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PHYSICAL MEDICINE AND REHABILITATION
RESIDENTS' WEB SITE
Thank you for your interest in the Department of Physical Medicine and Rehabilitation at Temple University School of Medicine. We hope this site helps answer your questions about our department.
PM&R Case of the Month:
Critical Fact of the Month:
Tardieu Scale and the Modified Tardieu Scale (MTS)
These scales are clinical measures of muscle spasticity in patients with neurological conditions. The Tardieu Scale and MTS quantify spasticity by assessing the muscle's response to stretch applied at given velocities. The quality of the muscle reaction at specified velocities and the angle at which the muscle reaction occurs are incorporated into the measurement of spasticity using the MTS.
The Ashworth Scale and the Modified Ashworth Scale are most often used clinically in the assessment of adults, however the MTS is more commonly used in the assessment of children and has been suggested to be a more accurate clinical measure of spasticity. The ability of the Ashworth Scales to measure spasticity has been questioned and some publications suggest that they measure abnormal tone or resistance to passive stretch rather than spasticity because they do not take into account the velocity-dependent component of spasticity. The MTS compares the muscle's resistance to passive stretch at both slow and fast speeds in order to account for the velocity-dependent characteristic of spasticity.
The examiner evaluates the muscle group's reaction to stretch at a specified velocity with 2 parameters: X (quality of muscle reaction) and Y (angle of muscle reaction).
Velocity of stretch:
The resulting joint angles are defined as:
For an in depth review of the scales and score interpretation, refer to the following site:
Osteopathic Medicine of the Month:
Facilitated Positional Release (FPR):
Rehab in Review Summary Guidelines
Summaries should be between 200 and 250 words. Summaries should begin with a one or two sentence statement indicating why the study was done. This is usually obvious from the introduction to the article itself. This should be followed by a short paragraph indicating what was done, and then a paragraph indicating what was found. The summary should end with a one to two sentence summary of the findings. This allows the reader to either review what was just read, or refresh his/her memory after reading the summary.
I realize that the length restriction is difficult. As a suggestion, the methodology is the easiest area to truncate, leaving the reader with the gist of what was done. The details can be obtained from the full article by those who desire them. Please make all of the summaries factual, with no injection of personal opinion.
Department of Physical Medicine and Rehabilitation
Temple University School of Medicine
3401 N. Broad Street
Lower Level, Rock Pavilion
Philadelphia, PA 19140
Physical Medicine and Rehabilitation Appointments:
T: 215-707-3646 or
Residency Program Information
Residency Program Coord.
Physical Medicine and Rehabilitation Webmaster
David Mahon, DO