Lower extremity functional scale military form 2026

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  1. Click ‘Get Form’ to open the lower extremity functional scale military form in the editor.
  2. Begin by entering your name and the date at the top of the form. This personal information is essential for tracking your progress.
  3. Next, fill in the name of your primary therapist. This helps ensure that your responses are directed to the right professional.
  4. Review each activity listed on the form. For each activity, indicate any difficulty you experience by selecting a score from 0 (No Difficulty) to 4 (Extreme Difficulty or Unable to Perform Activity).
  5. Once you have completed all activities, sum up your scores in the 'Column Totals' section to calculate your overall score.
  6. Finally, sign the document at the bottom to confirm that all information provided is accurate.

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Normal scores for the LEFS may vary depending on the patient population and the specific lower limb condition being assessed. However, scores in the range of 61-80 are generally considered normal or indicative of minimal functional limitation.
Upper Extremity Functional Scale (UEFS) The UEFS is an 8-item region-specific PROM of UE function. Each item is scored from 1 (no problem) to 10 (major problem), for a total score ranging from 8 (best state) to 80 (worst state).
Internal reliability for the LEFS is excellent (=0.96). Test-retest reliability estimates were R=. 86 (95% lower limit CI=.
The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The columns on the scale are summed to get a total score. The maximum score is 80.

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