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Abstract
Assessment of muscle tone is of great importance for evaluating people with spinal injuries. To translate and adapt the Modified Tardieu Scale (MTS) to Brazilian Portuguese and validate its use for evaluating patients with spinal cord injury. The translation and adaptation of the "Escala de Tardieu Modificada" went through the steps of translation, translation synthesis, back-translation and expert committee meeting. Two evaluators rated the tone of the elbow flexors/extensors, wrist extensors, knee flexors/extensors and ankle plantar flexors of 51 patients with spinal cord injury. These patients were reevaluated after one week. Validation included intra and inter-rater reliability (ICC) and internal and external consistency. The Modified Ashworth Scale (MAS) was used in the evaluations, to investigate the correlations. The Brazilian Portuguese version of the MTS is presented in this study. ICCs ranged from 0.60 to 0.99 (intra and inter-examiner) and there was a moderate to strong correlation with MAS. The MTS proved to be adequate for assessing the muscle tone of people with spinal cord injury in Brazil.
Highlights
Assessment of spasticity is one of the most important items of neurological physical therapy evaluation protocols
The present study proposed the adaptation, translation and validation of the Modified Tardieu Scale (MTS) for use in Brazilian Portuguese, for patients with spinal cord injury
Kinematic analysis was used to measure the joint angles at which the examiner noticed the resistance of spasticity
Summary
Assessment of spasticity is one of the most important items of neurological physical therapy evaluation protocols. Soft tissue retractions (regarding joints, ligaments and tendons) are frequent, due to the absence of voluntary movements and to prolonged wheelchair use These retractions can affect assessment of muscle tone. Objective: To translate and adapt the Modified Tardieu Scale (MTS) to Brazilian Portuguese and validate its use for evaluating patients with spinal cord injury. Two evaluators rated the tone of the elbow flexors/extensors, wrist extensors, knee flexors/ extensors and ankle plantar flexors of 51 patients with spinal cord injury. These patients were reevaluated after one week.
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