Tardieu Scale: Difference between revisions
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The Tardieu Scale and the Modified Tardieu Scale are used clinically to measure spasticity in patients with neurological conditions. | The Tardieu Scale and the Modified Tardieu Scale are used clinically to measure spasticity in patients with neurological conditions. | ||
== Purpose == | == Purpose == | ||
The purpose of these scales is to quantify spasticity by assessing the muscle's response to different stretch velocities and by determining the spasticity angle .<br> | The purpose of these scales is to quantify spasticity by assessing the muscle's response to different stretch velocities and by determining the spasticity angle . | ||
Tardieu scale has been utilized in the following populations: [[stroke]], spinal cord injury, multiple sclerosis, cerebral palsy, traumatic brain injury, pediatric hypertonia and central nervous system lesions<br> | |||
== Technique == | == Technique == | ||
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Describe how to carry out this assessment technique here | Describe how to carry out this assessment technique here | ||
== Scoring == | |||
The scoring is done as follows<ref>Morris S. Ashworth and Tardieu Scales: Their clinical relevance for measuring spasticity in adult and paediatric neurological populations. Physical Therapy Reviews. 2002 Mar 1;7(1):53-62.</ref> - | |||
Quality of Muscle Reaction | |||
{| class="wikitable" | |||
!0 | |||
!No resistance throughout passive movement | |||
|- | |||
|1 | |||
|Slight resistance throughout,with no clear catch at a precise angle | |||
|- | |||
|2 | |||
|Clear catch at a precise angle followed by release | |||
|- | |||
|3 | |||
|Fatiguable Clonus (< 10 secs) occurring at a precise angleFatiguable Clonus (< 10 secs) occurring at a precise angle | |||
|- | |||
|4 | |||
|Unfatiguable Clonus (> 10 secs) occurring at a precise angle | |||
|- | |||
|5 | |||
|Joint immobile | |||
|}Velocity to Stretch | |||
{| class="wikitable" | |||
!V1 | |||
!As slow as possible | |||
|- | |||
|V2 | |||
|Speed of the limb segment falling (with gravitational pull) | |||
|- | |||
|V3 | |||
|At a fast rate (>gravitational pull) | |||
|}Spasticity Angle | |||
{| class="wikitable" | |||
|R1 | |||
|Angle of catch seen at Velocity V2 or V3 | |||
|- | |||
|R2 | |||
|Full range of motion achieved when muscle is at rest and tested at V1 velocity | |||
|} | |||
== Evidence == | == Evidence == | ||
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Introduction[edit | edit source]
The Tardieu Scale and the Modified Tardieu Scale are used clinically to measure spasticity in patients with neurological conditions.
Purpose[edit | edit source]
The purpose of these scales is to quantify spasticity by assessing the muscle's response to different stretch velocities and by determining the spasticity angle .
Tardieu scale has been utilized in the following populations: stroke, spinal cord injury, multiple sclerosis, cerebral palsy, traumatic brain injury, pediatric hypertonia and central nervous system lesions
Technique[edit | edit source]
Describe how to carry out this assessment technique here
Scoring[edit | edit source]
The scoring is done as follows[1] -
Quality of Muscle Reaction
0 | No resistance throughout passive movement |
---|---|
1 | Slight resistance throughout,with no clear catch at a precise angle |
2 | Clear catch at a precise angle followed by release |
3 | Fatiguable Clonus (< 10 secs) occurring at a precise angleFatiguable Clonus (< 10 secs) occurring at a precise angle |
4 | Unfatiguable Clonus (> 10 secs) occurring at a precise angle |
5 | Joint immobile |
Velocity to Stretch
V1 | As slow as possible |
---|---|
V2 | Speed of the limb segment falling (with gravitational pull) |
V3 | At a fast rate (>gravitational pull) |
Spasticity Angle
R1 | Angle of catch seen at Velocity V2 or V3 |
R2 | Full range of motion achieved when muscle is at rest and tested at V1 velocity |
Evidence[edit | edit source]
Provide the evidence for this technique here
Resources[edit | edit source]
add any relevant resources here
References[edit | edit source]
- ↑ Morris S. Ashworth and Tardieu Scales: Their clinical relevance for measuring spasticity in adult and paediatric neurological populations. Physical Therapy Reviews. 2002 Mar 1;7(1):53-62.