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. 2017 Aug 1;11(4):318–325. doi: 10.1302/1863-2548.11.160264

Table 1.

The Special Interest Group in Amputee Medicine (SIGAM) scale for grading mobility in a patient with a lower-limb amputation

Grade Clinical finding
A Does not wear a limb prosthesis or Only wears a limb prosthesis for cosmetic purposes
B Only wears a limb prosthesis for transfers or to assist nursing or only walks indoors or needs assistance from someone else
C Only walks on level ground ≤ 50 m with or without the use of a walking aid
D Walks on level ground outdoors in good weather ≥ 50 m with or without the use of a walking aid
E Walks > 50 m independent of walking aid (may use walking aid to improve confidence or in inclement weather or for difficult terrain)
F Normal or near normal gait

Grades C and D can be subgraded based on the walking aids: a) frame; b) 2 crutches or sticks; c) 1 crutch or stick; d) none.