The Assessment of Motor and Process Skills

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The Assessment of Motor and Process Skills
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The Assessment of Motor and Process Skills (AMPS)

• An observational assessment
• Used to measure the quality of ADL performance
• Standardized on 50,571 clients worldwide

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An AMPS Assessment

• Begins with a client interview to determine what
  tasks are familiar and relevant
• Includes observation of two or three chosen ADL
  tasks
• There are 83 tasks standardized in the AMPS,
  ranging from easy to hard

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Standardization of tasks

• Each task includes
• Specific criteria that must be met to maintain
  standardization
• Options that allow flexibility and familiarity in
  client-centered ways of doing

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Task A-3. Pot of coffee or tea one or two
persons

• 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

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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

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Task A-3. 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
• Water for tea may be heated in electric kettle,
  on stove, or in microwave
• Sweetener optional

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Conceptual model
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Skills are

• practiced abilities
• goal-directed actions
• evidence of deftness, dexterity, and confidence
• performed by a person, doing a task, in the
  context of an environment
• (Connolly Dalgleish, 1989)

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Motor skills

• Goal-directed actions used to move oneself or
  objects during the task performance

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Motor Skills

• Stabilizes
• Aligns
• Positions
• Walks
• Reaches
• Bends
• Coordinates
• Manipulates

• Flows
• Moves
• Transports
• Lifts
• Calibrates
• Grips
• Paces
• Endures

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Process Skills

• Goal-directed actions used during the task
  performance to
• Choose and use appropriate tools and materials
• Organize the performance over time
• Adapt when problems are encountered

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Process Skills

• Paces
• Attends
• Chooses
• Uses
• Handles
• Heeds
• Inquires
• Initiates

• Continues
• Sequences
• Terminates
• Searches/Locates
• Gathers
• Organizes
• Restores
• Navigates

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Process Skills - Adaptation

• Notices/Responds
• Accommodates
• Adjusts
• Benefits

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Skills are not capacities!

• Skills
• Grip and Lift the coffee pot
• Reach for the faucet
• Notice water rising in the pot and respond by
  turning off the faucet

• Capacities
• Grip and bicep strength
• Shoulder ROM
• Problem solving

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Each skill is scored on a 4-point scale

• 4 competent performance
• 3 questionable performance
• 2 ineffective performance
• 1 unacceptable performance

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The scores for each task are entered into the
computer

• Computer program adjusts these raw scores for
• Rater severity
• Task challenge
• Item difficulty

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AMPS Computer Reports

• Summary report
• Raw scores report
• Graphic report

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AMPS Graphic Report

• Quantitative measures of the clients overall
  motor and process abilities
• Adjusted by the computer for the challenge of the
  task, severity of the rater, and difficulty of
  the items
• Useful to demonstrate change over time

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Case study

• Introduction to person
• AMPS results
• Interpretation of AMPS
• Goals
• Intervention planning

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Discussion and questions