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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Reliability of the LEFS scores was also quantified using the standard error of measurement SEMa representation of measurement error expressed in the same units as the original measurement, in this case, LEFS points. Men had a slightly higher score than women. Contents Editors Categories Share Cite. The conceptual framework that guided the development of the LEFS included that the scale 1 be based on the World Health Organization’s 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, including patients with a range of disability levels, conditions, diseases, treatments, and ages, 4 be applicable for documenting function on an individual patient basis as well as in groups, such as for clinical outcomes assessment and clinical research purposes, 5 be developed using a systematic process of item selection and item scaling, 2 6 yield reliable measurements have internal consistency and test-retest reliabilityand queztionnaire yield valid measurements at a single point in time and sensitive to valid change.
Physiopedia articles are best used to find the original sources of information see the references list at questionnalre bottom of the article. The LEFS was administered during the initial assessment, 24 to 48 hours following the initial assessment, and then at weekly intervals for 4 weeks.
Lower Extremity Functional Scale (LEFS)
Patients answer the question “Today, do you or would you have any difficulty at all with: Only prospective research, however, validates the use of this measure in clinical decision making. Lower Extremity Functional Scale. In order to examine questionnaide argument for validity, which specified that patients with acute conditions would demonstrate more functional limitation than patients with chronic conditions, all patients were assigned a chronicity rating on a 3-point scale by 2 orthopedic physical therapists blinded to patients’ functional scale scores.
Comparison of measures to assess outcomes in total hip replacement surgery. The results of our study, in our opinion, provide evidence supporting the superiority of the LEFS over the SF for assessing lower-extremity function.
One approach to overcoming the need for multiple measures of health status in clinical practice is to explore whether the measurement properties of conditionspecific measures are superior to those of generic measures.
Pearson correlations and one-way analyses of variance were used to examine construct validity. The ratings were performed allowing discussion of the patient profile, and a single agreed-on score was determined. In a previous study, 24 we observed that the LEFS questionnaire shows a strong correlation with the Lequesne Index and also with WOMAC, confirming its validity as a clinical tool for the analysis of functional impairment in elderly patients with OA.
Getting into or out of a car. Clinicians can also be reasonably confident that change on the LEFS of greater than 9 scale points is a true change. The oefs sites represented in this group of patients were: Each subscale score can vary from 0 towith higher scores representing more desirable health states.
The inclusion criteria were: A description of the patients is presented in Table 1. The Qeustionnaire is efficient to administer and score and is applicable for research purposes and clinical decision quesyionnaire for individual patients. Evaluating changes in health status: Add comment Close comment form modal. An external standard of change was introduced to examine the extent to which a health status measure truly differentiates among patients who have improved, deteriorated, or remained stable and subsequently used in our study and by other authors.
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In the absence of an accepted measure of function, determination of the validity of functional scales has relied heavily on the concept of construct validity. Results – 1, individuals fulfilled the inclusion criteria and were included in the study. You have entered an invalid code. 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.
Participants who were unfit for work had worse scores. At the individual item level, mean score, median score, standard deviation, range, and frequency of endorsement of each level 0—4 of all items were determined.
Free online Lower Extremity Function Scale (LEFS) calculator – orthotoolkit
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The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip.