Lower Extremity Functional Scale (LEFS)

  • Lower Extremity Functional Scale (LEFS)

  • Instructions: 
    AAA Physical Therapy is 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.

    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


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

  • 1. Any of your usual work,housework or school activities.
  • 2. Your usual hobbies, recreationalor 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 ofgroceries from the floor.
  • 8. Performing light activitiesaround your home.
  • 9. Performing heavy activitiesaround 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 runningfast.
  • 19. Hopping.
  • 20. Rolling over in bed.
  • Date*
     - -
  •  p. 443.979.7171 AAA Physical Therapy, LLC
    admin@AAAPhysicalTherapy.com
    8975 Guilford Rd Ste 170 Columbia, MD 21046    		  f. 667.200.5908

     

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