Test Retest Reliability of Modified Tardieu Scale to Quantify the Spasticity in Elbow Flexors in Patients with Cerebro Vascular Accident

Abstract

Background: Spasticity is best described as ‘a motor disorder characterized by a velocity dependent increase in tonic stretch reflexes with exaggerated tendon jerks, resulting from hyper excitability of the stretch reflex. The MTS determines the passive range of movement (PROM) at different movement velocities, with the relative difference between a slow and a fast velocity passive stretch determining the dynamic component of the muscle contracture. There are very limited studies on reliability on MTS. Methodology: 60 Patients with age group of 40 to 65 year will be selected for the study. The patient will be explained about the study and procedure. All subjects were tested by two examiners. Subjects were at rest at least ten minutes before the test. Standardized resting limb positions are followed for elbow flexor measurements. Results: Correlation coeffient R1 value is 0.973, R2 value is 0.913, R2-R1 value is 0.924 and MTS value is 0.937.these values suggest there is strong correlation from rater 1 and Rater 2 Conclusion: Inter-rater reliability for elbow flexors were very good forR1, R2, R2-R1, AND MTS score