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The 20 activities included in the UEFI are listed in the following table: There are other similar disability and pain evaluation questionnaires that evaluate the quality of life, such as the Shoulder Pain And Disability Index (SPADI) or the Expanded Disability Status Scale (EDSS). Upper Extremity ICF Domain Activity Measurement Domain Activities of Daily Living Considerations Bimanual Activities Rasch analysis report is generated by entering scores online Stroke back to Populations Standard Error of Measurement (SEM) Chronic stroke: HHS Vulnerability Disclosure, Help 2013 Nov;93(11):1507-19. doi: 10.2522/ptj.20130041. Rehabilitation of the spine: A practitioners manual. Development and initial validation of the upper extremity functional index. Each item is scored from 1 (no problem) to 10 (major problem), for a total score ranging from 8 (best state) to 80 (worst state). An expert committee, information on reliability, because none of them had a driving licence. Original and Validation Literature: Binkley, Jill M., et al. The UEFI is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb (shoulder, elbow, wrist or hand). Supporting literature. 2001;53:25967. As per the original study, the main objective of LEFS is to measure patient initial function, rate ongoing progress and quantify outcome. This health tool evaluates the ability of the subject to perform daily activities. Physiother Can. This upper extremity functional index (UEFI) calculator evaluates the degree of impairment to day to day life activities like housekeeping due to upper limb disability and pain. Orthofixar does not endorse any treatments, procedures, products, or physicians referenced herein. Mark Gerardot Instagram, 1. Bethesda, MD 20894, Web Policies Any of your usual work, housework, or school activities. 2006; 19(3):328-48; quiz 349. official website and that any information you provide is encrypted The PSFS, NPRS, and 4 region-specific outcome measures-the Oswestry Disability Index, Neck Disability Index, Upper Extremity Functional Index, and Lower Extremity Functional Scale-were assessed at the initial and final physical therapy visits. The UEFI has been adapted into other languages including Turkish, French Canadian and Spanish. 2014 Mar 12;15:78. doi: 10.1186/1471-2474-15-78. 1999 Apr;79(4):371-83. (1999) The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. 0000000756 00000 n Please provide an answer for each activity. This scale was first proposed by 01. Methods: This study conducted with 93 SAIS participants. Many updates and improvements! This lower extremity functional scale (LEFS) calculator determines functional status in patients suffering from lower extremity disorders and disabilities. The LEFS. Carrying a small suitcase with your affected limb. Carrying a small suitcase with your affected limb. Patient-reported upper extremity outcome measures used in breast cancer survivors: a systematic review. J Hand Ther. The test-retest reliability coefficient was found to be 0.95 with an internal consistency of 0.94. Then, the upper extremity functional index (UEFI) calculator lists 20 day to day activities: 1. Upper Limb Functional Index (ULFI) Upper Extremity Functional Index (UEFI) Shoulder Scales Shoulder Disability Questionnaire (SDQ-NL) CAHE Outcomes Calculator The International Centre for Allied Health Evidence (iCAHE) Tel 08 8302 2099 Fax 08 8302 2853 Email iCAHE@unisa.edu.au Pain score in points / 50 x 100. Please provide an answer for each activity. THE UPPER EXTREMITY FUNCTIONAL INDEX (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Instructions: This questionnaire asks about your symptoms as well as your ability to perform certain activities. Then, the upper extremity functional index (UEFI) calculator lists 20 day to day activities: 1. BMC Musculoskelet Disord. The Upper Limb Functional Index: development and determination of reliability, validity, and responsiveness. York Judgment The PSFS is a valid method to assess functional limitations identified by the individual and can be completed in a shorter period of time than the DASH. (2013) Application of the modified lower extremity functional scale in low back pain. Psychometric properties of the Chinese (Cantonese) version of the Upper Extremity Functional Index in people with chronic stroke Article Full-text available Feb 2023 Hong Pan Shamay S. M.. By using this site you agree to our use of cookies as described in our, upper extremity functional index interpretation, upper extremity functional index spanish pdf, upper extremity functional index calculator. 1. We chose the UEFS because it was the comparator used in the original UEFI study. Pushing up on your hands (eg from bathtub or chair). The CUE measures upper extremity functional limitations in individuals with tetraplegia. Arch Phys Med Rehabil. xZKs6WVS &$C(Ee~.NCVx]Qez;Wlfax@ofw3#J-3&dj56X\>2J@VG9!NyJ_f0M?ck4aN03kYI%/lQ k$Rv\p ,ZAxKa[:SV[TK3imT/MG~(|Z7-%2.H;YSZ, ; +%Hj4]?|5p}H$qEd_R g#mNxJ[8-u1G^.fog(o Fill in the calculator/tool with your values and/or your answer choices and press Calculate. DASI score is calculated by adding the points of all performed activities together. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Upper Limb functional Index - Spanish Version Validation HQoL 2013. Positive minimal clinically important difference values were 8/80 for the UEFI-20 and 6.7/100 for the UEFI-15; pMCID was higher for people whose non-dominant arm was affected. Girth measurements indicating > 2cm difference between the affected and non-affected limb at 3 measured points along the extremity 3. 0000016972 00000 n The Upper Limb Functional Index: development and determination of reliability, validity, and responsiveness. On the other hand, the UEFI has been criticised for failing to provide insight into the underlying cause of difficulties encountered in specific actions and the fact that it does not offer an exhaustive severity classification. items and can be administered, scored, and interpreted in 3 to 5 minutes without computation aids such as a computer or calculator. Comparing their measurements take to be used for example is essential for common upper extremity function tests. The UEFI evaluates how much impact the upper limb disability degree and pain have on the performing of activities of daily living in patients with a diagnosed impairment of the shoulder, elbow, wrist or hand. Baltimore, MD: Lippincott Williams & Wilkins. In most cases Physiopedia articles are a secondary source and so should not be used as references. 0000000931 00000 n Results: How To Fade A Background Picture In Google Slides, What is Upper Extremity Functional Index? The Spearman's rank correlation test was used to calculate correlations between YBT (Composite score) and SLHT scores. A study by Binkley et al[2] supported the use of UEFI in patients after breast cancer surgery. doi: 10.7759/cureus.33381. Objective: To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. Please evaluate on a scale from 0 = easy to 10 = impossible how hard you find the . Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. There are currently two versions of the upper extremity functional index; UEFI 20-item and UEFI 15-item. Laundering clothes (eg washing, ironing, folding). Reliability and validity of Simplified Chinese version of Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire: cross-cultural adaptation and validation. You are in: Home Special Test Orthopedic Scores Upper Extremity Functional Index. Using . Please note that once you have closed the PDF you need to click on the Calculate button before you try opening it again, otherwise the input and/or results may not appear in the pdf. Please provide an answer for each activity. 2023 Jan 5;15(1):e33381. 0000004971 00000 n The Turkish version of UEFI is acceptable, valid, and reliable. The minimal detectable change is 9 scale points meaning that for improvement or degradation to be valid, the difference between two subsequent scores needs to be equal to or higher than 9. your upper limb problem for which you are currently seeking attention. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. MDC values were 9.4/80 for the UEFI-20 and 8.8/100 for the UEFI-15. The SPADI score is often presented as a percentage thus the following calculations are performed. 0000002426 00000 n A similar scale is used for upper extremity functional status. This is a quick to administer (usually 5 minutes) questionnaire that starts with the following instruction: We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. eCollection 2023 Jan. Arooj A, Amjad F, Tanveer F, Arslan AU, Ahmad A, Gilani SA. All Rights Reserved. GQAzTeJQwe$Eu/A$J#m@ F6& &mb,YHdN{%E,K+(S msNZ}HbJbz >wUA[@=%8wjJaM A similar scale is used for upper extremity functional status. Chesworth BM et al. %PDF-1.4 % Today, do you or would you have any difficulty at all with: Upper Extremity Functional Scale . your upper limb problem for which you are currently seeking attention. Epub 2012 Aug 30. Fingering: pinching or otherwise working primarily with the fingers (rather than the whole hand or arm as in handling) 2. A second aim was to discuss gender, age and sports differences. Learn more Physical & Occupational Therapy | MSU Health Care Bonett DG, Bernstein IH. As an example, the target-reaching movement of the upper limb, which is a basic functional action of upper limbs in the activities of daily living, was experimentally investigated. The higher the score (ranges from 0 to 58.2) the higher the functional status. usual hobbies/recreational or sporting activities, Laundering clothes (eg, washing, ironing, folding), Pushing up on your hands (eg, from bathtub or chair), Any of your usual work, housework, or school activities, Lifting a bag of groceries to waist level, Carrying a small suitcase with your affected limb. 25 The reliability, validity, . Upper Extremity Functional Scale (UEFS) The UEFS is an 8-item region-specific PROM of UE function. 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. The results have shown that the change detection in the lower-extremity function in LEFS has greater degrees of correlation with external prognosis compared to the physical function subscale of SF-36. THE UPPER EXTREMITY FUNCTIONAL INDEX (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Accessory | Order Of | Plan Art | An | Shamanic And | Requirements. LEFS explained. Today, do you or would you have any difficulty at all with: Activities The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. Pushing up on your hands (eg, from bathtub or chair); 7. What it measures: The UEFS is an 8-item scale that examines a persons level of function when performing activities that are related to Upper Extremity Disorders (UEDs). ( 4 ). The UEFI has also been validated in numerous studies. Today, do you or would you have any difficulty at all with: Cervical SCI: (Marino, Shea, Stineman, 1998) Excellent Test-Retest Reliability for total test (ICC = 0.94) Good agreement of individual items: Weighted kappa coefficient > 0.60 for all but 3 items (reaching forward w/right k = 0.58; manipulating objects w/right k = 0.55; lifting a 5lb object overhead k = 0.57) The DASH is a 30-item self-reported questionnaire in which the response options are presented as 5-point Likert scales. Purpose: Current upper limb regional self-report outcome measures are criticized for poor clinical utility, including length, ease, and time to complete and score, missing responses, and poor psychometric properties. Motor recovery after stroke: A systematic review of the literature. Disability score in points / 80 x 100. Italian Sayings About Love And Life, Phys Ther. An error range of +/- 5 points is sometimes taken with the consideration that the tabulated score is within 5 points of a patient's "true" score. PMID: 23813086; PMCID: PMC3827714. Participants who were unfit for work had worse scores. Chesworth BM, Hamilton CB, Walton DM, et al. Total SPADI score in points /130 x 100. 3) Lin CW, Moseley AM, Refshauge KM, Bundy AC. At the same time, the lack of a score interpretation with specific cut offs seems to encourage assessor subjectivity and less reliability. stream Thus, both APS indices were slave to hedge between impaired and normal arm hang during gait following stroke. 0000000016 00000 n Below the form there is more information on the items in the scale and how its scored. today, in the exemplified activities, difficulties that are caused by the lower limb problem for which they are seeking attention. 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. Creating an account is free and takes less than 1 minute. A similar scale is used for upper extremity functional status. A Rasch-validated version of the upper extremity functional index for interval-level measurement of upper extremity function. By Louise Demers and Johanne Filiatrault. There are no specific cut off points for the impairment severity degree within the 0 to 80 score range of the Upper Extremity Functional Index. Please provide an answer for each activity. KeyPhoto ForNorthfieldYellow BrickRequirementsAssurance. [1] [2] [3] This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale. Careers. lR/~Of0{'RxyU! Title: Microsoft Word - Upper Extremity Functional Scale - Spanish version.doc Author: Cheryl Beloro Created Date: 11/20/2010 4:03:37 PM Please provide an answer for each activity. 2001;53:259-67 . Binkley et al5 developed the Lower Extremity Functional Scale (LEFS) as a patient-reported measure to examine the functional status in the presence of lower extremity musculoskeletal problems. 2014 Jan;95(1):153-62. doi: 10.1016/j.apmr.2013.07.022. Today, do you or would you have any difficulty at all with: The score for each question is chosen as following: In 2007, the UEFI was changed for 2 items. Lifting a bag of groceries to waist level; 4. conditions and all lower-extremity sites.1 It is a functional measure that, can be used by clinicians as a measure of patients initial function, ongoing progress, and outcome as well as to set functional goals.1 It is a self-report condition-specific measure that has been proven to yield reliable and valid measurements. You can also download it, export it or print it out. UPPER EXTREMITY FUNCTIONAL SCALE (UEFS) Patient Name: _____ Date: _____ We are interested in knowing whether you are having any difficulty at all with the activities listed below because of . National Library of Medicine Knee Surg Sports Traumatol Arthrosc. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. FOIA MeSH 0000048358 00000 n They completed the UEFI and the Global Rating of . And customize your dating profile picture. Self Employed Van Driver Uk, Celik D, Atalar AC, Demirhan M, Dirican A. Knee Surg Sports Traumatol Arthrosc. 2006 Jul-Sep;19(3):328-48; quiz 349 (PubMed Abstract) Gabel CP, Michener LA, Melloh M, Burkett B. Spine (Phila Pa 1976); 38(23):2043-8. VO 2 peak (mL/kg/min) = 0.43 x DASI + 9.6. Lin KC, determining if illiteracy is a factor can help in deciding how best to optimize treatment planning and patient outcomes. 5 23 Lifting a bag of groceries above your head; 6. Rasch analysis supports using the UEFI-15 in physical therapist practice to quantify upper extremity function in patients with musculoskeletal disorders of the upper extremity. The Upper Extremity Functional Index (UEFI) is a punch of 20 questions to evaluate the functional impairmentof the upper extremity that is caused by disability and pain. 2) Liang HW, Hou WH, Chang KS. Send upper extremity functional scale pdf via email, link, or fax. Interrater reliability and validity of the action research arm test in stroke patients. LEFS addresses to patients with pain disabilities and disorders affecting one or both lower extremities and is often performed to determine the effectiveness of orthopedic interventions. Rasch analysis of UEFI (or UEFI-15) has only 15 items, as the 5 items are deleted in the following order of most to least misfit: The UEFI-15 items are (Items are arranged most to least difficult, top to bottom): Rasch analysis did not support the validity of the 20-item UEFI. Please answer . Reliability and validity of the Norwegian version of the Disabilities of the Arm, Shoulder and Hand questionnaire in patients with shoulder impingement syndrome. The following instruction needs to be provided before the questionnaire is administered: We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. When referring to upper extremity musculoskeletal impairments, this concerns the shoulder, elbow, wrist and hand areas. Free Online Upper Extremity Function Scale Calculator - OrthoToolKit Upper Extremity Function Scale -- OrthoToolKit About the score Supporting literature About the score developer Upper Extremity Function Scale: 0 / 80 = 0.0 % Graphical Upper Extremity Function Scale: (%) Click here to download a completed PDF report Scores range from 0 (no disability) to 100 (most severe disability). Physiother Can. 2021 Oct 10;18(20):10608. doi: 10.3390/ijerph182010608. 0000010023 00000 n Withhold Issuance of Service of Process Request. X qz>'tqm_]Mq0C The ANOVA was also used to evaluate the limb symmetry index (LSI) differences. 2014; 66(3): 243253. Reliability and validity of the Thai version of the Shoulder Pain and Disability Index (Thai SPADI). Diy Car Bed Platform, Physiotherapy Canada 52 (2001): 259-267. Today, do you or would you have any difficulty at all with: https://www.physio-pedia.com/Upper_Extremity_Functional_Index 53(4): 259-267 S7770320 09/15 Patient Information. Created Date: 01 2 34 01 2 34 [Google Scholar] Okkema KA, C K. Functional Evaluation of Upper Extremity Use following Stroke: A Literature Review. 2019 Nov;38(11):3281-3287. doi: 10.1007/s10067-019-04661-8. 6, e1261-7. lgD3Q0QQQh^zfm09aJ.0LKPVRL03+#]UuH_?tOLpd'l.4LSTL1\4_YIck The activities that are presented in the UEFS are related to ADLs such as opening jars and driving ( 3 ). It is addressed to patients diagnosed with disorders and diseases that affect one or both lower extremities. 3) Chesworth BM, Hamilton CB. Shoulder; outcome measure; questionnaire; reliability; validation. ]^Fd[j'u~VVN8 =@qYh',qQZMI+!ZEV]it^*w8 THE UPPER EXTREMITY FUNCTIONAL INDEX (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. 0000021485 00000 n [1] The original UEFI consists of 20 questions on a 5- point rating scale assessing level of difficulty in performing activities of daily living using the upper extremities including household and work activities, hobbies, lifting a bag of groceries, washing your scalp, pushing up on your hands, driving etc. Reliability and Validity of Two Versions of the Upper Extremity Functional Index, The Upper Limb Functional Index: development and determination of reliability, validity, and responsiveness. Patients respond to each item by circling a number that best describes their level of difficulty. 0000048101 00000 n May not be specific enough with some people. (2014) Reliability and validity of two versions of the upper extremity functional index. There have also been conducted several validation studies. You can find more information about the model and its interpretation in the text below the calculator. The Upper Extremity Functional Index (UEFI) is a punch of 20 questions to evaluate the functional impairment of the upper extremity that is caused by disability and pain. The questionnaire lists 20 activities and the patient gives a score to each based on the difficulty they have completing that activity. The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. The UEFI is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb (shoulder, elbow, wrist or hand). Binkley JM. The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. Lifting a bag of groceries above your head. The answers provide a score between 0 and 80, with lower scores representing more disability. 9W~=;?3W :~'$RRHdP! 2. In a study by Stratford et al[1], comparing Upper Extremity Functional Index (UEFI 20- item) and the Upper Extremity Functional Scale (UEFS), the discriminant cross-sectional validity of the UEFI was found to be 6.65 with p = .003 while the convergent cross-sectional validity coefficient between the UEFI and the UEFS was 0.82. 2001;53: 259-263. This upper extremity functional index (UEFI) calculator evaluates the degree of impairment to day to day life activities like housekeeping due to upper limb disability and pain. % You can further save the PDF or print it. Reliability and validity of two versions of the upper extremity functional index. Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). UPPER EXTREMITY FUNCTIONAL INDEX We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. the upper extremity functional index arvioi heikkenemist, jonka koehenkil kokee kohtaavansa suorittaessaan 20 erilaista pivittist toimintaa. It comprises of a list of 20 everyday tasks and is used by clinicians as a measure of functional status and in setting goals and monitoring progress in different conditions. The overall score ranges between 0, most severe limitation to 80, least limitation. Epub 2019 Jul 3. Today, do you or would you have any difficulty at all with: By Charles Philip Gabel. every question, based on your condition within the last week by marking the appropriate answer. Today, do you or would you have any difficulty at all with: Please provide only ONE answer for EACH activity. Affirmations About Control, 2014 RocketApp Solutions | Designed by jim hines obituary quincy, ma, wandsworth council environmental health contact number, pathfinder: kingmaker printing press decision, How To Get A Certified Copy Of Marriage Certificate, How To Fade A Background Picture In Google Slides, Quest Aptima Urine Specimen Collection Kit. The range of lower limbs conditions the self report questionnaire addresses includes musculoskeletal disorders, hip, knee or ankle pain as well as foot injuries. Please provide an answer for each activity. It is addressed to patients diagnosed with disorders and diseases that affect one or both lower extremities. Background: Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). SB$a% [H 909H3.JfC?TlI$suT>2$SGe4e5&q22WRb9Gap&j7O^1'gs8a 6g-N O@Wqrr:@2v-v#fy($L%kT}"m \wb'f`M%D^#a{P1$068uhv v}!-Ywe "_'[KJu9tF H!2=[))/qJ Yhh@-#e5 `h\p-..A4 7)",%vWz)'3=LZtm3]Dcz.ZC&)P[C,kG&%q(Oc8&SJ57}sN+bCiu&fo_!:. upper extremity functional index evaluates the impairment the subject perceives they encounter when performing 20 types of activities of daily living. MSU Health Care Physical & Occupational Therapy is a high-energy, dynamic clinic that includes physical therapy, occupational therapy, and Lymphedema Services. ;*0VH'I`\"e``bd A2e9kt9%SGS eX Bookshelf Sports Card Shows Massachusetts 2022, Today, do you or would you have any difficulty at all with: Today, do you or would you have any difficulty at all with:. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. Preparing food (eg, peeling, cutting); 17. sharing sensitive information, make sure youre on a federal Methods: Global rating of change was assessed at the final visit. The patient is required to score each one of the actions above based on the difficulty met while trying to perform it. Possible range on the UEFI 20-item from 0 80 with 0 indicating lowest functional status and 80 indicating highest functional status. HWr7}WZ_ql%Y'Ee%Q6PRm`f0ajf4rNgp^j8uw}> Get in touch with MDApp by using the following contact details: 2017 - 2023 MDApp. This score was designed be useful in patients with any musculoskeletal disorder of the upper limb. Each of the 20 items in this lower extremity functional scale calculator has the same functional scale attached to it: Extreme difficulty or unable to perform activity (0 points); The main instruction in using the questionnaire is that the subject needs to rate any difficulties they might have on a normal day, i.e. Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients following stroke: a research overview and meta-analysis. l7A]&3h}.4:'DhZ3 Name: Date: Injury: Left Right UPPER EXTREMITY FUNCTIONAL INDEX Please Complete:We are interested in knowing whether you are having difficulty at all with the activities listed below because of your upper limb problemfor which you are currently seeking attention.Please provide an answer for each activity. The Upper Extremity Functional Index (UEFI) is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction. However, the UEFI-15 item is scored 0-59 and converted to give an interval level total score 0-100 with 0 indicating worst state and 100 best state. Liebenson C. (2007) Rehabilitation of the spine: A practitioners manual. Gabel CP, Michener LA, Burkett B, Neller A. The maximum score obtainable is 80 points which signifies complete function and the lowest score is 0 which indicates very low function. Health Qual Life Outcomes. Background: Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. 2014 Summer;66(3):243-53. doi: 10.3138/ptc.2013-45. THE UPPER EXTREMITY FUNCTIONAL INDEX (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention.