Tegner Y, Lysholm J
Clin Orthop Relat Res. 1985 Sep(198):43-9.
Many different methods of evaluating disability after knee ligament injury exist. Most of them differ in design. Some are based on only patients' symptoms. Other include patients' symptoms, activity grading, performance in a test, and clinical findings. The rating in these evaluating systems can be either numerical, as in a score, or binary, with yes/no answers. Comparison between a symptom-related score and a score of more complex design showed that the symptom-related score gave a more differentiated picture of the disability. It was also shown that the binary rating system gave less detailed information than a score and that differences in a binary rating can depend on at what level the symptoms are regarded as "significant." A new activity grading scale, where work and sport activities were graded numerically, was constructed as complement to the functional score. When evaluating knee ligament injuries, stability testing, functional knee score, performance test, and activity grading are all important. However, the relative importance varies during the course of treatment, and therefore they should not all be included in one and the same score.
评估膝关节韧带损伤后残疾情况的方法有很多种。它们大多在设计上有所不同。有些仅基于患者的症状。其他的则包括患者的症状、活动分级、测试表现以及临床检查结果。这些评估系统中的评分可以是数字形式，如分数，也可以是二元形式，即“是/否”回答。将与症状相关的评分与设计更复杂的评分进行比较发现，与症状相关的评分能更清晰地呈现残疾情况。研究还表明，二元评分系统提供的信息不如分数详细，而且二元评分的差异可能取决于将症状视为“显著”的程度。构建了一种新的活动分级量表，其中工作和体育活动按数字分级，作为功能评分的补充。在评估膝关节韧带损伤时，稳定性测试、膝关节功能评分、性能测试和活动分级都很重要。然而，在治疗过程中它们的相对重要性会有所变化，因此不应将它们全部纳入同一个评分中。
