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Lower extremity functional scale

 
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Lower extremity functional scale - January 29, 2008 1:58:02 AM   
ragempt

 

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anyone know how to use this?
On one day my patient's numbers were 49 on his last day it was 75. what does this mean overall?
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RE: Lower extremity functional scale - January 29, 2008 2:47:25 AM   
jma

 

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The highest score on the test is 80 and tells you that the patient has little difficulty with functional activities.

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

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RE: Lower extremity functional scale - January 29, 2008 5:45:58 AM   
ragempt

 

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i was looking for more of a scientific explanation. if my patient went from 49 to 75 what does this mean statisticly from a research perspective?

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RE: Lower extremity functional scale - January 29, 2008 2:18:35 PM   
TexasOrtho


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quote:

from a research perspective?


From a research / statistical perspective it means nothing without additional data.  It simply means the score changed.  I think you may be asking what the clinical sigificance of the score change is.  From the research I've seen, I believe a change of 9 or greater is clinically significant. 

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RE: Lower extremity functional scale - January 29, 2008 3:36:58 PM   
ragempt

 

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thanks texasortho, do you have a source for that golden number of 9? So his change was 26 points. i am doing a case study and i am trying to properly write out his change?

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RE: Lower extremity functional scale - January 29, 2008 3:45:22 PM   
buckeye

 

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ragempt - check out the PT Journal archives for the issue cited earlier in the thread. The article gives information about the LEFS that can help answer your questions.


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RE: Lower extremity functional scale - January 29, 2008 3:55:36 PM   
TexasOrtho


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quote:

ORIGINAL: ragempt

thanks texasortho, do you have a source for that golden number of 9? So his change was 26 points. i am doing a case study and i am trying to properly write out his change?


This is the article I was citing.  There are a ton more out there.  Good luck on your case report.  I've been wanting to do one myself.  I guess I just need to get on it.

http://www.ptjournal.org/cgi/content/full/79/4/371

< Message edited by TexasOrtho -- January 29, 2008 3:58:14 PM >


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RE: Lower extremity functional scale - January 29, 2008 3:57:43 PM   
ragempt

 

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texas ortho, do you think this will work:
 
The Lower Extremity functional scale was used. His score was a 49 on his 9th visit and a 75 on his 12th session. This measuring tool is said to be both reliable and valid for measuring lower extremity function.25 Clinicians can be reasonably confident that a change of greater than 9 scale points is not only a true change but is also a clinically meaningful functional change
Discussion.26

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RE: Lower extremity functional scale - January 29, 2008 4:08:53 PM   
ragempt

 

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thanks, buckey
im not an APTA member. thanks anyway

Go Blue

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RE: Lower extremity functional scale - January 30, 2008 1:54:47 PM   
buckeye

 

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ragempt

You do not have to be a member to view the archives of PT Journal - only the most current issues are for members only. There are articles going back to 1990 online. It is a good resource. The url for the archives is  http://ptjournal.org/archive/

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