ANNEXURE

TOOL-I

DEMOGRAPHIC VARIABLES

1 Age

a) 40-49 years
b) 50-59 Years
c) 60-69 years
d) Above 69 years

2 Education

a) Illiterate
b) Primary
c) Secondary
d) Higher secondary
e) Degree

3 Religion

a) Hindu
b) Sikh
c) Muslim
d) Others

4. Food habits

a) Vegetarian
b) Non vegetarian

5. Marital status

a) Married
b) Unmarried
c) Separated
d) Widow

6. Family planning
 a) Temporary
b) Permanent
c) Not applicable

7. Menopause attained

a) Yes
b) No

8. Child bearing

a) Below 20 years
b) 20-25 years
c) 26-30 years
d) Above 30 years

9. Body Mass Index

a) 25.0 ± 29.9 Overweight

b) 30.0 ± 39.9 obese
c) 40 and above Morbid obese
 TOOL-II

TEGNER LYSHOLM KNEE SCORE

The Lysholm Knee Score is a questionnaire consisting of 8 items that the patient
completes together with the therapist. The questionnaire is designed to assess the degree of
knee instability at both impairment and limitation levels. A high score on the Lysholm score
list corresponds to a low degree of knee instability. To supplement this score list, an activity
scale (known as Tegner Activity Level Score) can be used.

The Lysholm Knee Score calculates and grades an overall score from 0 to 100 based
on 8 domains: squatting, locking, pain, stair climbing, support, instability, and edema.
Physicians use this condition-specific, subjective outcome score to assess patient progress
after surgery or injury to the knee. Scores between 95 and 100 are regarded as exceptional,
84 and 94 as acceptable, 65 to 83 as fair, and less than 65 as poor. These values, however,
are not predicated on validated normative data because such data have not been examined.
The Lysholm scale, which was initially created for the evaluation of knee ligament injuries,
has been applied to a number of knee disorders.

TEGNER LYSHOLM KNEE SCORE

This questionnaire is designed to give your Physical Therapist information as to how your
knee problems have affected your ability to manage in everyday life Please answer every
section and mark only the ONE box which best applies to you at this moment.

Patient Name: ___________________________________

Date: ____________________________________________

1 - LIMP

I have no limp when I walk. (5)

I have a slight or periodical limp when I walk. (3)

I have a severe and constant limp when I walk. (0)

2 - USING CANE OR CRUTCHES

I do not use a cane or crutches. (5)

I use a cane or crutches with some weight-bearing. (2)

Putting weight on my hurt leg is impossible. (0)

3 - LOCKING SENSATION IN THE KNEE

I have no locking and no catching sensation in my knee. (15)

I have catching sensation but no locking sensation in my knee. (10)

My knee locks occasionally. (6)

My knee locks frequently. (2)

My knee feels locked at this moment. (0)

4 - GIVING WAY SENSATION FROM THE KNEE

My knee gives way. (25)

My knee rarely gives way, only during athletics or vigorous activity. (20)

My knee frequently gives way during athletics or other vigorous activities. In turn I am
unable to participate in these activities. (15)

My knee frequently gives way during daily activities. (10)

My knee often gives way during daily activities. (5)

My knee gives way every step I take. (0)

5 - PAIN

I have no pain in my knee. (25)

I have intermittent or slight pain in my knee during vigorous activities. (20)

I have marked pain in my knee during vigorous activities. (15)

I have marked pain in my knee during or after walking more than 1 mile. (10)

I have marked pain in my knee during or after walking less than 1 mile. (5)

I have constant pain in my knee. (0)

6 - SWELLING

I have no swelling in my knee. (10)

I have swelling in my knee only after vigorous activities. (6)

I have swelling in my knee after ordinary activities. (2)

I have swelling constantly in my knee. (0)

7 – CLIMBING STAIRS

I have no problems climbing stairs. (l0)

I have slight problems climbing stairs. (6)

I can climb stairs only one at a time. (2)

Climbing stairs is impossible for me. (0)

8 – SQUATTING

I have no problems squatting. (5)

I have slight problems squatting. (4)

I cannot squat beyond a 90° bend in my knee. (1)

Squatting is impossible because of my knee. (0)

TOTAL: __________/100
 TOOL-III

STRETCHING EXERCISE

DEFINITION

It is a form of physical exercise in which a specific muscle or tendon is deliberately

fixed or stretched in order to improve muscles felt elasticity and achieve comfortable muscle
tone. The result is a feeling of increased muscle control, flexibility and range of motion.

INDICATIONS

1. Essential for establishing normal range of motion of joints and soft tissue.

2. Decreasing risk of injury.

3. Prevent contractures and adaptive shortening.

4. Combats the effects of prolonged immobilization.

5. Optimal flexibility will reduce stressors to surrounding joints and tissues

CONTRAINDICATIONS

1. Around acutely inflamed or infected joints.

2. Patient who are already hyper mobile

3. Patient when shortened muscles are providing stability if normal joint stability is decreased
with functional abilities.

4. Across a joint when a bony block prevents motion.

Quadriceps Stretches

Origin: Combined rectus femoris and vastus muscle.

Insertion: Tibial tuberosity

Action: Knee extension, Hip flexion.

Procedure

1. Stand up and pull one leg behind you.

2. Hold 5 - 10 seconds and release

3. Repeat with other leg.

4. 5 to 10 minutes daily.

Figure showing Quadriceps Stretches

Hamstring Stretches

Origin: Tuberosity of ischium. linea aspera.

Insertion: Tibia, fibula

Action: Flexion of knee, extension of hip

Procedure

1) Sit on the chair and put one leg out.

2) Hold 5 ± 10 seconds then release.

3) Repeat with other leg, and then do it both the legs.

4) Repeat 5 times on each

Figure showing Hamstring Stretches

Calf stretches (Gastronomies Muscle)

Origin: Superior to articular surfaces of lateral condyle of femur and medial Condyle of
femur.

Insertion: Tendon calcaneus into mid posterior calcareous.

Action: Plantar fiexes foot, flexes knee.

Procedure

1) While standing, place your hand in front of wall with arms outstretched, elbow straight.

2) Keeping your left knee slightly bent, the toes of right foot slightly turned inward. Move
your right foot back one or two feet.
3) Place your right heel and foot flat on the procedure.

4) Keep your right knee straight and hold position for 10 – 30 seconds.

5) Continuing to keep your right heel and foot on the floor, bend your right knee and hold 5 -
10 seconds and release.

6) Repeat the opposite leg.

7) Repeat 5 to 10 times on both legs.

Figure showing Calf stretches (Gastronomies Muscle)

Half Squats

Main muscles worked: Quadriceps, gluteus, hamstrings

You should feel this exercise at the front and back of your thighs, and your buttocks

Step-by-step directions
• Stand with your feet shoulder distance apart. Your hands can rest on the front of your thighs
or reach in front of you. If needed, hold on to the back of a chair or wall for balance.

• Keep your chest lifted and slowly lower your hips about 10 inches, as if you are sitting
down into a chair.

• Plant your weight in your heels and hold the squat for 5 seconds.

• Push through your heels and bring your body back up to standing.

Figure showing Half Squats

Straight-Leg Raises (Prone)

Main muscles worked: Hamstrings, gluteus

You should feel this exercise at the back of your thigh and into your buttock

Step-by-step directions

• Lie on the floor on your stomach with your legs straight. Rest your head on your arms.

• Tighten your gluteus and hamstring muscles of the affected leg and raise the leg toward the
ceiling as high as you can.

• Hold this position for 5 seconds.

• Lower your leg and rest it for 2 seconds. Repeat

Figure showing Straight-Leg Raises (Prone)

 MASTER SHEET-DEMOGRAPHIC VARIABLES EXPERIMENTAL GROUP

S. Age Group Education Religion Food Habits Marital Family Menopaus Child Body
No. Status status planning e attained bearing age mass
method index

1 40-49 years Higher Sikh Vegetarian Married Permanent No 20-25 years 30.0±39.
secondary 9

2 40-49 years Primary Sikh Vegetarian Widow Permanent Yes Below 20 40 and
years above

3 40-49 years Illiterate Hindu Non- Married Permanent No Below 20 30.0±39.

Vegetarian years 9

4 40-49 years Higher Hindu Vegetarian Married Temporary No Above 30 40 and

secondary years above

5 40-49 years Degree Hindu Vegetarian Married Permanent Yes 26-30 years 30.0±39.
9

6 40-49 years Degree Hindu Non- Divorced Permanent Yes 20-25 years 40 and
Vegetarian above

7 40-49 years Higher Sikh Vegetarian Married Temporary No Above 30 30.0±39.

secondary years 9

8 40-49 years Higher Sikh Vegetarian Married Permanent Yes 26-30 years 30.0±39.
 secondary 9

9 50-59 years Secondary Hindu Vegetarian Married Permanent Yes 20-25 years 30.0±39.
9

10 50-59 years Degree Sikh Vegetarian Married Permanent Yes 26-30 years 40 and
above

11 50-59 years Secondary Muslim Vegetarian Widow Not No Below 20 30.0±39.

applicable years 9

12 50-59 years Higher Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
secondary years 9

13 50-59 years Degree Hindu Vegetarian Married Permanent Yes 20-25 years 30.0±39.
9

14 50-59 years Higher Hindu Vegetarian Married Permanent No 20-25 years 30.0±39.
secondary 9

15 50-59 years Degree Other Vegetarian Widow Permanent Yes Below 20 30.0±39.
years 9

16 50-59 years Degree Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
years 9

17 50-59 years Higher Hindu Vegetarian Married Permanent Yes Below 20 40 and
secondary years above

18 60-69 years Illiterate Sikh Vegetarian Widow Not Yes Below 20 30.0±39.
applicable years 9
19 60-69 years Primary Muslim Non- Married Not Yes Below 20 30.0±39.
Vegetarian applicable years 9

20 60-69 years Secondary Other Vegetarian Married Permanent Yes Below 20 40 and
years above

21 60-69 years Secondary Hindu Vegetarian Married Permanent Yes Below 20 40 and
years above

22 60-69 years Primary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
years 9

23 60-69 years Illiterate Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
years 9

24 60-69 years Secondary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
years 9

25 60-69 years Primary Sikh Vegetarian Married Permanent Yes Below 20 40 and
years above

26 60-69 years Primary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.
years 9

27 Above 69 Illiterate Muslim Vegetarian Widow Not Yes Below 20 30.0±39.

years applicable years 9

28 Above 69 Illiterate Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.

years years 9

29 Above 69 Primary Sikh Vegetarian Married Permanent Yes Below 20 40 and

 years years above

30 Above 69 Illiterate Hindu Vegetarian Widow Not Yes Below 20 40 and

years applicable years above

MASTER SHEET-DEMOGRAPHIC VARIABLES CONTROL GROUP

S. Age Group Education Religion Food Habits Marital Family Menopaus Child Body mass
No. Status status planning e attained bearing age index
method

1 40-49 years Illiterate Hindu Non- Married Permanent No Below 20 30.0±39.9

Vegetarian years

2 40-49 years Higher Hindu Vegetarian Married Temporary No Above 30 40 and

secondary years above

3 40-49 years Degree Hindu Vegetarian Married Permanent Yes 26-30 years 30.0±39.9

4 40-49 years Degree Hindu Non- Divorced Permanent Yes 20-25 years 40 and
Vegetarian above

5 40-49 years Higher Sikh Vegetarian Married Permanent No Above 30 30.0±39.9

secondary years

6 40-49 years Higher Sikh Vegetarian Married Permanent Yes 26-30 years 30.0±39.9
secondary
7 40-49 years Secondary Hindu Vegetarian Married Permanent Yes 20-25 years 30.0±39.9

8 40-49 years Primary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years

9 40-49 years Illiterate Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years

10 40-49 years Secondary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years

11 40-49 years Primary Sikh Vegetarian Married Permanent Yes Below 20 40 and
years above

12 50-59 years Secondary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years

13 50-59 years Primary Muslim Vegetarian Married Not Yes Below 20 30.0±39.9
applicable years

14 50-59 years Primary Hindu Non- Married Permanent Yes Below 20 30.0±39.9
Vegetarian years

15 50-59 years Degree Sikh Vegetarian Married Permanent Yes 26-30 years 40 and
above

16 50-59 years Secondary Muslim Vegetarian Married Not No Below 20 30.0±39.9

applicable years

17 50-59 years Secondary Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years
18 50-59 years Degree Hindu Vegetarian Widow Permanent Yes 20-25 years 30.0±39.9

19 50-59 years Primary Hindu Vegetarian Married Permanent No 20-25 years 30.0±39.9

20 50-59 years Primary Other Vegetarian Widow Permanent Yes Below 20 30.0±39.9
years

21 60-69 years Degree Hindu Vegetarian Married Permanent Yes Below 20 30.0±39.9
years

22 60-69 years Illiterate Hindu Vegetarian Married Permanent Yes Below 20 40 and
years above

23 60-69 years Illiterate Hindu Vegetarian Married Temporary No Above 30 40 and

years above

24 60-69 years Primary Hindu Vegetarian Married Permanent Yes 26-30 years 30.0±39.9

25 60-69 years Secondary Hindu Non- Divorced Permanent Yes 20-25 years 40 and
Vegetarian above

26 60-69 years Primary Sikh Vegetarian Married Permanent No Above 30 30.0±39.9

years

27 60-69 years Secondary Sikh Vegetarian Married Permanent Yes 26-30 years 30.0±39.9

28 Above 69 Primary Sikh Vegetarian Married Permanent Yes Below 20 40 and

years years above

29 Above 69 Illiterate Sikh Vegetarian Widow Not Yes Below 20 30± 39.9
years applicable years
30 Above 69 Illiterate Hindu Non- Widow Permanent Yes Below 20 40 and
years Vegetarian years above

EXPERIMENTAL GROUP PRE TEST MASTER SHEET

Sampl Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Total score

e code

1 3 2 6 10 15 6 6 1 49

2 3 2 2 5 5 2 2 1 22

3 5 5 6 10 10 6 2 4 48

4 5 5 2 5 0 0 2 1 20

5 5 2 10 15 10 6 2 1 51

6 3 2 2 10 10 6 6 4 43

7 3 2 6 10 5 2 6 1 35

8 3 2 6 10 10 6 2 1 40

9 5 2 6 15 10 6 2 1 47

10 5 2 6 5 0 2 0 0 20

11 0 2 6 5 0 0 0 0 13
12 5 5 10 10 15 10 2 4 61

13 3 5 6 5 10 6 2 4 41

14 3 2 2 5 5 2 2 0 21

15 3 2 6 5 5 2 2 1 26

16 5 5 10 15 5 6 2 1 49

17 5 2 6 10 10 6 2 1 42

18 3 2 2 10 15 10 6 4 52

19 3 2 2 5 0 6 2 1 21

20 3 5 6 10 15 6 6 1 52

21 5 2 6 10 10 10 2 4 49

22 3 5 2 5 0 6 2 0 23

23 3 2 2 5 5 6 2 0 25

24 5 5 10 15 10 6 2 4 57

25 3 2 6 15 10 2 2 4 44

26 3 5 6 10 5 2 0 4 35

27 3 2 6 10 10 6 0 1 38

28 3 2 2 5 5 2 2 1 22
29 5 5 10 10 15 6 0 4 55

30 5 2 6 5 0 2 2 1 23

Total mean 37.4666667

EXPERIMENTAL GROUP POST TEST MASTER SHEET

Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Total score

1 5 5 10 20 20 10 10 4 84

2 5 5 15 15 15 6 6 4 71

3 5 5 10 20 15 6 6 5 72

4 5 5 10 15 10 2 6 4 57

5 5 5 15 25 20 10 2 4 86

6 5 2 6 20 20 6 10 5 74

7 5 2 10 20 15 6 6 4 68

8 5 2 10 15 20 10 2 4 68
9 5 5 15 20 15 6 6 4 76

10 5 5 10 15 10 6 2 1 54

11 3 5 10 15 10 2 2 1 48

12 5 5 15 15 20 10 2 5 77

13 5 5 10 15 15 10 6 5 71

14 3 5 6 10 10 6 6 1 47

15 5 2 6 10 10 6 2 4 45

16 5 5 15 20 15 6 2 4 72

17 5 5 10 15 20 10 6 4 75

18 5 2 6 15 25 10 6 5 74

19 5 5 6 10 10 6 6 4 52

20 3 5 10 20 20 10 10 4 82

21 5 5 6 20 15 10 6 5 72

22 5 5 15 15 10 6 2 1 59

23 5 2 6 10 10 6 2 1 42

24 5 5 15 25 20 10 6 5 91

25 5 2 10 20 20 6 6 5 74
26 3 5 10 15 15 2 2 5 57

27 5 2 10 20 15 10 2 4 68

28 5 5 10 10 15 2 2 4 53

29 5 5 10 15 20 6 2 5 68

30 5 5 6 15 10 6 6 4 57

mean 66.4666667

CONTROL GROUP PRE TEST MASTER SHEET

Sampl Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Total
e code Score

1 5 5 2 5 5 0 2 1 25

2 5 2 10 15 10 6 2 1 51

3 3 2 2 10 10 6 6 4 43

4 3 2 6 10 5 2 6 1 35

5 3 2 6 10 10 6 2 1 40

6 5 2 6 15 10 6 2 1 47

7 5 2 6 5 0 2 0 0 20

8 3 2 6 5 0 0 0 0 16
9 5 5 10 10 15 10 2 4 61

10 3 5 6 10 10 6 2 1 43

11 3 2 2 5 5 2 2 0 21

12 3 2 6 5 5 2 2 1 26

13 5 5 10 15 5 6 2 1 49

14 5 2 6 10 10 6 2 1 42

15 5 5 10 15 5 6 2 1 49

16 5 2 6 10 10 6 2 1 42

17 3 2 2 10 15 10 6 4 52

18 3 2 6 5 5 6 2 1 30

19 3 5 6 10 15 6 6 1 52

20 5 2 6 10 10 10 2 4 49

21 3 5 2 5 0 6 2 0 23

22 3 2 2 5 5 6 2 0 25

23 5 5 10 15 10 6 2 4 57

24 3 2 6 15 10 2 2 4 44
25 3 5 6 10 5 2 0 4 35

26 3 2 2 5 0 6 2 1 21

27 3 5 6 10 15 6 6 1 52

28 5 2 6 10 5 10 2 4 44

29 3 5 2 5 0 6 2 0 23

30 3 2 2 5 5 6 2 0 25

Total mean 38.06667

CONTROL GROUP POST TEST MASTER SHEET

Sampl Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9
e code

1 5 5 10 5 5 2 2 1 35

2 5 2 10 15 10 6 2 1 51

3 5 5 2 10 10 6 6 4 48

4 3 2 6 10 5 2 6 1 35

5 3 5 6 10 10 10 2 1 47

6 5 2 6 5 10 6 2 1 37

7 5 2 6 5 0 2 0 0 20
8 3 2 6 5 5 6 2 1 30

9 5 5 10 10 10 6 2 4 52

10 3 5 6 10 10 6 2 1 43

11 3 0 2 5 5 2 2 0 19

12 3 2 6 5 5 2 0 1 24

13 5 5 10 15 5 10 2 1 53

14 5 2 6 5 10 6 2 4 40

15 5 5 10 15 5 6 2 1 49

16 5 2 6 15 10 6 2 1 47

17 3 2 6 10 10 6 6 0 43

18 3 2 6 5 5 6 2 1 30

19 3 5 2 10 15 6 6 4 51

20 5 2 6 10 10 10 2 1 46

21 5 5 2 5 5 6 2 0 30

22 3 2 10 10 5 10 0 1 41

23 5 5 10 15 10 6 2 4 57
24 3 2 6 10 10 2 2 1 36

25 5 5 2 10 5 2 0 4 33

26 3 2 10 15 0 6 2 1 39

27 3 5 6 10 15 6 6 1 52

28 5 2 6 10 5 10 2 4 44

29 3 5 10 5 10 6 2 1 42

30 3 2 6 15 5 6 2 1 40

mean 40.4666667