AIM:
To assess spasticity using the Tardieu scale
Rationale:
The Tardieu scale is used to assess spasticity. This scale differentiates between spasticity and contracture as possible causes of increased resistance to passive movement. Testing of two muscle groups is shown:
1. elbow flexors
2. ankle plantarflexors
Equipment:
- Adjustable height plinth
- Pillow
Key Points:
- Patient is positioned in supine for the entire assessment, with feet just off the end of the bed when assessing the ankle
- Ensure patient remains relaxed during the assessment so passive movements are performed
- Ensure limb is supported during the assessment
- The joint to be tested is moved at two velocities – slow (to determine the presence of contracture, then fast (to determine the presence of hyperreflexia)
- Ensure fast velocity movements are carried out through available range
Common Errors:
- Patient does not relax
Progression and Variety:
- Not applicable