Please use this identifier to cite or link to this item:
Title: Clinical spasticity assessment using the Modified Tardieu Scale does not reflect joint angular velocity or range of motion during walking: Assessment tool implications
Epworth Authors: Banky, Megan
Williams, Gavin
Olver, John
Other Authors: Mentiplay, Benjamin
Clark, Ross
Keywords: Muscle Spasticity
Modified Tardieu Scale
Assessment Tools
Range of Motion
Brain Injuries
Patient Outcome
Outcome Assessment
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jan-2021
Publisher: Taylor & Francis
Citation: J Rehabil Med. 2021 Jan 1;53(1):jrm00137
Abstract: Objective: Spasticity assessment is often used to guide treatment decision-making. Assessment tool limitations may influence the conflicting evidence surrounding the relationship between spasticity and walking. This study investigated whether testing speeds and joint angles during a Modified Tardieu assessment matched lower-limb angular velocity and range of motion during walking. Design: Observational study. Subjects: Thirty-five adults with a neurological condition and 34 assessors. Methods: The Modified Tardieu Scale was completed. Joint angles and peak testing speed during V3 (fast) trials were compared with these variables during walking in healthy people, at 0.400.59, 0.600.79 and 1.401.60 m/s. The proportion of trials in which the testing speed, start angle, and angle of muscle reaction matched the relevant joint angles and angular velocity during walking were analysed. Results: The Modified Tardieu Scale was completed faster than the angular velocities seen during walking in 88.7% (0.400.59 m/s), 78.9% (0.600.79 m/s) and 56.2% (1.401.60 m/s) of trials. When compared with the normative dataset, 4.2%, 9.5% and 13.7% of the trials met all criteria for each respective walking speed. Conclusion: When applied according to the standardized procedure and compared with joint angular velocity during walking, clinicians performed the Modified Tardieu Scale too quickly. Keywords: brain injuries; gait; muscle spasticity; patient outcome assessment; rehabilitation; walking.
DOI: 10.2340/16501977-2777
PubMed URL:
ISSN: 16512081
Journal Title: Journal of Rehabilitation Medicine
Type: Journal Article
Affiliated Organisations: La Trobe Sport and Exercise Medicine Research Centre, Latrobe University, Australia
School of Health and Sport Sciences, University of the Sunshine Coast, Australia
Type of Clinical Study or Trial: Observational Study
Appears in Collections:Rehabilitation

Files in This Item:
File Description SizeFormat  
banky.pdf650.1 kBAdobe PDFThumbnail

Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.