Lower Extremity Functional Scale (LEFS)

Patient name: Date:

Instructions: 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. Please provide an answer for each activity.

Today, do you, or would you, have any difficulty at all with:

Activities: No Difficulty
 A Little Bit of Difficulty Moderate Difficulty Quite a Bit of Difficulty Extreme Difficulty or Unable
1. Any of your usual work, housework, or school activities
2. Your usual hobbies, recreational or sporting activities
3. Getting into or out of the bath
4. Walking between rooms
5. Putting on your shoes or socks
6. Squatting
7. Lifting an object, like a bag of groceries from the floor?
8. Performing light activities around your home
9. Performing heavy activities around your home
10. Getting into or out of a car
11. Walking 2 blocks
12. Walking a mile
13. Going up or down 10 stairs (about 1 flight of stairs)
14. Standing for 1 hour
15. Sitting for 1 hour
16. Running on even ground
17. Running on uneven ground
18. Making sharp turns while running fast
19. Hopping
20. Rolling over in bed

 / 80

Score Interpretation
  0 - 32 points Referral for joint replacement might be considered
33 - 80 points Sub-threshold symptoms

Points allocation is proportional to level of function, and thus inversely proportional to level of difficulty:

  • 4 points = No Difficulty
  • 3 points = A Little Bit of Difficulty
  • 2 points = Moderate Difficulty
  • 1 points = Quite a Bit of Difficulty
  • 0 points = Extreme Difficulty or Unable

Minimum Level of Detectable Change (90% Confidence): 9 points

Source: Binkley et al (1999): The Lower Extremity Functional Scale (LEFS): Scale development, measurement properties, and clinical application. Physical Therapy. 79:371-383.

Measurements Set-up Instructions:

If this form triggers an error on Submit, you will have to add LEFS as a measurement to your OSCAR instance.
Go to Administration - System Management - Customize Measurements - Add Measurement Type

  • Type = LEFS
  • Type Description = Lower Extremity Functional Scale
  • Display Name = LEFS
  • Measuring Instruction = Score from 0 to 80
  • Validation = Numeric Value: 0 to 100



Subject:


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