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THE LOWER EXTREMITY FUNCTIONAL SCALE Name: D.O.B 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 - Bluegrass Outpatient Center online

The Lower Extremity Functional Scale is designed to assess the difficulties individuals face with various activities due to lower limb issues. Completing this form online can help provide valuable insights into your functional capabilities and support the care you receive.

Follow the steps to successfully complete the form online.

  1. Press the ‘Get Form’ button to access the form and open it for editing.
  2. Begin by entering your name and date of birth in the appropriate fields. This information is essential for identifying your submission.
  3. Enter the date of completion in the designated section. This ensures that your assessment is timed accurately.
  4. For each of the activities listed, indicate any difficulty you are experiencing by selecting the appropriate number from 0 to 4. Review the descriptions to guide your choices.
  5. After filling in all responses, calculate the score by totaling your selected numbers. The maximum score is 80.
  6. Once all information is complete, you can save your changes, download the form, or print it for your records.

Complete your form online to better assess your lower extremity functionality.

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The LEFT was initially designed to assess the injured athlete's ability to perform sport‐specific movement patterns. The LEFT test consists of eight agility drills (forward run, backward run, side shuffle, carioca, figure 8 run, 45º cuts, 90º cuts) performed on a diamond shaped course (Figure 1).

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).

LEFS is scored via summation of all responses ( one answer per section) and compared to a total possible score of 80 Error +/- 5 points: an observed score is within 5 points of patients "true" score Minimum detectable change (MDC); 9 points; change of more than 9 points on the LEFS represents a true change Minimum ...

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.

Lower Extremity Functional Scale (LEFS) Each item is scored on a 5-point scale from 0 to 4 point scale (0=extreme difficulty or unable to perform activity, 4=no difficulty). Total LEFS scores can vary from 0 to 80; higher scores represent higher levels of LE function.

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

The LEFT was initially designed to assess the injured athlete's ability to perform sport‐specific movement patterns. The LEFT test consists of eight agility drills (forward run, backward run, side shuffle, carioca, figure 8 run, 45º cuts, 90º cuts) performed on a diamond shaped course (Figure 1).

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.

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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