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Date of completion
Tegner Lysholm Knee Scoring Scale
Clinician's name (or ref) Patient's 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.  Please answer every question by placing a mark in the box that best describes your condition today.
During the past 4 weeks......  
Section 1 -Limp   Section 2 -Support
None   None
Slight or periodical   Stick or crutch
Severe and constant   Weight-bearing impossible
     
Section 3 - Pain   Section 4 - Instability
None   Never giving way
Inconstant and slight during severe exertion   Rarely during athletics or other severe exertion
Marked during severe exertion  

Frequently during athletics or other severe exertion (or incapable of participation)

Marked on or after walking more than 2 km   Occasionally in daily activities
Marked on or after walking less than 2 km   Often in daily activities
Constant   Every step

 

  

 
Section 5 -Locking   Section 6 - Swelling
No locking and no catching sensations   None
Catching sensation but no locking   On severe exertion
LockingOccasionally   On ordinary exertion
Frequently   Constant
Locked joint on examination      

 

  

 
Section 7 - Stair-climbing   Section 8 - Squatting
No problems   No problems
Slightly impaired   Slightly impaired
One step at a time   Not beyond 90°
Impossible   Impossible
   

 

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The Tegner Lysholm Knee Score is

Grading the Tegner Lysholm Knee Scoring Scale

<65
 Poor
65-83
Fair
84-90
Good
>90
Excellent

Reference for Score: Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985 Sep;(198):43-9. Link(No link available, but link to pubmed )

Reference for Grading: Mitsou A, Vallianatos P, Piskopakis N, Maheras S. Anterior cruciate ligament reconstruction by over-the-top repair combined with popliteus tendon plasty. J Bone Joint Surg Br. 1990 May;72(3):398-404. link