Tegner Activity Level Scale

By Dr Arun Pal Singh

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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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

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What is Tegner activity level scale?

Use

Reliability

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About Dr Arun Pal Singh