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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 24, 2008 - Issue 5
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Original

Interrater reliability of the Modified Modified Ashworth Scale (MMAS) for patients with wrist flexor muscle spasticity

, PhD, PT, , PhD, PT, , BSc, PT & , PhD
Pages 372-379 | Published online: 10 Jul 2009

References

  • Ada L, Canning C, Dwyer T. Effect of muscle length on strength and dexterity after stroke. Clinical Rehabilitation 2000; 14: 55–61
  • Allison SC, Abraham LD, Petersen CL. Reliability of the Modified Ashworth Scale in the assessment of plantar flexor muscle spasticity in patients with traumatic brain injury. International Journal of Rehabilitation Research 1996; 19: 67–78
  • Ansari NN, Karimi H, Farahmand F, Naghdi S, Faghihzadeh S. A new biomechanical method for objective measurement of spasticity: A preliminary study. International Journal of Therapy and Rehabilitation 2007; 14: 63–69
  • 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
  • Ansari NN, Naghdi S, Younesian P, Shayeghan M. Inter- and intrarater reliability of the Modified Modified Ashworth Scale in patients with knee extensor poststroke spasticity. Physiotherapy Theory and Practice 2008; 24: 205–213
  • Ashworth B. Preliminary trial of carisoprodal in multiple sclerosis. Practitioner 1964; 192: 540–542
  • 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
  • Barnes MP. An overview of the clinical management of spasticity. Upper motor neuron syndrome and spasticity: Clinical management and neurophysiology, MP Barnes, GR Johnson. Cambridge University Press, Cambridge 2001; 1–11
  • Beard S, Hunn A, Wight J. Treatments for spasticity and pain in multiple sclerosis: A systematic review. Health Technology Assessment 2003; 7: 1–124
  • 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
  • Bohannon RW, Smith MBO. Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity. Physiotherapy 1987; 67: 206–207
  • Brashear A, Gordon MF, Elovic E, Daniel Kassicieh V, Marciniak C, Do M, Lee CH, Jenkins S, Turkel C. Intramuscular injection of botulinum toxin for the treatment of wrist and finger spasticity after a stroke. The New England Journal of Medicine 2002; 347: 395–400
  • Brennan P, Silman A. Statistical methods for accessing observer variability in clinical measures. British Medical Journal 1992; 304: 1491–1494
  • Burne JA, Carleton VL, O'Dwyer NJ. The spasticity paradox: Movement disorder or disorder of resting limbs?. Journal of Neurology Neurosurgery Psychiatry 2005; 76: 47–54
  • 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
  • Canning CG, Ada L, O'Dwyer N. Slowness to develop force contributes to weakness after stroke. Archives of Physical Medicine and Rehabilitation 1999; 80: 66–70
  • Domholdt E. Selection and assignment of subjects. Physical therapy research, principles and applications, 2nd ed, E Domholdt. W.B. Saunders Company, Philadelphia 2000; 95–114
  • Francis HP, Wade DT, Turner-Stokes L, Kingswell RS, Dott CS, Coxon EA. Does reducing spasticity translate into functional benefit? An exploratory meta-analysis. Journal of Neurology, Neurosurgery and Psychiatry 2004; 75: 1547–1551
  • 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
  • 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
  • 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
  • Haas BM. Measuring spasticity: A survey of current practice among health care professionals. British Journal of Therapy and Rehabilitation 1994; 1: 90–95
  • 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
  • Haugh AB, Pandyan AD, Johnson GR. A systematic review of the Tardieu Scale for the measurement of spasticity. Disability and Rehabilitation 2006; 28: 899–907
  • Johnson GR. Outcome measures of spasticity. European Journal of Neurology 2002; 9(Suppl. 1)10–16
  • Kumar RTS, Pandyan AD, Sharma AK. Biomechanical measurement of post-stroke spasticity. Age and Ageing 2006; 35: 371–375
  • Lagalla G, Danni M, Reiter F, Ceravolo MG, Provinciali L. Post-stroke spasticity management with repeated botulinum toxin injections in the upper limb. American Journal of Physical Medicine and Rehabilitation 2000; 79: 377–384
  • Lance JW. Spasticity: Disordered motor control. Spasticity: Disordered motor control, RG Feldman, RR Young, WP Koella. Year book, Chicago 1980; 485–494
  • Lieber RL, Steinman S, Barash IA, Chambers H. Structural and functional changes in spastic skeletal muscle. Muscle & Nerve 2004; 29: 615–627
  • Mayer NH, Esquenazi A, Childers MK. Common patterns of clinical motor dysfunction. Muscle & Nerve (Suppl) 1997; 6: S21–S35
  • Mehrholz J, Wagner K, Meissner D, Grundmann K, Zange C, Koch R, Pohl M. Reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in adult patients with sever brain injury: A comparison study. Clinical Rehabilitation 2005; 19: 751–759
  • 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
  • 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 2008; 48: 35–41
  • 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
  • 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
  • O'Dwyer NJ, Ada L, Neilson PD. Spasticity and muscle contracture following stroke. Brain 1996; 119: 1737–1749
  • 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
  • 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
  • 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
  • Pandyan AD, Vuadens P, van Wijck FMJ, Stark S, Johnson GR, Barnes MP. Are we underestimating the clinical efficacy of botulinum toxin (type A)? Quantifying changes in spasticity, strength and upper limb function after injections of Botox® to the elbow flexors in a unilateral stroke population. Clinical Rehabilitation 2002; 16: 654–660
  • 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
  • Patten C, Lexell J, Brown HE. Weakness and strength training in persons with post stroke hemiplegia: Rationale, method, and efficacy. Journal of Rehabilitation Research and Development 2004; 41: 293–312
  • 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
  • Schmit 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
  • Scholtes VAB, Becher JG, Beelen A, Lankhorst GJ. Clinical assessment of spasticity in children with cerebral palsy: A critical review of available instruments. Developmental Medicine and Child Neurology 2006; 48: 64–73
  • Sinkjaer T, Magnussen I. Passive, intrinsic and reflex mediated stiffness in the ankle extensors of hemiparetic patients. Brain 1994; 117: 355–363
  • Vattanasilp W, Ada L. The relationship between clinical and laboratory measures of spasticity. Australian Journal of Physiotherapy 1999; 45: 135–139
  • 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
  • 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
  • Wallesch CW, Maes E, Lecomte P, Bartels C. Cost-effectiveness of botulinum toxin type A injection in patients with spasticity following stroke: German perspective. European Journal of Neurology 1997; 4: S53–S57

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