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Robert A Arciero - One of the best experts on this subject based on the ideXlab platform.
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comparison of the single assessment numeric evaluation method and the Lysholm Score
Clinical Orthopaedics and Related Research, 2000Co-Authors: Glenn N Williams, Dean C Taylor, Timothy J Gangel, John M Uhorchak, Robert A ArcieroAbstract:The purpose of this study was to determine the correlation between the Lysholm knee Score and the Single Assessment Numeric Evaluation method. Between March 1995 and December 1996, 201 followup examinations were performed on 130 college age patients who had undergone anterior cruciate ligament reconstructions. These 201 examinations were divided into five routine followup categories: 3 months, 6 months, 1 year, 2 years, and greater than 2 years. The Lysholm Score from each patient's followup questionnaire was correlated with his or her Single Assessment Numeric Evaluation rating, as determined by his or her written response to the following question: On a scale from zero to 100, how would you rate your knee today (100 being normal)? All data were gathered prospectively. The mean Lysholm Scores and Single Assessment Numeric Evaluation ratings ranged from 84.0 to 93.4 points and 80.0 to 93.3 points, respectively. The correlation coefficients between the Lysholm Scores and the Single Assessment Numeric Evaluation ratings ranged from 0.58 to 0.87 points. The results of this study indicate that Single Assessment Numeric Evaluation ratings correlate well with measured Lysholm Scores in patients with anterior cruciate ligament reconstruction. The Single Assessment Numeric Evaluation provides clinicians with an alternative mechanism to gather outcomes data with little demand on time and resources.
Richard J Steadman - One of the best experts on this subject based on the ideXlab platform.
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the reliability validity and responsiveness of the Lysholm Score and tegner activity scale for anterior cruciate ligament injuries of the knee 25 years later
American Journal of Sports Medicine, 2009Co-Authors: Karen K Briggs, Yelverton Tegner, William G Rodkey, Jack Lysholm, Mininder S Kocher, Richard J SteadmanAbstract:Background: In 1982, the Lysholm Score was first published as a physician-administered Score in the American Journal of Sports Medicine. The Tegner activity scale was published in 1985.Hypothesis: ...
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Lysholm Score and tegner activity level in individuals with normal knees
American Journal of Sports Medicine, 2009Co-Authors: Karen K Briggs, Richard J Steadman, Sophia L HinesAbstract:BackgroundThe Lysholm Score and Tegner activity scale are commonly used to document outcomes after arthroscopic knee surgery. These outcomes measurements are subjective in nature and evaluate performance and activity restrictions both before and after surgery, making them a valuable research tool when judging the effectiveness of surgical treatment.PurposeTo establish a normal knee data set for the Lysholm and Tegner rating systems, as well as to show how these Scores are affected by age and gender.Study DesignCross-sectional study; Level of evidence, 3.MethodsA subjective questionnaire that included both the Lysholm Score and Tegner activity grading scale was completed by 488 subjects in the community who considered their knee function normal. Any subject reporting a history of injury or surgery was excluded from the study. The average age was 41 years (range, 18-85), with 244 men and 244 women qualifying for statistical analysis.ResultsThe average Lysholm Score was 94 (range, 43-100), and the average Te...
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reliability validity and responsiveness of the Lysholm knee Score and tegner activity scale for patients with meniscal injury of the knee
Journal of Bone and Joint Surgery American Volume, 2006Co-Authors: Karen K Briggs, William G Rodkey, Mininder S Kocher, Richard J SteadmanAbstract:Background: A torn meniscus is one of the most common indications for knee surgery. The purpose of this study was to determine the psychometric properties of the Lysholm knee Score and the Tegner activity scale when used for patients with a meniscal injury of the knee. Methods: Test-retest reliability, content validity, criterion validity, construct validity, and responsiveness to change were determined for the Lysholm Score and the Tegner activity scale. Test-retest reliability was measured in a group of 122 patients at least two years after they had undergone surgery for a meniscal lesion. This group completed a follow-up form and then completed it again within four weeks. The other tests were performed in a group of 191 patients who had only a meniscal lesion at the time of the surgery and a group of 477 patients who had a meniscal lesion and other intra-articular lesions. Results: The overall Lysholm Score showed acceptable test-retest reliability, floor and ceiling effects, criterion validity, construct validity, and responsiveness to change. There were unacceptable ceiling effects (>30%) for the Lysholm domains of limp, instability, support, and locking. The Tegner activity scale showed acceptable test-retest reliability, floor and ceiling effects, criterion validity, construct validity, and responsiveness to change. Conclusions: Overall, the Lysholm knee Score and the Tegner activity scale demonstrated acceptable psychometric performances as outcome measures for patients with a meniscal injury of the knee. Some domains of the Lysholm Score showed suboptimal performance, and the Tegner scale had only a moderate effect size. Psychometric testing of other condition-specific knee instruments for patients with a meniscal lesion of the knee would be helpful to allow comparison of the properties of the various knee instruments.
Glenn N Williams - One of the best experts on this subject based on the ideXlab platform.
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comparison of the single assessment numeric evaluation method and the Lysholm Score
Clinical Orthopaedics and Related Research, 2000Co-Authors: Glenn N Williams, Dean C Taylor, Timothy J Gangel, John M Uhorchak, Robert A ArcieroAbstract:The purpose of this study was to determine the correlation between the Lysholm knee Score and the Single Assessment Numeric Evaluation method. Between March 1995 and December 1996, 201 followup examinations were performed on 130 college age patients who had undergone anterior cruciate ligament reconstructions. These 201 examinations were divided into five routine followup categories: 3 months, 6 months, 1 year, 2 years, and greater than 2 years. The Lysholm Score from each patient's followup questionnaire was correlated with his or her Single Assessment Numeric Evaluation rating, as determined by his or her written response to the following question: On a scale from zero to 100, how would you rate your knee today (100 being normal)? All data were gathered prospectively. The mean Lysholm Scores and Single Assessment Numeric Evaluation ratings ranged from 84.0 to 93.4 points and 80.0 to 93.3 points, respectively. The correlation coefficients between the Lysholm Scores and the Single Assessment Numeric Evaluation ratings ranged from 0.58 to 0.87 points. The results of this study indicate that Single Assessment Numeric Evaluation ratings correlate well with measured Lysholm Scores in patients with anterior cruciate ligament reconstruction. The Single Assessment Numeric Evaluation provides clinicians with an alternative mechanism to gather outcomes data with little demand on time and resources.
Yelverton Tegner - One of the best experts on this subject based on the ideXlab platform.
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the Lysholm Score cross cultural validation and evaluation of psychometric properties of the spanish version
PLOS ONE, 2019Co-Authors: Manuel Arroyomorales, Yelverton Tegner, Jose Martinalguacil, Mario Lozanolozano, Antonio Cuestavargas, Andres J Fernandezfernandez, Jose A Gonzalez, Irene CantarerovillanuevaAbstract:Background This study aims at assessing the validity and reliability of the Spanish version of the Lysholm Score, a widely used instrument for assessing knee function and activity level after ligament injuries. Methods Ninety-five participants (67.4% male, 22±5 years) completed the questionnaire twice within 7 days and a subsample of 42 participants completed a test-retest reliability. Reliability, validity and feasibility psychometric properties were studied. The validity of the questionnaire was analysed using ceiling and floor effects. Factor structure and construct validity were analysed with the SF-36, the Hip and Knee Questionnaire (HKQ) and one leg jump test (OLJT). Results Criterion validity with the SF-36 Physical State was moderate (r = 0.50 and p<0.01), poor and inverse relationship (r = -0.31, p<0.01) with HKQ and positive moderate (r = 0.59, p<0.01) with OLJT. Measurement error from MDC90 was 3.9%. Exploratory factor analysis demonstrated a one-factor solution explaining 51.5% of total variance. The x2 test for the one-factor model was significant (x2 = 29.58, df = 20, p < 0.08). Test-retest reliability level was high (ICC2.1 = 0.92, p<0.01) and also the internal consistency (α = 0.77). Conclusion The Spanish Lysholm Score demonstrated that it is a reliable and valid instrument that can be used to assess knee function after ligament injuries.
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The Lysholm Score: Cross cultural validation and evaluation of psychometric properties of the Spanish version.
PLOS ONE, 2019Co-Authors: Manuel Arroyo-morales, Yelverton Tegner, Jose A Gonzalez, Jose Luis Martin-alguacil, Mario Lozano-lozano, Antonio Cuesta-vargas, Andrés J. Fernández-fernández, Irene Cantarero-villanuevaAbstract:Background This study aims at assessing the validity and reliability of the Spanish version of the Lysholm Score, a widely used instrument for assessing knee function and activity level after ligament injuries. Methods Ninety-five participants (67.4% male, 22±5 years) completed the questionnaire twice within 7 days and a subsample of 42 participants completed a test-retest reliability. Reliability, validity and feasibility psychometric properties were studied. The validity of the questionnaire was analysed using ceiling and floor effects. Factor structure and construct validity were analysed with the SF-36, the Hip and Knee Questionnaire (HKQ) and one leg jump test (OLJT). Results Criterion validity with the SF-36 Physical State was moderate (r = 0.50 and p
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dutch translation and cross cultural adaptation of the Lysholm Score and tegner activity scale for patients with anterior cruciate ligament injuries
Journal of Orthopaedic & Sports Physical Therapy, 2016Co-Authors: Rienk Eshuis, Gijsbertus Wilhelmus Lentjes, Yelverton Tegner, Nienke Wolterbeek, Maurits Remmelt VeenAbstract:Study Design Clinical measurement. Background The Lysholm Score and Tegner activity scale are frequently used patient-reported instruments to determine the functional status and activity level after anterior cruciate ligament (ACL) reconstruction. Objectives To translate and cross-culturally adapt the Lysholm Score and Tegner activity scale for use in the Dutch population and to evaluate the reliability and validity of these questionnaires in individuals after ACL reconstruction. Methods The translation and adaptation were conducted in several steps according to the guidelines in the literature. The measurement properties of the Lysholm Score and Tegner activity scale (internal consistency, construct validity, and floor and ceiling effects) were tested in 96 patients. Reproducibility was tested in 69 patients with ACL injuries. On the first occasion, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC) and RAND 36-Item Health Survey (RAND-36) were also administered. Result...
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25 years later reliability validity and responsiveness of patient administered Lysholm Score and tegner activity scale for anterior cruciate ligament injuries of the knee
Orthopaedic Proceedings, 2010Co-Authors: William G Rodkey, Karen K Briggs, Jack Lysholm, Yelverton TegnerAbstract:Purpose: The purpose of this study was to determine psychometric properties of the Lysholm Score and Tegner activity scale as patient-administered outcomes Scores for anterior cruciate ligament injuries of the knee. We hypothesized that these two outcomes measures remain valid by today’s standards twenty-five years after they were originally introduced as physician-administered outcomes instruments. Methods: One thousand seven hundred eighty-three (1783) patients were included in this study. There were 749 females and 1034 males. Average age was 37 years (range, 18 to 77). Isolated ACL tears were documented in 593 patients, and 1190 patients had concurrent injuries including meniscus pathology and/or cartilage damage. Patients with multiple ligamentous injuries were excluded. All patients in this study were diagnosed with an ACL tear at arthroscopy. For responsiveness, Scores were measured preoperatively and at a minimum of two years postoperatively. For test-retest, Scores were measured at a minimum of two years postoperatively and again within four weeks of the original postoperative questionnaire. For criterion validity, patients completed the short form (SF-12 ® ) of the health related quality-of-life scale and the IKDC Score in addition to Lysholm and Tegner instruments. For all other analyses, preoperative Lysholm Score or Tegner activity levels were used. Results: There was acceptable test-retest reliability for overall Lysholm Score (ICC=0.94 [95% confidence interval=0.88 to 0.96]) and Tegner (ICC=0.82 [95% confidence interval=0.66 to 0.89]). The minimum detectable change for Lysholm was 8.9 and for Tegner was 1.4. The Lysholm Score demonstrated acceptable internal consistency (Cronbach’s alpha=0.72). The Lysholm Score correlated with IKDC (r=0.78) and the physical function domain of SF-12 ® (r=0.43). The Tegner scale correlated with physical function domain of SF-12 ® (r=0.2) and IKDC (r=0.22). Both Scores had acceptable floor and ceiling effects, and all hypotheses were significant. The Lysholm Score and Tegner scale both had a large overall effect size. There were no differences between isolated and combined ACL injuries. Conclusion: After 25 years of changes in treatment of ACL injuries and postoperative rehabilitation protocols, the Lysholm knee Score and Tegner activity scale continue to demonstrate acceptable psychometric parameters. The Lysholm Score and Tegner scale both had acceptable test-retest reliability, construct validity, criterion validity, content validity, and responsiveness when patient-administered similar to the physician-administered results when they were originally validated. Our hypothesis was affirmed.
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the reliability validity and responsiveness of the Lysholm Score and tegner activity scale for anterior cruciate ligament injuries of the knee 25 years later
American Journal of Sports Medicine, 2009Co-Authors: Karen K Briggs, Yelverton Tegner, William G Rodkey, Jack Lysholm, Mininder S Kocher, Richard J SteadmanAbstract:Background: In 1982, the Lysholm Score was first published as a physician-administered Score in the American Journal of Sports Medicine. The Tegner activity scale was published in 1985.Hypothesis: ...
Karen K Briggs - One of the best experts on this subject based on the ideXlab platform.
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25 years later reliability validity and responsiveness of patient administered Lysholm Score and tegner activity scale for anterior cruciate ligament injuries of the knee
Orthopaedic Proceedings, 2010Co-Authors: William G Rodkey, Karen K Briggs, Jack Lysholm, Yelverton TegnerAbstract:Purpose: The purpose of this study was to determine psychometric properties of the Lysholm Score and Tegner activity scale as patient-administered outcomes Scores for anterior cruciate ligament injuries of the knee. We hypothesized that these two outcomes measures remain valid by today’s standards twenty-five years after they were originally introduced as physician-administered outcomes instruments. Methods: One thousand seven hundred eighty-three (1783) patients were included in this study. There were 749 females and 1034 males. Average age was 37 years (range, 18 to 77). Isolated ACL tears were documented in 593 patients, and 1190 patients had concurrent injuries including meniscus pathology and/or cartilage damage. Patients with multiple ligamentous injuries were excluded. All patients in this study were diagnosed with an ACL tear at arthroscopy. For responsiveness, Scores were measured preoperatively and at a minimum of two years postoperatively. For test-retest, Scores were measured at a minimum of two years postoperatively and again within four weeks of the original postoperative questionnaire. For criterion validity, patients completed the short form (SF-12 ® ) of the health related quality-of-life scale and the IKDC Score in addition to Lysholm and Tegner instruments. For all other analyses, preoperative Lysholm Score or Tegner activity levels were used. Results: There was acceptable test-retest reliability for overall Lysholm Score (ICC=0.94 [95% confidence interval=0.88 to 0.96]) and Tegner (ICC=0.82 [95% confidence interval=0.66 to 0.89]). The minimum detectable change for Lysholm was 8.9 and for Tegner was 1.4. The Lysholm Score demonstrated acceptable internal consistency (Cronbach’s alpha=0.72). The Lysholm Score correlated with IKDC (r=0.78) and the physical function domain of SF-12 ® (r=0.43). The Tegner scale correlated with physical function domain of SF-12 ® (r=0.2) and IKDC (r=0.22). Both Scores had acceptable floor and ceiling effects, and all hypotheses were significant. The Lysholm Score and Tegner scale both had a large overall effect size. There were no differences between isolated and combined ACL injuries. Conclusion: After 25 years of changes in treatment of ACL injuries and postoperative rehabilitation protocols, the Lysholm knee Score and Tegner activity scale continue to demonstrate acceptable psychometric parameters. The Lysholm Score and Tegner scale both had acceptable test-retest reliability, construct validity, criterion validity, content validity, and responsiveness when patient-administered similar to the physician-administered results when they were originally validated. Our hypothesis was affirmed.
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the reliability validity and responsiveness of the Lysholm Score and tegner activity scale for anterior cruciate ligament injuries of the knee 25 years later
American Journal of Sports Medicine, 2009Co-Authors: Karen K Briggs, Yelverton Tegner, William G Rodkey, Jack Lysholm, Mininder S Kocher, Richard J SteadmanAbstract:Background: In 1982, the Lysholm Score was first published as a physician-administered Score in the American Journal of Sports Medicine. The Tegner activity scale was published in 1985.Hypothesis: ...
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Lysholm Score and tegner activity level in individuals with normal knees
American Journal of Sports Medicine, 2009Co-Authors: Karen K Briggs, Richard J Steadman, Sophia L HinesAbstract:BackgroundThe Lysholm Score and Tegner activity scale are commonly used to document outcomes after arthroscopic knee surgery. These outcomes measurements are subjective in nature and evaluate performance and activity restrictions both before and after surgery, making them a valuable research tool when judging the effectiveness of surgical treatment.PurposeTo establish a normal knee data set for the Lysholm and Tegner rating systems, as well as to show how these Scores are affected by age and gender.Study DesignCross-sectional study; Level of evidence, 3.MethodsA subjective questionnaire that included both the Lysholm Score and Tegner activity grading scale was completed by 488 subjects in the community who considered their knee function normal. Any subject reporting a history of injury or surgery was excluded from the study. The average age was 41 years (range, 18-85), with 244 men and 244 women qualifying for statistical analysis.ResultsThe average Lysholm Score was 94 (range, 43-100), and the average Te...
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An Arthroscopic Treatment Regimen for Osteoarthritis of the Knee
Arthroscopy, 2007Co-Authors: J. Richard Steadman, Arun J. Ramappa, R. Brian Maxwell, Karen K BriggsAbstract:Purpose: The purpose of this study was to evaluate the functional and subjective outcomes of patients with moderate to severe osteoarthritis of the knee who underwent a comprehensive arthroscopic treatment regimen. Methods: Between August 2000 and November 2001, 69 knees in 61 patients were treated with an arthroscopic regimen. Inclusion criteria included severe osteoarthritis and a minimum 2-year follow-up. Arthroscopic treatment included joint insufflation, lysis of adhesions, anterior interval release, contouring of cartilage defects to a stable rim, shaping of meniscus tears to a stable rim, synovectomy, removal of loose bodies, and removal of osteophytes that affected terminal extension. Exclusion criteria included the treatment of chondral defects with microfracture. Failure was defined as knees requiring arthroplasty because this was what patients were trying to avoid. Results: The average patient age was 57 (range, 37-78), with 35 men and 26 women. Patients had an average of 1.5 previous surgeries (range, 0-12). The average preoperative Lysholm Score was 49 (range, 14-79). On average, knees were insufflated with 170 mL of lactated Ringer's solution (range, 120-240). Nine knees failed, with survivorship of 83% at 3 years. At an average follow-up of 31 months (range, 24-41), the average Lysholm Score was 74 (range, 37-100), with an average improvement of 25 points. The average Tegner Score was 4 (range, 0-8). Average patient satisfaction was 8 (range, 1-10). The average Western Ontario and McMaster University Osteoarthritis Index (WOMAC) pain Score was 4 (range, 0-14), WOMAC stiffness was 2 (range, 0-4), and WOMAC function was 11 (range, 0-44). Independent predictors of improvement in Lysholm Score included a shift in the weight-bearing axis and preoperative Lysholm Score. Conclusions: This arthroscopic treatment regimen can improve function and activity levels in patients with moderate to severe osteoarthritis. Of 69 patients, 60 (87%) patients had a satisfactory result. However, in this group of 60, 11 patients needed a second procedure, resulting in a 71% satisfactory result after 1 surgery. Level of Evidence: Level IV, therapeutic case series.
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reliability validity and responsiveness of the Lysholm knee Score and tegner activity scale for patients with meniscal injury of the knee
Journal of Bone and Joint Surgery American Volume, 2006Co-Authors: Karen K Briggs, William G Rodkey, Mininder S Kocher, Richard J SteadmanAbstract:Background: A torn meniscus is one of the most common indications for knee surgery. The purpose of this study was to determine the psychometric properties of the Lysholm knee Score and the Tegner activity scale when used for patients with a meniscal injury of the knee. Methods: Test-retest reliability, content validity, criterion validity, construct validity, and responsiveness to change were determined for the Lysholm Score and the Tegner activity scale. Test-retest reliability was measured in a group of 122 patients at least two years after they had undergone surgery for a meniscal lesion. This group completed a follow-up form and then completed it again within four weeks. The other tests were performed in a group of 191 patients who had only a meniscal lesion at the time of the surgery and a group of 477 patients who had a meniscal lesion and other intra-articular lesions. Results: The overall Lysholm Score showed acceptable test-retest reliability, floor and ceiling effects, criterion validity, construct validity, and responsiveness to change. There were unacceptable ceiling effects (>30%) for the Lysholm domains of limp, instability, support, and locking. The Tegner activity scale showed acceptable test-retest reliability, floor and ceiling effects, criterion validity, construct validity, and responsiveness to change. Conclusions: Overall, the Lysholm knee Score and the Tegner activity scale demonstrated acceptable psychometric performances as outcome measures for patients with a meniscal injury of the knee. Some domains of the Lysholm Score showed suboptimal performance, and the Tegner scale had only a moderate effect size. Psychometric testing of other condition-specific knee instruments for patients with a meniscal lesion of the knee would be helpful to allow comparison of the properties of the various knee instruments.
