Orthopedics · Amputations, Prosthetics, Orthotics and Rehabilitation

In prosthetic prescription, an amputee classified as K1 level according to the Medicare functional classification system is best described as:

  • A Unable to ambulate or transfer safely even with assistance
  • B A household ambulator with limited ability to traverse barriers
  • C Able to traverse low-level environmental barriers such as curbs and stairs
  • D A high-impact community ambulator capable of sports
Correct answer: B. A household ambulator with limited ability to traverse barriers

Explanation

The five K levels grade potential ambulation: K0 does not benefit from a prosthesis, K1 is a household ambulator with limited barrier crossing, K2 negotiates low barriers such as kerbs, K3 walks in the community with variable cadence, and K4 exceeds basic skills with high impact activity. This grading determines which knee units and feet are justified, so it is heavily examined.

Reference: Orthotics and Prosthetics in Rehabilitation, Chui et al., 4th ed.

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