Description

The Emory Functional Ambulation Profile includes five distinct tests that assess different aspects of walking ability. Walking on a flat surface evaluates basic walking ability on a level plane. Walking on carpet assesses the individual’s ability to walk on thick carpeting, which introduces resistance and instability. Walking over an obstacle evaluates the person’s capacity to step over a small barrier, such as a ridged mat. Ascending and descending stairs assesses the individual’s ability to safely and steadily go up and down stairs. Walking uphill and downhill evaluates the ability to walk on inclined surfaces, simulating real-world outdoor conditions.

Analysis

The analysis of EFAP results is based on time measurements for completing each task. Time measurements refer to the number of seconds needed to complete each test. The total time across all tasks provides an overall score. Comparative analysis involves comparing completion times with standard values or previous assessments to evaluate rehabilitation progress.

Purpose

The main purposes of the EFAP are to assess functional mobility by offering a detailed evaluation of walking ability under various conditions, aiding in the diagnosis and rehabilitation of mobility impairments; to monitor progress by tracking changes in walking ability over time, particularly in patients undergoing rehabilitation after a stroke; and to guide therapeutic interventions by providing data that help in the development of personalized treatment plans aimed at improving mobility and patient independence.

Calibration

Calibration of the EFAP includes the establishment of normalization standards for different age groups and populations, enabling comparison of results with the general population. It also involves the assessment of reliability and validity, as the scale has been evaluated in studies that confirm the accuracy of its walking measurements.

References

Wolf, S. L., Catlin, P. A., Gage, K., Gurucharri, K., Robertson, R., & Stephen, K. (1999). Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Physical Therapy, 79(12), 1122–1133.
Mudge, S., Stott, N. S., & Walt, S. E. (2003). Criterion validity of the StepWatch Activity Monitor as a measure of walking activity in patients after stroke. Archives of Physical Medicine and Rehabilitation, 84(5), 762–767.
Tudor-Locke, C., & Myers, A. M. (2001). Challenges and opportunities for measuring physical activity in sedentary adults. Sports Medicine, 31(2), 91–100.