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Bone and Spine

Orthopedic health, conditions and treatment

Tegner Activity Level Scale

By Dr Arun Pal Singh

In this article
    • What is Tegner activity level scale?
    • Use
    • Reliability

Tegner activity level scale is a scale that aims to provide a standardized method of grading work and sporting activities.

It was developed to complement  the Lysholm scale after it was observed that   that limitations in function scores  in Lysholm scale  may be masked by a  decrease in activity level.

Tegner activity level scale is used  in  conjunction with the Lysholm Knee Scoring Scale, originally in patients with anterior cruciate ligament (ACL) injury

What is Tegner activity level scale?

Tegner activity level scale is a graduated list of activities of daily living, recreation, and competitive sports.  The patient  is asked to select the level of participation that best describes their current level  of activity and that before injury.

The score varies from 0-10.

A score of 0 represents sick leave or disability pension because of knee problems, whereas a score of 10 corresponds to participation in national and international elite competitive sports >6 score can only be achieved if the person participates in recreational or competitive sport.

Use

Use of  Tegner activity level scale is similar to Lysholm scale in conditions like ligament injury of the knee, meniscal tears, knee cartilage lesions, osteochondritis dissecans, traumatic knee dislocation, patellar instability, patellofemoral pain, and knee osteoarthritis and interventions in these.

Here is a sample of  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___________
  • Level 10 Competitive sports- soccer, football, rugby (national elite)
  • Level 9 Competitive sports- soccer, football, rugby (lower divisions), ice hockey, wrestling, gymnastics, basketball
  • Level 8 Competitive sports- racquetball or bandy, squash or badminton, track and field athletics (jumping, etc.), down-hill skiing
  • Level 7 Competitive sports- tennis, running, motorcars speedway, handball, Recreational sports- soccer, football, rugby, bandy, ice hockey, basketball, squash, racquetball, running
  • Level 6 Recreational sports- tennis and badminton, handball, racquetball, down-hill skiing, jogging at least 5 times per week
  • Level 5 Work- heavy labor (construction, etc.) Competitive sports- cycling, cross-country skiing, Recreational sports- jogging on uneven ground at least twice weekly
  • Level 4 Work- moderately heavy labor (e.g. truck driving, etc.)
  • Level 3 Work- light labor (nursing, etc.)
  • Level 2 Work- light labor Walking on uneven ground possible, but impossible to back pack or hike
  • Level 1 Work- sedentary (secretarial, etc.)
  • Level 0 Sick leave or disability pension because of knee problems

SURGICAL HISTORY

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?

 Interpretation -Possible score range: 0–10Higher scores represent participation in higher-level activities.

 

The scale classifies work, recreational, and sports activities in a graded activity scale, using common terminology. As such, patients should not have difficulty selecting which level corresponds to their current activity. The degree of difficulty has been reported to increase with age.

Reliability

The TAS has an adequate test–retest reliability for groups with knee injuries and knee OA, although reliability is less than adequate for use in individuals. It is a is a simple freely available measure of activity level that spans work, sporting, and recreational activities.  The TAS was originally intended and developed for patients with ACL injury as an adjunct to the Lysholm scale, not as a stand-alone measure.

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Filed Under: General Ortho

About Dr Arun Pal Singh

Arun Pal Singh is an orthopedic and trauma surgeon, founder and chief editor of this website. He works in Kanwar Bone and Spine Clinic, Dasuya, Hoshiarpur, Punjab.

This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health.

You can follow him on Facebook, Linkedin and Twitter

Reader Interactions

Comments

  1. dilpreet says

    January 17, 2015 at 7:56 pm

    how to rate tegnar activity level scale when done on 30 patients with acl injury?

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