Tegner Lysholm Knee Score

Assessment of knee function and symptoms affecting daily activities and sports participation.

Provided by EVAL Foundation
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Instructions

Below are common complaints which people frequently have with their knee problems. Mark the answer which best describes your condition.

Knee Function Assessment

Below are common complaints which people frequently have with their knee problems. Mark the answer which best describes your condition.

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The Tegner Lysholm Knee Score is a clinician-administered instrument evaluating knee function across eight dimensions: gait pattern, support requirements, joint locking, instability, pain, swelling, stair climbing, and squatting ability.

Scoring ranges from 0-100, with higher scores indicating better knee function. The instrument uses weighted responses (0-25 points per item) reflecting clinical severity. Total score is calculated by summing all item responses.

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, particularly for symptoms related to instability. Dr. Jack Lysholm is a professor emeritus at the Department of Public Health and Clinical Medicine at Umea University.

The instrument is widely used in orthopedic practice to assess outcomes following knee injury, surgery, or rehabilitation, and has demonstrated reliability and validity in various knee pathologies.

Original Literature:

  • Lysholm, Jack, and Jan Gillquist. “Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.” The American journal of sports medicine 10.3 (1982): 150-154.

  • Tegner, Yelverton, and Jack Lysholm. “Rating systems in the evaluation of knee ligament injuries.” Clinical orthopaedics and related research 198 (1985): 43-49.

Additional Literature:

  • Briggs, Karen K., et al. “The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later.” The American journal of sports medicine 37.5 (2009): 890-897.

  • Collins, Natalie J., et al. “Measures of knee function: 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 (KOOS‐PS), Knee Outcome Survey Activities of Daily Living Scale (KOS‐ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS).” Arthritis care & research 63.S11 (2011).

All questions & possible results

Knee Function Assessment

Below are common complaints which people frequently have with their knee problems. Mark the answer which best describes your condition.

1. Limp

Select one option:

  • I have NO limp when I walk
  • I have a slight or periodical limp when I walk
  • I have a severe and constant limp wen I walk
2. Support

Select one option:

  • I do NOT use a cane or crutches
  • I use a cane or crutches with some weight-bearing
  • Putting weight on my hurt leg is impossible
3. Locking

Select one option:

  • I have NO locking and NO catching sensation in my knee
  • I have a catching sensation but NO locking sensation in my knee
  • My knee locks occasionally
  • My knee locks frequently
  • My knee feels locked at this moment
4. Instability

Select one option:

  • My knee never gives way
  • My knee rarely gives way, only during athletics or other vigorous activities
  • My knee frequently gives way during athletics or other vigorous activities; in turn I am unable to participate in these activities
  • My knee occasionally gives way in daily activities
  • My knee often gives way in daily activities
  • My knee gives way every step I take
5. Pain

Select one option:

  • I have NO pain in my knees
  • I have intermittent or slight pain in my knee during vigorous activities
  • I have marked pain in my knee during vigorous activities
  • I have marked pain in my knee during or after walking MORE than 1 mile
  • I have marked pain in my knee during or after walking LESS than 1 mile
  • I have constant pain in my knee
6. Swelling

Select one option:

  • I have NO swelling in my knee
  • I have swelling in my knee only after vigorous activities
  • I have swelling in my knee after ordinary activities
  • I have swelling constantly in my knee
7. Stair Climbing

Select one option:

  • I have NO problems climbing stairs
  • I have slight problems climbing stairs
  • I can climb stairs only one at a time
  • Climbing stairs is impossible for me
8. Squatting

Select one option:

  • I have NO problems squatting
  • I have slight problems squatting
  • I cannot squat beyond a 90 degree bend in my knee
  • Squatting is impossible because of my knee
Possible results
Pertinent Positives: Constant swelling in knee
Pertinent Positives: Knee gives way with every step
Pertinent Positives: Cannot squat beyond 90 degrees of knee flexion
Pertinent Positives: Slight problems squatting
Pertinent Positives: Squatting is impossible
Pertinent Positives: Severe and constant limp when walking
Pertinent Positives: Knee locks occasionally
Pertinent Positives: Slight problems climbing stairs
Pertinent Positives: Catching but no locking in the knee
Pertinent Positives: Marked pain in knee during vigorous activities
Pertinent Positives: Knee locks frequently
Pertinent Positives: Knee occasionally gives way in daily activities
Pertinent Negatives: No problems squatting
Pertinent Positives: Putting weight on hurt leg is impossible
Pertinent Positives: Knee rarely gives way, only during athletics or other vigorous activities
Pertinent Positives: Swelling in knee only after vigorous activities
Tegner Lysholm Knee Score
  • Score range from 0 (worse disability) to 100 (less disability)

Pertinent Positives: Knee presently locked
Pertinent Positives: Marked pain in knee with walking less than 1 mile
Pertinent Positives: Climbs stairs only one at a time
Pertinent Positives: Constant pain in knee
Pertinent Positives: Knee frequently gives way during athletics and unable to participate
Pertinent Negatives: No locking and no catching sensation in the knee
Pertinent Positives: Knee often gives way in daily activities
Pertinent Negatives: No problems climbing stairs
Pertinent Positives: Uses cane or crutches with some weight-bearing
Pertinent Positives: Slight or periodical limp when walking
Pertinent Positives: Climbing stairs is impossible
Pertinent Negatives: No limp when walking
Pertinent Negatives: Does not use cane or crutches
Pertinent Positives: Marked pain in knee with walking 1 mile
Pertinent Positives: Intermittent or slight pain in knee with vigorous activities
Pertinent Negatives: Knee never gives way
Pertinent Negatives: No pain in knee
Pertinent Positives: Swelling in knee after ordinary activities
Pertinent Negatives: No swelling in knee

Citation

Lysholm, Jack, and Jan Gillquist. “Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.” The American journal of sports medicine 10.3 (1982): 150-154.