Pdf reference values for the y balance test and the. Please provide an answer for each activity today, do you or would you have any difficulty at all with. Watson cj, propps m, ratner j, zeigler dl, horton p, smith ss. Lower extremity functional scale cpr physical therapy in. The lower extremity functional scale lefs can be used to evaluate the functional impairment of a patient with a disorder of one or both lower. The objective of this study was to overcome recognized deficiencies in existing lowerlimb, regionspecific, patientreported outcome measures through. Another questionnaire, the lower extremity functional scale lefs7 kefs a version translated and validated for the portuguese lefsbrazil8 has excellent reliability and high internal consistency and is considered a reliable and easy instrument to be applied both for research and for the rehabilitation of patients with oa.
Thank you for completing this patientreported outcome. The purpose of this study was to assess the reliability, construct validity, and sensitivity to change of the lower extremity functional scale lefs. Lower extremity functional scale lefs the lefs is easy to administer and score and is applicable to a wide range of disability levels and conditions and all lowerextremity sites. Pt, dpt, ocs, a licensed physical therapist in the state of new york and has been practicing for fifteen years.
In the study by binkley et al4 the lefs was administered to 107 patients with a wide variety. Initial assessment the lower extremity functional scale. Measurement properties of the lower extremity functional. Rehab lower extremity functional scale baptist health. Reliability and responsiveness of the lower extremity functional scale and the anterior knee pain scale in patients with anterior knee pain. May 18, 2014 lower extremity functional test duration. Nov 22, 2019 lower extremity functional scale lefs the lower extremity functional scale lefs is a wellknown and validated patientrated outcome measure prom that can be used to measure lower extremity function. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy association. The lower extremity functional scale lefs clear lake and. 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 lefs also contains all of the functional activities recommended by harrison et al,10 with the exception of kneeling. Today, do you, or would you have any difficulty at all with. The lower extremity functional scale lefs is a regionspeci c patientreported outcome measure that can be used to determine activity limitation in people.
Lower extremity functional scale lefs, which was introduced in 1999 by binkley et al4 appendix 2. The lower extremity function scale lefs is intended to assess functional status in patients with disability of the lower extremity e. Minimum and maximum lfes physical function subscale scores were obtained for 1 and 4 patients, respectively, at the initial assessment. The lower extremity functional scale is used in the assessment of patients diagnosed with lower extremity disorders and disabilities. Lower extremity functional scale lefs clinicians were asked to identify the minimal amount of change on the lefs, in scale points, that would suggest that improvement had occurred. You can read more about the scale and the original study in the text below the calculator. Lower extremity functional scale lefs jacksonville, fl. This cohort included a broad range of lower extremity. Construct reliability was determined by comparison with the sf36.
The lefs was administered to 107 patients with lowerextremity. Today, do you or would you have any difficulty at all with. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons. Each subscale score can vary from 0 towith higher scores representing more desirable health states. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks.
Rest periods of 30 seconds between each leg will be given. This cohort included a broad range of lowerextremity. The italian version of the lower extremity functional scale was reliable, valid, and responsive. Une version canadienne francaise du lower extremity. The lefs consists of 20 items, with scores ranging from 0 extreme difficultyunable to perform activity to 4 no difficulty. A twominute rest period will be given between each test.
Apr 05, 2019 these symptoms lead to functional limitations that are even greater than those in patients with lbp alone. Pdf reference values for the y balance test and the lower. Lower extremity functional scale lefs the lower extremity functional scale lefs is a wellknown and validated patientrated outcome measure prom that can be used to measure lower extremity function. Multitrait scaling analysis indicated that the itemto scale scores, across all 11 aaos questionnaires. The lower extremity functional scale lefs we are interested in knowing whether you are having any difficulty at all with activities listed below.
Scale development, measurement properties, and clinical application. The conceptual framework that guided the development of the lefs included that the scale 1 be based on the world health organizations model of disability and handicap, 43 2 be efficient to administer, score, and record in the medical record with respect to patient and clinician time, 3 be applicable to a wide variety of patients with lower extremity orthopedic conditions. Physical therapy manhattan midtown west new york motion. Lower extremity functional scale rehabmeasures database. He is a boardcertified orthopedic specialist and fellowship trained in orthopedic manual physical therapy. The lower extremity functional scale lefs, a 20item regionspecific selfreporting measure, is designed to assess the functional status of patients with orthopedic conditions of the lower extremity. Subjects will perform a single leg hop for distance with each lower extremity. North american orthopaedic rehabilitation research network. Nov 27, 20 the lower extremity functional scale has good clinimetric properties in people with ankle fracture. This health tool evaluates the ability of the subject to perform daily activities.
Tha and tka what part of the tja continuum is it appropriate for. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower. These symptoms lead to functional limitations that are even greater than those in patients with lbp alone. Reliability and responsiveness of the lower extremity. There is more information about the score interpretation and other uses of the scale below the form. Lower extremity functional scale lefs patient reported measure considerations which type of tja is it appropriate for. The lower extremity functional scale has good clinimetric properties in people with ankle fracture. Rehab lower extremity functional scale created date. The upper extremity functional index uefi we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Scale development measurement properties and clinical application. The objective of the lower extremity functional scale lefs is to measure.
Among those, the lower extremity functional scale lefs 2 is a specific questionnaire that evaluates the functional ability of an individual with a lower. Jan 01, 2012 the objective of this study was to overcome recognized deficiencies in existing lower limb, regionspecific, patientreported outcome measures through. Clinicians can also be reasonably confident that change on the lefs of greater than 9 scale points is a true change. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your. Lower extremity functional scal stony brook southampton. Crosscultural adaption into greek and reliability properties of the instrument limitations andor functional capabilities. The lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Reliability and validity of the taiwan chinese version of. Upper extremity functional index msu rehabilitation. Lower extremity functional scale city center rehabilitation. Jk loudon, phd, pt, atc 2 functional tests the following tests will be explained and demonstrated by the therapist, and then performed by the patient. Preop postacute active living what domains does it measure within the icf. The italian version of the lower extremity functional scale. Lower extremity functional scale cpr physical therapy in eugene.
The lefs is easy to administer and score and is applicable to a wide range of disability levels and conditions and all lower extremity sites. The scale was found to be reliable with a sensitivity to change superior to the sf36. The total score can be obtained by summing the scores of. After demonstration, each subject will be allowed 1 trial per leg. Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Free online lower extremity function scale lefs calculator. Because the goal of the analysis was to examine change, rather queshionnaire to evaluate intervention, we made no attempt to control interventions. Evaluates functional status in patients diagnosed with disorders of the lower extremity, based on 20 activities. Scoring the lower extremity functional scale lefs questionnaire. Use of the lower extremity functional scale lefsbrazil questionnaire compared to lequesne algofunctional index for definition of knee and hip osteoarthritis severity article pdf available. The objective of the lower extremity functional scale lefs is to measure patients initial function, ongoing progress, and outcome for a wide range of lowerextremity conditions. The lower extremity functional scale could be an alternative to the western ontario and mcmaster universities osteoarthritis index physical function scale.
Lower extremity functional scale lefs patient reported. To apply a single questionnaire to facilitate comparisons among various different conditions of the low back andor lower extremities, we validated a modified version of the lower extremity functional scale lefs in lbp subjects. Pdf use of the lower extremity functional scale lefs. The objective of the lower extremity functional scale lefs is to measure patients initial function, ongoing progress, and outcome for a wide range of lower extremity conditions. The score was originally developed in a cohort of 107 patients with lower extremity musculoskeletal dysfunction. The modified lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed below. Microsoft word lower extremity functional scale spanish version. Any of your usual work housework or school activities. The score was originally developed in a cohort of 107 patients with lowerextremity musculoskeletal dysfunction. This lower extremity functional scale lefs calculator determines functional status in patients suffering from lower extremity disorders and disabilities.
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