Physical Therapy Associates in Elizabethtown, KY

Bardstown Hip, Leg, Ankle Forms

The Lower Extremity Functional Scale

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

Activities

1. Any of your usual work, housework or school activities.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

2. Your usual hobbies, recreational or sporting activities.

0 - Extreme difficulty or unable to perform activit 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficult 4 - No difficulty

3. Getting into or out of the bath.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

4. Walking between rooms

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

5. Putting on your shoes or socks

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

6. Squatting.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

7. Lifting an object, like a bag of groceries from the floor.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

8. Performing light activities around your home.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

9. Performing heavy activities around your home.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

10. Getting into or out of a car.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

11. Walking 2 blocks.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

12. Walking a mile.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

13. Going up or down 10 stairs (about 1 flight of stairs).

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

14. Standing for 1 hour.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

15. Sitting for 1 hour.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

16. Running on even ground.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

17. Running on uneven ground.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

18. Making sharp turns while running fast.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

19. Hopping.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

20. Rolling over in bed.

0 - Extreme difficulty or unable to perform activity 1 - Quite a bit of difficulty 2 - Moderate difficulty 3 - A little bit of difficulty 4 - No difficulty

Source: Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Phys Ther. 1999 Apr;79(4):371-83.

Main Location

1222 Woodland Drive,
Elizabethtown, KY 42701

(270) 234-1569

Monday

7:00 am - 12:00 pm

1:00 pm - 5:00 pm

Tuesday

7:00 am - 12:00 pm

1:00 pm - 5:00 pm

Wednesday

7:00 am - 12:00 pm

1:00 pm - 5:00 pm

Thursday

7:00 am - 12:00 pm

1:00 pm - 5:00 pm

Friday

7:00 am - 12:00 pm

1:00 pm - 5:00 pm

Saturday

Closed

Sunday

Closed

Physical Therapy Associates, Inc.

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Bardstown Hip, Leg, Ankle Forms

The Lower Extremity Functional Scale

Activities

Main Location