Independently completing activities using the affected leg

Home > Your consultation > Independently completing activities using the affected leg

In each panel please select/click on the amount of difficulty that you or your carer/caregiver have experienced in doing the activity, over the last 7 days.

Advice for completing the assessment
Left leg
Right leg

This assessment helps you evaluate how you use your affected leg or legs in everyday activities.

Each question relates to a specific task and asks you to rate the level of difficulty experienced when performing that activity.

Part 1 asks about using your affected leg(s) — either by yourself, with the help of your unaffected leg, by a carer/caregiver, or through a combination of your own effort and assistance from a carer/caregiver.
The section does not ask about caring for your affected leg(s) in order to complete the tasks.
Be as accurate as possible. Consider how the activity feels most of the time, rather than on a particularly good or bad day.
Base your answers on your usual performance, not on what you think you could do with help.
Select one option per activity — from No difficulty to Unable to do activity.
There are no right or wrong answers. The purpose is to identify areas that may benefit from treatment and to track progress over time.
If you are unsure how to rate a task, think about how much extra time, effort, or assistance is needed compared to before your leg difficulty began.
Once all items have been rated, a total score will be automatically generated. This score helps guide the next stage of treatment planning.

After completing the assessment, you will move on to Part 2 – Treatment Planning, where you can set goals and select potential interventions based on the assessment results.

To begin:

Click on the relevant tab – Left Leg or Right Leg – to complete the assessment for each leg separately.

Left leg

Part 1 | Assessment

1. Turning in bed

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

2. Moving from lying to sitting

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

3. Being able to sit

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

4. Transferring from bed to chair or wheelchair

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

5. Transferring from wheelchair to car

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

6. Moving from sitting to standin

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

7. Standing

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

8. Walking indoors

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

9. Turning around

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

10. Walking up stairs

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

11. Walking around obstacles or objects

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Including balance

12. Walking over carpet

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

13. Walking outdoors

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

14. Walking over rough or uneven ground outdoors

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

15. Walking for half a mile or more

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Email Address*

Total assessment score:

Progress to treatment planning

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Items 1 and 2

Consider from the potential goal categories below what your goals for intervention might be:

Select as many as appropriate:

Active function

Passive Function

Pain

Associated Reaction

Contracture Prevention

Active Function treatment goal options

To be able to turn over in bed from right side (lying) to lying on your back (supine) in 12 weeks.
To be able to move from lying in bed to sitting on the edge of the bed in 12 weeks.
To be able to turn in bed from supine to side lying and remove a T-roll (or other positioning aid) to allow the change in posture.

Passive Function

To decrease the difficulty of you cleaning your perineum (between your legs) from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
To decrease the difficulty of a carer cleaning your perineum (between your legs) from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks

Pain

Reduce hip pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
To reduce stiffness-related pain in the hip from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during washing.
Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your leg during transferring from bed to chair to decrease difficulty when walking (or transferring) from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

Maintain current range of movement in the right hip at -20 degrees from full extension for 4 months.

What physical treatments should be considered for this person?

Preparatory stretch

Strengthening exercises

Functional task practice

Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities’

Positioning

Splinting

Preparatory stretch

Active or Active Assisted (dependent on motor control ability) exercise to prepare for practice of functional tasks (turning in bed or into sitting):

Supported part-practice turning in bed
Supported part-practice moving from lying to sitting.
Supported part-practice moving from sitting to lying.

	1. Supported practice turning in bed
	2. Supported practice moving from lying to sitting
	3. Supported practice moving from sitting to lying

Set a dose or amount of stretch

Strengthening exercises

Bridging in bed in the supine position
Straight leg raises with or without weight and/or resistance

	1. Bridging in bed
	2. Straight leg raises in bed

Set a dose or amount of stretch

Functional task practice

Supported practice turning in bed
Turning (rolling) over in bed
Supported practice moving from lying to sitting.
Supported practice moving from sitting to lying.

	1. Turning in bed
	2. Moving to sit on the edge of the bed

Set a dose or amount of stretch

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time of a specific task or exercise.

Provide advice for the incorporation of ‘Functional Task Practice’ into ‘everyday activities'

Moving from lying to sitting on the edge of the bed
Turning (rolling) over in bed

	1. Moving from lying to sitting on the edge of the bed
	*2. Turning (rolling) over in bed*

Set a dose or amount of stretch

Dose is critical to any motor re-learning, aim for multiple times over a 24-hour period, with repetitions of over 100 each time if a specific task or exercise.

Positioning

Consistent positioning programme of legs and hips in bed using a ‘profiling’ bed or bed positioning aids.

Consistent positioning programme of legs and hips in wheelchair using wheelchair proscription/provision.

Consistent positioning during transfer using a hoist from bed to wheelchair.

	1. Positioning foot on wheelchair footplate
	1. Positioning foot on wheelchair footplate
	*2. Resting splint application in bed*
	*3. Resting splint application in a wheelchair*

Consistent positioning programme of legs and hips in bed using a ‘profiling’ bed or bed positioning aids.

Set a dose or amount of stretch

Consistent positioning programme of legs and hips in wheelchair using wheelchair proscription/provision.

Set a dose or amount of stretch

Consistent positioning during transfer using a hoist from bed to wheelchair.

Set a dose or amount of stretch

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Consider exercise functional splint provision, such as ankle-foot orthosis for mobility, transfers and walking.

	1. Resting splint in extension/resting position foot and ankle
	*2. Resting splint application in bed*
	*3. Resting splint application in a wheelchair*

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consider exercise functional splint provision, such as ankle-foot orthosis for mobility, transfers and walking.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Additional advice and information to support treatment