Lower Extremity Functional Index

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

Email *

Patient Name *

Patient date of birth *

YYYY

Any of your usual work, housework or school activities. *

Your usual hobbies, recreational or sporting activities *

Lifting a bag of groceries to waist level *

Lifting a bag of groceries above your head *

Grooming your hair *

Pushing up on your hands (eg from bathtub or chair) *

Preparing food (eg peeling, cutting) *

Driving *

Vacuuming, sweeping or raking *

Dressing *

Doing up buttons *

Using tools or appliances *

Opening doors *

Cleaning *

Tying or lacing shoes *

Sleeping *

Laundering clothes (eg washing, ironing, folding) *

Opening a jar *

Throwing a ball *

Carrying a small suitcase with your affected limb *

Source:

Stratford PW, Binkley, JM, Stratford DM (2001): Development and initial validation of the upper extremity functional index. Physiotherapy Canada. 53(4):259-267.

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