MFA & SMFA Resources

The following documents are available in multiple formats. Please contact our coordinator, Julie Agel, with questions.

Musculoskeletal Function Assessment (MFA)

Document 1: MFA Survey, Version L1.2

Cover page: Word / PDF 
Questionnaire: Word / PDF
Questionnaire - last page: Word / PDF
MFA Normative Data: Word / PDF

Document 2: MFA Coding Key Manual, Version L1.2

Cover page: Word / PDF
Coding key manual for MFA: Word / PDF

Document 3: MFA Administration, Coding and Scoring Instructions

Cover page: Word / PDF

Coding/scoring instructions: Word / PDF

Document 4: Sample Coding and Scoring Programs

Cover page: Word / PDF

Programs for calculating MFA scores:

Pre-Injury MFA (Baseline Version)

Cover page: PDF
Questionnaire: Word/ PDF

Normative Data 

MFA Normative Table: Word / PDF
SMFA Normative Data: Word
Project Summary Form: PDF

Short Musculoskeletal Function Assessment (SMFA)

The SMFA is a free-for-use questionnaire. We've also provided a permission statement for your institution, if you need it.

Language translation

Recommendations for the Cross-Cultural Adaptation of Health Status Measures 

Danish contact:

Marianne Lindahl, PT, MPH
Assistant Professor: Physiotherapy Education
Center of Nutrition and Rehabilitation, University College Sjælland  
Parkvej 190, 4700 Naestved, Denmark 


French contact: 

Edward J. Harvey, MDCM FRCSS, Hand and Microvascular/Trauma
Medical Director: Fracture/Bone Metabolism
Jo Miller Research Laboratories, McGill University 
Montreal, Quebec H3G 1A4

German contact: 

Dr. S. Kirschner
Orthopädische Klinik König-Ludwig Haus, Julius Maximillian Universität
Brettreichstr. 11, 97074 Würzburg, Germany

Swedish contact:

Sari Ponzer, MD, PhD
Department of Orthopaedics, Stockholm Söder Hospital
Karolinska Institutet
S - 118 83 Stockholm, Sweden

Turkish contact: 

Dr. Bedri Karaismailoglu
Istanbul University, Cerrahpasa Medical Faculty
Department of Orthopaedics and Traumatology
Koca Mustafa Pasa Cad. 53, 34098 Istanbul, Turkey


Lindahl M, Andersen S, Joergensen A, Frandsen C, Jensen L, Benedikz E. Cross-cultural adaptation and validation of the Danish version of the Short Musculoskeletal Function Assessment questionnaire (SMFA). Qual Life Res. 2017. doi10.1007/s11136-017-1643-0.

Kreder HJ, Agel J, McKee MD, Schemitsch EH, Stephen D, Hanel DP. A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: Closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires. J. Orthop. Trauma 20(2):115-121, 2006.

Kreder HJ, Hanel DP, Agel J, McKee M, Schemitsch EH, Trumble TE, Stephen D. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: A randomized, controlled trial. J. Bone Joint Surg. (Br) 87-B:829-36, 2005.

Swiontkowski MF, Engelberg R, Martin DP, Agel J: Short musculoskeletal function assessment questionnaire: validity, reliability, and responsiveness. J. Bone Joint Surg. [Am] 81:1245-1260, 1999.

Engelberg R, Martin DP, Agel J, Swiontkowski M: Musculoskeletal function assessment: reference values for patient and non-patient samples. J. Orthop. Res. 17:101-109, 1999.

Engelberg R, Martin DP, Agel J, Obremsky W, Coronado G, Swiontkowski MF: Musculoskeletal function assessment instrument: criterion and construct validity. J. Orthop. Res. 14:182-192, 1996.

Martin DP, Engelberg R, Agel J, Snapp D, Swiontkowski MF: Development of a musculoskeletal extremity health instrument: the musculoskeletal function assessment instrument. J. Orthop. Res. 14:173-181, 1996.