Musculoskeletal Disorders: Knee

sec_arr 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)?