Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity

NeuroRehabilitation

Volumn 24, Issue 3, 2009, Pages 225-229

  Ansari, Noureddin Nakhostin ^a   Naghdi, Soofia ^a   Hasson, Scott ^b   Mousakhani, Atefeh ^a   Nouriyan, Azam ^a   Omidvar, Zeinab ^a  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b ANGELO STATE UNIVERSITY   (United States)

Author keywords

Inter rater reliability; Modified modified ashworth scale; Spasticity; Stroke

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HEMIPLEGIA; HUMAN; INTERRATER RELIABILITY; MALE; MODIFIED MODIFIED ASHWORTH SCALE; PATIENT ASSESSMENT; RATING SCALE; SPASTICITY; STROKE;

ADULT; AGED; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; ELBOW; FEMALE; HEMIPLEGIA; HUMANS; MALE; MIDDLE AGED; MUSCLE SPASTICITY; OBSERVER VARIATION; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; STROKE; TENDONS; YOUNG ADULT;

EID: 67651229448     PISSN: 10538135     EISSN: None     Source Type: Journal    
DOI: 10.3233/NRE-2009-0472     Document Type: Article

References (29)

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 JRehabil Res 19 (1996), 67-78.
2. D.G. Altaian, Practical Statistics for Medical Research, Chapman & Hall, London, 1991.
3. N.N. Ansari, S. Naghdi, H. Moammeri and S. Jalaie, Ashworth scales are unreliable for the assessment of muscle spasticity, Physiother Theory Pract 22 (2006), 119-125.
4. N.N. Ansari, S. Naghdi, P. YounesianandM. Shayeghan, Inter- and Intrarater Reliability of the Modified Modified Ashworth Scale in Patients With Knee Extensor Poststroke Spasticity, Physiother Theory Pract 24 (2008), 205-213.
5. M.P. Barnes, An overview of the clinical management 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. 1-11.
6. B.B. Bhakta, Management of spasticity in stroke, Br MedBull 56 (2000), 476-485.
7. 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, Phys Ther 82 (2002),25-34.
8. R.W. Bohannon and M.B.O. Smith, Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity, Phys Ther 67 (1987), 206-207.
9. P. Brennan and A. Silman, Statistical methods for assessing observer variability in clinical measures, Br Med J 3041992), 1491-1494.
10. N. Clopton, J. Dutton, T. Featherston, A. Grigsby, J. Mobley and J. Melvin, Interratet and intrarater reliability of the Modified Ashworth Scale in children with Hypertonia, Pediatr Phys Ther 17 (2005), 268-274.
11. J.L. Fleiss, Statistical Methods for Raters and Proportions, 2nd ed., John Wiley, New York, 1981, 212-236.
12. J.M. Gracies, J.E. Marosszeky, R. Renton, J. Sandanam, S.C. Gandevia and D. Burke, Short-Term Effects of Dynamic Lycra Splints on Upper Limb in Hemiplegic Patients, Arch Phys Med Rehabil 81 (2000), 1547-1555.
13. J.M. Gregson, M. Leathley, P. Moore, T.L. Smith, A.K. Sharma and C.L. Watkins, Reliability of measurements of muscle tone and muscle power in stroke patients, Age Ageing 29 (2000),223-228.
14. J.M. Gregson, M. Leathley, P. Moore, A.K. Sharma, T.L. Smith and C.L. Watkins, Reliability of the tone assessment scale and the modified ashworth scale as clinical tools for Assessing poststroke spasticity, Arch Phys Med Rehabil 80 (1999), 1013-1016.
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. GR. Johnson, Outcome measures of spasticity, Eur J Neurol 9 (Suppl. 1) (2002), 10-16.
17. R.T.S. Kumar, A.D. Pandyan and A.K. Sharma, Biomechanical measurement of post-stroke spasticity. Age Ageing 35 (2006), 371-375.
18. H.L. Kundel and M. Polansky, Measurement of Observer Agreement, Radiol 228 (2003), 303-308.
19. J.W. Lance, Spasticity: disordered motor control, in: Spasticity: Disordered Motor Control, R.G. Feldman, R.R. Young and W.P. Koella, eds, Year book, Chicago, 1980, pp. 485-494.
20. 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.
21. J. Mehrholz, K. Wagner, D. Meissner, K. Grundmann, C. Zange, R. Koch and M. Pohl, Reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in adult patients with severe brain injury: a comparison study, Clin Rehabil 19 (2005), 751-759.
22. S. Naghdi, N.N. Ansari, S. Azarnia and A. Kazemnejad, Inter-rater Reliability of the Modified Modified Ashworth Scale (MMAS) for Patients With Wrist Flexor Muscle Spasticity, Physiother Theory Pract 24 (2008), 372-379.
23. 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.
24. A.D. Pandyan, C.I.M. Price, M.P. Barnes and G.R. Johnson, A biomechanical investigation into the validity of the Modified Ashworth Scale as ameasure of elbow spasticity, Clin Rehabil 17 (2003), 290-294.
25. 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, ClinBiomech, 16 (2001), 859-865.
26. 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.
27. 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 JRehabil Res 15 (1992),158-161.
28. F.R. van Genderen, R.A. de Bie, P.J.M. Helders and N.L.U. van Meeteren, Reliability research: Towards a more clinically relevant approach, Phys Ther Rev 8 (2003), 169-176.
29. F.M.J. van Wijck, A.D. Pandyan, G.R. Johnson and M.P. Barnes, Assessing motor deficits in neurological rehabilitation: Patterns of instrument usage, Neurorehabil Neural Repair 15 (2001), 23-30.