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Name: ___ Date: ___The Upper Extremity Functional Index We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem
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How to fill out upper extremity functional index-15
How to fill out upper extremity functional index-15
01
Obtain a copy of the Upper Extremity Functional Index-15 form
02
Read and understand the instructions for each section of the form
03
Fill out each section of the form honestly and accurately
04
Consider any pain or limitations you experience in your upper extremities when answering the questions
05
Ask for assistance from a healthcare provider if you have trouble understanding or completing the form
Who needs upper extremity functional index-15?
01
Individuals who have experienced upper extremity injuries
02
Patients undergoing rehabilitation for upper extremity conditions
03
Healthcare providers assessing the functional status of a patient's upper extremities
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What is upper extremity functional index-15?
The Upper Extremity Functional Index-15 is a self-reported questionnaire used to assess the functional status of the upper extremities.
Who is required to file upper extremity functional index-15?
Patients who have upper extremity injuries or conditions that may affect their daily activities are required to fill out the Upper Extremity Functional Index-15.
How to fill out upper extremity functional index-15?
To fill out the Upper Extremity Functional Index-15, patients need to answer the questions honestly and to the best of their ability based on their current functional status.
What is the purpose of upper extremity functional index-15?
The purpose of the Upper Extremity Functional Index-15 is to assess the patient's functional limitations and monitor their progress throughout the treatment or rehabilitation process.
What information must be reported on upper extremity functional index-15?
The Upper Extremity Functional Index-15 requires patients to report their ability to perform various upper extremity activities such as reaching, lifting, and grasping.
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