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Updated: Jun 25, 2026

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The mobility scale for lower limb amputees: the SIGAM/WAP mobility scale.

G M Rommers1, N H Ryall, A Kap

  • 1Center for Rehabilitation, University Medical Center, University of Groningen, The Netherlands. g.m.rommers@rev.umcg.nl

Disability and Rehabilitation
|February 21, 2009
PubMed
Summary

The SIGAM mobility scale was translated into Dutch for lower limb amputees. This validated tool accurately measures mobility in clinical practice, showing good inter-observer reliability.

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics

Background:

  • Mobility assessment is crucial for lower limb amputees.
  • The SIGAM mobility scale is a valuable tool for evaluating prosthetic use.
  • A Dutch version is needed for local clinical application.

Purpose of the Study:

  • Translate the SIGAM mobility scale into Dutch.
  • Validate the Dutch version for clinical use in prosthetic rehabilitation.
  • Ensure accurate mobility measurement for lower limb amputees.

Main Methods:

  • Cross-cultural adaptation and translation of the SIGAM scale.
  • Expert and user panel reviews for content validity.
  • Inter-observer reliability testing in prosthetic teams.
  • Training sessions for healthcare professionals on scale administration.

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Last Updated: Jun 25, 2026

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Main Results:

  • Successful translation addressing linguistic nuances in amputee care.
  • No difficulties encountered in questionnaire scoring and algorithm application.
  • High agreement between scores, demonstrating excellent inter-observer reliability.
  • Minor modifications improved questionnaire clarity for users and therapists.

Conclusions:

  • The Dutch SIGAM mobility scale is a reliable and valid instrument.
  • It provides a specific measurement tool for mobility in lower limb amputees.
  • Facilitates standardized mobility assessment in Dutch-speaking clinical settings.