The LEFS is a self-report questionnaire. Patients answer the question “Today, do you or would you have any difficulty at all with:” in regards to twenty different. No difficulty: with usual work, housework or school activities; with usual hobbies, recreational or sporting activities; getting into or out of the bath; walking. Another questionnaire, the Lower Extremity Functional Scale (LEFS), with a version translated and validated for the Portuguese (LEFS-Brazil), has excellent.

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We believe that there is a need for a functional measure that is easy to administer and score and applicable to a wide range of patients with lower-extremity orthopedic conditions.

Constitution of the World Health Organization. A type 2,1 lefz correlation coefficient was used to estimate test-retest reliability. Subsequently, only individuals diagnosed with OA underwent radiographic examinations of the hips and knees in the supine position, with frontal and side views, based on the criteria of Kellgren and Lawrence 18 questionnqire all individuals who were submitted to the study were with grade II mild OA to IV advanced OA.

Lfes short-term goal, therefore, could be: The initial version of the scale consisted of 22 items. Participants who were unfit for work had worse scores. The MCID is approximately 9 scale points. Assessment of the Lequesne index of severity for osteoarthritis of the hip in an elderly population.

Les properties of the RM Interpretation – High scores were observed for the LEFS throughout the whole population, although they did decrease with age. The Functional Status Index: In this case, depending on the clinical picture and time frame since the previous assessment, a change in intervention, referral, or discharge of the patient may be considered.

The elderly subjects had a median of The World Health Organization’s model of disability 43 served as the basis for the item generation phase of the scale development. Add comment Close comment form modal. This categorization could facilitate the classification of functional impairment of these individuals, providing additional criteria to check the impact of the therapeutic approaches in activities of daily living of elderly patients with OA.


There was a higher correlation between the prognostic rating of change and the LEFS than between the prognostic rating of change and the SF physical function score. Translation, cross-cultural adaptation and analysis of the psychometric properties of the lower extremity functional scale LEFS: The results of our study, in our opinion, provide evidence supporting the superiority of the LEFS over the SF for assessing lower-extremity function.

That is, a change of more than 9 points represents a true change in the patient’s condition. Related articles in Google Scholar. The LEFS is efficient to administer and score and is applicable for research purposes and clinical decision making for individual patients. In addition, all patients in the study were outpatients. Lifting an object, like a bag of groceries from the floor.

Responsiveness of functional status in low back pain: Assessing the responsiveness of functional scales to clinical change: Ware JE Jr, Sherbourne. A history of lower extremity surgery was associated with a lower LEFS score. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Email alerts New issue alert. Spearman rank-order correlation coefficients were used to examine the relationship between an independent prognostic rating of change for each patient and change in the LEFS and SF scores.

Informed consent was obtained from all patients. Oxford University Press is a department of the University of Oxford. The prevalence of knee osteoarthritis in the elderly: Patients who did not speak English or were unable to read were excluded from the study.

Normative data for the lower extremity functional scale (LEFS).

The inclusion criteria were: The physical function and pain dimensions appear to be most relevant to orthopedic outpatients. Methods for assessing condition-specific and generic functional status outcomes after total knee replacement. Please check for further notifications by email.


Introduction Lefx OA is a chronic joint disease with a high prevalence in the elderly. The magnitudes of the correlations between the prognostic ratings and the LEFS, SF physical function subscale, and SF physical component summary scores were formally compared using the method of Williams 48 for dependent data. The anatomical sites represented in this group of patients were: The corrected item-item total correlation is an estimate of the degree to which a single item score correlates with the total scale score with that item removed.

Lower Extremity Functional Scale (LEFS) – Physiopedia

There was a levs correlation between the prognostic rating of change and the LEFS than between the prognostic rating of change lefz the SF physical function score. There are 2 major limitations to this study. Patients were placed in one of the following categories based on a review of documentation, which included diagnosis and the time since onset of condition or the time since surgery or cast removal: Superior responsiveness of the pain and function sections of the Western Ontario and McMaster Universities Osteoarthritis Index WOMAC as compared to the Lequesne algofunctional index in patients with osteoarthritis of the lower extremities.

Standing for 1 hour.

Free online Lower Extremity Function Scale (LEFS) calculator – orthotoolkit

A factor analysis performed on the final item questionnaire indicated that all items loaded on a single factor. The physical and mental component summary scores represent weighted composite scores derived questionnaure the 8 health concept scales.

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