Lysholm Knee Questionnaire Lysholm Knee Questionnaire Each question refers to your symptoms during the Last 4 weeks.All fields are required. Your name * Your DOB * Date of filling * 1. Limp * None Slight or periodical Severe and constant 2. Support * None Stick or crutch Weight-bearing impossible 3. Locking * No locking and no catching sensations Catching sensation but no locking Locking Occasionally Frequently Locked joint on examination 4. Instability * Never giving way Rarely during athletics or other severe exrtion Frequently during athletics or other seere exertion (or incapable of participation) Occasionally in daily activities Often in daily activities Every step 5. Pain * None Inconstant and slight during severe exertin Marked during severe exertion Marked on or aften salking more than 2 km Marked on or aften walking less than 2 km Constant 6. Swelling * None On severe exertion On ordinary exertion Constant 7. Stair climbing * No problems Slightly impaired One step at a time Impossible 8. Squatting * No problems Slightly impaired Not beyond 90° Impossible Activity level Please choose your activity levels before the injury, activity level now and Activity level after surgery (if applicable) Before the injury * 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 / Recreational sports (Competitive sports - Tennis, Athletics (running), Motorcross, Speedway, Handball, Basketball / Recreational sports - Soccer, Bandy and ice hockey, Squash, Athletics (jumping), Cross-country track findings both recreational and competitive) 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 labor ) 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 Activity level now * 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 / Recreational sports (Competitive sports - Tennis, Athletics (running), Motorcross, Speedway, Handball, Basketball / Recreational sports - Soccer, Bandy and ice hockey, Squash, Athletics (jumping), Cross-country track findings both recreational and competitive) 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 labor ) 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 Activity level after surgery * 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 / Recreational sports (Competitive sports - Tennis, Athletics (running), Motorcross, Speedway, Handball, Basketball / Recreational sports - Soccer, Bandy and ice hockey, Squash, Athletics (jumping), Cross-country track findings both recreational and competitive) 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 labor ) 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 Score 0.00 Submit