Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Upper Extremity Function Scale

Get Upper Extremity Function Scale

Neck and Upper Extremity Functional Scale We are interested in knowing whether you are having difficulty at all with the activities listed below because of your neck or arm problem for which you are.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Upper Extremity Function Scale online

The Upper Extremity Function Scale is a valuable tool designed to assess difficulties individuals may experience in performing specific activities due to neck or arm conditions. This guide provides step-by-step instructions on how to complete the form online, ensuring ease of use for all individuals.

Follow the steps to complete the Upper Extremity Function Scale online.

  1. Press the ‘Get Form’ button to access the Upper Extremity Function Scale and open it in your preferred editor.
  2. Begin by entering your name and identification number in the designated fields at the top of the form.
  3. For each activity listed, read the statement carefully and circle the number that best represents your difficulty level. The scale ranges from 0 (extreme difficulty) to 4 (no difficulty).
  4. Continue circling one number for each activity, including writing, turning a doorknob, eating, and any other listed tasks.
  5. For the sections related to pain and sensations in your neck, arm, or hand, make sure to circle the number that accurately reflects your experience.
  6. Once you have completed all fields, review your responses to ensure accuracy.
  7. Finally, make sure to save your changes. You may then download, print, or share the completed form as needed.

Complete the Upper Extremity Function Scale online to take the first step towards understanding your challenges.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

A Rasch-Validated Version of the Upper Extremity...
by CB Hamilton · 2013 · Cited by 20 — Results. A 15-item modified UEFI was derived to...
Learn more
Outcomes Measurement of Upper Extremity ......
by CMS Score · 2005 — upper extremity function: the Constant-Murley Shoul- der Score...
Learn more
Fugl-Meyer Assessment of sensorimotor function...
The minimal clinically important difference of Fugl-Meyer assessment scale is 6 for lower...
Learn more

Related links form

IMPORTANT INFORMATION ABOUT WILMINGTON TRUST AND ... WILMINGTON SHORTINTERMEDIATE-TERM BOND FUND WILMINGTON BROAD MARKET BOND FUND WILMINGTON MUNICIPAL AGGRESSIVE ASSET ALLOCATION CONSERVATIVE ASSET ALLOCATION WILMINGTON AGGRESSIVE ASSET ALLOCATION FUND WILMINGTON MODERATE ASSET ALLOCATION FUND WILMINGTON

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

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.

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

To calculate a QuickDASH score, at least 10 of the 11 items must be completed. Similar to the DASH, each item has 5 response options and, from the item scores, scale scores are calculated, ranging from 0 (no disability) to 100 (most severe disability).

Upper Extremity Function Scale -- OrthoToolKit 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).

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.

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.

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.

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 ...

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Upper Extremity Function Scale
Get form
  • 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
  • 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
  • Legal Hub
  • 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
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program