Reliability of the Tardieu Scale for Assessing Spasticity in Children With Cerebral Palsy

Feasibility, test–retest reliability, and interrater reliability of the Modified Ashworth Scale and Modified Tardieu Scale in persons with profound intellectual and multiple disabilities

“…We created a protocol describing how to administer the MAS and MTS based on the protocol of Gielen (2005). Gracies et al (2010) stated that training was associated with a highly significant improvement in reliability, so the observers were trained on how to perform the protocol. The training consisted of a brief explanation of the protocol and practical exercises.…”

“…The MTS assesses resistance to passive movement at both slow and fast speeds, and therefore adheres more closely to Lance's definition of spasticity (Haugh et al, 2006). Both parameters of the MTS have excellent intrarater and interrater reliability in children with cerebral palsy (Gracies et al, 2010). However, as with the MAS, other studies found the MTS to have insufficient reliability (Ansari, Naghdi, Hasson, Azarsa, & Azarnia, 2008;Mackey, Walt, Lobb, & Stott, 2004;Yam & Leung, 2006).…”

Spasticity after stroke: Physiology, assessment and treatment

“…Furthermore, it is not velocitydependent, as Lance's definition of spasticity specified. Nevertheless, it is now established that the MAS evaluates a combination of soft tissue contracture and spastic dystonia, in addition to spasticity itself [50,51].…”

AbobotulinumtoxinA for Equinus Foot Deformity in Cerebral Palsy: A Randomized Controlled Trial

“…Patients had to be ambulatory, with or without walking aids, have a Gross Motor Function Classification System (GMFCS) Level of I through III, and show an equinus foot positioning during the stance phase of the gait. Patients also had to have a Modified Ashworth Scale (MAS) 10 score ≥2 and a spasticity grade (Y) of 2 to 4 on the Tardieu Scale 11 (with a spasticity angle [X] of ≥10°) at the ankle joint of the (most) affected limb to be injected. Patients could be BoNT-naive or previously treated, but the last BoNT injection for any condition must have been >6 months before study entry.…”