Inter-rater reliability of the modified Tardieu scale for the assessment of knee extensor spasticity in patient with multiple sclerosis

authors:

avatar iraj abdollahi , avatar somaye azarnia , * , avatar soofia naghdi , avatar Mahyar Salavati


how to cite: abdollahi I, azarnia S, naghdi S, Salavati M. Inter-rater reliability of the modified Tardieu scale for the assessment of knee extensor spasticity in patient with multiple sclerosis. koomesh. 2024;19(1):e151340. 

Abstract

Introduction: Spasticity is a common motor disorder in multiple sclerosis (MS). The modified Tardieu scale (MTS) is one of the most widely used test for assessing muscle spasticity. The aim of this study was to investigate the inter rater reliability of MTS in measuring of Knee Extensor muscle spasticity in MS patients. Materials and Methods: Knee extensors of 20 MS patients with mean age of 41.50(SD =11.95) were assessed by two inexperienced physiotherapists. The order of assessments by the two raters was randomized. The inter rater reliability of MTS was determined by ICC two-way random effects model. Results: Inter-rater reliability for quality of muscle reaction and R2-R1 as dynamic component of spasticity in knee extensors muscle was high and moderately high respectively (ICC= 0.89, 0.77). Conclusion: The results indicated MTS can be used as a reliable measurement for assessing knee extensors spasticity.

References

  • 1.

    Lance JW. The control of muscle tone, reflexes, and movement Robert wartenbeg lecture. Neurology 1980; 30: 1303-1313.

  • 2.

    Ansari NN, Naghdi S, Hasson S, Azarsa MH, Azarnia S. The modified tardieu scale for the measurement of elbow flexor spasticity in adult patients with hemiplegia. Brain Injury 2008; 22: 1007-1012.

  • 3.

    Pandyan AD, Price CI, Barnes MP, Johnson GR. A biomechanical investigation into the validity of the modified Ashworth Scale as a measure of elbow spasticity. Clin Rehabil 2003; 17: 290-294.

  • 4.

    Patrick E, Ada L. The tardieu scale differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it. Clin Rehabil 2006; 20: 173-182.

  • 5.

    Pandyan A, Price C, Rodgers H, Barnes M, Johnson G. Biomechanical examination of a commonly used measure of spasticity. Clin Biomech 2001; 16: 859-865.

  • 6.

    Yam WK, Leung MS. Interrater reliability of Modified Ashworth Scale and Modified Tardieu Scale in children with spastic cerebral palsy. J Child Neurol 2006; 21: 1031-1035.

  • 7.

    Haugh A, Pandyan A, Johnson G. A systematic review of the Tardieu Scale for the measurement of spasticity. Disabil Rehabil 2006; 28: 899-907.

  • 8.

    cited 1392/10/20.

  • 9.

    Tardieu G, Shentoub S, Delarue R. A la recherch dune technique de mesure de la spasticite. Masson editeur 120 blvd saint-germain, 75280 Paris 06. France 1954; p: 143-144.

  • 10.

    Held J P-DE. Reeducation motrice des aVections##neurologiques.Paris: Bailliere. 1969.

  • 11.

    Boyd RN, Graham HK. Objective measurement of clinical findings in the use of botulinum toxin type A for the management of children with cerebral palsy. Eur J Neurol 1999; 6: s23-s35.

  • 12.

    Fosang AL, Galea MP, Mccoy AT, Reddihough DS, Story I. Measures of muscle and joint performance in the lower limb of children with cerebral palsy. Dev Med Child Neurol 2003; 45: 664-670.

  • 13.

    Gracies JM, Burke K, Clegg NJ, Browne R, Rushing C, Fehlings D, et al. Reliability of the Tardieu Scale for assessing spasticity in children with cerebral palsy. Arch Phys Med Rehabil 2010; 91: 421-428.

  • 14.

    Singh P, Joshua AM, Ganeshan S, Suresh S. Intra-rater reliability of the modified Tardieu scale to quantify spasticity in elbow flexors and ankle plantar flexors in adult stroke subjects. Ann Indian Acad Neurol 2011; 14: 23-26.

  • 15.

    Ansari NN, Naghdi S, Hasson S, Rastgoo M, Amini M, Forogh B. Clinical assessment of ankle plantarflexor spasticity in adult patients after stroke: Inter-and intra-rater reliability of the Modified Tardieu Scale. Brain Injury 2013; 27: 605-612.

  • 16.

    Ben-Shabat E, Palit M, Fini NA, Brooks CT, Winter A, Holland AE. Intra-and interrater reliability of the modified tardieu scale for the assessment of lower limb spasticity in adults with neurologic injuries. Arch Phys Med Rehabil 2013; 94: 2494-2501.

  • 17.

    Hacker DJ, Dunlosky J, Graesser AC. Metacognition in educational theory and practice: Routledge; 1998.

  • 18.

    Milo R, Kahana E. Multiple sclerosis: geoepidemiology, genetics and the environment. Autoimmun Rev 2010; 9: A387-A94.

  • 19.

    Davis WM. Multiple sclerosis: continuing mysteries and current management. Drug Topics 2000; 144: 93-102.

  • 20.

    Sosnoff JJ, Shin S, Motl RW. Multiple sclerosis and postural control: the role of spasticity. Arch Phys Med Rehabil 2010; 91: 93-99.

  • 21.

    Cramer SC. Editorial commentspasticity after stroke: Whats the catch? Stroke 2004; 35: 139-140.

  • 22.

    Ansari NN, Naghdi S, Moammeri H, Jalaie S. Ashworth Scales are unreliable for the assessment of muscle spasticity. Physiother Theory Pract 2006; 22: 119-125.

  • 23.

    Mehrholz J, Wagner K, Meiner D, Grundmann K, Zange C, Koch R, Pohl M. Reliability of the modified tardieu scale and the modified ashworth scale in adult patients with severe brain injury: a comparison study. Clin Rehabil 2005; 19: 751-759.

  • 24.

    Mackey AH, Walt SE, Lobb G, Stott NS. Intraobserver reliability of the modified Tardieu scale in the upper limb of children with hemiplegia. Dev Med Child Neurol 2004; 46: 267-272.

  • 25.

    Nuyens G, De Weerdt W, Ketelaer P, Feys H, De Wolf L, Hantson L, et al. Inter-rater reliability of the Ashworth scale in multiple sclerosis. Clin Rehabil 1994; 8: 286-292.##.