Lysholm and Gillquist developed a scoring scale for evaluating athletes after knee ligament surgery. Instability and "giving way" during activity limit athletic performance and are emphasized. The authors are from Linkoping, Sweden.
Parameters (total 100 points):
(1) limp (5 points)
(2) support (5 points)
(3) stair climbing (10 points)
(4) squatting (5 points)
(5A) walking, running and jumping – instability (30 points)
(5B) walking, running and jumping – pain (30 points)
(5C) walking, running and jumping – swelling (10 points)
(6) atrophy of thigh (5 points
|
Parameter |
Finding |
Points |
|
limp |
none |
5 |
|
|
slight |
3 |
|
|
periodical |
3 |
|
|
severe and constant |
0 |
|
support |
full support |
5 |
|
|
requires stick or crutch |
3 |
|
|
weight bearing impossible |
0 |
|
stairclimbing |
no problems |
10 |
|
|
slightly impaired |
6 |
|
|
one step at a time |
2 |
|
|
unable |
0 |
|
squatting |
no problems |
5 |
|
|
slightly impaired |
4 |
|
|
not past 90 degrees |
2 |
|
|
unable |
0 |
|
walking - instability |
never giving way |
30 |
|
|
rarely during athletic or other severe exertion |
25 |
|
|
frequently during athletic or other severe exertion |
20 |
|
|
unable to participate because of instability |
20 |
|
|
occasionally in daily activities |
10 |
|
|
often in daily activities |
5 |
|
|
with every step |
0 |
|
walking – pain |
none |
30 |
|
|
inconstant and slight during severe exercise |
25 |
|
|
marked on giving way |
20 |
|
|
marked during severe exertion |
15 |
|
|
marked on or after walking more than 2 kilometers |
10 |
|
|
marked after walking less than 2 kilometers |
5 |
|
|
constant and severe |
0 |
|
walking – swelling |
none |
10 |
|
|
with giving way |
7 |
|
|
on severe exertion |
5 |
|
|
on ordinary exertion |
2 |
|
|
constant |
0 |
|
atrophy of thigh |
none |
5 |
|
|
1 – 2 cm |
3 |
|
|
> 2 cm |
0 |
score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score, the better the function.
|
Score |
Outcome |
|
98 - 100 |
excellent |
|
93 – 97 |
good to excellent |
|
82 – 92 |
fair to good |
|
66 – 81 |
fair |
|
<= 65 |
poor |
based on data in Figure 2, page 152
Specialty: Surgery, orthopedic
