MFA & SMFA Resources

The Department of Orthopedic Surgery's research team provides project specific resources to collaborators both locally and across the globe. If you have any additional questions or project specific needs, please reach out to Joan Bechtold.

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

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

Document 3: MFA Administration, Coding and Scoring Instructions

Document 4: Sample Coding and Scoring Programs

Programs for calculating MFA scores:

Pre-Injury MFA (Baseline Version)

Normative Data

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.

  • Cover page: PDF
  • Dysfunction index: PDF
  • Bother index: PDF
  • Scoring instructions: PDF
  • Category descriptions: Excel / PDF

Language Translation

Recommendations for the Cross-Cultural Adaptation of Health Status Measures 

  • Danish
  • French
  • German
  • Swedish
  • Turkish


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. doi: 10.1007/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.