Biomechanical investigation of the modified Tardieu Scale in assessing knee extensor spasticity poststroke

Objective The modified Tardieu Scale (MTS) is a clinical tool for the measurement of muscle spasticity. The present study aimed to investigate the relationship between the MTS and the slope of the work‐velocity curve as a biomechanical measure in assessing knee extensor muscle spasticity in patients with stroke. Methods Thirty patients with stroke (22 female, 8 male; mean age 55.4 ± 12.0 years) participated in this study. The knee extensor spasticity was assessed with the MTS. An isokinetic dynamometer was used to move the knee passively from full extension to 90° flexion at speeds of 60°/s, 120°/s, 180°/s, and 240°/s to collect torque‐angle data. The slope of the work‐velocity curve was calculated using linear regression [J/(°/s)]. Results The mean of R2‐R1 component of MTS was 19.73 (SD 29.85). The mean work significantly decreased as the speed increased (p