Lower Extremity Functional Scale (LEFS) Assessment Form
The Lower Extremity Functional Scale (LEFS) is a questionnaire with 20 questions about a person's ability to perform everyday tasks. It helps clinicians measure patients' initial function, ongoing progress, and outcome. It is useful for evaluating functional impairment and monitoring patient progress over time.
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How do I fill this out?
To fill out the form, read each question carefully and select the answer that best describes your level of difficulty with the activity. Make sure to answer all questions to provide a complete assessment of your functional abilities. This will help your clinician evaluate your condition accurately.
How to fill out the Lower Extremity Functional Scale (LEFS) Assessment Form?
1
Read each question carefully.
2
Select the answer that best describes your difficulty level.
3
Answer all 20 questions.
4
Sum the scores in each column to get a total score.
5
Use the total score to interpret the level of disability.
Who needs the Lower Extremity Functional Scale (LEFS) Assessment Form?
1
Clinicians: To measure patients' initial function and track progress.
2
Patients: To self-assess their functional abilities and monitor improvements.
3
Researchers: To study the effectiveness of interventions for lower extremity disorders.
4
Physical Therapists: To set functional goals and evaluate therapy outcomes.
5
Healthcare Providers: To understand the functional impact of lower extremity conditions on patients.
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What are the instructions for submitting this form?
To submit the LEFS Assessment Form, you can use the following methods: Email: submit@healthcareforms.com, Fax: (123) 456-7890, Online Submission: www.healthcareforms.com/submit, Physical Address: Healthcare Forms, 1234 Medical Park Drive, Suite 100, Health City, HC 56789. Please ensure all sections of the form are completed and provide accurate contact information for any follow-up.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates associated with the LEFS Assessment Form for 2024 and 2025, as it is used based on individual patient needs and clinical evaluations.
What is the purpose of this form?
The purpose of the Lower Extremity Functional Scale (LEFS) Assessment Form is to evaluate a patient's ability to perform everyday tasks, specifically focusing on the lower extremities. By assessing the functional abilities of patients, clinicians can set appropriate functional goals and monitor progress over time. The form also provides valuable insights into the effectiveness of interventions for lower extremity disorders, making it a useful tool for both clinical practice and research.
Tell me about this form and its components and fields line-by-line.
- 1. Question 1: Any of your usual work, housework, or school activities.
- 2. Question 2: Your usual hobbies, recreational, or sporting activities.
- 3. Question 3: Getting into or out of the bath.
- 4. Question 4: Walking between rooms.
- 5. Question 5: Putting on your shoes or socks.
- 6. Question 6: Squatting.
- 7. Question 7: Lifting an object, like a bag of groceries from the floor.
- 8. Question 8: Performing light activities around your home.
- 9. Question 9: Performing heavy activities around your home.
- 10. Question 10: Getting into or out of a car.
- 11. Question 11: Walking 2 blocks.
- 12. Question 12: Walking a mile.
- 13. Question 13: Going up or down 10 stairs (about 1 flight of stairs).
- 14. Question 14: Standing for 1 hour.
- 15. Question 15: Sitting for 1 hour.
- 16. Question 16: Running on even ground.
- 17. Question 17: Running on uneven ground.
- 18. Question 18: Making sharp turns while running fast.
- 19. Question 19: Hopping.
- 20. Question 20: Rolling over in bed.
What happens if I fail to submit this form?
Failing to submit the LEFS Assessment Form may result in an incomplete evaluation of your functional abilities. This could impact the effectiveness of your treatment plan.
- Incomplete Evaluation: Your clinician may not have a comprehensive understanding of your functional abilities.
- Impacted Treatment: Without proper assessment, your treatment plan may not be as effective.
- Delayed Progress Monitoring: Your progress may not be accurately tracked over time.
How do I know when to use this form?
- 1. Clinical Evaluation: To assess a patient's initial function and track progress.
- 2. Setting Functional Goals: To establish realistic and achievable functional goals for patients.
- 3. Intervention Effectiveness: To evaluate the effectiveness of treatments and interventions for lower extremity disorders.
Frequently Asked Questions
What is the LEFS Assessment Form?
The LEFS Assessment Form is a questionnaire that measures a person's ability to perform everyday tasks, focusing on lower extremity function.
How do I fill out the LEFS Assessment Form?
Read each question, select the answer that best describes your difficulty level, and ensure you answer all 20 questions for an accurate assessment.
Can I edit the LEFS Assessment Form on PrintFriendly?
Yes, you can easily edit the form using PrintFriendly's built-in PDF editor.
How do I sign the LEFS Assessment Form on PrintFriendly?
You can add your electronic signature to the form using PrintFriendly's digital signature feature.
Can I share the completed LEFS Assessment Form on PrintFriendly?
Yes, you can share the form via email or generate a shareable link after completing it on PrintFriendly.
What is the maximum score on the LEFS Assessment?
The maximum score on the LEFS Assessment is 80.
What does a low score on the LEFS Assessment indicate?
A low score indicates greater disability in performing everyday tasks.
How reliable is the LEFS Assessment Form?
The LEFS Assessment Form has a test-retest reliability of 0.94 and construct reliability determined by comparison with the SF-36.
What is the minimal clinically important difference in LEFS scores?
The minimal clinically important difference in LEFS scores is 9 scale points.
Can I track my progress using the LEFS Assessment?
Yes, the LEFS Assessment can be used to monitor your progress over time.
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