Item | Subject |
---|---|
1 | Range of motion |
No limitations | |
Slight limitation | |
Significant limitation | |
2 | Knee clicking/snapping |
None | |
Occasional | |
Frequent | |
3 | Pain |
None | |
Slight with severe exertion | |
Severe with exertion | |
Constant | |
4 | Instability |
None | |
Slight with exertion | |
Severe with exertion | |
Constant | |
5 | Return to activities |
Have returned to all activities | |
Have returned to some, with minor restrictions | |
Cannot partake in most activities | |
Cannot partake in any activities |
Comments: