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Subject of the scale: Hip - knee

Lysholm Score and Tegner Activity Scale

 

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Description:

The Lysholm score [1] comprises eight items. Its total of 100 points are divided as follows: limp five points, walking support five points, squatting five points, stair climbing ten points, swelling ten points, locking and catching of the knee 15 points, stability 25 points, pain 25 points.

The result is considered as very good and good for a total score between 84 and 100 points, average between 65 and 83 points, and poor below 65 points.

It was created initially to monitor ligamentoplasty of the ACL, then was used in monitoring other knee conditions (chondropathy [27], meniscus syndrome [12]).

The Tegner activity-level scale [1] is a scale of physical sports and professional activities: from 0 (sick leave or disability pension because of knee problems) to 10 (competitive sports – soccer, football, rugby (national elite)).

The scale was initially developed to measure activity following knee injuries, and was validated for monitoring ACL ruptures in ligamentoplasty [2].

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Psychometric properties:

Criteria

Psychometric properties

References

Validity

Face validity

[3] [4] [6]

Content validity

[3] [4]

Criterion validity

Concurrent validity

[3] [4]

Predictive validity

[5] [6]

Construct validity

Convergent validity

[5] [6]

Divergent validity

[5] [6]

Discriminant validity
(sensitivity and distinctiveness)

 

Reliability

Intra-rater reliability

[1] [3] [4] [6]

Inter-rater reliability

[1] [3] [4] [6]

Test-retest

[1] [3] [4] [6]

Internal consistency (alpha)

[3] [4] [6]

Responsiveness

[3] [4]

General comment on reliability:

The Lysholm and Tegner scores have shown acceptable test-retest reliability (ICC = 0.9 and 0.8 respectively), floor and ceiling effects, criterion validity, construct validity and sensitivity to change (minimal change detectable of 8.9 for Lysholm and 1 for Tegner).
The Lysholm is correlated with the IKDC (r = .8) and the SF 12 (r = .4) and the Tegner is correlated with the SF 12 (r = .2).
There are ceiling effects that are too high (> 30 %) in the Lysholm score for the limp, instability, support and locking items.

Reference update:

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More information:

For more details of the scale, the comments or the psychometric properties presented here, please contact Dr. Olivier UCAY :

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