The lefs consists of 20 questions designed to assess the degree of difficulty of specific functional tasks. Use of core stabilization exercise and medical exercise. Patient specific functional scale rehabmeasures database. The patientspecific functional scale psfs is a selfreported. Validity of the patient specific functional scale in patients. The patientspecific functional scale psfs allows the patient to identify specific selfreported items. The patient specific functional scale psfs is a selfreported, patient specific measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders.
Patient completed functional questionnaires such as those recommended by the division as part of quality performance and outcomes payments qpop, see rule 188, the patient specific functional scale, or other validated function scales can provide useful additional confirmation. Assessing the patientspecific functional scales ability. Patientspecific activity scoring scheme point to one number. The patient specific functional scale the patient specific functional scale psfs asks the patient to specify three important activities they are unable to do or have difficulty with as a result of their condition. Psychometrics, clinimetrics, and application as a clinical outcome measure on the patient and the patient s quality of life, has been described by several authors. Today, are there any activities that you are unable to do or have difficulties with because. The patientspecific functional scale psfs is a selfreported, patient specific measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders. Patient specific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Patientspecific functional scale please identify at least three important activities that you are unable to do or have difficulty doing as a result of your current problem. The lefs can be used by clinicians as a measure of patients initial function, ongoing progress and outcome, as well as to set functional goals.
Today, are there any activities that you are unable to do or have difficulties with because of your injury. Revised patient specific functional scale psfs fax 888 5654225 patient last name patient first name patient id date of birth mmddyyyy provider last name provider first name provider phone area code first clinician instructions. Please identify at least three important activities that you are unable to do or have difficulty doing as a result of your current. Braden, confusion assessment method cam, morse, numeric pain rating scale nprs. The use of the patientspecific functional scale to. These activities are rated on an 11point scale, where 0 is unable to perform the. These questionnaires can be classified as being generic, condition or disease specific, or patient specific. Patientspecific functional scale this useful questionnaire can be used to help us tailor your care to your specific needs. The patient specific functional scale was compared to the roland morris disability questionnaire, the severity rating scale addressed to patients with low back pain. Patientspecific activity scoring scheme circle one number or provide a range 1. Patient specific functional scale was developed by stratford et al 1995 as a selfreport outcome measure of function that could be used in patients with varying levels of independence. The lefs is a region specific, patient reported measure of physical function that can be used to assess functional status in patients with a variety of lower extremity disorders.
Scale 3point sf bbs3p, patient specific functional scale psfs. Results showed that it is feasible to use these two outcome measures in routine clinical. Jun 01, 2014 patient specific measures have received increased attention and use over the past 2 decades. A recent study 5 analysed the use of the patient specific functional scale psfs 6 and the numeric pain rating scale nprs 7 with respect to completion compliance, ease of use, and usefulness as a measure of therapeutic success in a clinical setting. Were much more than a premier health and fitness club in bellevue and the greater seattle area our resortstyle facilities are home to the regions most experienced and skilled medical and wellness professionals, state. Then rate your ability to do the activities in the last week by circling the appropriate number. Patient specific functional scale please identify at least three important activities that you are unable to do or have difficulty doing as a result of your current problem. Patient specific functional scale sapphire physical therapy. Fill out, securely sign, print or email your the patient specific functional scale msu rehabilitation instantly with signnow.
Outcome measures included the timedupand go tug and patient specific functional scale psfs. The patient specific functional scale psfs calculator consists of 5 activity fields to input examples of daily activities the subject has difficulty performing, each with an associated value on a scale from 0 to 10. Patientspecific functional scale this questionnaire can be used to quantify activity limitation and measure functional outcome for patients with an orthopaedic condition. Numeric pain rating scale nprs 710 to 410 demonstrated decreased pain, increased ability to return to prior level of function, and improved ability to take care. Complete after the history and before the exam initial assessment ask the patient to list and score at. To assess the reliability and validity of the patient specific functional scale when administered to people living with parkinsons disease. The patientspecific functional scale and neck disability index were applied at the initial visit, within 72 hours of the initial visit, and following 14 weeks of treatment in 31 patients with.
For example, a clinically relevant improvement in the patient specific functional scale psfs may be indicated by a change of at least 2 points in the average score of all activities or at least a 3 point change in a single activity over the reported baseline within a 4week time frame. The patient specific functional scale psfs was developed to provide a measure that would assess functional impairment of patient selected items. Please identify three important activities that you are unable to do or are having difficulty with as a result of your problem and score them in the appropriate column using the scale below. Please identify up to three important activities that you are unable to do or are having difficulty with as a result of your current problem diagnosis i. Strength and balance exercises to improve functional outcomes. The patientspecific functional scale msu rehabilitation. Please rate each of these problems on the 010 scale below. Assessing disability and change on individual patients. Replicating patientspecific severe aortic valve stenosis. The mactar questionnaire was conceived by tugwell and colleaguesg with the. The use of the patientspecific functional scale to measure. Om type of om description scoring psfs patient specific patients nominate 3 to 5 activities that they are unable to do or having difficulty doing because of their injury or problem. Start a free trial now to save yourself time and money. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds.
We have previously reported a proofofconcept that patient specific multimaterial 3d printed models of as can be created based on clinical computed tomography ct imaging data. The patientspecific functional scale is designed to measure disability in people with an orthopaedic condition. They are required to rate their ability to perform each activity on a scale of 010. A comparison of correlation coefficients determined good convergent validity of the patient specific functional scale psfs with global rating of change scale grc, better than with the generic 36item short form health survey 36sf, possibly because both psfs and grc ask patients to selfidentify areas of disability while a more generic measure would include items not relevant to the. Patientspecific functional scale psfs patientspecific functional scale1 psfs read at initial assessment im going to ask you to identify 3 to 5 important activities that you are unable to do or are having difficulties with as a result of your injury. Patient specific functional scale psfs page 2 patient specific functional scale this questionnaire can be used to quantify activity limitation and measure functional outcome for patients with an orthopaedic condition. Summary of outcome measures for hip fracture preop care. It will be used to measure a workers improved function from msk poc admission to discharge. Patient specific functional scale reprinted with permission from straford p, gill c, westaway m, binkley j. Once again, the clinician records the ratings specified by. Examples of patient specific measures include the mactar, 1 the patient generated index, 2 and the patient specific functional scale psfs. This study evaluated the validity of the psfs to assess outcome in patients with hand fractures or dislocations.
Assessing the patientspecific functional scales ability to. The aim of psfs is to provide clinicians with a valid, reliable, responsive and efficient outcome measure that would be easy to use and applicable to a large. Please identify at least three important activities that you are unable to do or are having difficulty with as a result of your problem. This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. It is a quick scale, administered by a medical professional but in accordance to individual needs. Evaluation of the patientspecific functional scale in.
This outcome tool is the patient specific functional scale1 psfs. Complete at the end of the history and prior to physical examination. Activities of daily living index interview and observation to determine ability with basic adl and mobility tasks. The reliability and construct validity of the neck disability index and patient specific functional scale in patients with cervical radiculopathy. The psfs provides the individual with the opportunity to identify specific tasks or activities that are difficult for them to perform and to rank the difficulty on a numeric scale. From our wide array of fitness classes to our world. The psfs shows more reliability and sensitivity than rmdq as specific measure in cases with low levels of activity limitation, however, in cases with higher levels of daily. Complete after the history and before the exam initial assessment. The patientspecific functional scale oxford academic. Patient specific functional scale was developed by stratford et al 1995 as a self report outcome. Patientspecific functional scale ergoterapeutforeningen. Whn, a subsidiary of tivity health support, llc hm 2017 patient specific functional scale description.
Second, it may have value in criteria for workload assessment or other measurements and comparisons. Our specialists provide services to patients who have impairments, functional limitations, disabilities or changes in physical function and health status resulting from injury, disease or other causes. Its reliability and responsiveness in patients undergoing a total knee arthroplasty article pdf available may 2015 with 373 reads how we measure reads. The patient specific functional scale is more responsive than the roland morris disability questionnaire when activity limitation is low. A comparison of correlation coefficients determined good convergent validity of the patient specific functional scale psfs with global rating of change scale grc, better than with the generic 36item short form health survey 36sf, possibly because both psfs and grc ask patients to selfidentify areas of disability while a more generic measure would include items not relevant to the patient. Functional outcomes and impairments were tested at the initial evaluation and at twoweek intervals over the course of 14 weeks. Rehabilitation patient forms welcome to uw health rehabilitation. Patient specific functional scale please list up to 3 important activities that you are unable to do or are having pain or difficulty performing as a result of your problem. Examples of patient specific measures include the mactar, 1 the patient generated index, 2 and the patientspecific functional scale psfs. Patient specific functional scale psfs calculator mdapp. Viewing and downloading word files viewing and downloading pdf files consistent user experience standard.
Results from initial evaluation to discharge lower extremity functional scale lefs 4880 to 6280. The patient specific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. The patient identifies up to 5 activities with which heshe has difficulty or is unable to perform secondary to the condition for which heshe presents to. Please identify up to three important activities that you are unable to do or are having difficulty with as a result of your current problemdiagnosis i. Patient specific functional scale patient determines functional ability with 5 activities determined by therapist or patient on a 10point scale. Psfs is a brief, interviewformat questionnaire that is used to assess functional disability and any changes in. Scoring instructions the patient is asked to identify activities which they find difficult to perform as a result of their condition. The purpose of this study was to determine testretest reliability, construct validity, and sensitivity to change of the patient specific functional scale psfs when applied to patients with knee dysfunction. Twenty six people living with parkinsons disease from hamilton and burlington were interviewed four times within a four month period. Hall am, maher cg, latimer j, ferreira ml, costa lo.
This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any. The international classification of functioning, disability and health icf is a multidimensional framework developed by the world health organization to provide a unified and standard language and framework for the description of health and healthrelated components of wellbeing. First, it is an excellent communication tool for quickly describing a patients current functional level. Patient specific measures have received increased attention and use over the past 2 decades. The psfs is a selfreported, patient specific measure, designed to assess functional change primarily in patients presenting with musculoskeletal disorders. Pdf the use of the patientspecific functional scale to. Patient specific functional scale the patient specific functional scale psfs is a brief, interviewformat questionnaire that is used to assess functional disability and any changes in performance of activities of daily living. Measurement properties in patients with knee dysfunction. The scale was developed by stratford and colleagues 70 as a selfreport measure of function that could be used in patients with varying levels of. Discriminant analysis of the patientspecific functional sca. Validity, reliability, and responsiveness in patients with upper extremity musculoskeletal problems.
It is commonly used to track a variety of musculoskeletal conditions and has also. The patient identifies up to 5 activities with which heshe has difficulty or is unable to perform. The patient specific functional scale was compared to the roland morris disability questionnaire, the severity rating scale addressed to patients. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. Strength, balance, rangeofmotion and coordination were also tracked over the course of therapy. Functional assessment scale checklisttype rating scale of selfcare function. Mapping patientspecific functional scale psfs items to the. The patient specific functional scale home redmond ridge. The patient specific functional scale pdf in a recent study, the patient specific functional scale was the most responsive disability measure in a trail comparing a variety of oa tools. Patient specific functional scale this useful questionnaire can be used to help us tailor your care to your specific needs. Write the activities you are unable to do or are having difficulty with in the box below.
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