The lower extremity functional scale has good clinimetric properties in people with ankle fracture. Lower extremity functional scal stony brook southampton. The implication of ceiling and floor effects is to lower the capacity to detect clinically important change in all patients. Measurement properties of the lower extremity functional. One approach to overcoming the need for multiple measures of health status in clinical practice is to explore whether the measurement properties of conditionspecific measures are superior to those of generic measures. Normative data for the lower extremity functional scale lefs. 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. 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. Clinical interpretation of a lowerextremity functional. The lefs consists of 20 items, with scores ranging from 0 extreme.
The italian version of the lower extremity functional. Jk loudon, phd, pt, atc 2 functional tests the following tests will be explained and demonstrated by the therapist, and then performed by the patient. 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 lefs is a patientreported outcome measure which assesses the functional status of patients who have lower extremity conditions of musculoskeletal origin. The lower extremity functional scale lefs is a widely used questionnaire to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. Pdf use of the lower extremity functional scale lefs. The lefs was administered to 107 patients with lowerextremity. Request pdf the spanish lower extremity functional scale. The objective of the lower extremity functional scale lefs is to measure patients initial function, ongoing progress, and outcome for a wide range of. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. North american orthopaedic rehabilitation research network.
Today, do you or would you have any difficulty with. The lower limb functional index llfi is a relatively recently. The correlations relating to change scores are presented in table 5. 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. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower. Cross cultural adaptation and validation of a spanish version of the.
Nevertheless there is no spanish version of the lefs, so the aim of this study was the. Upper extremity functional index msu rehabilitation. A twominute rest period will be given between each test. In the first approach, we used the lers ratings of change to separate patients into those who were predicted to undergo important change prognostic ratings of 2, 3, and 4 and those who were predicted to undergo no important change at 3 weeks prognostic ratings of 0 and 2. The lower extremity functional scale is a widely used questionnaire to evaluate the functional impairment in lower extremities. Use of the lower extremity functional scale lefsbrazil questionnaire compared to lequesne algofunctional index for definition of knee and hip osteoarthritis severity article pdf available. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy association. 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. 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 purpose of this study was to assess the reliability, construct validity, and sensitivity to change of the lower extremity functional scale lefs. Clinical interpretation of a lowerextremity functional scalederived computerized adaptive test yingchih wang 1 y.
Activity limitation and participation restriction outcome measures may include the womac physical function subscale, the hip disability and osteoarthritis outcome score hoos, lower extremity functional scale lefs, and harris hip score hhs. A reliable, valid and responsive questionnaire to assess musculoskeletal disorders in the lower. The total score can be obtained by summing the scores of the individual items. The 20item questionnaire inquires as to the degree of difficulty of performance of each of these activities on a 5point likert scale and a score of 80. 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. The womac is the most widely used selfreport measure to evaluate physical functioning in hip or knee osteoarthritis, however its ability to discriminate pain and physical functioning i. This health tool evaluates the ability of the subject to. The lefs consists of 20 items, with scores ranging from 0 extreme difficultyunable to perform activity to 4 no difficulty. Lower extremity functional scale lefs descriptive statistics for the patients by measure are presented in table 2. Thus, the sensitivity of section 1 of the llfi10 is comparable to that of the lefs. The aim of this study is to translate and culturally adapt the lower extremity functional scale into a turkish version, and evaluate the psychometric properties of this version in. Microsoft word lower extremity functional scale spanish version.
Scale development, measurement properties, and clinical application background and purpose. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your. Translation into modern standard arabic, crosscultural. Today, do you or would you have any difficulty at all with. Scoring the lower extremity functional scale lefs questionnaire. 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 lower extremity functional scale lefs is a widely used questionnaire to evaluate the functional impairment of a patient with a.
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. Normative data for the lower extremity functional scale lefs the study consisted of a short questionnaire in which the postal code, age as a continuous variable and subdivided into 3 categories 1839, 4064, and over 64 yearssex, and work status student, working, retired, unemployed, unfit for work, or other of the subjects were recorded. It also can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy as sociation. Each patient was given a rating of prognosis using a 7point scale fig. None of the patients received the minimum or maximum scores for the lefs at any of the assessments. Lower extremity functional scale rehabmeasures database.
To date, the lower extremity functional scale has not been translated into turkish. Free online lower extremity function scale lefs calculator. To determine the measurement properties of an italian version of the lower extremity functional scale lefs in patients with lower extremity musculoskeletal dysfunction. Functional outcomes after successful lower extremity arterial injuries repair. Study design and setting this is a prospective methodological study of repeated measures with a sample of 250 consecutive patients. Scale development, measurement properties, and clinical application. There is more information about the score interpretation and other uses of the scale below the form. A reliable, valid and responsive questionnaire to assess musculoskeletal disorders in the lower extremity. The lower extremity functional scale lefs is a selfreport questionnaire created to evaluate a patients functional status in a wide spectrum of lower extremity musculoskeletal conditions. Little to no data is available on the discriminant validity of alternative questionnaires that measure the same construct, for instance the hip and.
Purpose the lower extremity functional scale lefs is a widely used questionnaire to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. The lower extremity functional scale could be an alternative to the western ontario and mcmaster universities osteoarthritis index physical function scale. One approach to overcoming the need for multiple measures of health status in clinical practice is to explore whether the measurement properties of lefa measures are superior to those of generic measures. Lower extremity functional scale cpr physical therapy in. The dutch lower extremity functional scale was highly. This lower extremity functional scale lefs calculator determines functional status in patients suffering from lower extremity disorders and disabilities. Outpatient rehab therapy clinic appointment policy pdf lower extremity functional scale pdf neurological rehabilitation. Patientspecific functional scale pdf lower extremity. Nevertheless there is no spanish version of the lefs, so the aim of this study was the translation and. The lower extremity functional scale lefs we are interested in knowing whether you are having any difficulty at all with activities listed below.