Evaluation of spasticity in children with cerebral palsy using ashworth and tardieu scales compared with laboratory measures

Adel A A Alhusaini, Catherine M. Dean, Jack Crosbie, Roberta B. Shepherd, Jenny Lewis

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

The content validity of the Tardieu Scale and the Ashworth Scale was assessed in 27 independently ambulant children with cerebral palsy (gender: 17 males, 10 females; age: 5-9 years; Gross Motor Function Classification: level I and II). Ashworth and Tardieu Scale scores and laboratory measures of spasticity and contracture were collected from the plantarflexor muscles by 2 examiners who were blinded to the results. The Tardieu Scale was more effective than the Ashworth Scale in identifying the presence of spasticity (88.9%, kappa = 0.73; P =.000), the presence of contracture (77.8%, kappa = 0.503; P =.008) and the severity of contracture (r = 0.49; P =.009). However, neither scale was able to identify the severity of spasticity. The Tardieu Scale can provide useful information in children with cerebral palsy because it differentiates spasticity from contracture. However, a more comprehensive clinical method of testing neural and non-neural contributions to impairments and function is needed.

Original languageEnglish
Pages (from-to)1242-1247
Number of pages6
JournalJournal of Child Neurology
Volume25
Issue number10
DOIs
Publication statusPublished - Oct 2010
Externally publishedYes

Keywords

  • Ashworth Scale
  • cerebral palsy
  • contracture
  • spasticity
  • Tardieu Scale

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