Journal article

CLINICAL SPASTICITY ASSESSMENT USING THE MODIFIED TARDIEU SCALE DOES NOT REFLECT JOINT ANGULAR VELOCITY OR RANGE OF MOTION DURING WALKING: ASSESSMENT TOOL IMPLICATIONS

Megan Banky, Ross A Clark, Benjamin F Mentiplay, John H Olver, Gavin Williams

Journal of Rehabilitation Medicine | FOUNDATION REHABILITATION INFORMATION | Published : 2021

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 1.40..

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University of Melbourne Researchers

Grants

Awarded by National Health and Medical Research Council R.D. Wright Biomedical Fellowship


Funding Acknowledgements

This research was supported by grants awarded to Megan Banky from the Royal Automobile Club of Victoria, Epworth Research Institute, and Physiotherapy Research Fund. Megan Banky also received a part-time University of Sunshine Coast and Australian Government Award Scholarship to facilitate the completion of this study. Dr Ross Clark is supported by a National Health and Medical Research Council R.D. Wright Biomedical Fellowship (Number: 1090415).