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103020 NubaxGuide Trio v3.3 English_NubaxGuide English Master.qxd 27/03/13 9:37 AM Page 15
MONITORING YOUR USE OF THE
®
NUBAX
TRIO
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.
Initial Assessment:
Identify up to three important activities
that you are unable to do or are having
difficulty with as a result of your
_________________________ problem.
Look at the scale below and give each
activity a rating according to your ability
to perform that particular activity.
Patient-specific activity scoring scheme (Point to one number):
page
0
1
15
Unable
to
perform
activity
Activity
1.
2.
3.
4.
5.
Additional
Additional
PSFS developed by: Stratford, P., Gill, C., Westaway, M., & Binkley, J. (1995). Assessing disability and change on individual patients: a report of a
patient specific measure. Physiotherapy Canada, 47, 258-263.
Reminder: Each time you reassess and score each activity, do so without looking at
your previous scores.
Please visit the Nubax
2
3
4
5
Initial
website: www.nubax.com.au for a printable version of the PSFS
®
Follow-up Assessments:
Please ensure that you scale each activity
at regular intervals (weekly, fortnightly
or monthly). In order to accurately
record your progress, do not look at
your previous scores prior to making
a new assessment.
6
7
8
9
10
Able to perform
activity at the
same level as
before injury or
problem
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