Inter-Rater Reliability of Modified Modified Ashworth Scale in the Assessment of Plantar Flexor Muscle Spasticity in Patients with Spinal Cord Injury

Physiotherapy Research International

Volumn 19, Issue 4, 2014, Pages 231-237

  Mishra, Chittaranjan ^a   Ganesh, G Shankar ^a  

^a Olatpur   (India)

Author keywords

Ashworth scale; Reliability; Spasticity; Spinal cord injury

Indexed keywords

ADULT; COMPLICATION; CROSS-SECTIONAL STUDY; EVALUATION STUDY; FEMALE; FOOT; HUMAN; INJURY SCALE; MALE; MIDDLE AGED; MUSCLE SPASTICITY; OBSERVER VARIATION; OUTCOME ASSESSMENT; PATHOPHYSIOLOGY; REPRODUCIBILITY; SKELETAL MUSCLE; SPINAL CORD INJURY;

ADULT; CROSS-SECTIONAL STUDIES; FEMALE; FOOT; HUMANS; MALE; MIDDLE AGED; MUSCLE SPASTICITY; MUSCLE, SKELETAL; OBSERVER VARIATION; OUTCOME ASSESSMENT (HEALTH CARE); REPRODUCIBILITY OF RESULTS; SPINAL CORD INJURIES; TRAUMA SEVERITY INDICES;

EID: 84912014602     PISSN: 13582267     EISSN: 14712865     Source Type: Journal    
DOI: 10.1002/pri.1588     Document Type: Article

References (42)

1. Ansari NN, Naghdi S, Moammeri H, Jalaie SH. Ashworth scales are unreliable for the assessment of muscle spasticity. Physiotherapy Theory and Practice 2006; 22: 119-125.
2. Ansari NN, Naghdi S, Younesian P, Shayeghan M. Inter and intra-rater reliability of the Modified Modified Ashworth Scale in patients with knee extensor poststroke spasticity. Physiotherapy Theory and Practice 2008; 24: 205-213.
3. Ansari NN, Naghdi S, Hasson S, Mousakhania A, Nouriyana A, Omidvar Z. Inter-rater reliability of the Modified Modified Ashworth Scale as a clinical tool in measurements of post-stroke elbow flexor spasticity. Neurological Rehabilitation 2009; 24: 225-229.
4. Ashworth B. Preliminary trial of carisoprodal in multiple sclerosis. Practitioner 1964; 192: 540-542.
5. Bakheit AMO, Maynard VA, Curnow J, Hudson N, Kodapala S. The relation between Ashworth scale scores and the excitability of the alpha motor neurons in patients with post-stroke muscle spasticity. Journal of Neurology, Neurosurgery and Psychiatry 2003; 74: 646-648
6. Barnes MP. An overview of the clinical management of spasticity. In: Barnes MP, Johnson GR (eds), Upper Motor Neuron Syndrome and Spasticity: Clinical Management and Neurophysiology. Cambridge: Cambridge University Press, 2001; 1-11.
7. Blackburn M, Vliet PV, Mockett SP. Reliability of measurements obtained with the Modified Ashworth Scale in the lower extremities of people with stroke. Physical Therapy 2002; 82: 25-34.
8. Bohannon RW, Smith MBO. Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity. Physiotherapy 1987; 67: 206-207.
9. Brennan P, Silman A. Statistical methods for accessing observer variability in clinical measures. British Medical Journal 1992; 304: 1491-1494.
10. Burridge JH, Wood DE, Hermens HJ, Voerman GE, Johnson GR, Van Wijck F, Platz T, Gregoric M, Hitchcock R, Pandyan AD. Theoretical and methodological considerations in the measurement of spasticity. Disability and Rehabilitation 2005; 27: 69-80
11. Craven BC, Morris AR. Modified Ashworth scale reliability for measurement of lower extremity spasticity among patients with SCI. Spinal Cord 2010; 48(3): 207-213.
12. Elbasiouny SM, Moroz D, Bakr MM, Mushwahwar VK. Management of spasticity after spinal cord injury: current techniques and future directions. Neurorehabilitation and Neural Repair 2010; 24(1): 23-33.
13. Ghotbi N, Olyaei GR, Hadian MR, Ansari NN, Bagheri H. Is there any relationship between the Modified Ashworth Scale scores and alpha motoneuron excitability indicators? Electromyography and Clinical Neurophysiology 2006; 46: 279-284.
14. Ghotbi N, Ansari NN, Naghdi S, Hasson S, Jamshidpour B, Amiri S. Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity. Brain Injury 2009; 23(10): 815-819.
15. Ghotbi N, Nakhostin Ansari N, Naghdi S, Hasson S. Measurement of lower-limb muscle spasticity: intrarater reliability of Modified Modified Ashworth Scale. Journal of Rehabilitation Research and Development 2011; 48(1): 83-88.
16. Gracies JM, Marosszeky JE, Renton R, Sandanam J, Gandevia SC, Burke D. Short-term effects of dynamic lycra splints on upper limb in hemiplegic patients. Archives of Physical Medicine and Rehabilitation 2000; 81: 1547-1555.
17. Gregson JM, Leathley M, Moore P, Sharma AK, Smith TL, Watkins CL. Reliability of the Tone Assessment Scale and the Modified Ashworth Scale as clinical tools for assessing post-stroke spasticity. Archives of Physical Medicine and Rehabilitation 1999; 80: 1013-1016.
18. Hagen EM, Rekand T, Gilhus NE, Grønning M. Traumatic spinal cord injuries - incidence, mechanisms and course. Tidsskr Nor Legeforen 2012; 132: 831-7.
19. Hass 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; 34: 560-564.
20. Johnson GR. Outcome measures of spasticity. European Journal of Neurology 2002; 9(Suppl. 1): 10-16.
21. Kumar RTS, Pandyan AD, Sharma AK. Biomechanical measurement of post-stroke spasticity. Age and Ageing 2006; 35: 371-375.
22. Lance JW. Spasticity: disordered motor control. In: Feldman RG, Young RR, Koella WP (eds), Spasticity: Disordered Motor Control. Chicago: Year book 1980; 485-494.
23. Lance JW, Burke D. Mechanisms of spasticity. Archives of Physical Medicine and Rehabilitation 1974; 55: 322-357.
24. Leslie GC, Muir C, Part NJ, Roberts RC. A comparison of the assessment of spasticity by the Wartenberg pendulum test and the Ashworth grading scale in patients with MS. Clinical Rehabilitation 1992; 6: 41-48.
25. Morris S. Ashworth and Tardieu scales: their clinical relevance for measuring spasticity in adult and pediatric neurological populations. Physical Therapy Reviews 2002; 7: 53-62.
26. Mutlu A, Livanelioglu A, Gunel MK. Reliablity of Ashworth and modified Ashworth scales in children with spastic cerebral palsy. BMC Musculoskeletal Disorders 2008; 9: 44.
27. Naghdi S, Ebrahimi I, Asgari A, Olyaei GR, Kazemnejad A, Mansouri K, Ansari NN. A preliminary study into the criterion validity of the Modified Modified Ashworth Scale using the new measure of the alpha motoneuron excitability in spastic hemiplegia. Electromyography and Clinical Neurophysiology 2007; 47: 187-192.
28. Naghdi S, Ansari NN, Azarnia S, Kazemnejad A. Inter-rater reliability of the Modified Modified Ashworth Scale (MMAS) for patients with wrist flexor muscle spasticity. Physiotherapy Theory and Practice 2008a; 24: 372-379.
29. Naghdi S, Ansari NN, Mansouri K, Asgari A, Olyaei GR, Kazemnejad A. Neurophysiological examination of the Modified Modified Ashworth Scale (MMAS) in patients with wrist flexor spasticity after stroke. Electromyography and Clinical Neurophysiology 2008b; 48: 35-41.
30. Nuyens G, De Weerdt W, Ketelaer P, Feys H, De Wolf L, Hantson L, Nieuboer A, Spaepen A, Carton H. Inter-rater reliability of the Ashworth Scale in multiple sclerosis. Clinical Rehabilitation 1994; 8: 286-292.
31. Pandyan AD, Johnson GR, Price CIM, Curless RH, Barnes MP, Rodgers H. A review of the properties and limitations of Ashworth and Modified Ashworth Scales as measures of spasticity. Clinical Rehabilitation 1999; 13: 373-383.
32. Pandyan AD, Price CIM, Rodgers H, Barnes MP, Johnson GR. Biomechanical examination of a commonly used measure of spasticity. Clinical Biomechanics 2001; 16: 859-865.
33. Pandyan AD, Price CIM, Barnes MP, Johnson GR. A biomechanical investigation into the validity of the Modified Ashworth Scale as a measure of elbow spasticity. Clinical Rehabilitation 2003; 17: 290-294.
34. Patrick E, Ada L. The Tardieu Scale differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it. Clinical Rehabilitation 2006; 20: 173-182.
35. Pierrot-Deseilligny. Patho-physiology of spasticity. Triangle 1985; 22: 165-174.
36. Platz T, Eickhof C, Nuyens G, Vuadens P. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disability and Rehabilitation 2005; 27: 7-18.
37. Rushworth G. Some patho-physiological aspects of spasticity and the research for rational and successful therapy. International Rehabilitation Medicine 1980; 2: 23-26.
38. Schimt BD, Dewald JPA, Rymer WZ. Stretch reflex adaptation in elbow flexors during repeated passive movements in unilateral brain-injured patients. Archives of Physical Medicine and Rehabilitation 2000; 81: 269-278.
39. Skold C, Levi R, Seiger A. Spasticity after traumatic spinal cord injury: nature, severity, and location. Archives of Physical Medicine and Rehabilitation 1999; 80: 1548-1557.
40. Vattanasilp W, Ada L. The relationship between clinical and laboratory measures of spasticity. Australian Journal of Physiotherapy 1999; 45: 135-139.
41. Vattanasilp W, Ada L, Crosbie J. Contribution of thixotropy, spasticity, and contracture to ankle stiffness after stroke. Journal of Neurology, Neurosurgery and Psychiatry 2000; 69: 34-39.
42. Voerman GE, Gregoric M, Hermens HJ. Neurophysiological methods for the assessment of spasticity: the Hoffmann reflex, the tendon reflex, and the stretch reflex. Disability and Rehabilitation 2005; 27: 33-68.