Noyes Aktivitätsscore (Scores und Bewertungsschema nach Noyes et al.)

Anwendung

Kreuzbandrupturen
Anmerkung
Die Herausgeber sind sich auch nach dem Lesen der Originalliteratur leider nicht der genauen Bedeutung der Angaben bei "squatting/kneeling" bewusst, vermuten aber eine Zeit der Tätigkeit in Minuten.

Symptoms   
The symptoms that are
rated are pain, swelling,
partial giving-way,
full giving-way
Normal knee; able to do strenuous work/sports with jumping, hard pivoting 10
 Able to do moderate work/sports with running, turning, twisting; symptoms with strenuous work/sports 8
 Able to do light work/sports with no running, twisting, jumping; symptoms with moderate work/sports 6
 Able to do activities of daily living alone; symptoms with light work/sports 4
 Moderate symptoms (frequently,limiting) with activities of daily living 2
 Severe symptoms (constant, not relieved) with activities of daily living 0
Sports-activities
rating scale
  
Level 1
(participates 4-7 days per week)
Jumping, hard pivoting, cutting (basketball, volleyball, football, gymnastics, soccer)
100
 Running, twisting, turning (racquet sports, baseball, hockey, skiing, wrestling)95
 No running, twisting, jumping (running, cycling, swimming) 90
Level 2
(participates 1-3 days per week)
Jumping, hard pivoting, cutting (basketball, volleyball, football, gymnastics, soccer) 85
 Running, twisting, turning (racquet sports, baseball, hockey, skiing, wrestling) 80
 No running, twisting, jumping (running, cycling, swimming) 75
Level 3
(participates 1-3 times per month)
Jumping, hard pivoting, cutting (basketball, volleyball, football, gymnastics, soccer) 65
 Running, twisting, turning (racquet sports, baseball, hockey, skiing, wrestling) 60
 No running, twisting, jumping (running, cycling, swimming) 55
Level 4
(no sports possible)
ADL with no problems ADL 40
 with moderate problems ADL 20
 with severe problems 0
Assessment of function  
Activities of daily living  
WalkingNormal, unlimited40
 Some limitations30 
 Only 3-4 blocks possible20 
 Less than 1 block possible
StairsNormal, unlimited 40
 Some limitations 30 
 Only 11-30 steps possible 20 
 Only 1-10 steps possible
Squatting/kneeling Normal, unlimited 40
 Some limitations 30 
 Only 6-10 possible 20 
 Only 0-5 possible
Sports   
Straight running Fully competitive 100
 Some limitations, guarding 80
 Half-speed, definite limitations 60
 Not able 40
Jumping/landing
on affected leg
Fully competitive 100
 Some limitations, guarding 80
 Half-speed, definite limitations 60
 Not able 40
Hard twists/cuts/ pivots Fully competitive 100
 Some limitations, guarding 80
 Half-speed, definite limitations 60
 Not able 40
   
Scheme for final ratingExcellent Good Fair Poor
     
Pain 10 8 6-4 2-0
Swelling 10 8 6-4 2-0
Partial giving-way 10 8 6-4 2-0
Full giving-way 10 8 6-4 2-0
Walking 40 30 20 0
Stairs/squatting (score lowest) 40 30 20 0
Running 100 80 60 40
Jumping 100 80 60 40
Hard twist, cuts, pivots 100 80 60 40
Effusion (ml) Normal <25 26-60 >60
Lack of flexion (degrees) 0-5 6-15 16-30 >60
Lack of extension (degrees) 0-3 4-5 6-10 >10
Tibiofemoral crepitus (1)Normal Mild Moderate Severe
Patellofemoral crepitus (1)Normal Mild Moderate Severe
Ant. displacement (KT-1000) < 3mm 3-5 mm 6 mm > 6mm
Pivot-shift test Negative Slip Defin. Severe
Joint-space narrowing     
Med. tibiofemoral (2)Normal Mild Moderate Severe
Lat. tibiofemoral (radiographs) (2)Normal Mild Moderate Severe
Patellofemoral (radiographs) (2)Normal Mild Moderate Severe
Functional testing (limb symmetry in %) (3)100-8584-7574-65<65
     
 
 
(1) Moderate indicates definite fibrillation and cartilage abnormality of 25 to 50°, severe indicates cartilage abnormality of more than 50°
(2) Moderate indicates narrowing by less than one-half of joint space, severe by more than one-half of the jointspace
(3) Use average of at least three one-legged hop-type tests