Evidence map›Paper›PMID 28350206›Full record

ArticleActa orthopaedica2017

Normative data for the lower extremity functional scale (LEFS).

Siem A Dingemans, Suzanne C Kleipool, Marjolein A M Mulders, Jasper Winkelhagen, Niels W L Schep, J Carel Goslings, Tim Schepers

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06827574 (Comparative Effects of Sciatic Nerve Flossing and Active Release Technique on Pain, Flexibility and Functionality in Lower Limbs Among Cyclists With Sciatica), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06827574 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Comparative Effects of Sciatic Nerve Flossing and Active Release Technique on Pain, Flexibility and Functionality in Lower Limbs Among Cyclists With Sciatica

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled32ConditionsCyclists, SciaticaArmsSciatic nerve flossing technique, Active Release Technique
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Lower limb post-traumatic osteomyelitis: a systematic review of clinical outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Pooled it
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  5. Nailing approach and residual fracture gap: A comparative study of antegrade versus retrograde fixation in distal femoral shaft fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
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  14. Comparison of Patient-Reported Outcomes after Local Flap Coverage versus Amputation for Complex Lower Extremity Trauma.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2024
    Article
  15. [Gluteal tendinitis and primary coxarthrosis may lead to iliotibial band syndrome: a Mendelian randomization study].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Siem A Dingemansa Trauma Unit , Academic Medical Center , Amsterdam.
Suzanne C Kleipoola Trauma Unit , Academic Medical Center , Amsterdam.
Marjolein A M Muldersa Trauma Unit , Academic Medical Center , Amsterdam.
Jasper Winkelhagenb Department of Surgery , Westfriesgasthuis , Hoorn.
Niels W L Schepc Department of Surgery , Maasstad ziekenhuis , Rotterdam , the Netherlands .
J Carel Goslingsa Trauma Unit , Academic Medical Center , Amsterdam.
Tim Schepersa Trauma Unit , Academic Medical Center , Amsterdam.
Academic Medical Center · NLWestfriesgasthuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - The lower extremity functional scale (LEFS) is a well-known and validated instrument for measurement of lower extremity function. The LEFS was developed in a group of patients with various musculoskeletal disorders, and no reference data for the healthy population are available. Here we provide normative data for the LEFS. Methods - Healthy visitors and staff at 4 hospitals were requested to participate. A minimum of 250 volunteers had to be included at each hospital. Participants were excluded if they had undergone lower extremity surgery within 1 year of filling out the questionnaire, or were scheduled for lower extremity surgery. Normative values for the LEFS for the population as a whole were calculated. Furthermore, the influence of sex, age, type of employment, socioeconomic status, and history of lower extremity surgery on the LEFS were investigated. Results - 1,014 individuals fulfilled the inclusion criteria and were included in the study. The median score for the LEFS for the whole population was 77 (out of a maximum of 80). Men and women had similar median scores (78 and 76, respectively), and younger individuals had better scores. Participants who were unfit for work had worse scores. There were no statistically significant correlations between socioeconomic status and type of employment on the one hand and LEFS score on the other. A history of lower extremity surgery was associated with a lower LEFS score. Interpretation - High scores were observed for the LEFS throughout the whole population, although they did decrease with age. Men had a slightly higher score than women. There was no statistically significant correlation between socioeconomic status and LEFS score, but people who were unfit for work had a significantly worse LEFS score.

Indexed as

Disability EvaluationActivities of Daily LivingAdolescentAdultAgedAged, 80 and overAge FactorsFemaleHumansLegMaleMiddle AgedReference ValuesSex FactorsYoung Adult

Identifiers

PMID28350206
PMCPMC5499335
OpenAlexW2601272857

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.