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PATIENT NAME: DATE: 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.

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How to fill out The Upper Extremity Functional Index - Youngs Physical Therapy online

The Upper Extremity Functional Index (UEFI) is a valuable tool used to evaluate the functional abilities of individuals with upper limb problems. Completing this form online can provide critical information to your healthcare provider about your daily activities and the difficulties you may face.

Follow the steps to effectively complete the form online.

  1. Press the ‘Get Form’ button to obtain the UEFI document, and ensure it opens in an appropriate editor for completing the form.
  2. Begin by filling in your name in the 'PATIENT NAME' field and the date in the 'DATE' field at the top of the form.
  3. Review the activities listed on the form. For each activity, think about the level of difficulty you experience due to your upper limb issue.
  4. Circle the number that corresponds to your difficulty level for each activity ranging from 0 (extreme difficulty or unable to perform) to 4 (no difficulty).

Complete your assessment online today to provide essential insights into your upper extremity function.

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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). Original Literature: Pransky, Glenn, et al.

The upper extremity functional assessment is designed to test the upper extremity following surgery or injury to determine the patient's readiness to return to sport. The assessment addresses ROM, proprioception, strength, endurance, motor control and functional testing.

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.

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 assessment is designed to test the upper extremity following surgery or injury to determine the patient's readiness to return to sport. The assessment addresses ROM, proprioception, strength, endurance, motor control and functional testing.

Method of Use However, the UEFI-15 item is scored 0-59 and converted to give an interval level total score 0-100 with 0 indicating worst state and 100 best state. The 20 tasks in the UEFI include: Any of your usual work, housework, or school activities. Your usual hobbies, recreational or sporting activities.

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.
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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