Hauser et al used an ambulation index for evaluating patients with multiple sclerosis. The authors are from Bringham & Women's and Massachusetts General Hospitals in Boston.
Ambulation |
Index |
asymptomatic, fully active |
0 |
walks normally but reports fatigue that interferes with athletic or other demanding activities |
1 |
abnormal gait or episodic imbalance; gait disorder is noticed by family and friends; able to walk 25 feet (8 meters) in 10 seconds or less |
2 |
walks independently; able to walk 25 feet in 20 in 11-20 seconds |
3 |
requires unilateral support to walk; walks 25 feet in 20 seconds or less |
4 |
requires bilateral support; walks 25 feet in 20 seconds or less |
5 |
requires unilateral support; walks 25 feet in more than 20 seconds |
5 |
requires bilateral support; walking 25 feet takes more than 20 seconds; may use a wheelchair occasionally |
6 |
walking limited to several steps with bilateral support; unable to walk 25 feet; may use a wheelchair for most activities |
7 |
restricted to wheelchair; able to transfer self independently |
8 |
restricted to wheelchair; unable to transfer self independently |
9 |
where:
• Unilateral support (cane or single crutch)
• Bilateral support includes canes, crutches or a walker.
This can be divided into the following features:
(1) ambulation
(2) time taken to walk 25 feet
(3) additional findings
Ambulation |
Time to Walk 25 Feet |
Additional Findings |
Index |
asymptomatic and fully active |
<= 10 seconds |
can participate fully in demanding activities |
0 |
walks normally |
<= 10 seconds |
fatigue interferes with sports or demanding activities |
1 |
abnormal gait or episodic imbalance |
<= 10 seconds |
gait disorder noticed by others |
2 |
abnormal gait or episodic imbalance |
11 – 20 seconds |
|
3 |
walk with unilateral support |
<= 20 seconds |
|
4 |
walk with bilateral support |
<= 20 seconds |
|
5 |
walk with unilateral support |
> 20 seconds |
|
5 |
walk with bilateral support; may use wheelchair occasionally |
> 20 seconds |
|
6 |
wheelchair for many activities |
unable |
|
7 |
wheelchair bound |
unable |
able to transfer self independently |
8 |
wheelchair bound |
unable |
unable to transfer self independently |
9 |
Purpose: To evaluate a person's ability to walk or get around using the ambulation index of Hauser et al.
Specialty: Sports Medicine & Rehabilitation
Objective: other testing, disability and performance
ICD-10: R26,