Transcription of Lysholm Knee Questionnaire / Tegner Activity Scale
1 1. Limp: 2. Support: 3. Locking: 5. Pain:6. Swelling: Lysholm knee Questionnaire / Tegner Activity Scalea) Noneb) Slight or periodicalc) Severe and constanta) Noneb) Stick or crutchc) Weight-bearing impossiblea) No locking and no catching sensationsb) Catching sensation but no lockingc) Locking occasionallyd) Locking frequentlye) Locked joint on examinationa) Noneb) Inconstant and slight during severe exertionc) Marked during severe exertiond) Marked on or after walking more than 2 kme) Marked on or after walking less than 2 kmf) Constanta) Noneb) On severe exertionc) On ordinary exertiond) ConstantFirstDate:Name: LastPhysician:4. Instability: a) No problemsb) Slightly impairedc) One step at a timed) Impossiblea) No problemsb) Slightly impairedc) Not beyond 90 d) Impossiblea) Never giving wayb) Rarely during athletics or other severe exertionc) Frequently during athletics or other severe exertion (or incapable of participation) d) Occasionally in daily activitiese) Often in daily activitiesf) Every step7.
2 Stair-climbing:8. Squatting: Activity Level Before InjuryCurrent Activity LevelActivity Level Following Surgery if applicableCompetitive sports Soccer - national and international eliteCompetitive sports Soccer, lower divisions Ice hockey Wrestling GymnasticsCompetitive sports Bandy Squash or badminton Athletics (jumping, etc.) Downhill skiingCompetitive sports Tennis Athletics (running) Motorcross, speedway Handball Basketball Recreational sports Soccer Bandy and ice hockey Squash Athletics (jumping) Cross-country track findings both recreational and competitiveRecreational sports Tennis and badminton Handball Basketball Downhill skiing Jogging, at least five times per weekWork Heavy labor ( , building, forestry) Competitive sports Cycling Cross-country skiing Recreational sports Jogging on uneven ground at least twice weeklyWork Moderately heavy labor ( , truck driving, heavy domestic work) Recreational sports Cycling Cross-country skiing Jogging on even ground at least twice weeklyWork Light labor ( , nursing)
3 Competitive and recreational sports Swimming Walking in forest possibleWork Light labor Walking on uneven ground possible but impossible to walk in forestWork Sedentary work Walking on even ground possibleSick leave or disability pension because of knee problemsLysholm Score: Tegner .
