Originally published in 1982 in the American Journal of Sports Medicine and later modified in 1985 in Clinical Orthopaedics and Related Research, the Score Lysholm was designed to be used in the evaluation of knee ligament surgery results, particularly for symptoms related to instability.

Internal disorders of the knee joint are numerous and of varying consequences for the individual's function and quality of life. The growing demand for physical activities associated with the complex and so vulnerable anatomy of the knee joint has increased the incidence of ligament injuries to this joint, especially the anterior cruciate ligament (ACL).

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The complexity of the knee joint and the number of criteria to assess its function and symptoms make it difficult to measure and quantify the treatments used. In 1955, O'Donoghue was the first to develop a system for evaluating results. An objective examination and a 100-point questionnaire were used to assess the outcome of knee ligament repairs.

Then, Slocum and Larson recognized the need to assess rotational instability and comparative values of pre and postoperative. Later, Lysholm and Gillquist developed a scale for symptom assessment.

The Lysholm scale includes basic aspects of the Larson scale, introducing, however, the symptom instability and correlating it with activity. This scale was later modified by Tegner and Lysholm, who recognized the difficulty of a score for ligament injury and decided, in this edition, to research clinical findings and only evaluate symptoms and function.

The Lysholm score for knee symptoms remains one of the most used assessment tools for the results of ACL reconstruction, although it only measures everyday activities. Eight factors are assessed to produce an overall score on a scale of zero to 100.

How to use the Lysholm Score in Ninsaúde Apolo?

The medical software Ninsaúde Apolo has the functionality of form templates, where the health professional can include questionnaires that will be used in the care. These questionnaires are for the professional to perform a better investigation and documentation of the patient's symptoms and problems, in a practical and agile way. With the form ready, just add the answers. You can learn more about this feature in our article "Ninsaúde Apolo forms: a tool for all specialties".

The healthcare professional can create their forms by accessing the Form Templates menu and then pressing the New button, which is on the upper right side of the screen. If you prefer, you can import our model which is available on the Import button, just search for your specialty and select the desired form.

The forms of Ninsaúde Apolo also have the calculated field, for this reason, when selecting the answers given by the patient, the health professional obtains the score result automatically, without the need to perform calculations manually. Observe in the example below how it works:

As new appointments are made for the same patient, using the same form, the health professional can use the Charts tab to make a comparison between the results obtained. The graph can be viewed in a row, column, or even table formats:

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Souces: Orthotoolkit | SciELO