THE LOWER EXTREMITY FUNCTIONAL SCALE Patient Label Must 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by placing the patient label neatly inside the designated box at the top of the form. Ensure that it is clearly visible for scanning.
  3. Fill in the patient's age and indicate whether this is their first, intermediate, or last visit by selecting the appropriate option.
  4. For each activity listed, assess and select a score from 0 to 4 based on the level of difficulty experienced. Use '0' for no difficulty and '4' for extreme difficulty.
  5. Once all activities are scored, calculate the total score at the bottom of the form. This will help in assessing functional limitations.
  6. If applicable, complete any additional sections intended for therapist use, including Employee ID and ICD-9 Code.

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Lower Extremity Functional Scale (LEFS) Can be used to monitor changes in functioning during treatment interventions. A change in score of 9 points or more is likely to represent a clinically meaningful change (MCID).
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.
The Lower Extremity Functional Scale (LEFS) is scored on a scale of 0 to 80, with higher scores indicating better lower limb function. The interpretation of the scores can be based on the following categories: 0-20: Severe functional limitation. 21-40: Moderate functional limitation.

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Table 3. LEFS scores Age 1839 years 80 [7580] (1980) Age 4064 years 77 [6480] (680) Age 65 years 66 [52.578] (4.580) Daily activities 20 more rows Mar 28, 2017

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