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The Assessment of Motor and Process Skills
The Assessment of Motor and Process Skills (AMPS)
• An observational assessment
• Used to measure the quality of ADL performance
• Standardized on over 100,000 clients worldwide
An AMPS Assessment
• Begins with an interview to determine the tasks that are familiar and relevant to the client
• There are 85 standardized AMPS tasks, ranging from easy to hard
• Includes the observation of at least two chosen ADL tasks
Standardization of tasks
• Each task includes:
• Specific criteria that must be met to maintain standardization
• Flexible options that allow for client-centered ways of doing
• Essential task:• Prepare pot of boiled or brewed
coffee or tea• Pour into cups • Serve with a container of milk or
cream at a counter or table
Task A-3. Pot of coffee or tea – one or two persons
• Specific criteria:• Must pour coffee or tea into
cups• Must serve with a container of
milk or cream
Pot of coffee or tea – one or two persons
• Options:
• Coffee or tea
• Coffee can be boiled or brewed in an automatic drip coffee-maker, French press, or electric percolator
Pot of coffee or tea – one or two persons
• Options:
• Water for tea may be heated in electric kettle, on stove, or in microwave
• Sweetener optional
Pot of coffee or tea – one or two persons
Conceptual Model(Fisher, 2003)
Performance Skills
• Analogous to the goal-directed actions defined under the Activities and Participation domains of the International Classification of Functioning Disability and Health
(World Health Organization [WHO], 2001)
• The smallest units of observable action that are linked together one-by-one in the process of building a task performance
Performance Skills
Occupational Performance – a Sequence of Actions
Walks to fridge
Pushes walker
Reaches for handle of fridge
Grasps handle
Pulls door open
Reaches forcoffee can
Fills pot with water
Turns on water
Turns water off when pot is full
Delay to support coffeepot
Performance skills are linked to construct the overall task performance
ADL Motor Skills
• Observable, goal-directed actions the person enacts when
• Interacting with and moving task objects
• Moving oneself around the task environment
Body positionStabilizesAlignsPositions
Obtaining & holding objectsReachesBendsGripsManipulatesCoordinates
Moving self & objects
Moves
Lifts
Walks
Transports
Calibrates
Flows
Sustaining performance
Endures
Paces
ADL Motor Skills
ADL Process Skills
• Observable, goal-directed actions the person enacts when• Selecting, interacting with, and
using task tools and materials• Carrying out individual task actions
and steps• Modifying task performance when
problems are encountered
Sustaining PerformancePacesAttendsHeeds
Applying KnowledgeChoosesUsesHandlesInquires
Temporal OrganizationInitiatesContinuesSequencesTerminates
Organizing space & objectsSearches/LocatesGathersOrganizesRestoresNavigates
ADL Process Skills
ADL Process Skills
Adapting Performance
Notices/Responds
Adjusts
Accommodates
Benefits
Skills are not body functions!
Skills• Grip and Lift the
coffee pot
• Reach for the faucet
• Notice water rising in the pot and Respond by turning off the faucet
Body functions• Grip and bicep
strength
• Shoulder range of motion
• Problem solving
Each skill is scored on a 4-point scale
• 4 = competent performance• 3 = questionable performance• 2 = ineffective performance• 1 = unacceptable performance
The scores are entered into the computer
• Computer program adjusts the raw scores for• Rater severity• Task challenge• Item difficulty
AMPS Computer Reports
• Narrative Report
• Performance Skill Summary Report
• Raw Scores Report
• Graphic Report
• Progress Report
Narrative Report
Narrative Report
AMPS Graphic Report
• Quantitative measures of the client’s overall ADL motor and process abilities
• Adjusted by the computer for the challenge of the task, severity of the rater, and difficulty of the items
• Useful in demonstrating the degree of physical effort, efficiency, safety, and/or independence during ADL task performance
• Useful in planning intervention
AMPS Graphic Report
Case study
• Introduction of person
• AMPS results
• Interpretation of AMPS results
• Goals
• Intervention planning
Discussion & questions