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THE LOWER EXTREMITY FUNCTIONAL SCALE PATIENT NAME: DATE: / / We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem.

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How to fill out the Lower Extremity Functional Scale online

The Lower Extremity Functional Scale is a valuable tool used to assess a person's ability to perform various activities due to lower limb problems. This guide provides clear and supportive instructions for completing the form online, ensuring that you can accurately convey your functional status.

Follow the steps to complete the Lower Extremity Functional Scale online.

  1. Press the ‘Get Form’ button to access the form and open it in your web browser.
  2. Begin by filling in your name and the date at the top of the form. Ensure this information is accurate as it helps in identifying your submission.
  3. Proceed to answer each activity listed on the form. Reflect on whether you experience any difficulty performing the activities today, and select the response that best describes your condition.
  4. For each activity, consider the following options: 'No difficulty,' 'A little bit of difficulty,' 'Moderate difficulty,' 'Quite a bit of difficulty,' or 'Extreme difficulty or unable to perform the activity.' Mark your choice clearly.
  5. Once you have completed answering all activities, check the column totals at the bottom of the form to ensure no questions were left unanswered.
  6. After completing the form, you will find options to save your changes, download the form, or print it for your records.

We encourage you to complete your documents online to ensure accuracy and efficiency.

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MI WC-100 2013 VT C-29A 2017 Canada APV9T 2014 Canada EFW Radiology Spine & Pain Management Requisition 2019

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The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. 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 LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The columns on the scale are summed to get a total score.

LEFS score = SUM (points for all 20 activities) Interpretation: Minimum score: 0 Maximum score: 80 The lower the score the greater the disability. The Minimal Detectable Change (MDC) is 9 scale points. The Minimal clinically Important Difference (MCID) is 9 scale points.

The interrater reliability for this tool has been examined in the past (ICC = 0.91; 95% confidence interval: 0.86, 0.94).

The LEFS scores demonstrated excellent test-retest reliability (intraclass correlation coefficients ranging between 0.85 and 0.99) and demonstrated the expected relationships with measures assessing similar constructs (Pearson correlation coefficient values of greater than 0.7).

The primary limitation of this measure is the variability when the last LEFS was captured over the 1 year postoperative period, as this is likely to increase as patients complete rehabilitation over time. In our study, the average time to postoperative LEFS was 110 days, but ranged from 60 to 361 days.

They found a mean LEFS score of 71, indicating a good result of their treatment. When less than 15% of the individuals have the minimum score, no floor effect is present, and when less than 15% reach the maximum score, there is no ceiling effect (McHorney and Tarlov 1995).

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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
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