The interrater and intrarater reliability of the Modified Ashworth Scale in the assessment of muscle spasticity: Limb and muscle group effect

NeuroRehabilitation

Volumn 23, Issue 3, 2008, Pages 231-237

  Ansari, Noureddin Nakhostin ^a   Naghdi, Soofia ^a   Arab, Tahereh Khosravian ^a   Jalaie, Shohreh ^a  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Hemiplegia; Modified Ashworth Scale; Reliability; Spasticity

Indexed keywords

ADULT; AGED; ANKLE; ARTICLE; CLINICAL ARTICLE; ELBOW; FEMALE; FLEXOR MUSCLE; HEMIPLEGIA; HIP; HUMAN; INTERRATER RELIABILITY; INTRARATER RELIABILITY; KNEE; LEG MUSCLE; MALE; MEASUREMENT; MODIFIED ASHWORTH SCALE; PHYSIOTHERAPIST; RATING SCALE; SPASTICITY; VALIDITY; WRIST;

EID: 47849084299     PISSN: 10538135     EISSN: None     Source Type: Journal    
DOI: 10.3233/nre-2008-23304     Document Type: Article

References (31)

1. S.C. Allison, L.D. Abraham and C.L. Petersen, Reliability of the modified Ashworth scale in the assessment of plantar flexor muscle spasticity in patients with Traumatic brain injury, Int J Rehabil Res 19 (1996), 67-78.
2. N.N. Ansari, S. Naghdi, H. Moammeri and SH. Jalaie, Ashworth scales are unreliable for the assessment of muscle spasticity, Physiother Theory Pract 22(3) (2006), 119-125.
3. B. Ashworth, Preliminary trial of carisoprodal in multiple sclerosis, Practitioner 192 (1964), 540-542.
4. M. Blackburn, P.V. Vliet and S.P. Mockett, Reliability of measurements obtained with the Modified Ashworth Scale in the lower extremities of people with stroke, Physl Ther 82 (2002), 25-34.
5. B. Bobath, Adult hemiplegia: Evaluation and Treatment, (3rd ed.), Butterworth Heinemann, Oxford, 1990.
6. P.G. Bodin and M.E. Morris, Inter rater reliability of the modified Ashworth scale for Wrist flexors spasticity following stroke, Proceedings of the 11th congress of the world federation of physiotherapy, London, 1991, 505-507.
7. R.W. Bohannon and M.B.O. Smith, Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity, Physiother 67 (1987), 206-207.
8. A. Brashear, R. Zafonte, M. Corcoran, N. Galvez-Jimenez, J.M. Gracies, M.F. Gordon, A. Mcafee, K. Ruffing, B. Thompson, M. Williams, C.H. Lee and C. Turkel, Inter- and Intrarater Reliability of the Ashworth Scale and the Disability Assessment Scale in Patients with Upper-Limb Poststroke Spasticity, Arch Phys Med Rehabil 83 (2002), 1349-1354.
9. P. Brennan and A. Silman, Statistical methods for assessing observer variability in clinical measures, Br Med J 304 (1992), 1491-1494.
10. C.G. Canning, L. Ada, R. Adams and N.J. O'Dwyer, Loss of strength contributes more to physical disability after stroke than loss of dexterity, Clin Rehabil 18 (2004), 300-308.
11. N. Clopton, J. Dutton, T. Featherston, A. Grisby, J. Mobley and J. Melvin, Interrater and Inrarater Reliability of the Modified Ashworth Scale in Children with Hypertonia, Pediatr Phys Ther 17(4) (2005), 268-274.
12. S.E. Farmer and M. James, Contractures in orthopaedic and neurological conditions: a review of causes and treatment, Disabil and rehabil 23(13) (2001), 549-558.
13. J.L. Fleiss, The measurement of inter rater agreement, in: Statistical Methods for Rates and Proportions, J.L. Fleiss, ed., John Wiley, New York, 1981, p. 222.
14. J.M. Gracies, Pathophysiology of spastic paresis. I: Paresis and soft tissue changes, Muscle Nerve 31 (2005), 535-551.
15. B.M. Hass, E. Bergstrom, A. Jamous and A. Bennie, 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 34 (1996), 560-564.
16. C.B. Ivanhoe and T.A Reistetter, Spasticity: The misunderstood part of the upper motor neuron syndrome, Am J Phys Med Rehabil 83(10, Suppl) (2004), S3-S9.
17. G.R. Johnson, Outcome measures of spasticity, Eur J Neurol 9(Suppl 1) (2002), 10-16.
18. J.W. Lance, Pathophysiology of spasticity and clinical experience with baclofen, in: Spasticity: Disordered Motor Control, J.W. Lance, R.G. Feldman and W.P. Koella, eds, Year book, Chicago, 1980, pp. 185-204.
19. K. Lee, L. Carson, E. Kinnine and V. Patterson, The Ashworth scale: a reliable and reproducible method of measuring spasticity, J Neurol Rehabil 3 (1989), 205-209.
20. G. Nuyens, W. De Weerdt, P. Ketelaer, H. Feys, L. De Wolf, L. Hantson, A. Nieuboer, A. Spaepen and H. Carton, Inter rater reliability of the Ashworth scale in multiple Sclerosis, Clin Rehabil 8 (1994), 286-292.
21. N.J. O'Dwyer, L. Ada and P.D. Neilson, Spasticity and muscle contracture following stroke, Brain 119 (1996), 1737-1749.
22. A.D. Pandyan, M. Gregoric, M.P. Barnes, D. Wood, F. Van Wijck, J. Burridge, H. Hermens and G.R. Johnson, Spasticity: Clinical perceptions, neurological realities and meaningful measurement, Disabil and Rehabil 27(1/2) (2005), 2-6.
23. A.D. Pandyan, C.I.M. Price, H. Rodgers, M.P. Barnes and G.R. Johnson, Biomechanical examination of a commonly used measure of spasticity, Clin Biomech 16 (2001), 859-865.
24. A.D. Pandyan, G.R. Johnson, C.I.M. Price, R.H. Curless, M.P Barnes and H. Rodgers, A review of the properties and limitations of Ashworth and modified Ashworth scales as Measures of spasticity, Clin Rehabil 13 (1999), 373-383.
25. C. Patten, J. Lexell and H.E. Brown, Weakness and strength training in persons with post stroke hemiplegia: Rationale, method, and efficacy, J Rehabil Res Dev 41(3A) (2004), 293-312.
26. T. Platz, C. Eickhof, G. Nuyens and P. Vuadens, Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature, Disabil and Rehabil 27(1/2) (2005), 7-18.
27. D. Richardson, Physical therapy in spasticity, Eur J Neurol 9(Suppl 1) (2002), 17-22.
28. L.E. Satkunam, Rehabilitation medicine: 3. Management of adult spasticity, Can Med Assoc J 169(11) (2003), 1173-1179.
29. G. Sheean, Neurophysiology of spasticity, in: Upper Motor Neurone Syndrome and Spasticity: Clinical Management and Neurophysiology, M.P. Barnes and G.R. Johnson, eds, Cambridge University Press, Cambridge, 2001, pp. 12-78.
30. R.L. Sloan, E. Sinclair, J. Thompson, S. Taylor and B. Pentland, Inter-rater reliability of The modified Ashworth scale for spasticity in hemiplegic patients, Int J Rehabil Res 15 (1992), 158-161.
31. A.B. Ward, Assessment of muscle tone, Age Ageing 29 (2000), 385-386.