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 for coffee can Fills pot with water Turns on water Turns water off when pot is full Delay to support coffee pot 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 position Stabilizes Aligns Positions Obtaining & holding objects Reaches Bends Grips Manipulates Coordinates 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 Performance Paces Attends Heeds Applying Knowledge Chooses Uses Handles Inquires Temporal Organization Initiates Continues Sequences Terminates Organizing space & objects Searches/Locates Gathers Organizes Restores Navigates 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