Specific questionnaire for knee symptoms the lysholm. To generate a cross culturally adapted translation of the lysholm knee score and to. The patients with knee considered normal did not obtain the maximum score in the assessment by the modified lysholm protocol. The overall lysholm score can be between 0 and 100.
The lysholm knee score, first introduced into the medical community in 1982 21 and modified in 1985 42 table 433, remains one of the most frequently used assessment tools for the results of acl reconstruction even though it only measures activities of daily living adls. 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. The overall ikdc score demonstrated good to excellent results in 90. Tegner activity score an overview sciencedirect topics. Below are common complaints which people frequently have with their knee problems. Correlation between single assessment numerical evaluation. The lysholm knee scale satisfies rasch model expectations after removal of the swelling item. Grade symptoms at the highest activity level at which you think you could function without significant symptoms, even if you are not actually performing activities at this level. The adls demonstrated high testretest reliability in 52 subjects with knee pathology. Special surgery knee score hssks5, the first specific method used for assessing knee ligament injuries. Similarly, for item 3, the responses are reversedscored such that worst pain imaginable is assigned a score of 0 and no pain is assigned a score of 10.
Translation and validation of three commonly used knee scores to arabic language. Please check only the most accurate statement in each section which best describes your condition. Oxford knee score department of public health, university of oxford, old road campus, oxford ox3 7lf, uk. The free information and calculation service, designed for orthopaedic surgeons, physicians, physical therapists, osteopaths, chiropractors and patients. The reliability, validity, and responsiveness of the lysholm score and tegner activity scale for anterior cruciate ligament injuries of the knee. Although the womac can be applied to the hip and knee, this. Knee injury and osteoarthritis outcome score koos this guide is intended to serve as an introduction for clinicians and researchers wishing to use the koos. Do you have any locking or catching sensations with your knee. Different scores are more useful at different stages post ligament reconstruction. Introduction questionnaires are important tools in orthopedic surgery in order to evaluate the impact of any surgical procedure on patients daily life 1,2. Md, ayman mustapha md, mohammad aljazzazi md, muhannad odat md, malek ghnaimat md. Tegner and lyshom showed that activity grading is a valuable complement to functional scoring of the 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 you at this moment. The lysholm score is a 100point scoring system for examining a patients kneespecific symptoms including mechanical locking, instability, pain, swelling, stair.
The lysholm scale is a well validated functional score designed for knee ligament injuries but has also been validated for other knee injuries. International knee documentation committee ikdc subjective knee evaluation form, knee injury and osteoarthritis outcome score koos, knee injury and osteoarthritis outcome score physical function short form koosps, knee outcome survey activities of daily living scale kosadl, lysholm knee scoring scale, oxford knee score oks, western ontario and mcmaster universities osteoarthritis. There was no significant difference in the lysholm score between men and women. The lysholm scale currently consists of eight items that measure. Functional rating scales may have to be modified for articular cartilage repair. Lysholm score and tegner activity level in individuals. For item 2, which is related to the frequency of pain over the past 4 weeks, the responses are reversescored such that constant is assigned a score. A study for testing the sensitivity and reliability of the. In the original scoring instructions for the ikdc subjective knee form, missing values are replaced by the average score of the items that have been answered. Lysholm score and tegner activity level in individuals with.
Entirely confidential, no personal details required. A common terminology and an evaluation form were created. With that in mind, the lysholm knee score is one of the most utilized scoring systems for acl injuries and chondral defects. Knee outcome survey activities of daily living scale. This health tool assesses the success of knee ligament surgery based on 8 items of knee movement and symptoms. Acceptance, reliability and validity of the arabic. The icc score for testretest reliability over a 24 hour period was. Lysholm knee questionnaire tegner activity scale a none b slight or periodical c severe and constant. The response to item 10a function prior to knee injury is not included in the overall score. Lets talk about how the tegner score aka the tegner activity level scale can hep you make your sportsmedicine experience better by providing a treatment plan and recovery strategy that is tailored to the lifestyle that you want to live. Pdf the reliability, validity, and responsiveness of the. Factors negatively affecting the outcomes were meniscectomy and residual laxity.
Crosscultural translation of the lysholm knee score in. This form is the standard form for use in all publications on results of treatment of knee ligament injuries. The ikdc subjective knee evaluation form is scored by summing the scores for the individual items and then transforming the score to a scale that ranges from 0 to 100. Construct validity was determined through correlations with the lysholm knee scale r. Tegner activity level scale please indicate in the spaces below the highest level of activity that you participated in before. Knee injury and osteoarthritis outcome score koos always al. The lysholm score is a 100point scoring system for examining a patients knee specific symptoms including mechanical locking, instability, pain, swelling, stair. The lysholm score and age demonstrated no correlation. These outcomes measurements are subjective in nature and evaluate performance and activity restrictions both before and after surgery, making them a valuable research tool when judging the effectiveness of surgical treatment. Free access to the major international journal orthopaedic scores. Below are common complaints, which people frequently have with their knee problems. The 8 items in the lysholm score calculator for knee ligament surgery are the following. Overall, sane score showed stronger correlation to the measured variables as shown in tables 1 and 2. The tegner score is a scoring system to gauge how disabled one is from ones knee problem in terms of activity.
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. In addition, another 34 used only the activity grading, but not the knee score. Pdf arabic translation and validation of three knee scores. Acceptance, reliability and validity of the arabic version of lysholm knee score. The self assessment questionnaire was published following studies in 1982. Tegner score 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. The aim of the present investigation was to test the lysholm knee scoring scale from 1985 for sensitivity and reliability. Because of my knee pain i get dressed with help from someone else. The lysholm knee scoring scale measures symptoms of instability and was originally developed for patients who underwent or were about to undergo a knee ligament surgery. Several abstracts used 2 or more scores simultaneously.
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. Score, knee injury and osteoarthritis outcome score physical function short form, knee outcome survey activities of daily living scale, lysholm knee scoring scale, tegner activity scale, oxford knee score, and western ontario and mcmaster universities osteoarthritis index womac. Lysholm knee rating score questionnaire optimal performance. Symptoms these questions should be answered thinking of your knee symptoms during the last week. Lysholm knee scoring system patientreported outcome measure. Summary of clinical outcome measures for sportsrelated knee. Stiffness the following questions concern the amount of joint stiffness you have experienced during the last week in your knee. The study suggests that this line of research on systems for functional knee assessment is open to further evaluation.
The content on or accessible through physiopedia is for informational purposes only. Significant improvement was found from preoperative to postoperative scores in all of. By removing the swelling item and using unweighted scores, a modified version of the lysholm knee scale is recommended as an outcome measure for knee chondral. Lysholm score for knee ligament surgery assesses knee ligament surgery results based on activities that require knee movement. The hssks includes subjective symptoms, subjective function, and specific questionnaire for knee symptoms the lysholm knee scoring scale translation and validation into portuguese summary. These questionnaires tend to focus on clinical manifestations and the patients subjective feelings to evaluate the impact of injury on knee function and overall quality of life, which may help to offer better diagnosis and treatment options. Mark the box which best describes you knee function today. Tegner lysholm knee scoring scale orthopaedic scores. Limitations in knee function can be masked by a low activity grade.
Summary of clinical outcome measures for sportsrelated. Reproducibility of lysholm scale was assessed by means of three interviews made with 50 patients presenting with meniscal injury, ligament injury, or isolated and combined chondral injuries diagnosis. Arabic translation and validation of three knee scores, lysholm knee score lks, oxford knee score oks, and international knee documentation committee subjective knee form ikdc. The score now consists of 8 different items on a 100point scale with 25 points each attributed to instability and pain. Of the 498 abstracts that employed the lysholm tegner knee rating system, 324 used only the knee score and 174 used both the knee score and the activity grading. The specific questionnaire for knee symptoms lysholm knee scoring scale was translated. Because of my knee it is difficult to go down stairs. Free online tegner lysholm knee scoring scale calculator. Tegner lysholm knee scoring scale orthopaedic scores free download as pdf file.
To score the current form of the ikdc, simply add the score for. Rating systems in the evaluation of knee ligament injuries. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Free online tegner lysholm knee scoring scale calculator orthotoolkit about the score originally published in 1982 in the american journal of sports medicine and later modified in 1985 in clinical orthopaedics and related research, the lysholm knee scoring scale was designed to be used for evaluating outcomes of knee ligament surgery. Because of my knee it takes me longer to get going in the mornings. Lysholm knee scoring system one of the most common reasons for knee surgery is an injury to a persons anterior cruciate ligament acl. The lysholm score and tegner activity scale are commonly used to document outcomes after arthroscopic knee surgery. The tegner activity level was inversely correlated with age. Do you need any kind of support when you are walking. Activitylevels,pleaselookatthescalebelowandanswerthe score foryouractivitylevelbeforeandafterthe problembeganorthesurgerytookplace. Arabic translation and validation of three knee scores. Below are common complaints that people frequently have with their knee problems.
Generally there is a high degree of agreement between the patient and professional ratings. In the text below the calculator you can find more information about the score and how it is assessed but also about the tegner activity levels. International knee documentation comitee orthopaedic scores. For lysholm score, the strongest correlation was found between lysholm score and quadriceps strength of involved knee. Thirtyone patients with one of four different diagnoses. Because of my knee pain i am more irritable and bad tempered with people than usual. What is the highest level of activity that you can perform without significant knee pain. A group of knee surgeons from europe and america met in 1987 and founded the international knee documentation committee. How does this lysholm score for knee ligament surgery calculator work. Please check the statement which best describes your condition. The lysholm score is a 100point scoring system for examining a patients knee specific symptoms including mechanical locking, instability, pain, swelling, stair climbing, and squatting.
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