Musculoskeletal Disorders: Knee
Appendix F: Lysholm, Tegner and SANE Scores
Appendix F: Lysholm, Tegner and SANE Scores
The following information is provided to show the police physician the type of symptom questionnaires used to evaluate knee function.
Normal scores (cross-sectional, N = 488, average age = 41, 50% male):5
Average Lysholm score 94 (range, 43-100). No difference between men and women
Average Tegner score 5.7 (range 1-10) – inversely correlated with age. Men had an average activity score of 6.0, women 5.4
Table 1: Lysholm Knee Scoring Scale4,5
|
Symptom |
Score |
|
Limp (5 points) |
|
|
None |
5 |
|
Slight or periodical |
3 |
|
Severe and constant |
0 |
|
Support (5 points) |
|
|
None |
5 |
|
Stick or crutch |
2 |
|
Weight-bearing impossible |
0 |
|
Stair-climbing (10 points) |
|
|
No problems |
10 |
|
Slightly impaired |
6 |
|
One step at a time |
2 |
|
Impossible |
0 |
|
Squatting (5 points) |
|
|
No problems |
5 |
|
Slightly impaired |
4 |
|
Not beyond 90 degrees |
2 |
|
Impossible |
0 |
|
Locking (15 points) |
|
|
No locking and no catching sensation |
15 |
|
Catching sensation but no locking |
10 |
|
Locking (occasionally) |
6 |
|
Locking (frequently) |
2 |
|
Locked joint on examination |
0 |
|
Instability (25 points) |
|
|
Never giving way |
25 |
|
Rarely during athletics or other severe exertion |
20 |
|
Frequently during athletics or other severe exertion (or incapable of participation) |
15 |
|
Occasionally in daily activities |
10 |
|
Often in daily activities |
5 |
|
Every step |
0 |
|
Pain (25 points) |
|
|
None |
25 |
|
Inconstant and slight during severe exertion |
20 |
|
Marked during severe exertion |
15 |
|
Marked on or after walking more than 2 km |
10 |
|
Marked on or after walking less than 2 km |
5 |
|
Constant |
0 |
|
Swelling (10 points) |
|
|
None |
10 |
|
On severe exertion |
6 |
|
On ordinary exertion |
2 |
|
Constant |
0 |
|
Total Score (maximum score is 100 points) |
|
Table 2: Tegner Activity Score4,5 42
|
10. Competitive sports |
Soccer – national and international elite |
|
9. Competitive sports |
Soccer (lower divisions), ice hockey, wrestling, gymnastics |
|
8. Competitive sports |
Bandy, squash, badminton, athletics (jumping, etc.), downhill skiing |
|
7. Competitive sports 7. Recreational sports |
Tennis, athletics (running), motorcross, speedway, handball, basketball, cross country Soccer, bandy, ice hockey, squash, athletics (jumping), cross country |
|
6. Recreational sports |
Tennis, badminton, handball, basketball, downhill skiing, jogging (at least 5 times per week) |
|
5. Work 5. Competitive sports 5. Recreational sports |
Heavy labor (e.g., building, forestry) Cycling, cross-country skiing Jogging on uneven ground at least twice weekly |
|
4. Work 4. Recreational sports |
Moderately heavy labor (e.g., truck driving, heavy domestic labor) Cycling, cross-country skiing, jogging on even ground at least twice weekly |
|
3. Work 3. Competitive sports 3. Recreational sports |
Light labor (e.g., nursing) Swimming Swimming, walking in the forest possible |
|
2. Work 2. Recreational sports |
Light labor Walking on uneven ground possible but impossible to walk in forest |
|
1. Work 2. Recreational sports |
Sedentary work Walking on even ground is possible |
|
0. Sick leave or disability pension because of knee problems |
|
SANE (Single Assessment Numeric Evaluation)43: On a scale from zero to 100, how would you rate your knee today (with 100 being normal)?