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. This scale has been useful for doctors in diagnosing patients, measuring disease progression and also for researchers when selecting patients for a study and measuring the. Upper extremity functional scale we are interested in knowing whether you are having any difficulty with the activities listed below because of your upper limb problem for which you are currently seeking attention. Gabel, msc, faculty of science, health and education, centre for healthy activities, sport and exercise, university of the sunshine coast, po box 760, coolum beach, queensland, australia 4573. Alsfrsr includes 12 questions that can have a score of 0 to 4. Results the study shows that on the day of discharge almost 60% of patients are independent or slightly dependent on others for functional capability, and 15%. 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. The objective of the lower extremity functional scale lefs is to measure patients initial. We are interested in knowing whether you are having any.
Index of severity for osteoarthritis of the hip by. Provides an estimate of functional capacity, and may not be as accurate as objective measurements such as exercise stress testing. The amyotrophic lateral sclerosis functional rating scale alsfrs is an instrument for evaluating the functional status of patients with amyotrophic lateral sclerosis. Dressing and hygiene 4 normal function 3 independent and complete selfcare with effort or decreased efficiency 2 intermittent assistance or substitute methods 1 needs attendant for selfcare 0 total dependence.
The lower extremity functional scale has good clinimetric properties in people with ankle fracture. Mar 2017 functional independence measurement fim user manual, version 1. Functional assessment 7 3 independent living skills survey ilss 8 4 community competence scale ccssf 9 5 specific levels of functioning scale. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. General background information 1 1 uniform client data instrument ucdi 1 2 colorado client assessment record ccar 3 section 2.
The patientspecific functional scale is designed to measure disability in people with an orthopaedic condition. The purpose of the questionnaire is to inquire about the clients current upper extremity functional status in a variety of activities. This health tool evaluates the ability of the subject to perform daily activities. Functional oral intake scale 1 donjoy aircast exos.
Lequesne et al developed an index of severity for osteoarthritis for the hip ish. Lefley, phd xxi acknowledgments xxiii introduction xxv section 1. Upper extremity functional scale uefs patient name. The pain dimension consists of five questions regarding the severity of an individuals pain. Quadriplegia index of function qif spinal cord injury.
The functional index 2 myositis support and understanding. Evaluates functional status in patients diagnosed with disorders of the lower extremity, based on 20 activities. There is more information about the score interpretation and other uses of the scale below the form. Each category of functional performance is calculated according to weighted scores functional performance categories. Complete at the end of the history and prior to physical examination. The lower extremity functional scale is used in the assessment of patients diagnosed with lower extremity disorders and disabilities. Validation of a spanish version of the spine functional index. There was lower response error, efficient completion and scoring. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, wi th permission of the american physical therapy association. Development and clinimetric properties article pdf available in physical therapy 921.
The independent living skills of the older adults were measured using lawton iadl, hodkinson mental test, functional independence scale, barthel index, katz index, and visual analog scale. Development and validation of a rheumatoid hand functional disability scale that assesses functional handicap. Functional independence measurement fim user manual. A minimum of 27 patients were required to adequately power a repeated measures analyses with twopaired data points. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status into one of five categories.
Upper extremity functional index msu rehabilitation. N 87, with ra testretest reliability of ffi total and sub scale scores. The upper extremity functional index uefi is a selfreport questionnaire that consists of 20 items that are rated on a 5point likert scale. Binkley et al 5 developed the lower extremity functional scale lefs as a patientreported measure to examine the functional status in the presence of lower extremity musculoskeletal problems. Studies show decrease knee extensor strength 527% flexor decline 121% abnormal hip strengthfunction lower extremity disfunction small % use functional criteria subjective objective. Development and clinimetric properties phys ther 2012. Functional oral intake scale 1 tube dependent levels 1 no oral intake 2 tube dependent with minimalinconsistent oral intake 3 tube supplements with consistent oral intake total oral intake levels 47 4 total oral intake of a single consistency 5 total oral intake of multiple consistencies requiring special preparation.
The sane takes seconds, doesnt require me to scan in another document into a patients chart, is functional for the patient sitting in front of you. Measures of adult lower extremity function the american academy of orthopedic surgeons lower limb questionnaire, the activities of daily living scale of the knee outcome survey adls, foot function index ffi, functional assessment system fas, harris hip score hhs, index of severity for hip osteoarthritis ish, index of severity for knee. The purpose of this study was to overcome recognized deficiencies in existing lowerlimb, regionspecific, patientreported outcome measures through. Functional rating index paydc chiropractic software. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. Disability index oswestry lower extremity functional scale patientspecific funcional scale medicare impairment rating 0 0 0 0 80 80 10 10 0% ch 1 26 1 19 63 79 9 9 1 19% ci 27 52 20 39 48 62 7 8 20 39% cj. Today, do you or would you have any difficulty at all with. We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your.
The fi2 is a further validated version of the functional index fi josefson et al 1996 where redundant tasks has been excluded. The amyotrophic lateral sclerosis functional rating scale alsfrs overview. Index was not superior to regionspecific lower extremity functional scale at. 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. The total score can be obtained by summing the scores of the individual items.
There are currently two versions of the upper extremity functional index. Nov 27, 20 the lower extremity functional scale has good clinimetric properties in people with ankle fracture. The spine functional index sfi is a recently published, robust and clinimetrically valid patient reported outcome measure. Nov 01, 2012 for the final functional assessment, the functional capacity scale fcs, the glasgow outcome scale, the functional index repty, the barthel index, and the rankin scale were used. Reliability, validity, and responsiveness of the modified kapandji index for assessment of functional mobility of the rheumatoid hand.
The functional performance categories are scored on a 5 point scale from 0 dependent to 4 independent. In comparison to a fullscale exercise, a functional exercise involves fewer participants and the movement of. The purpose of this study was the adaptation and validation of a. Functional rating index for use with neck andor back problems only. Below are common complaints which people frequently have with their knee problems. Complete after the history and before the exam initial assessment. 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. A score of 0 on a question would indicate no function while a score of 4 would indicate full function.
The motricity index for motor impairment after stroke overview. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy as sociation. Pdf use of the lower extremity functional scale lefs. The amyotrophic lateral sclerosis functional rating scale. The 100% representing full function or function prior to injury and 0% representing no function. Once limb symmetry index values are calculated for each of the 4 hop tests, the average of these is taken for the overall combination score. The motricity index for motor impairment after stroke. Please check the statement which best describes your condition. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy association.
It can be used to monitor functional change in a patient over time. Pdf are available on the following office of information field offices oifos anonymous software directories. This can be used to assess the effectiveness of therapeutic interventions. Neck disability index this questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. In order to properly assess your condition, we must understand how much your neck andor back problems has affected your ability to manage everyday activities. The taiwan chinese version of the lefs questionnaire is a valid and. Do you use the duke activity status index and want to contribute your expertise.
Development and clinimetric properties charles philip gabel 1 c. For each item below, please circle the number which most closely describes your condition right now. The functional index 2 alexanderson h et al 2006 diseasespecific functional outcome assessing muscle endurance in polymyositis pm and dermatomyositis dm. We are interested in knowing whether you are having any difficulty at all with the activities listed below. Functional independence measure tm and functional assessment measure brain injury scale. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons. The lefs consists of 20 items, with scores ranging from 0 extreme difficultyunable to perform activity to 4 no difficulty. The motricity index can be used to assess the motor impairment in a patient who has had a stroke. Lower extremity functional scale rehabmeasures database. The lower extremity functional scale could be an alternative to the western ontario and mcmaster universities osteoarthritis index physical function scale. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and. Rating neurological impairment in multiple sclerosis. To calculate limb symmetry index values, average the tworecorded trials on each limb.
Functional capacity scale as a new tool for early functional. Apr 07, 2014 it is implemented on a scale of 0100 and correlated with a scale of function from 0100%. Questionnaire about the ability to perform everyday tasks. Dead, vegetative state, severe disability, moderate disability or good recovery.
Please answer every section and mark in each section only the one box that applies to you. Measurement properties of the lower extremity functional. 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. Reliability and validity of the taiwan chinese version of the. 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. The number of repetitions for each task has been increased to avoid ceiling effects. Index of severity for osteoarthritis of the hip by lequesne et al. Assessing disability and change on individual patients. The shoulder pain and disability index spadi is a selfadministered questionnaire that consists of two dimensions, one for pain and the other for functional activities. Recruitment of a sample of 38 patients was planned in order to adequately power the testretest analysis procedure. You can read more about the scale and the original study in the text below the calculator.