Tegner & Lysholm Scoring
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Name
Your email ID
Please state if this scoring is before or after a procedure by Dr Srinivas
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Date of operation (if known)
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Side of knee involved
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Side of knee operated
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Tegner Activity Scale
Current Activity Level (on day of filling form)
Activity Level before injury
Activity level after surgery if applicable
Competitive sports - Soccer - national and international elite
Competitive Sports - Soccer, lower divisions, Ice hockey, Wrestling, Gymnastics
Competitive Sports - Bandy, Squash or badminton, Athletics (jumping, etc.), Downhill skiing
Competitive Sports – Tennis, Athletics (running), Motorcross, speedway, Handball, Basketball (Or) Recreational Sports – Soccer, Bandy, and ice hockey, Squash, Athletics (jumping), Cross-country track
Recreational Sports – Tennis and badminton, Handball, Basketball, Downhill skiing Jogging, at least five times per week
Work - Heavy labor (e.g., building, forestry), Competitive sports, Cycling, Cross-country skiing, Recreational sports - Jogging on uneven ground at least twice weekly
Work - Moderately heavy labor (e.g., truck driving, heavy domestic work), Recreational sports – Cycling, Cross-country skiing, Jogging on even ground at least twice weekly
Work - Light labor (e.g., nursing), Competitive and recreational sports, Swimming, Walking in forest possible
Work- Light labour, Walking on uneven ground possible but impossible to walk in forest
Work - Sedentary work, Walking on even ground possible
Sick leave or disability pension because of knee problems
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