Excellent test–retest and inter-rater reliability for Tardieu Scale measurements with inertial sensors in elbow flexors of stroke patients

Paulis, Winifred D.; Horemans, Herwin; Brouwer, Betty S.; Stam, Henk J.

doi:10.1016/j.gaitpost.2010.10.094

Cited by 54 publications

(42 citation statements)

References 29 publications

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“…Therefore, it is not only critical to determine what the MAS is actually measuring, but there is a clear need to explore better ways to incorporate more objective assessment of spasticity into clinical research and practice. Indeed, there is a growing interest in this topic [8,14,15], but there is little evidence of clinical uptake of these concepts.…”

Section: Discussionmentioning

confidence: 99%

“…is becoming increasingly popular in rehabilitation research, and fits the criteria of being unobtrusive, inexpensive, relatively easy to use without substantial training, and requires little maintenance. An example of applying this technology for spasticity assessment is described by Paulis et al [14]. Their study used inertial sensors on the forearm to evaluate the test-retest reliability of the Tardieu scale: a variant of the MAS that includes passive stretching at different velocities [7].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the appeal of incorporating minimally invasive sensor technology in the clinic, such as an instrumented version of the stretch-reflex test, only a few researchers have explored this topic [13,14]. …”

Section: Introductionmentioning

confidence: 99%

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Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

McGibbon

Sexton

Jones

et al. 2013

J NeuroEngineering Rehabil

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BackgroundSpasticity is a prevalent chronic condition among persons with upper motor neuron syndrome that significantly impacts function and can be costly to treat. Clinical assessment is most often performed with passive stretch-reflex tests and graded on a scale, such as the Modified Ashworth Scale (MAS). However, these scales are limited in sensitivity and are highly subjective. This paper shows that a simple wearable sensor system (angle sensor and 2-channel EMG) worn during a stretch-reflex assessment can be used to more objectively quantify spasticity in a clinical setting.MethodsA wearable sensor system consisting of a fibre-optic goniometer and 2-channel electromyography (EMG) was used to capture data during administration of the passive stretch-reflex test for elbow flexor and extensor spasticity. A kinematic model of unrestricted passive joint motion was used to extract metrics from the kinematic and EMG data to represent the intensity of the involuntary reflex. Relationships between the biometric results and clinical measures (MAS, isometric muscle strength and passive range of motion) were explored.ResultsPreliminary results based on nine patients with varying degrees of flexor and extensor spasticity showed that kinematic and EMG derived metrics were strongly correlated with one another, were correlated positively (and significantly) with clinical MAS, and negatively correlated (though mostly non-significant) with isometric muscle strength.ConclusionsWe conclude that a wearable sensor system used in conjunction with a simple kinematic model can capture clinically relevant features of elbow spasticity during stretch-reflex testing in a clinical environment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

McGibbon

Sexton

Jones

et al. 2013

J NeuroEngineering Rehabil

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“…Spasticity was evaluated using the MAS (7) and Tardieu Scale (TRS) (8), and functional ability was assessed using the Barthel Index (BI) and Fugl-Meyer Motor Assessment Scale (FMS) at baseline, and at 2 weeks and 2 months post treatment. All patients were examined by the same physiatrist (U.D.…”

Section: Clinical and Functional Assessmentmentioning

confidence: 99%

A single group, pretest-posttest clinical trial for the effects of botulinum toxin injection using dual guidance into the upper extremity muscles for the treatment of focal spasticity in patients with chronic stroke

Ata

Dinçer

2018

Medical Science and Discovery

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“…Table 3 summarizes the reliability of spasticity measures included in this review. In total, the reliability of ASs was reported in six studies [68][69][70][71][72][73], TSs in three [74][75][76], multi-item scales in five [41][42][43][44]71], electrophysiological measures in two [27,46], and force/torque measures in two [51,77]. There were no reports on the reliability of the elbow pendulum test or the manual sinusoidal method.…”

Section: Force/torque Measurementsmentioning

confidence: 99%

Assessment of spasticity after stroke using clinical measures: a systematic review

Aloraini

Gäverth

Yeung

et al. 2015

Disability and Rehabilitation

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This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke. Future research examining the application and psychometric properties of these measures is warranted. Implications for Rehabilitation There is a need for objective clinical tools for measuring spasticity that are clinically feasible and easily interpreted by clinicians. This review identified various clinical measures of spasticity that have been investigated in people after stroke. Insufficient evidence of psychometric properties precludes recommending one tool over the others. Future research should focus on investigating the psychometric properties of clinical measures of spasticity.

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Excellent test–retest and inter-rater reliability for Tardieu Scale measurements with inertial sensors in elbow flexors of stroke patients

Cited by 54 publications

References 29 publications

Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

A single group, pretest-posttest clinical trial for the effects of botulinum toxin injection using dual guidance into the upper extremity muscles for the treatment of focal spasticity in patients with chronic stroke

Assessment of spasticity after stroke using clinical measures: a systematic review

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