title: Clinical assessment of ankle plantarflexor spasticity in adult patients after stroke: inter-and intra-rater reliability of the Modified Tardieu Scale.
abstract: OBJECTIVE
  To evaluate the reliability of the Modified Tardieu Scale (MTS) in the measurement of ankle plantarflexor spasticity in patients after stroke.
  
  
  METHODS
  Inter- and intra-rater reliability study.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  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.
  
  
  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.
authors.affiliation: Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. nakhostin@sina.tums.ac.ir
authors.forename: Noureddin Nakhostin
authors.initials: NN
authors.lastname: Ansari
authors.forename: Soofia
authors.initials: S
authors.lastname: Naghdi
authors.forename: Scott
authors.initials: S
authors.lastname: Hasson
authors.forename: Maryam
authors.initials: M
authors.lastname: Rastgoo
authors.forename: Malek
authors.initials: M
authors.lastname: Amini
authors.forename: Bijan
authors.initials: B
authors.lastname: Forogh
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000503:physiopathology*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009128:Muscle Spasticity / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D016896:Treatment Outcome