swapna u know abt AS n here's Tardieu Scale for compare it urself do tell us wat u think!!!!


Tardieu Scale


This test is performed with patient in the supine position, with head in midline.
Measurements take place at 3 velocities (V1, V2, and V3).􀀁 Responses are recorded at each
velocity as X/Y, with X indicating the 0 to 5 rating, and Y indicating the degree of angle at
which the muscle reaction occurs.􀀁By moving the limb at different velocities, the response to
stretch can be more easily gauged since the stretch reflex responds differently to velocity.


Velocities:
V1: As slow as possible, slower than the natural drop of the limb segment under
gravity
V2: Speed of limb segment falling under gravity
V3: As fast as possible, faster than the rate of the natural drop of the limb segment
under gravity


Scoring:
0 No resistance throughout the course of the passive movement
1 Slight resistance throughout the course of passive movement, no clear
catch at a precise angle
2 Clear catch at a precise angle, interrupting the passive movement, followed
by release
3 Fatigable clonus with less than 10 seconds when maintaining the pressure
and appearing at the precise angle
4 Unfatigable clonus with more than 10 seconds when maintaining the
pressure and appearing at a precise angle
5 Joint is immovable


Example:
When testing spasticity of the hamstring at the speed V1, place the patient in the supine
position.􀀁Flex the hip to 90 degrees, with the opposite hip extended (as for popliteal angle
test).􀀁Beginning with the knee flexed, extend the knee as slowly as possible.􀀁If a clear catch
interrupts the passive movement at -70 degrees of extension, followed by a release
facilitating further extension to -50 degrees of extension, then the Tardieu V1 score would
be 2/-70.􀀁 The rating would be repeated for V2 and V3 velocities. Evaluating movement of a
part at different velocities may help distinguish passive stiffness from spasticity