K.N.E.E. Coaching Program Follow-Up Assessment GENERAL INFORMATION What's your email? Knee Pain: (At the start of the program) On a scale from 1 to 10, how would you rate your knee pain levels before starting the exercises? 1 2 3 4 5 6 7 8 9 10 Knee Pain: (After 2 weeks) On a scale from 1 to 10, how would you rate your knee pain levels after 2 weeks? 1 2 3 4 5 6 7 8 9 10 Pain-Free Knee Extension: (At the start of the program) How much can you extend your knee without pain and difficulty at the start of the program? Full Extension: I can completely straighten my knee without any difficulty, pain, or discomfort, allowing me to perform daily activities like walking, standing, and exercising without limitation. Mild Limitation: I can mostly straighten my knee, but there is a slight bend that causes mild discomfort or tightness. I notice this mainly when trying to stand up straight or extend my leg fully while sitting or lying down. Moderate Limitation: I have difficulty fully straightening my knee, and it remains noticeably bent even when I try to extend it. This limitation causes discomfort during activities like walking, standing, or when trying to fully extend my leg. Significant Limitation: I am unable to straighten my knee beyond a partially bent position. This causes significant discomfort or pain and affects my ability to perform daily activities such as walking, standing, or getting up from a seated position. Severe Limitation: I am unable to straighten my knee, and it remains in a bent position. This severely limits my ability to walk, stand, or perform other daily activities without assistance or significant discomfort. Pain-Free Knee Extension: (After 2 weeks) How much can you extend your knee without pain and difficulty 2 weeks after doing the program? Full Extension: I can completely straighten my knee without any difficulty, pain, or discomfort, allowing me to perform daily activities like walking, standing, and exercising without limitation. Mild Limitation: I can mostly straighten my knee, but there is a slight bend that causes mild discomfort or tightness. I notice this mainly when trying to stand up straight or extend my leg fully while sitting or lying down. Moderate Limitation: I have difficulty fully straightening my knee, and it remains noticeably bent even when I try to extend it. This limitation causes discomfort during activities like walking, standing, or when trying to fully extend my leg. Significant Limitation: I am unable to straighten my knee beyond a partially bent position. This causes significant discomfort or pain and affects my ability to perform daily activities such as walking, standing, or getting up from a seated position. Severe Limitation: I am unable to straighten my knee, and it remains in a bent position. This severely limits my ability to walk, stand, or perform other daily activities without assistance or significant discomfort. Range of Motion: (At the start of the program) How much can you bend your knee at the start of the program. Full Range of Motion: I can bend my knee completely, touching my heel to my buttock without pain or discomfort. Mild Limitation: I can bend my knee almost completely, but I experience slight discomfort or tightness before reaching full flexion. Moderate Limitation: I can bend my knee to about 90 degrees (forming a right angle), but going beyond that causes discomfort or pain. Severe Limitation: I can only bend my knee slightly, up to 45 degrees or less, before experiencing significant pain or stiffness. Unable to Bend: I cannot bend my knee at all due to pain, stiffness, or other limitations Other Range of Motion: (After 2 weeks) How much can you bend your knee after 2 weeks of doing the program? Full Range of Motion: I can bend my knee completely, touching my heel to my buttock without pain or discomfort. Mild Limitation: I can bend my knee almost completely, but I experience slight discomfort or tightness before reaching full flexion. Moderate Limitation: I can bend my knee to about 90 degrees (forming a right angle), but going beyond that causes discomfort or pain. Severe Limitation: I can only bend my knee slightly, up to 45 degrees or less, before experiencing significant pain or stiffness. Unable to Bend: I cannot bend my knee at all due to pain, stiffness, or other limitations Other Walking Distance: (At the start of the program) How many steps can you take without needing to rest due to knee pain? Please provide the step count at the start of the program. Unlimited Walking Distance: I can walk as far as I want without any discomfort, pain, or need to stop. Moderate Walking Distance (1 mile or more): I can walk for about 1 mile (1.6 kilometers) or more before I feel the need to stop due to discomfort, fatigue, or pain. Short Walking Distance (a few blocks to 1 mile): I can walk a few blocks (approximately 0.5 miles or 800 meters) to 1 mile before needing to stop due to discomfort, fatigue, or pain. Limited Walking Distance (a few steps to a few blocks): I can walk only a short distance (a few steps to a few blocks) before I need to stop due to significant discomfort, fatigue, or pain. Very Limited Walking Distance (less than a few steps): I can walk only a few steps, or I am unable to walk without assistance or severe discomfort. Walking Distance: (After 2 weeks) How many steps can you take without needing to rest due to knee pain? Please provide the step count after 2 weeks of doing the program. Unlimited Walking Distance: I can walk as far as I want without any discomfort, pain, or need to stop. Moderate Walking Distance (1 mile or more): I can walk for about 1 mile (1.6 kilometers) or more before I feel the need to stop due to discomfort, fatigue, or pain. Short Walking Distance (a few blocks to 1 mile): I can walk a few blocks (approximately 0.5 miles or 800 meters) to 1 mile before needing to stop due to discomfort, fatigue, or pain. Limited Walking Distance (a few steps to a few blocks): I can walk only a short distance (a few steps to a few blocks) before I need to stop due to significant discomfort, fatigue, or pain. Very Limited Walking Distance (less than a few steps): I can walk only a few steps, or I am unable to walk without assistance or severe discomfort. Endurance: (At the start of the program) How long (in minutes) can you walk before needing to stop due to knee pain or fatigue at the start of the program. Excellent Endurance: I can perform activities involving my knees (e.g., walking, standing, climbing stairs) for extended periods (30 minutes or more) without experiencing fatigue, discomfort, or pain. Good Endurance: I can perform activities involving my knees for a moderate duration (15-30 minutes) before feeling fatigue, discomfort, or mild pain. Moderate Endurance: I can perform activities involving my knees for a short duration (5-15 minutes) before needing to rest due to fatigue, discomfort, or moderate pain. Limited Endurance: I can perform activities involving my knees for only a few minutes (1-5 minutes) before needing to stop due to significant fatigue, discomfort, or pain. Very Limited/No Endurance: I can barely perform any activity involving my knees (less than 1 minute) before I must stop due to severe fatigue, discomfort, or pain. Endurance: (After 2 weeks) How long (in minutes) can you walk before needing to stop due to knee pain or fatigue 2 weeks after doing the program. Excellent Endurance: I can perform activities involving my knees (e.g., walking, standing, climbing stairs) for extended periods (30 minutes or more) without experiencing fatigue, discomfort, or pain. Good Endurance: I can perform activities involving my knees for a moderate duration (15-30 minutes) before feeling fatigue, discomfort, or mild pain. Moderate Endurance: I can perform activities involving my knees for a short duration (5-15 minutes) before needing to rest due to fatigue, discomfort, or moderate pain. Limited Endurance: I can perform activities involving my knees for only a few minutes (1-5 minutes) before needing to stop due to significant fatigue, discomfort, or pain. Very Limited/No Endurance: I can barely perform any activity involving my knees (less than 1 minute) before I must stop due to severe fatigue, discomfort, or pain. Stair Climbing: (At the Start of the program) How many stairs can you climb without experiencing knee pain at the start of the program. No Difficulty with Stairs: I can climb stairs without any difficulty, discomfort, or the need for support. Mild Difficulty (1 flight without assistance): I can climb one flight of stairs without assistance but with some mild discomfort or fatigue. Moderate Difficulty (1 flight with handrail): I can climb one flight of stairs but need to use a handrail for support or experience moderate discomfort or fatigue. Severe Difficulty (Less than 1 flight with support): I can climb a few steps but require assistance or experience significant pain, discomfort, or fatigue. Unable to Climb Stairs: I cannot climb stairs at all due to pain, discomfort, or severe limitation. Stair Climbing: (After 2 weeks) How many stairs can you climb without experiencing knee pain at the start of the program. No Difficulty with Stairs: I can climb stairs without any difficulty, discomfort, or the need for support. Mild Difficulty (1 flight without assistance): I can climb one flight of stairs without assistance but with some mild discomfort or fatigue. Moderate Difficulty (1 flight with handrail): I can climb one flight of stairs but need to use a handrail for support or experience moderate discomfort or fatigue. Severe Difficulty (Less than 1 flight with support): I can climb a few steps but require assistance or experience significant pain, discomfort, or fatigue. Unable to Climb Stairs: I cannot climb stairs at all due to pain, discomfort, or severe limitation. Strength: (At the start of the program) How many repetitions of a knee-specific exercise (e.g., leg extensions, squats) can you complete before feeling fatigued at the start of the program? Normal Strength (20+ Repetitions): I can perform more than 20 repetitions of activities like squats, leg lifts, or step-ups without any difficulty, weakness, or need for support. Mild Weakness (15-20 Repetitions): I can perform 15 to 20 repetitions of activities like squats, leg lifts, or step-ups, but I experience some difficulty or mild weakness towards the end. Moderate Weakness (10-15 Repetitions): I can perform 10 to 15 repetitions of activities like squats, leg lifts, or step-ups, but I notice significant weakness and may need to use my hands or other support. Severe Weakness (5-10 Repetitions): I can perform 5 to 10 repetitions of activities like squats, leg lifts, or step-ups, but I struggle with each repetition and may require significant assistance or support. No Strength (Less than 5 Repetitions): I can perform fewer than 5 repetitions of activities like squats, leg lifts, or step-ups, or I am unable to move my knee against gravity or resistance due to severe weakness or lack of strength. Strength: (After 2 weeks) How many repetitions of a knee-specific exercise (e.g., leg extensions, squats) can you complete before feeling fatigued at the start of the program? Normal Strength (20+ Repetitions): I can perform more than 20 repetitions of activities like squats, leg lifts, or step-ups without any difficulty, weakness, or need for support. Mild Weakness (15-20 Repetitions): I can perform 15 to 20 repetitions of activities like squats, leg lifts, or step-ups, but I experience some difficulty or mild weakness towards the end. Moderate Weakness (10-15 Repetitions): I can perform 10 to 15 repetitions of activities like squats, leg lifts, or step-ups, but I notice significant weakness and may need to use my hands or other support. Severe Weakness (5-10 Repetitions): I can perform 5 to 10 repetitions of activities like squats, leg lifts, or step-ups, but I struggle with each repetition and may require significant assistance or support. No Strength (Less than 5 Repetitions): I can perform fewer than 5 repetitions of activities like squats, leg lifts, or step-ups, or I am unable to move my knee against gravity or resistance due to severe weakness or lack of strength. Balance: (At the start of the program) How long can you balance on one leg without experiencing knee pain or instability? Measure the duration in seconds at the start of the program Excellent Balance (30+ Seconds): I can maintain my balance on one leg or perform activities that require knee stability (e.g., standing on one leg, walking on uneven surfaces) for 30 seconds or more without any difficulty, wobbling, or need for support. Good Balance (20-30 Seconds): I can maintain my balance on one leg or perform activities that require knee stability for 20 to 30 seconds, but I occasionally feel slightly unstable or need to concentrate more to maintain balance. Moderate Balance (10-20 Seconds): I can maintain my balance on one leg or during activities that require knee stability for 10 to 20 seconds, but I often need to use a handrail, furniture, or another form of support to prevent wobbling or falling. Poor Balance (5-10 Seconds): I struggle to maintain my balance on one leg or during activities that require knee stability for 5 to 10 seconds, frequently needing to hold onto something for support, or experiencing frequent wobbling or near falls. Very Poor Balance/Unable to Balance (Less than 5 Seconds): I can maintain my balance on one leg or during activities that require knee stability for less than 5 seconds or am unable to balance without immediate assistance, and I am at a high risk of falling. Balance: (After 2 weeks) How long can you balance on one leg without experiencing knee pain or instability? Measure the duration in seconds at the start of the program Excellent Balance (30+ Seconds): I can maintain my balance on one leg or perform activities that require knee stability (e.g., standing on one leg, walking on uneven surfaces) for 30 seconds or more without any difficulty, wobbling, or need for support. Good Balance (20-30 Seconds): I can maintain my balance on one leg or perform activities that require knee stability for 20 to 30 seconds, but I occasionally feel slightly unstable or need to concentrate more to maintain balance. Moderate Balance (10-20 Seconds): I can maintain my balance on one leg or during activities that require knee stability for 10 to 20 seconds, but I often need to use a handrail, furniture, or another form of support to prevent wobbling or falling. Poor Balance (5-10 Seconds): I struggle to maintain my balance on one leg or during activities that require knee stability for 5 to 10 seconds, frequently needing to hold onto something for support, or experiencing frequent wobbling or near falls. Very Poor Balance/Unable to Balance (Less than 5 Seconds): I can maintain my balance on one leg or during activities that require knee stability for less than 5 seconds or am unable to balance without immediate assistance, and I am at a high risk of falling. Walking Speed: (At the start of the program) How long does it take you to walk a specific distance (e.g., 100 meters) at the start of the program? Normal Speed: I walk at a normal pace, comparable to others my age, and can cover a distance of [e.g., 50 feet or 15 meters] in approximately [e.g., 10-15 seconds] without any difficulty, fatigue, or need for assistance. Moderate Speed: I walk at a slightly slower pace than normal, covering a distance of [e.g., 50 feet or 15 meters] in approximately [e.g., 20-30 seconds]. I may experience mild fatigue or discomfort, but I can still walk independently. Slow Speed: I walk at a noticeably slower pace, taking about [e.g., 30-45 seconds] to cover a distance of [e.g., 50 feet or 15 meters]. I often need to take breaks or use support to complete the distance due to fatigue or discomfort. Very Slow Speed: I walk very slowly, taking more than [e.g., 45 seconds] to cover a distance of [e.g., 50 feet or 15 meters]. I frequently need to rest or use an assistive device to complete the distance due to significant fatigue, discomfort, or balance issues. Walking Speed: (After 2 weeks) How long does it take you to walk a specific distance (e.g., 100 meters) at the start of the program? Normal Speed: I walk at a normal pace, comparable to others my age, and can cover a distance of [e.g., 50 feet or 15 meters] in approximately [e.g., 10-15 seconds] without any difficulty, fatigue, or need for assistance. Moderate Speed: I walk at a slightly slower pace than normal, covering a distance of [e.g., 50 feet or 15 meters] in approximately [e.g., 20-30 seconds]. I may experience mild fatigue or discomfort, but I can still walk independently. Slow Speed: I walk at a noticeably slower pace, taking about [e.g., 30-45 seconds] to cover a distance of [e.g., 50 feet or 15 meters]. I often need to take breaks or use support to complete the distance due to fatigue or discomfort. Very Slow Speed: I walk very slowly, taking more than [e.g., 45 seconds] to cover a distance of [e.g., 50 feet or 15 meters]. I frequently need to rest or use an assistive device to complete the distance due to significant fatigue, discomfort, or balance issues. Daily Activity Duration: (At the start of the program) How long (in minutes) can you perform a daily activity that involves knee use (e.g., standing while cooking, cleaning) before needing to take a break due to knee pain? Full Duration (More than 2 hours): I can comfortably engage in daily activities that involve my knees (e.g., walking, standing, climbing stairs) for more than 2 hours without significant discomfort or fatigue. Moderate Duration (1-2 hours): I can engage in daily activities that involve my knees for 1 to 2 hours, but I may start to feel some discomfort or fatigue towards the end of this period. Short Duration (30 minutes to 1 hour): I can engage in daily activities involving my knees for 30 minutes to 1 hour before needing to take a break due to discomfort, fatigue, or pain. Very Short Duration (15-30 minutes): I can only engage in daily activities involving my knees for 15 to 30 minutes before experiencing significant discomfort, fatigue, or pain. Minimal Duration (Less than 15 minutes): I can only engage in daily activities involving my knees for less than 15 minutes before experiencing severe discomfort, fatigue, or pain, often requiring rest or assistance. Daily Activity Duration: (After 2 weeks) How long (in minutes) can you perform a daily activity that involves knee use (e.g., standing while cooking, cleaning) before needing to take a break due to knee pain? Full Duration (More than 2 hours): I can comfortably engage in daily activities that involve my knees (e.g., walking, standing, climbing stairs) for more than 2 hours without significant discomfort or fatigue. Moderate Duration (1-2 hours): I can engage in daily activities that involve my knees for 1 to 2 hours, but I may start to feel some discomfort or fatigue towards the end of this period. Short Duration (30 minutes to 1 hour): I can engage in daily activities involving my knees for 30 minutes to 1 hour before needing to take a break due to discomfort, fatigue, or pain. Very Short Duration (15-30 minutes): I can only engage in daily activities involving my knees for 15 to 30 minutes before experiencing significant discomfort, fatigue, or pain. Minimal Duration (Less than 15 minutes): I can only engage in daily activities involving my knees for less than 15 minutes before experiencing severe discomfort, fatigue, or pain, often requiring rest or assistance. ❮ Previous Next ❯ Submit
