A comparative study on the inter-rater reliability of the ashworth scales in assessment of spasticity

Acta Medica Iranica

Volumn 44, Issue 4, 2006, Pages 246-250

  Nakhostin Ansari, N ^a   Naghdi, S ^a   Moammeri, H ^a   Jalaie, S ^a  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Ashworth scales; Assessment; Hemiplegia; Reliability; Spasticity

Indexed keywords

ADOLESCENT; ADULT; AGED; ARM MUSCLE; ARTICLE; ASHWORTH SCALE; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; ELBOW; FEMALE; FLEXOR MUSCLE; HEMIPLEGIA; HUMAN; KAPPA STATISTICS; MALE; PATIENT POSITIONING; PHYSIOTHERAPIST; RATING SCALE; RELIABILITY; SPASTICITY; STATISTICAL SIGNIFICANCE; SUPINE POSITION; VALIDITY;

EID: 34347248803     PISSN: 00446025     EISSN: 00446025     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Sehgal N, McGuire JR. Beyond Ashworth. Electrophysiologic quantification of spasticity. Phys Med Rehabil Clin N Am. 1998 Nov; 9(4):949-79, ix.
2. Haley SM, Inacio CA. Evaluation of spasticity and its effect on motor function. In: Glenn MB, Whyte J, editors. The practical management of spasticity in children and adults. Philadelphia: Lea & Febiger; 1990. p. 70-96.
3. Meythaler JM. Concept of spastic hypertonia. Phys Med Rehabil Clin N Am. 2001 Nov; 12(4):725-732, v.
4. Lance JW. Pathophysiology of spasticity and clinical experience with baclofen In: Lance JW, Feldman RG, Koella WP, editors. Spasticity: disordered motor control. Chicago: Year book; 1980. p. 185-204.
5. Ashworth B. Preliminary trial of carisoprodol in multiple sclerosis. Practitioner 1964; 192: 540-542.
6. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 Feb; 67(2):206-207.
7. Pandyan AD, Johnson GR, Price CI, Curless RH, Barnes MP, Rodgers H. A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity. Clin Rehabil. 1999 Oct; 13(5):373-83.
8. Johnson GR. Measurement of spasticity In: Barnes MP, Johnson GR, editors. Upper motor neuron syndrome and spasticity. Cambridge: Cambridge University Press; 2001. p. 79-95.
9. Haas BM, Bergstrom E, Jamous A, Bennie A. The inter rater reliability of the original and of the modified Ashworth scale for the assessment of spasticity in patients with spinal cord injury. Spinal Cord. 1996 Sep; 34(9):560-564.
10. Brennan P, Silman A. Statistical methods for assessing observer variability in clinical measures. BMJ. 1992 Jun 6; 304(6840):1491-1494.
11. Allison SC, Abraham LD, Petersen CL. Reliability of the Modified Ashworth Scale in the assessment of plantarflexor muscle spasticity in patients with traumatic brain injury. Int J Rehabil Res. 1996 Mar; 19(1):67-78.
12. Sloan RL, Sinclair E, Thompson J, Taylor S, Pentland B. Inter-rater reliability of the modified Ashworth Scale for spasticity in hemiplegic patients. Int J Rehabil Res. 1992; 15(2):158-161.
13. th congress; 1991. p. 505-507.
14. Skold C, Harms-Ringdahl K, Hultling C, Levi R, Seiger A. Simultaneous Ashworth measurements and electromyographic recordings in tetraplegic patients. Arch Phys Med Rehabil. 1998 Aug; 79(8):959-65.
15. Pandyan AD, Price CI, Rodgers H, Barnes MP, Johnson GR. Biomechanical examination of a commonly used measure of spasticity. Clin Biomech (Bristol, Avon). 2001 Dec; 16(10):859-865.
16. Gregson JM, Leathley M, Moore AP, Sharma AK, Smith TL, Watkins CL. Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Arch Phys Med Rehabil. 1999 Sep; 80(9):1013-1016.
17. Vattanasilp W, Ada L, Crosbie J. Contribution of thixotropy, spasticity, and contracture to ankle stiffness after stroke. J Neurol Neurosurg Psychiatry. 2000 Jul; 69(1):34-39.
18. Katz RT. Management of spasticity. Am J Phys Med Rehabil. 1988 Jun; 67(3):108-116.
19. Martin ST, Kessler M. Neurologic intervention for physical therapist assistants. Philadelphia: W. B. Saunders company; 2000. p. 97.