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    ATRS Questionnaire

    Uploaded by

    Juan Pages
    The document is a questionnaire called the Achilles Tendon Total Rupture Score (ATRS) that consists of 10 questions assessing limitations from 0-10 in areas like strength, fatigue, stiffness, pain, activities of daily living, walking, running, jumping, and physical labor following an Achilles tendon rupture. The patient fills out their name, date of birth, and dates and then circles the number corresponding to their level of limitation for each question.

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    ATRS Questionnaire

    Uploaded by

    Juan Pages
    474 views1 page
    The document is a questionnaire called the Achilles Tendon Total Rupture Score (ATRS) that consists of 10 questions assessing limitations from 0-10 in areas like strength, fatigue, stiffness, pain, activities of daily living, walking, running, jumping, and physical labor following an Achilles tendon rupture. The patient fills out their name, date of birth, and dates and then circles the number corresponding to their level of limitation for each question.

    Original Description:

    fuerza postquirurgica tendon calcaneo

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    The document is a questionnaire called the Achilles Tendon Total Rupture Score (ATRS) that consists of 10 questions assessing limitations from 0-10 in areas like strength, fatigue, stiffness, pain, activities of daily living, walking, running, jumping, and physical labor following an Achilles tendon rupture. The patient fills out their name, date of birth, and dates and then circles the number corresponding to their level of limitation for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    474 views1 page

    ATRS Questionnaire

    Uploaded by

    Juan Pages
    The document is a questionnaire called the Achilles Tendon Total Rupture Score (ATRS) that consists of 10 questions assessing limitations from 0-10 in areas like strength, fatigue, stiffness, pain, activities of daily living, walking, running, jumping, and physical labor following an Achilles tendon rupture. The patient fills out their name, date of birth, and dates and then circles the number corresponding to their level of limitation for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ATRS

    (Achilles Tendon Total Rupture Score)


    Today’s Date: ____/____/_______ Date of Birth____/____/_______

    Name:_______________________________________________________

    All questions refer to your limitations/difficulties related to your injured Achilles tendon.
    Answer every question by grading your limitations/symptoms from 0-10.
    Remember (0= Major limitations and 10= No limitations).
    Please circle the number that matches your level of limitation

    1. Are you limited due to decreased strength in the calf/Achilles tendon/foot?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    2. Are you limited due to fatigue in the calf/Achilles tendon/foot?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    3. Are you limited due to stiffness in the calf/Achilles tendon/foot?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    4. Are you limited due to pain in the calf/Achilles tendon/foot?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    5. Are you limited during activities of daily living?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    6. Are you limited when walking on uneven surfaces?

    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    7. Are you limited when walking quickly up the stairs or up a hill?

    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    8. Are you limited during activities that include running?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    9. Are you limited during activities that include jumping?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations)

    10. Are you limited in performing hard physical labour?


    0 1 2 3 4 5 6 7 8 9 10 (No limitations

    Thank you very much for completing all the questions in this questionnaire.

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