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Get Upper Extremity Functional Index

Date: 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.

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How to fill out the Upper Extremity Functional Index online

The Upper Extremity Functional Index is a valuable tool designed to assess the impact of upper limb problems on daily activities. This guide will provide you with step-by-step instructions to fill out the form accurately and efficiently online.

Follow the steps to complete the Upper Extremity Functional Index form.

  1. Press the ‘Get Form’ button to access the Upper Extremity Functional Index and open it in the editor.
  2. Begin by reading the introduction, which informs you about the purpose of the form—understanding difficulties related to your upper limb problem. Ensure that you have set aside some time to respond thoughtfully to each item.
  3. Review the list of activities provided in the form. For each activity listed, you will need to indicate your level of difficulty using the scale provided: circle the number that corresponds to your experience today, ranging from 0 (no difficulty) to 4 (extreme difficulty).
  4. Complete each activity item one by one, circling the appropriate number for your response. Reflect on each activity as it relates to your usual work, hobbies, and daily tasks while assessing your current capabilities.
  5. After finishing all the activities, ensure that you have answered every question. Double-check your responses for accuracy.
  6. Once all questions have been completed, save your changes. You may also choose to download or print your completed form for your records. Alternatively, you can share the form with your healthcare provider if required.

Start filling out the Upper Extremity Functional Index online today to assist in managing your upper limb concerns.

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There are three main functional consequences of impairments on upper limb function are: (1) learned nonuse, (2) learned bad-use, and (3) forgetting as determined by behavioral analysis of tasks. The impairments that contribute to each of these functional limitations are described.

The UEFS consists of 8 questions, that are scored out of a possible 10 points. The scale is calculated by summing the points from each individual question, with a range of 0 (no disability) to 80 (maximum disability).

20-item Upper Extremity Functional Index (UEFI-20) Each item uses a 5-point adjectival response scale to rate difficulty in performing UE activities: 0=extreme difficulty or unable to perform activity, 1=quite a bit of difficulty, 2=moderate difficulty, 3=a little bit of difficulty, and 4=no difficulty.

The Upper Extremity Functional Index (UEFI) is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232