The Lower Extremity Functional Index

We are 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

1. Today, do you or would you have any difficulty at all with any of your usual work, housework or school activities?
2. Today, do you or would you have any difficulty at all with your usual hobbies, recreational or sporting activities?
3. Today, do you or would you have any difficulty at all getting into or out of the bath?
4. Today, do you or would you have any difficulty at all walking between rooms?
5. Today, do you or would you have any difficulty at all with putting on your shoes or socks?
6. Today, do you or would you have any difficulty at all with squatting?
7. Today, do you or would you have any difficulty at all with lifting an object, like a bag of groceries from the floor?
8. Today, do you or would you have any difficulty at all with performing light activities around your home?
9. Today, do you or would you have any difficulty at all with performing heavy activities around your home?
10. Today, do you or would you have any difficulty at all with getting into or out of a car?
11. Today, do you or would you have any difficulty at all with walking two blocks?
12. Today, do you or would you have any difficulty at all with walking a kilometre?
13. Today, do you or would you have any difficulty at all with going up or down 10 stairs (about one flight of stairs)?
14. Today, do you or would you have any difficulty at all with standing for one hour?
15. Today, do you or would you have any difficulty at all with sitting for one hour?
16. Today, do you or would you have any difficulty at all with running on even ground?
17. Today, do you or would you have any difficulty at all with running on uneven ground?
18. Today, do you or would you have any difficulty at all with making sharp turns while running fast?
19. Today, do you or would you have any difficulty at all with hopping?
20. Today, do you or would you have any difficulty at all with rolling over in bed?

Thank you for your submission. it will form a valuable part of our ongoing assessment of your functional capacity as it relates to your lower limb problem



 

 

The Lower Extremity Functional Scale: Scale development, measurement properties, and clinical application, Physical Therapy, 1999, 79, 4371-383.