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Victorian Institute of Sport Assessment (VISA) questionnaire

The Victorian Institute of Sport Assessment Questionnaire (Visentini, Khan, Cook et al 1998) is a quick way of monitoring the progress of jumpers knee rehabilitation. Simply answer the questions below and you will be given your score from 0 to 10 with 0 being poor and 100 good.

1. For how many minutes can you sit pain free?
0 min	1	2	3	4	5	6	7	8	9	10	100 min
2. Do you have pain walking downstairs with a normal gait?
Strong severe pain	1	2	3	4	5	6	7	8	9	10	No pain
3. Do you hav pain at the knee with full non-weight-bearing knee extension?
Strong severe pain	1	2	3	4	5	6	7	8	9	10	No pain
4. Do you have pain when doing a full weight bearing lunge?
Strong severe pain	1	2	3	4	5	6	7	8	9	10	No pain
5. Do you have problems squatting?
Unable	1	2	3	4	5	6	7	8	9	10	No problem
6. Do you have pain when during or immediately after doing 10 single leg hops?
Strong severe pain/unbearable	1	2	3	4	5	6	7	8	9	10	No pain

7. Are you currently undertaking sport or other physical activity?
0		Not at all
4		Modified training +/- modified competition
7		Full training +/- competition but not at the same level as when symptoms began
10		Competing at the same level or higher as when symptoms began

8. Please complete EITHER A, B or C in this question
If you have no pain while undertaking sport please complete Q8A below
Q8A: If you have no pain while undertaking sport, for how long can you train/practise?
0		Nil
7		1-5min
14		6-10min
21		11-15min
30		>15min
If you have pain while undertaking sport but it does not stop you completing the activity, please complete Q8B below
Q8B: If you have some pain while undertaking sport, but it does not stop you completing your training/practise, for how long can you train/practise?
0		Nil
4		1-5min
10		6-10min
14		11-15min
20		>15min
If you have pain that stops you completing sporsing activities, please complete Q8C below
Q8C: If you have pain that stops you completing your training/practise for how long can you train/practise?
0		Nil
2		1-5min
5		6-10min
7		11-15min
10		>15min

Similar / Related Injuries:

Knee supports and braces

Knee Supports (UK)
Knee Braces (USA)

Cold Therapy Knee Wraps

Cold Therapy (UK)
Cold Therapy (USA)

Wobble boards (UK)
Wobble boards (USA)

Arch support insoles

Insoles & Heelpads (UK)
Insoles & Heelpads (USA)

Strapping & Taping (UK)
Strapping & Taping (USA)

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