliability === | === Reliability === | ||
* good interrater reliability (κ=.72)<ref>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</ref> | |||
* excellent test-retest reliability (k=.950)<ref name=":0" /> | |||
=== Validity === | === Validity === | ||
* Excellent concurrent validity<ref name=":0" /> | |||
=== Responsiveness === | === Responsiveness === | ||
= | * moderate to large effect sizes when the FAC was used to evaluate change in ambulation over a period of 6-months<ref name=":0" /> | ||
<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> | |||
== Links == | == Links == | ||
Find it [https://www.sralab.org/sites/default/files/2018-04/3785-62959-2-SP.pdf here]. | |||
== References == | == References == | ||
<references />. | <references />. | ||
[[Category:Outcome Measures]] | |||
[[Category:Balance]] | |||
[[Category:Neurological - Outcome Measures]] | |||
Revision as of 14:37, 18 July 2021
Original Editor - Rucha Gadgil
Top Contributors - Rucha Gadgil, Lucinda hampton and Kim Jackson
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[1].
Intended Population[edit | edit source]
It is used in Stroke, Multiple Sclerosis and other neurological conditions to measure their walking ability.
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[2]:
| Score | Category | Interpretation |
| 0 | Nonfunctional ambulator | |
| 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[2]
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[2]
Links[edit | edit source]
Find it here.
References[edit | edit source]
- ↑ Wade D.T. Measurement in neurological rehabilitation. Oxford Medical Publications, Oxford. 1992.
- ↑ 2.0 2.1 2.2 2.3 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
.
