Journal of Rehabilitation Medicine 51-1CompleteIssue | Page 63

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Appendix I. Modified Tardieu scale
Method:
Muscle is moved from a shortened to lengthened position at 2 different speeds (V1 and V3) using standardized testing positions
Therapist measures the angle of muscle reaction (R2 and R1)
Therapist rates the quality of muscle reaction (X)
Velocity of stretch
V1 = As slow as possible (minimizing stretch reflex)
V3 = As fast as possible (faster than the rate of the natural drop of the limb segment under gravity)
Angle of muscle reaction:
R2 = Full passive range of motion measured during V1
R1 = Angle of muscle reaction measured during V3
Quality of muscle reaction (X)
To be scored for all V3 trials – therapist to rate the resistance to passive range of motion on the following scale:
0 = No resistance throughout the movement
1 = Slight resistance throughout movement with no clear catch at a precise angle
2 = Clear catch at a precise angle, interrupting the passive movement, followed by a release
3 = Fatiguable clonus (< 10 s when maintaining pressure) occurring at a precise angle
4 = Infatiguable clonus (> 10 s when maintaining pressure) at a precise angle
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