The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .
The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network.
BACKGROUND AND PURPOSE The purpose of this study was to assess the reliability , construct validity , and sensitivity to change of the Lower Extremity Functional Scale ( LEFS ) . SUBJECTS AND METHODS The LEFS was administered to 107 patients with lower-extremity musculoskeletal dysfunction referred to 12 outpatient physical therapy clinics . METHODS The LEFS was administered during the initial assessment , 24 to 48 hours following the initial assessment , and then at weekly intervals for 4 weeks . The SF-36 ( acute version ) was administered during the initial assessment and at weekly intervals . A type 2,1 intraclass correlation coefficient was used to estimate test-retest reliability . Pearson correlations and one-way analyses of variance were used to examine construct validity . Spearman rank-order correlation coefficients were used to examine the relationship between an independent prognostic rating of change for each patient and change in the LEFS and SF-36 scores . RESULTS Test-retest reliability of the LEFS scores was excellent ( R = .94 [ 95 % lower limit confidence interval ( CI ) = .89 ] ) . Correlations between the LEFS and the SF-36 physical function subscale and physical component score were r=.80 ( 95 % lower limit CI = .73 ) and r = .64 ( 95 % lower limit CI = .54 ) , respectively . There was a higher correlation between the prognostic rating of change and the LEFS than between the prognostic rating of change and the SF-36 physical function score . The potential error associated with a score on the LEFS at a given point in time is + /-5.3 scale points ( 90 % CI ) , the minimal detectable change is 9 scale points ( 90 % CI ) , and the minimal clinical ly important difference is 9 scale points ( 90 % CI ) . CONCLUSION AND DISCUSSION The LEFS is reliable , and construct validity was supported by comparison with the SF-36 . The sensitivity to change of the LEFS was superior to that of the SF-36 in this population . The LEFS is efficient to administer and score and is applicable for research purpose s and clinical decision making for individual patients
The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .