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Lower Extremity Functional Scale CPT PATIENT INFORMATION New Patient Return Patient Email: Patient Name: Address: Street # or PO Box City Date of Birth: Age: Male Female Home Phone: Patient Status:
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How to fill out lower extremity functional scale

How to fill out lower extremity functional scale:
01
Start by familiarizing yourself with the lower extremity functional scale (LEFS) questionnaire.
02
The LEFS questionnaire consists of 20 items, each measuring the level of difficulty you may experience in performing various activities related to your lower extremities.
03
Each activity is rated on a scale from 0 to 4, with 0 indicating extreme difficulty or inability to perform the activity and 4 indicating no difficulty.
04
Read each item carefully and assess your own ability to perform the activity. Choose the rating that best represents your current level of difficulty.
05
Once you have rated all 20 items, calculate your total score by summing up the ratings for each item. The maximum score you can achieve is 80, indicating no difficulty in any of the activities, while a score of 0 indicates extreme difficulty or inability to perform all activities.
06
The LEFS can be used as a self-reporting tool to track your progress over time. You can fill it out periodically to monitor any changes in your lower extremity function.
Who needs lower extremity functional scale:
01
The lower extremity functional scale is commonly used by healthcare professionals, such as physiotherapists or doctors, to assess the functional status of individuals with lower extremity conditions or injuries.
02
It can be beneficial for individuals recovering from lower extremity surgeries, such as knee replacement or ankle stabilization, to track their progress and evaluate the effectiveness of their rehabilitation program.
03
Athletes or individuals participating in sports that heavily rely on lower extremity function, such as running or jumping, may also find the LEFS useful in assessing their performance and identifying areas of improvement.
04
People experiencing chronic pain or dysfunction in their lower extremities can utilize the LEFS to communicate their limitations and challenges to their healthcare providers, facilitating appropriate treatment plans and interventions.
05
The LEFS is a valuable tool for researchers studying lower extremity function and outcomes, as it provides standardized measurements that can be used to compare results across different populations or interventions.
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What is lower extremity functional scale?
It is a questionnaire used to assess the functional status of a patient's lower extremities.
Who is required to file lower extremity functional scale?
Healthcare professionals such as physical therapists or physicians may administer and file the lower extremity functional scale.
How to fill out lower extremity functional scale?
The scale is filled out by asking the patient to rate their ability to perform various lower extremity activities.
What is the purpose of lower extremity functional scale?
The purpose is to evaluate the function of the lower extremities and track changes over time.
What information must be reported on lower extremity functional scale?
The scale includes questions about activities such as walking, stair climbing, and running.
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