Purpose
The PFS is a patient rated scale that reflects the physical aspects of fatigue in patients with Parkinson¡¯s Disease (PD) and measures both the presence of fatigue and its impact on daily function.
Acronym
PFS-16
Area of Assessment
Activities of Daily Living
Assessment Type
Patient Reported Outcomes
Administration Mode
Paper & Pencil
Cost
Free
Actual Cost
$0.00
Diagnosis/Conditions
- Parkinson's Disease & Movement Disorders
- The PFS is a 16-item patient rated scale. Seven items tap the presence or absence of the subjective experience of fatigue with an emphasis on the physical effects of fatigue, (e.g. ¡°I feel totally drained¡±) and nine items address the impact of fatigue on daily functioning and activities, including socialization and work but not exercise specifically (e.g. ¡°I get more tired than other people I know¡±).
- Neither severity nor frequency of fatigue symptoms is specifically measured.
- The scale is designed to exclude the cognitive and emotional features of fatigue.
- Ratings are based on feelings and experiences over the prior 2 weeks.
- Scoring options range from 1 (¡°strongly disagree¡±) to 5 (¡°strongly agree¡±).
- There are 3 scoring options:
1) A total PFS score, the average item score across all 16 items ranging from 1-5.
2) A binary scoring method yields scores from 0-16 with positive scores for each item generated by ¡°agree,¡± and ¡°strongly agree,¡± responses.
3) A total ordinal PFS score ranging from 16-80 based on the sum of scores for the 16 individual items. This ordinal scale has been validated and is used more often.
Required Training
No Training
Instrument Reviewers
Initially reviewed by Alicia Esposito, PT, DPT, NCS.
ICF Domain
Body Function
Activity
Participation
Measurement Domain
Activities of Daily Living
Professional Association Recommendation
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association¡¯s Multiple Sclerosis Taskforce (MSEDGE), Parkinson¡¯s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (VEDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
Abbreviations:
|
HR
|
Highly Recommend
|
R
|
Recommend
|
LS / UR
|
Reasonable to use, but limited study in target group / Unable to Recommend
|
NR
|
Not Recommended
|
Recommendations Based on Parkinson Disease Hoehn and Yahr stage:
|
I
|
II
|
III
|
IV
|
V
|
PD EDGE
|
R
|
R
|
R
|
R
|
R
|
Recommendations for entry-level physical therapy education and use in research:
|
Students should learn to administer this tool? (Y/N)
|
Students should be exposed to tool? (Y/N)
|
Appropriate for use in intervention research studies? (Y/N)
|
Is additional research warranted for this tool (Y/N)
|
PD EDGE
|
No
|
Yes
|
Yes
|
Not reported
|
Considerations
Whether the PFS provides an advantage over generic fatigue scales is unclear. Because fatigue is multidimensional with physical emotional, cognitive and social features, the PFS may not adequately reflect clinically significant non-physical aspects of fatigue.
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