Table 1.
Normal Knee Function (All of the following must be met) | Mildly Limited Knee Function (Meet all* of the following and 1 or more of the others) | Severely Limited Knee Function (Meet any 1 of the following) |
---|---|---|
No conscious pain, stiffness, or instability in the knee when resting, exercising, or exercising | Mild knee pain (VAS < 4) and/or mild swelling during or after exercise, without signs of locking or instability, and the pain or swelling is relieved by rest | More than moderate knee pain (VAS ≥ 4) and/or significant swelling during or after exercise, accompanied by stiffness and instability, and the pain or swelling does not resolve after 2 weeks of rest and symptomatic treatment. |
Normal gait | Normal gait* | Abnormal gait |
Bilateral thigh circumference difference <5% | Bilateral thigh circumference difference ≥5% but <10% | Bilateral thigh circumference difference ≥10% |
Floating patella test (−) | Floating patella test (−)* | Floating patella test (+) |
Patellar compression test (−) and patellar grinding test (−) | Patellar compression test (+) or patellar grinding test (+) | – |
Knee joint stabilization | Knee joint stabilization* | Knee joint instability |
The injured knee joint has no limitation to flexion and extension, and its active and passive flexion and extension activities are the same as the uninjured side | The injured knee joint is not restricted in extension, and the bilateral difference between active and passive knee flexion is <10˚ | The injured knee joint is restricted in extension, or the bilateral difference between active and passive knee flexion is ≥10˚ |
Knee flexor and extensor strength (Grade Ⅴ) | Knee flexor and extensor strength (Grade Ⅴ)* | Knee flexor or extensor strength (less than Grade Ⅴ) |
LSI ≥ 85% in any of the following: one-legged single jump, one-legged triple jump, one-legged cross jump, 6-meter timed one-legged jump | LSI < 85% in all of the following: one-legged single jump, one-legged triple jump, one-legged cross jump, 6-meter timed one-legged jump | – |
Knee imaging is normal or shows no evidence of clinically significant changes | Knee imaging is normal or shows no evidence of clinically significant changes* | Knee imaging shows clinically significant changes |
VAS, visual analogue scale; LSI, limb symmetry index.
Key test items in knee function assessment.