the assessment of motor and process skills. the assessment of motor and process skills (amps) an...

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