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The PSFS focuses on the patients opinion of their function, and requires the physiotherapist to ask the patient to list three activities that are limited by the condition for which they are seeking treatment, the overall PSFS score is an average of all three activities scores.
Disability Rating Scale. DRS is a widely used measure consisting of eight items that fall within four categories. Scores range from 0 (no disability) to 29 (extreme vegetative state).
Minimum clinically important difference (MCID) for the PSFS has been investigated in individuals with knee dysfunction, cervical radiculopathy, and chronic low back pain, and was found to be between 2.0 and 3.0 points.
This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition.
TABLE 4 Outcome MeasureConstruct Validity*Reliability PSFS
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As a clinical tool, the scales help identify and document an individuals level of cognitive and behavioral (social or role) functioning. This can then be used to develop and monitor progress on achieving short or long-term goals on a comprehensive treatment or service plan.
The Patient-Specific Functional Scale (PSFS) is 1 of 11 patient-specific measurements used during goal setting11 and to document a patients problems during functional activities. First, the patients identify 1 to 5 activities (ie, PSFS items) in which they are experiencing difficulties because of injury or illness.
Total score = sum of the activity scores/number of activities. Minimum detectable change (90%CI) for average score = 2 points. Minimum detectable change (90%CI) for single activity score = 3 points. Stratford, P., Gill, C., Westaway, M., Binkley, J.

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