Understanding one's ability to engage in physical activities after experiencing an injury is crucial for both recovery and the adjustment of lifestyle expectations. The Tegner Activity Score form serves as an essential tool in this evaluation process, offering individuals a systematic way to quantify changes in their level of physical activity before and after an injury. It lays out a clear, ten-level scale that contrasts competitive and recreational sports, as well as various degrees of labor, thereby encompassing a broad spectrum of physical exertion. Participants are asked to assess and record the highest level of activity they were capable of before their injury and to identify their current maximum level of activity. This scale progresses from level 10, denoting participation in high-impact competitive sports at a national elite level, down to level 0, which reflects an inability to engage in any work due to knee problems. By providing a structured methodology for assessing changes in activity levels, the Tegner Activity Score form aids individuals and healthcare professionals alike in understanding the impact of injuries on physical capabilities, facilitating a more informed approach to recovery and rehabilitation.
| Question | Answer |
|---|---|
| Form Name | Tegner Activity Score Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | tegner score 日本語, tegner scale, tegner activity score pdf, tegner activity scale |
TEGNER ACTIVITY LEVEL SCALE
Please indicate in the spaces below the HIGHEST level of activity that you participated in BEFORE YOUR INJURY and the highest level you are able to participate in CURRENTLY.
BEFORE INJURY: Level__________ |
CURRENT: Level___________ |
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Level 10 |
Competitive sports- soccer, football, rugby (national elite) |
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Level 9 |
Competitive sports- soccer, football, rugby (lower divisions), ice hockey, |
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wrestling, gymnastics, basketball |
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Level 8 |
Competitive sports- racquetball or bandy, squash or badminton, track and |
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field athletics (jumping, etc.), |
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Level 7 |
Competitive sports- tennis, running, motorcars speedway, handball |
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Recreational sports- soccer, football, rugby, bandy, ice hockey, basketball, |
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squash, racquetball, running |
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Level 6 |
Recreational sports- tennis and badminton, handball, racquetball, |
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skiing, jogging at least 5 times per week |
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Level 5 |
Work- heavy labor (construction, etc.) |
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Competitive sports- cycling, |
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Recreational sports- jogging on uneven ground at least twice weekly |
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Level 4 |
Work- moderately heavy labor (e.g. truck driving, etc.) |
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Level 3 |
Work- light labor (nursing, etc.) |
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Level 2 |
Work- light labor |
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Walking on uneven ground possible, but impossible to back pack or hike |
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Level 1 |
Work- sedentary (secretarial, etc.) |
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Level 0 |
Sick leave or disability pension because of knee problems |
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Y Tegner and J Lysolm. Rating Systems in the Evaluation of Knee Ligament Injuries. Clinical Orthopedics and Related Research. Vol. 198:
SURGI CAL HI STORY
Have you had any additional surgeries to your knee other than those performed by Dr. Stone?
Yes / No
If Yes:
What procedure(s) were performed?
When was the surgery performed?
Who performed the surgery?