Patient-Specific Functional Scale

The Patient-Specific Functional Scale (PSFS) is a unique, individualized outcome instrument that captures patient-identified functional limitations and tracks change in those specific activities. Developed by Stratford and colleagues in 1995 and published in Physiotherapy Canada, the PSFS revolutionized patient-centered assessment by allowing each patient to identify and rate the three to five activities most important to them, rather than answering predetermined questions. This approach ensures relevance and maximizes the instrument's sensitivity to clinically meaningful change in patient-valued outcomes.