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Dear List members: The Lysholm score DOES NOT evaluate knee stability or ligament integrity of the knee. It DOES evaluate the severity of symptoms that MAY be associated with knee instability, ligament injury or other lower extremity injury/disease. Noyes et al. (1989) attempted to define the constructs that were in clinical and biomechanical usage. "Instability" he summarized as "A condition of a joint characterized by an abnormal increased range of motion due to injury (disease)...." However, Noyes et al. (1989) did not operationalize the term. There have been several attempts to quantify the concept of "instability" including our review (Maitland and Kawchuck, 1997). Instability, as described by Noyes et al (1989) really doesn't deal with all of the current concepts such as the relationship between passive, active, and functional instability as well as the symptoms that are reported as instability. In a simplistic way, I ask myself: Do you want to measure the properties of the ligament - ligament function? Do you want to measure the properties of the knee - knee function? Do you want to measure the impact on activities or performance - lower extremity function? Or Do you want to measure the global impact of symptoms in some manner - individual function? Murray Maitland ME, Kawchuck GN. Towards the quantification of end-feel for the assessment of passive joint motion. Physical Therapy Reviews 1997;2:217-226 Noyes FR et al., J Bone Joint Surg [AM] 1989;71:465-472 The definitions of terms for motion and position of the knee and injuries of the ligaments. > > > > Dear Anuradha > Lysholm score is one of the best clinical methods of evaluation of > the knee stability (ligaments integrity). To know more about this > method you can look at this article: "Rating system in the > evaluation of knee ligament injuries. Tegner Yelverton and Jack > Lysholm. 1985 198 : 43-49". > > I hope this helps > Abbas > > > Date sent: Fri, 11 Feb 2000 12:06:21 +0300 > Subject: Lysholm score > From: "Anuradha" <[log in to unmask]> > To: <[log in to unmask]>, "PHYSIO" <[log in to unmask]> > Send reply to: [log in to unmask] > > > .The following is an extract from abstract of --MOTOR PERFORMANCE IN DYNAMIC TESTS IN KNEE REHABILITATION.... Scan J Med Sci Sports 1999 feb > > > > During the strength measurements a superimposed twitch technique was used for the detection of neuromuscular inhibition. The results demonstrate a significantly reduced Lysholm-Score and a distinct strength deficit, but no neuromuscular inhibition and n> o differences in knee stability in the > operated leg. > > Could some one tell me about the Lysholm score?? > > Many thanks > > Anuradha > > > > > @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ > Abbas Rahimi > Centre for Sports Medicine > Department of Orthopaedic and Accident Surgery > West Block, C Floor, Q.M.C Centre > Nottingham NG7 2UH > TEL: 0115-9249924 EXT 44170 > Fax: 0115-9423656 > @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ > -- ________________________________________________________________ Murray Maitland PhD PT Associate Professor and Physical Therapist Faculty of Kinesiology Sport Medicine Centre University of Calgary 2500 University Drive NW Calgary, Alberta T2N 1N4 (403) 220-8943 office (403) 220-8232 clinic (403) 282-6170 fax [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%