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The LEFS rating scale categories are: (1) extreme difficulty or unable to perform, (2) quite a bit of difficulty, (3) moderate difficulty, (4) a little bit of difficulty, and (5) no difficulty. In addition, the participant could elect not applicable for any item; this response was recorded as missing data
The scores given to the 20 questions are added to give a highest possible score of 80. The lowest possible score is 0. A lower score indicates that the person is reporting increased difficulty with the activities as a result of their upper limb condition.
The potential error associated with a score on the LEFS at a given point in time is 5.3 scale points (90% CI), the minimal detectable change is 9 scale points (90% CI), and the minimal clinically important difference is 9 scale points (90% CI).
The LEFT was initially designed to assess the injured athletes 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, 45 cuts, 90 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% docHub the maximum score, there is no ceiling effect (McHorney and Tarlov 1995).
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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).
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 Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a persons 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.

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