LOCOMOTION: WALK: Locomotion: Walk includes walking on a level surface once in a standing position. The patient performs the activity safely.
NO HELPER
7 Complete Independence—The patient walks a minimum of 150 feet (50 meters) without assistive devices. The patient performs the activity safely.
6 Modified Independence—The patient walks a minimum of 150 feet (50 meters), but uses a brace (orthosis) or prosthesis on leg, special adaptive shoes, cane, crutches, or walkerette; or takes more than a reasonable amount of time to complete the activity; or there are safety considerations.
5 Exception (Household Locomotion)—The patient walks only short distances (a minimum of 50 feet or 15 meters) independently with or without a device. The activity takes more than a reasonable amount of time, or there are safety considerations.
HELPER
5 Supervision—The patient requires standby supervision, cueing, or coaxing to go a minimum of 150 feet (50 meters).
4 Minimal Contact Assistance—The patient performs 75% or more of walking effort to go a minimum of 150 feet (50 meters).
3 Moderate Assistance—The patient performs 50 to 74% of walking effort to go a minimum of 150 feet (50 meters).
2 Maximal Assistance—The patient performs 25 to 49% of walking effort to go a minimum of 50 feet (15 meters), and requires the assistance of one person only.
1 Total Assistance—The patient performs less than 25% of effort, or requires the assistance of two people, or walks to less than 50 feet (15 meters).
COMMENT: If the patient requires an assistive device for locomotion (prosthesis, walker, cane, AFO, adapted shoe, etc.), then the Locomotion: Walk score can never be higher than level 6.
how can they post that this is FUN? it is NOT fun, it is a discouraging way to determine if a person can "PERFORM OR NOT". People are NOT circus animals to be trained. One day a person can walk 150 feet and the next day only 40. According to a PT I "met", she said 300 feet walked, even with stops, dizziness, weaving, heavy breathing, leaning against the walker/wall or therapist, SHOULD NOT AUTOMATICALLY PREVENT THAT PATIENT FROM GOING TO A REHAB CENTER. THESE, IMHO, ARE NOT LOGICAL OR REASONABLE WAYS OF DETERMINING A PATIENTS MOBILITY. I would LIKE someone to comment on this, please. HOW and WHO made up these guidelines??
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