It is necessary to establish the cause, the degree and distrubution of spasticity; localization of injury; comorbidity (contractures, cognitive decline ...); clinical course of the disease; cognitive status of the patient; potential adverse effects; support of the family and community; passive mobility, presence of clonus, reflexes, tonus estimation and active mobility; electromyoneurography; quantitative analysis of walking; spasticity estimation using the Ashworth scale, spasm scale, Wartenberg pendulum test, and Tardieu scale
Spasticity was measured with the Modified Tardieu Scale (MTS) (Boyd and Graham 1999).
Gracies JM, Burke K, Clegg N, Browne R, Rushing C, Fehlings D, Mathews D, Tilton A, Mauricio R and Delgado (2010): Reliability of the Tardieu Scale for Assessing Spasticity in Children with Cerebral Palsy.
Patrick E and Ada L (2006): The Tardieu Scale differentiates contracture from spasticity whereas the Ashworts Scale is confounded by it.
The Tardieu scale is another clinical measure of spasticity that compares how spastic muscles "catch" at low, medium, and high velocities .
Evaluations of joint stiffness and the Tardieu scale using the MSE can help us characterize spasticity and contracture quantitatively at controlled velocities in a clinical setting.
The Modified Tardieu Scale for the measurement of elbow flexor spasticity in adult patients with hemiplegia.
A systematic review of the Tardieu Scale for the measurement of spasticity.
Muscle tone and passive range of motion were normal as assessed by the Tardieu Scale
(Tardieu et al 1954).
Patrick E, Ada L (2006) The Tardieu Scale
differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it.
Evaluation of spasticity in children with cerebral palsy using Ashworth and Tardieu Scales
compared with laboratory measures.
These appendices also include copies of tools to assess outcome such as the Modified Ashworth and the Tardieu scales
, the effect on function (eg, Leeds Arm Spasticity Impact Scale, Arm activity measure), and the goal attainment scale.