The need for an objective quantitative method of monitoring performance in the natural environment for use in a rehabilitation programme is discussed. A system of monitoring the number of steps taken has been developed for an amputee programme as a first attempt towards this goal. Instrumentation consists of an inexpensive foot switch, a storage unit and a retrieval unit. Early clinical experience indicates this system may be of value in the rehabilitation programme by (1) indicating low or unusual activity and alerting clinical staff to identify the cause. (2) Restricting the over-anxious patient when excessive activity is contra-indicated. (3) Identifying poor use of the prosthesis in the home environment. (4) Providing motivation for patients to set personal goals. (5) Acting as a base line for the evaluation of research and development of new techniques.
Activities of Daily Living Amputees