Using outcome measures in the clinic jenniferharwoodbscpt,fcampt andandrewwhitebpe,bscpt,fcampt outcome measures are a way for clinicians to measure clinical change in patients over time. The upper extremity functional index uefi we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. No pain 0 1 2 3 4 5 6 7 8 9 10 very severe pain today. If you did not have the opportunity to perform an activity in the past week, please. Translation, crosscultural adaptation and analysis of the.
Evaluates functional status in patients diagnosed with disorders of the lower extremity, based on 20 activities. The lefs consists of 20 items, each scored on a 5point scale 0 to 4. Today, do you or would you have any difficulty with. The modified lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed below. Clinical interpretation of a lowerextremity functional. Scoring the lower extremity functional scale lefs questionnaire. The italian version of the lower extremity functional. Please identify up to three important activities that you are unable to do or are having difficulty with as a result of your current problemdiagnosis i. We are interested in knowing whether you are having any difficulty at all with the activities listed below. Using outcome measures in the clinic jenniferharwood. Other widely used tests that have upper extremity components measure performance in the activity domain regardless of which arm is used e. The total score can be obtained by summing the scores of the individual items.
This health tool evaluates the ability of the subject to perform daily activities. The lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Division of workers compensation 633 17th street, suite 400 denver, co 802023660 qpop. This lower extremity functional scale lefs calculator determines functional status in patients suffering from lower extremity disorders and disabilities. Today, do you or would you have any difficulty at all with. This questionnaire asks about your symptoms as well as your ability to perform certain activities. Concurrent validity of the lower extremity functional scale was excellent compared with the olerud mo lander ankle score at the short and mediumterm followups r 0. Development and initial validation of the upper extremity functional index. Activities extreme difficulty or unable to perform activity. Scale development, measurement properties, and clinical application. Upper extremity functional index uefi page 1 source. The upper extremity functional index uefi is a patientreported outcome measure prom for quantifying ue function 3 that has been used in several studies of people with musculoskeletal ue problems. There have been many outcome measures that have been validated in the literature. Whn, a subsidiary of tivity health support, llc hm 2017 patient specific functional scale description.
Thank you for completing this patientreported outcome. Other widely used tests that have upperextremity components measure performance in the activity domain regardless of which arm is used e. The lefs was administered to 107 patients with lowerextremity. The correlation with walking speed and stepping rate on stairs was moderate at the shortterm followup r 0. Development and clinimetric properties article pdf available in physical therapy 921. Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb. Clinical interpretation of a lowerextremity functional scale. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. You can read more about the scale and the original study in the text below the calculator. The upper extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed b elow because of your lower limb problem for which y ou are currently seeking attention. Binkley et al 5 developed the lower extremity functional scale lefs as a patientreported measure to examine the functional status in the presence of lower extremity musculoskeletal problems.
Modified ashworth scale 31 uefi calculator evaluates the degree of impairment to day to day life activities like housekeeping due to upper limb disability and pain. Using outcome measures in the clinic jenniferharwoodbscpt. Assessment of upper extremity impairment, function, and activity after stroke. The lefs consists of 20 items, with scores ranging from 0 extreme difficultyunable to perform activity to 4 no difficulty. Lower extremity functional scale city center rehabilitation. Patient information the lower extremity functional scale. The lower extremity functional scale lefs can be used to evaluate the functional impairment of a patient with a disorder of one or both lower. This health tool evaluates the ability of the subject to. Complete at the end of the history and prior to physical examination. The uefi is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb shoulder, elbow, wrist or hand. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of. North american orthopaedic rehabilitation research network. Reliability and validity of two versions of the upper.
Sep 01, 2009 clinical interpretation of a lowerextremity functional scalederived computerized adaptive test yingchih wang 1 y. Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Lower extremity functional scale lefs spine and injury clinic. Tha and tka what part of the tja continuum is it appropriate for. Nov 27, 20 concurrent validity of the lower extremity functional scale was excellent compared with the olerud mo lander ankle score at the short and mediumterm followups r 0. The upper extremity functional index evaluates the impairment the subject perceives they encounter when performing 20 types of activities of daily living. Upper extremity functional index msu rehabilitation. Scale development, measurement properties, and clinical application background and purpose. Lower extremity functional scale initial visit please rate your pain level with activity. The lower extremity functional scale lefs we are interested in knowing whether you are having any difficulty at all with activities listed below. We are interested in knowing whether you are having any difficulty with the activities listed below because of your upper limb.
The lower extremity functional scale lefs clear lake and. Upper extremity functional index uefi page 2 we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Development and preliminary reliability of the functional. Lower extremity functional scale rehabmeasures database. In brief, the item bank for the hip cat 20 was developed with items from the lowerextremity functional scale lefs, 14 which has strong psychometrics 14,2729 and broad clinical and research acceptance. Preop postacute active living what domains does it measure within the icf. The upper extremity functional index uefi is a selfadministered questionnaire which measures disability. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy association. The purpose of this study was to assess the reliability, construct validity, and sensitivity to change of the lower extremity functional scale lefs. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your. The patientspecific functional scale msu rehabilitation. Assessment of upper extremity impairment, function, and.
The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Lower extremity functional scale lefs the lefs is easy to administer and score and is applicable to a wide range of disability levels and conditions and all lowerextremity sites. The italian version of the lower extremity functional scale. Lower extremity functional scale lefs, introduced in 1999 by binkley et al. Measurement properties of the lower extremity functional. Lower extremity functional scale lefs patient reported. Lower extremity functional scale lefs patient reported measure considerations which type of tja is it appropriate for. The aim of this preliminary study was to develop the tool and determine its content validity and interrater reliability. Upper extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. There is more information about the score interpretation and other uses of the scale below the form. Wang, ot, phd, is postdoctoral research fellow, sensory motor performance program, rehabilitation institute of chicago, 345 e superior st, ste 1406, chicago, il 606112654 usa, and research assistant and consultant, focus. Lower extremity functional scal stony brook southampton.
Below the form there is more information on the items in the scale and how its scored. Lower extremity functional scale 1 to be completed by patient we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Upper extremity functional scale we are interested in knowing whether you are having any difficulty with the activities listed below because of your upper limb problem for which you are currently seeking attention. The lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed b elow because of your lower limb problem for which y ou are currently seeking attention. The lefs is easy to administer and score and is applicable to a wide range of disability levels and conditions and all lowerextremity sites. The lower extremity functional scale patients name. The patientspecific functional scale psfs is a selfreported, patientspecific measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders. Jul 29, 2014 the upper extremity functional index uefi is a patientreported outcome measure prom for quantifying ue function 3 that has been used in several studies of people with musculoskeletal ue problems. The lefs can be used by clinicians as a measure of patients initial function, ongoing progress and outcome, as well as to set functional goals. The functional upper extremity levels fuel is a new classification tool to assess a persons upperextremity functional and physical performance after sustaining a stroke. Upper extremity functional scale gainesville physical therapy. Validity, reliability, and responsiveness in patients with upper extremity musculoskeletal problems. We are interested in knowing whether you are having difficulty at all with the activities listed below.
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