Overview :
The VISA (Victorian Institute of Sport Assessment) score can be used to grade the severity of symptoms in patients with patellar tendinosis (jumper's knee). It can be used to monitor patient's over time and to assess the impact of various interventions.
The Victorian Institute of Sport is in South Melbourne, Victoria, Australia.
Questionnaire
(1) How many minutes can you sit pain free?
• points = INTEGER (MINIMUM (100, (minutes/10))
(2) Do you have pain walking downstairs with a normal gait cycle?
• points from 0 to 10
• severe strong pain: 0 points
• no pain: 10 points
(3) Do you have pain at the knee with full active non-weight bearing knee extension?
• points from 0 to 10
• severe strong pain: 0 points
• no pain: 10 points
(4) Do you have pain when doing a full-weight bearing lung?
• points from 0 to 10
• severe strong pain: 0 points
• no pain: 10 points
(5) Do you have problems squatting?
• points from 0 to 10
• unable: 0 points
• no problems: 10 points
(6) Do you have pain during immediately after doing 10 single leg hops?
• points from 0 to 10
• strong severe pain/unable: 0 points
• no pain: 10 points
(7) Are you currently undertaking sport or other physical activity?
• not at all: 0 points
• modified training +/- modified competition: 4 points
• full training +/- competition but not at same level as when symptoms began: 7 points
• competing at the same or higher level as when symptoms began: 10 points
(8) Complete EITHER 8a, 8b, OR 8c, selecting as follows:
• If you have no pain while undertaking sport, please complete 8A only.
(8a) If you have no while undertaking sport, for how long can you train/practice?
• If you have pain while undertaking sport but it does not stop you from completing the activity, please complete 8b only.
(8b) If you have some pain while undertaking sport, but it does not stop you from completing your training/practice, for how long can you train/practice?
• If you have pain that stops you from completing sporting activities, please complete 8c only.
(8c) If you have pain that stops you from completing your training/practice, for how long can you train/practice?
Question nil 0-5 mts 6-10 mts 11-15 mts > 15 minutes
8a 0 7 14 21 30
8b 0 4 10 14 20
8c 0 2 5 7 10
total VISA score =
= SUM(points for responses to all 8 questions)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score, the better the patient's condition.
• Patients may be categorized into groups based on 81-100, 61-80, and < name="ref">References:
Visentini PJ, Khan KM, et al. The VISA Score: An index of severity of symptoms in patients with jumper's knee (patellar tendinosis). J Science and Medicine in Sport. 1998; 1: 22-28.
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