Tendon transfers are also performed to correct the imbalanced muscle tone due to spasticity resulting from injuries to the central nervous system.

[citation needed] Preoperative evaluation of the patient is required to map out functional deficits, and determine which muscles are available for transfer.

There are potential factors that may result in loss of muscle strength including postoperative adhesion, difference in vector of motion.

The strength of the antagonist muscle should be similar to the donor to avoid overcorrection and to maintain correct posture.

Many of the lower extremity tendon transfers were performed during the nineteenth century to improve ambulation in polio patients due to post-poliomyelitis paralysis.

[7] Tendon transfers were extensively performed during World Wars I and II to patients with upper extremity injuries.