Loading
Form preview picture

Get Tegner Activity Scale Pdf

Lysholm Knee Questionnaire / Tegner Activity Scale Name Date First Last Physician 1. Limp 5. Pain a None b Slight or periodical b Inconstant and slight during severe exertion c Severe and constant c Marked during severe exertion 2. Support d Marked on or after walking more than 2 km f Constant b Stick or crutch c Weight-bearing impossible 6. Swelling 3. Locking b On severe exertion a No locking and no catching sensations c On ordinary exertion b Catching sensation but no locking c Locking occasionally d Locking frequently e Locked joint on examination 7. Stair-climbing a No problems b Slightly impaired 4. Instability a Never giving way b Rarely during athletics or other severe exertion c Frequently during athletics or other severe exertion or incapable of participation c One step at a time d Impossible 8. Squatting d Occasionally in daily activities e Often in daily activities c Not beyond 90 f Every step Activity Level Before Injury Current Following Surgery if applicable Competitive sports Soccer - national and international elite Soccer lower divisions Ice hockey Wrestling Gymnastics Bandy Squash or badminton Athletics jumping etc* Downhill skiing Tennis Athletics running Motorcross speedway Handball Basketball Recreational sports Soccer Bandy and ice hockey Squash Cross-country track findings both recreational and competitive Tennis and badminton Jogging at least five times per week Work Heavy labor e*g* building forestry Cycling Jogging on uneven ground at least twice weekly Work Moderately heavy labor e*g* truck driving heavy domestic work Work Light labor e*g* nursing Competitive and recreational sports Swimming Walking in forest possible Walking on uneven ground possible but impossible to walk in forest Work Sedentary work Sick leave or disability pension because of knee problems Tegner Lysholm Score Print Form Submit. Support d Marked on or after walking more than 2 km f Constant b Stick or crutch c Weight-bearing impossible 6. Swelling 3. Locking b On severe exertion a No locking and no catching sensations c On ordinary exertion b Catching sensation but no locking c Locking occasionally d Locking frequently e Locked joint on examination 7. Swelling 3. Locking b On severe exertion a No locking and no catching sensations c On ordinary exertion b Catching sensation but no locking c Locking occasionally d Locking frequently e Locked joint on examination 7. Stair-climbing a No problems b Slightly impaired 4. Instability a Never giving way b Rarely during athletics or other severe exertion c Frequently during athletics or other severe exertion or incapable of participation c One step at a time d Impossible 8. Stair-climbing a No problems b Slightly impaired 4. Instability a Never giving way b Rarely during athletics or other severe exertion c Frequently during athletics or other severe exertion or incapable of participation c One step at a time d Impossible 8. Squatting d Occasionally in daily activities e Often in daily activities c Not beyond 90 f Every step Activity Level Before Injury Current Following Surgery if applicable Competitive sports Soccer - national and international elite Soccer lower divisions Ice hockey Wrestling Gymnastics Bandy Squash or badminton Athletics jumping etc* Downhill skiing Tennis Athletics running Motorcross speedway Handball Basketball Recreational sports Soccer Bandy and ice hockey Squash Cross-country track findings both recreational and competitive Tennis and badminton Jogging at least five times per week Work Heavy labor e*g* building forestry Cycling Jogging on uneven ground at least twice weekly Work Moderately heavy labor e*g* truck driving heavy domestic work Work Light labor e*g* nursing Competitive and recreational sports Swimming Walking in forest possible Walking on uneven ground possible but impossible to walk in forest Work Sedentary work Sick leave or disability pension because of knee problems Tegner Lysholm Score Print Form Submit..

How It Works

exertion rating
4.8Satisfied
26 votes

How to fill out and sign bandy online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Getting a legal specialist, creating an appointment and coming to the office for a personal conference makes doing a Tegner Activity Scale Pdf from start to finish tiring. US Legal Forms helps you to quickly make legally-compliant papers based on pre-created browser-based blanks.

Prepare your docs within a few minutes using our easy step-by-step instructions:

  1. Find the Tegner Activity Scale Pdf you require.
  2. Open it up using the online editor and begin altering.
  3. Fill in the blank areas; engaged parties names, addresses and phone numbers etc.
  4. Customize the template with unique fillable fields.
  5. Put the date and place your e-signature.
  6. Simply click Done after twice-examining everything.
  7. Save the ready-produced record to your device or print it out like a hard copy.

Quickly create a Tegner Activity Scale Pdf without needing to involve specialists. There are already more than 3 million people taking advantage of our rich catalogue of legal documents. Join us today and gain access to the #1 collection of online templates. Try it out yourself!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Norton logo picture

    Norton Secured

    The highest level of recognition among eCommerce customers.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.