Construct and criterion validity of the Malay Language of Lower Extremity Functional Scale (LEFS)

Objective: The objective of this study is to translate the Lower Extremity Functional Scale (LEFS) into the Malay language and to validate the resulting version. Methods: A two-stage observational study was conducted. The LEFS was initially cross-culturally adapted to Malay language through doub...

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Bibliographic Details
Main Authors: Mohd Yunus, Muhammad Ariff, Musa, Ramli, Nazri, Mohd Yusof
Format: Article
Language:English
English
Published: Elsevier (Singapore) Pte Ltd 2017
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Online Access:http://irep.iium.edu.my/58650/1/79.%20Ariff%20LLES.pdf
http://irep.iium.edu.my/58650/7/Construct%20and%20criterion%20validity%20of%20the%20Malaysia%20version%20of%20Lower%20Extremity%20Functional%20Scale%20%28LEFS%29.pdf
http://irep.iium.edu.my/58650/
http://www.sciencedirect.com/science/article/pii/S2214687317303230
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Summary:Objective: The objective of this study is to translate the Lower Extremity Functional Scale (LEFS) into the Malay language and to validate the resulting version. Methods: A two-stage observational study was conducted. The LEFS was initially cross-culturally adapted to Malay language through double forward and backward translation. The finalized version of Malay LEFS (M-LEFS) was subsequently validated for both construct validity and criterion validity. Participants (n = 208) with normal lower limb condition and various lower limb conditions completed the M-LEFS. Results: Reliability of M-LEFS revealed excellent Cronbach’s alpha value of 0.98. Construct validity, evaluated using exploratory factor analysis, exhibited good factor loadings (>0.6) of all 20 items. Interestingly, we extracted 2 components which was not reported elsewhere. With a cut-off point of 60, the sensitivity of the scale was 99% and the specificity was 81%. Conclusions: The M-LEFS had very good psychometric properties among the studied population. Further studies are needed to enhance these preliminary outcomes in Malaysia.