Lower Extremity Functional Scale (LEFS) 2025

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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.
Questionnaire containing 20 questions about a persons ability to perform everyday tasks. Scoring scale 0-80. All 20 items are scored with a maximum score 4 for each item. The columns on the scale are summed to obtain a final score.
Quadriceps strength is measured using a handheld dynamometer. The patient is secured in 60 degrees of knee flexion and the HHD is placed between the patients tibia and the resistance arm, 1 inch proximal to the midline between the malleoli.
It is also used in patients who have undergone lower limb surgeries, such as total hip or knee replacement or ligament reconstruction. The Lower Extremity Functional Scale (LEFS) is scored on a scale of 0 to 80, with higher scores indicating better lower limb function.
The scoring of this scale varies from 0 (extreme difficulty/unable to perform activity) to 4 (no difficulty). The total score can be obtained by summing the scores of the individual items. The maximum score of 80 indicates no functional limitations and the minimum score of 0 indicates extreme limitations. Lower Extremity Functional Scale (LEFS) - Physiopedia physio-pedia.com LowerExtremityFunc physio-pedia.com LowerExtremityFunc
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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.
A tape measure is typically used to measure the length of each lower extremity by measuring the distance between the anterior superior iliac spine (ASIS) and the medial malleolus and is referred to as the direct clinical method for measuring LLD (Fig.

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