The purposes of our study were 1 to evaluate the validity of the ucla activity scale, the tegner score, and the activity rating scale ars in patients undergoing tja by correlating these scales with the international physical activity questionnaire ipaq and different traditional outcome measures. Lysholm score and tegner activity level in individuals with. The tegner activity scale was first described in 1985 and initially designed for physician administration after acl and meniscal injuries. Marked on or after walking more than 2 km, occasionally in daily activities. It was developed to complement the lysholm scale after it was observed that that limitations in function scores in lysholm scale may be masked by a decrease in activity level. The main advantage of the activity scale is not to compare different patients, but to note changes in activity level in the same person at different times. We used the cox proportional hazard regression model to analyze time to event. Related content second opinions and online consultations with knee surgeons. Physiopedia is not a substitute for professional advice or expert medical services from a.
Tegner activity level scale please indicate in the spaces below the highest level of activity that you participated in before your injury and the highest level you are able to participate in currently. For item 2, which is related to the frequency of pain. What is the highest level of activity that you can perform without significant knee pain. Please check the statement which best describes your condition. The ikdc was formed in 1987 to develop a standardized international documentation system for knee conditions. A score of 95 to 100 is considered to be excellent, 84 to 94 is good, 65 to 83 is fair, and tegner activity scale is a numerical scale ranging from an activity level of 0 sick leave or disability pension due to knee problems to 10 competitive sports on a very high level. Pain 0500 pts, stiffness 0200 pts, function 0 1700 pts composite scores can be converted to 0100 scale 0 best recall period. The tegner scale was introduced in 1985 as a mean to evaluate patients level of activity handicap and to prognosticate the level of activity the patient might be able to return to after surgery. Lysholm knee scoring scale this questionnaire is designed to give your physical therapist information as to how your knee problems have affected your ability to manage in everyday life please answer every section and mark only the one box which best applies to you at this moment. Ikdc subjective knee form and marx activity rating scale.
The tegner activity scale was designed as a score of activity level to complement other functional scores eg the lysholm knee score for patients with ligamentous injuries. Limitations in knee function can be masked by a low activity grade. The content on or accessible through physiopedia is for informational purposes only. Sometimes participates in mild activities, such as walking, limited housework and limited shopping. The lysholm knee scoring scale has an extended use beyond evaluating outcomes of knee ligament surgery. Wholly inactive, dependent on others, and can not leave residence 2. Ikdc subjective knee form and marx activity rating scale are suitable to evaluate all orthopaedic sports medicine knee conditions. Check one box that best describes current activity level. Ikdc subjective knee form and marx activity rating scale are.
Rating systems in the evaluation of knee ligament injuries. Lysholm knee questionnaire tegner activity scale a none b slight or periodical c severe and constant. Competitive sports make up the top three levels levels 108, competitive and recreational. The 5 subscales are independent and are meant to be reported separately.
The tegner score is a scoring system to gauge how disabled one is from ones knee problem in terms of activity. The tegner activitylevel scale 1 is a scale of physical sports and professional activities. Mostly inactive or restricted to minimum activities of daily living 3. These data acquired from a normal, healthy population provide a standard point of reference for the injured or postsurgical knee. Lysholm knee scoring scale this questionnaire is designed to give your physical therapist information as to how your knee problems have affected your ability to manage in everyday life please answer every section and mark only the one box which best applies to.
The use of the tegner activity scale for articular cartilage repair of the knee. The tegner activity level scale 1 is a scale of physical sports and professional activities. Psychometric properties were based on data provided in tables 1 and 2, and interpreted using standardized guidelines. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. The reliability, validity, and responsiveness of the lysholm. All patients were treated for an anterior cruciate ligament tear. Tegner activity level scale is a scale that aims to provide a standardized method of grading work and sporting activities. The mars was developed and published in 2001 as an alternative activity rating scale to the other most commonly used activity rating scale at the time, the tegner activity score. Excellent 2year results n 57 showed improvement of knee function as assessed by the lysholm score from an average of 50 to 85 points and pain reduction from 6. The combination of the two offers the temporal responsiveness component of the evaluation. Pdf the use of the tegner activity scale for articular. Below are common complaints which people frequently have with their knee problems. Which is the best activity rating scale for patients.
The ikdc standard knee evaluation form, which was designed for knee ligament injuries, was subsequently published in 1993 and revised in 1994. Swiss medical weekly function and activity in patients. Summary of clinical outcome measures for sportsrelated. The use of the tegner activity scale for articular cartilage. Internal consistency was considered adequate if cronbachs alpha was at least 0. Lysholm score and tegner activity scale finding assessment scale.
A score of 95 to 100 is considered to be excellent, 84 to 94 is good, 65 to 83 is fair, and tegner activity scale. There was no significant difference in the lysholm score between men and women. Lysholm knee scoring system patientreported outcome measure. Any subject reporting a history of injury or surgery was excluded from the study. Activity score, tegner, tegner activity level, tegner activity score method of evaluating knee function following knee injury, treatment, and rehabilitation. The score should be regarded in relation to the activity level. A subjective questionnaire that included both the lysholm score and tegner activity grading scale was completed by 488 subjects in the community who considered their knee function normal. Lysholm score and tegner activity level in individuals. Competitive sports make up the top three levels levels 108, competitive and recreational sports categories both appear in level 7, and other recreational sports make up level 6 table 432. It evalu ates the patients level of work and sports activity on an 11level scale, with higher. The ikdc subjective knee evaluation form was developed as a revision of the standard knee evaluation. The tegner activity scale is a 1item instrument that assesses activity levels for sports competitive or recreational soccer, basketball, handball, etc and occupational activities light or. The activity level was determined in 11 different grades with an activity rating scale tegner et al. On this scale an elite soccer player is rated in activity level 10.
It can also be used for meniscal tears, knee cartilage lesions, osteochondritis dissecans, traumatic knee dislocation, patellar instability, patellofemoral pain, and knee osteoarthritis 2. The tegner scale is basically a form that lists the level of activity that you want to be at. Tegner activity score an overview sciencedirect topics. Tegner and lysholm 42 developed one of the first rating scales to quantify activity levels in patients with anterior cruciate ligament acl ruptures table 431.
Pdf the reliability, validity, and responsiveness of the. The tegner activity scale tas was developed in 1984 and has been widely used in studies on knee populations. The tegner activity scale is a 1item in strument that assesses activity levels for sports competitive or recreational soccer, basketball, handball, etc and occupation al activities light or heavy labor. Reliability, validity, and responsiveness of the lysholm knee score and tegner activity scale for patients with meniscal injury of the knee. Yelverton tegner, jack lysholm, jan gillquist birgitta berg. After 3 years n 28, the mean lysholm score improved from 56. The lysholm score and tegner activity scale are commonly used to document outcomes after arthroscopic knee surgery. The tegner activity scale classifies both sports and work activities into one questionnaire using an 11level gradient. For responsiveness, the lysholm score n 1075 and tegner activity level n 505 were measured preoperatively and 6, 9, 12, and 24 months postoperatively. Free online tegner lysholm knee scoring scale calculator. Clinicians name or ref patients name or ref this questionnaire has been designed to give your therapist information as to how your knee pain has affected your ability to manage in everyday life. Demonstrates hypothesized relationships to other similar measures and to. Frequently during athletics or other severe exertion or incapable of participation.
Tegner lysholm knee scoring scale orthopaedic scores. The tegner activity scale had moderate correlations with both the ikdc r 0. The reliability, validity, and responsiveness of the lysholm score and tegner activity scale for anterior cruciate ligament injuries of the knee. Summary of clinical outcome measures for sportsrelated knee. Hypothesis the lysholm and tegner scores are valid as patientadministered scores and responsive at early time points after treatment of anterior cruciate ligament tears. It was developed to complement the lysholm scale after it was observed that that limitations in function scores in lysholm scale may be masked by a. In some clinical settings, the lysholm knee scale is accompanied by the application of the tegner scale.