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THE LOWER EXTREMITY FUNCTIONAL SCALE Name: Date: (CIRCLE ONE) Initial ReEval Update Discharge We are interested in knowing whether you are having any difficulty at all with the activities listed below.

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How to fill out the Lower Extremity Functional Scale Pdf online

The Lower Extremity Functional Scale Pdf is a valuable tool designed to assess the functional abilities of individuals experiencing lower limb issues. This guide provides clear and detailed instructions to help you complete the form effectively and accurately online.

Follow the steps to successfully fill out the Lower Extremity Functional Scale Pdf online.

  1. Locate the ‘Get Form’ button to obtain the Lower Extremity Functional Scale Pdf, then proceed to open the document in your preferred editing tool.
  2. Begin by filling in your name in the designated field at the top of the form. This identifies who the assessment is for.
  3. Record the date of completion, providing context for your responses and when the assessment was performed.
  4. Indicate your assessment status by circling one of the following options: Initial, ReEval, Update, or Discharge. This information helps clarify the purpose of the evaluation.
  5. Review the activities listed in the section that assesses difficulties. For each activity, reflect on the level of difficulty you currently face due to your lower limb problem.
  6. For each of the activities numbered 1 to 20, mark your response according to how much difficulty you experience. Options include: Extreme Difficulty or Unable to Perform, Quite a Bit of Difficulty, Moderate Difficulty, A Little Bit of Difficulty, and No Difficulty.
  7. Once all the activities have been evaluated, calculate your score based on the responses provided for each activity. This will give an aggregate score out of 80.
  8. Before finalizing, review all inputs for accuracy and make any necessary adjustments to ensure a complete assessment.
  9. Finally, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Lower Extremity Functional Scale Pdf online today for a comprehensive assessment of your functional capabilities.

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

The lower extremity functional test (LEFT) consists of a series of 8 agility drills performed on a diamond shaped course (Figure 1). 1-3. The LEFT was originally designed as a functional test to qualitatively and quantitatively assess an athlete's ability to return to sport after a lower extremity injury.

The median score for the LEFS for the whole population was 77 (out of a maximum of 80). Men and women had similar median scores (78 and 76, respectively), and younger individuals had better scores.

Current recommendations suggest that women should complete the LEFT in 135 s (average; range 120-150 s) and men should complete the test in 100 s (average; range 90-125 s).

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).

The median score for the LEFS for the whole population was 77 (out of a maximum of 80). Men and women had similar median scores (78 and 76, respectively), and younger individuals had better scores.

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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