Lower extremity functional scale printable 2025

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The document is a patient assessment tool called the Lower Extremity Functional Scale (LEFS), designed to evaluate difficulties patients may experience in various activities due to lower limb problems. It includes a list of activities for patients to rate their level of difficulty, ranging from no difficulty to extreme difficulty. The results are scored out of 80 and are intended for clinical use to track patient mobility and functional status.

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Click ‘Get Form’ to open the lower extremity functional scale printable in the editor.
Begin by entering your name and the date at the top of the form. This personal information is essential for tracking your progress.
Review each activity listed in the form. For each activity, indicate your level of difficulty by selecting a number from 0 (Extreme Difficulty) to 4 (No Difficulty).
Once you have completed all activities, ensure that you total your scores in the designated column. This will help provide a comprehensive view of your functional capabilities.
If applicable, fill out any additional sections for therapist use only, including CPT codes and modifiers as needed.

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What are the scoring categories for LEFS?

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

How do you score upper extremity functional index?

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.

What is the minimal clinically important difference on the LEFS?

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).

lefs printable

Lower Extremity Functional Scale PDF Lower Extremity Functional Scale scoring interpretation Upper Extremity Functional Scale PDF Lower Extremity Functional Scale calculator Lower Extremity Functional test PDF Lower Extremity Functional scale online LEFS scoring disability LEFS outcome measure

What is the lower extremity functional test left?

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).

What is a good score on LEFS?

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).

Is LEFS outcome measure reliable?

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).

How do you calculate lower extremity functional scale?

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.

What is the lower extremities functional scale?

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.