Clinical assessment of ankle plantarflexor spasticity in adult patients after stroke: Inter-and intra-rater reliability of the Modified Tardieu Scale

Noureddin Nakhostin Ansari, Soofia Naghdi, Scott Hasson, Maryam Rastgoo, Malek Amini, Bijan Forogh

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Primary objective: To evaluate the reliability of the Modified Tardieu Scale (MTS) in the measurement of ankle plantarflexor spasticity in patients after stroke. Research design: Inter- and intra-rater reliability study. Interventions: Not applicable. Methods and procedures: Adult patients after stroke participated. Patients were tested by two raters for inter-rater reliability. Patients were re-tested by one rater at least 1 week later for intra-rater reliability. The plantarflexors on the hemiparetic side were tested. Main outcomes and results: The ICCs of inter and intra-rater reliability across all components of MTS were moderate and moderately high (range 0.40-0.71). Inter- and intra-rater reliability for the dynamic component of spasticity (R2-R1) were moderate (ICC = 0.57 and 0.40, respectively). The difference between the two raters for R2 was statistically significant (p = 0.001). Conclusions: The reliability of the Modified Tardieu Scale in the measurement of ankle plantarflexor spasticity in adult patients after stroke was insufficient for routine use in clinical settings and research.

Original languageEnglish (US)
Pages (from-to)605-612
Number of pages8
JournalBrain Injury
Volume27
Issue number5
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Modified Tardieu Scale
  • Reliability
  • Spasticity
  • Stroke

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

Cite this

Clinical assessment of ankle plantarflexor spasticity in adult patients after stroke : Inter-and intra-rater reliability of the Modified Tardieu Scale. / Ansari, Noureddin Nakhostin; Naghdi, Soofia; Hasson, Scott; Rastgoo, Maryam; Amini, Malek; Forogh, Bijan.

In: Brain Injury, Vol. 27, No. 5, 01.01.2013, p. 605-612.

Research output: Contribution to journalArticle

Ansari, Noureddin Nakhostin ; Naghdi, Soofia ; Hasson, Scott ; Rastgoo, Maryam ; Amini, Malek ; Forogh, Bijan. / Clinical assessment of ankle plantarflexor spasticity in adult patients after stroke : Inter-and intra-rater reliability of the Modified Tardieu Scale. In: Brain Injury. 2013 ; Vol. 27, No. 5. pp. 605-612.
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