Lower Extremity Functional Scale Tracking

Track Lower Extremity Functional Scale (LEFS) scores over time to monitor lower limb function and change from baseline. Includes scoring support and a minimal detectable change reference of 9 points.

Assessment Details

• Assessment date
  Date the LEFS was completed.
• Assessment type
  Select the visit context for this LEFS entry.
• Primary side affected
  Optional laterality to support clinical interpretation.
• Clinician name
  Optional if your workflow needs an audit trail for the assessor.

LEFS Score

• LEFS total score
  Enter the total LEFS score from 0 to 80.
• Previous LEFS score
  Optional prior score for comparison and trend review.
• Change from previous score
  Calculated difference between the current and previous LEFS score.
• Change interpretation
  A change of 9 points is the minimal detectable change for LEFS. Use this to help interpret whether the score change may reflect a meaningful difference over time.

Patient-Reported Function

• Mobility or function notes
  Optional brief notes about walking, stairs, transfers, or activity limitations.
• Assistive device used during assessment
  Select any device used during the assessment.
• Patient comments
  Optional patient-reported context relevant to lower extremity function.

Submission Notes

• Consent and disclosure acknowledgement
  Required acknowledgement for collection of health-related information.
• Submitted by
  Identify who completed the form if needed for the audit trail.