Inter- and intrarater reliability of the Modified Modified Ashworth Scale in patients with knee extensor poststroke spasticity

2008 ◽  
Vol 24 (3) ◽  
pp. 205-213 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Parastoo Younesian ◽  
Mohammad Shayeghan
2020 ◽  
pp. 1-8
Author(s):  
Luca Puce ◽  
Ilaria Pallecchi ◽  
Lucio Marinelli ◽  
Maria May ◽  
Laura Mori ◽  
...  

Context: Kinesio Taping (KT) produces several clinical effects, including pain relief, edema absorption, and improved muscle performance. When applied in the insertion to origin mode, it is claimed to inhibit excessive muscle contractions. Objective: Investigate whether KT applied in the insertion to origin mode could reduce the exaggerated reflex contraction of spastic muscles. Design: Randomized crossover trial, with a restricted block randomization. Setting: Clinical laboratory and swimming pool. Patients: Seven para-swimmers. Intervention: KT, applied in inhibitory mode, to investigate its effect on knee extensor spasticity. Main Outcome Measures: Primary outcome is stretch reflex, as compared with clinical assessment of spasticity by Modified Ashworth Scale and self-perceived spasticity by numeric rating scale. Secondary outcomes were Medical Research Council for strength of knee extensor muscles and chronometric swimming performance in 100-m freestyle. Results: KT significantly decreased the amplitude of stretch reflex (P < .001), whereas the placebo treatment produced no significant effects. Scores of Medical Research Council for strength and Modified Ashworth Scale did not change after KT, whereas numeric rating scale scores for spasticity significantly decreased (P = .001). The swimming performance was significantly improved after KT treatment as compared with baseline (P < .01). Conclusions: This exploratory study performed on para-athletes suggests that KT could reduce spasticity. This outcome has 3-fold implications for clinical, rehabilitation, and sport methods.


2005 ◽  
Vol 17 (4) ◽  
pp. 268-274 ◽  
Author(s):  
Nancy Clopton ◽  
Jennifer Dutton ◽  
Tandy Featherston ◽  
Annette Grigsby ◽  
Jami Mobley ◽  
...  

2008 ◽  
Vol 23 (3) ◽  
pp. 231-237 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Tahereh Khosravian Arab ◽  
Shohreh Jalaie

2002 ◽  
Vol 82 (1) ◽  
pp. 25-34 ◽  
Author(s):  
Marjan Blackburn ◽  
Paulette van Vliet ◽  
Simon P Mockett

Abstract Background and Purpose. Abnormal muscle tone is a common motor disorder following stroke, which may require rehabilitation. The Modified Ashworth Scale is a 6-point rating scale that is used to measure muscle tone. The interrater and intrarater reliability of measurements obtained with the scale remain equivocal. The purpose of this study was to investigate the reliability of measurements obtained with the scale in the lower limb of patients with stroke. Subjects. Twenty patients were tested 2 weeks after their stroke, and 12 patients were tested 12 weeks after their stroke. Methods. Gastrocnemius, soleus, and quadriceps femoris muscles on the hemiplegic side were tested. Results. Interrater reliability for 2 raters was poor, with a Kendall tau-b correlation for the combined muscle group of .062 (P=.461). For intrarater reliability, the Kendall tau-b correlation was .567 (P&lt;.001). The agreement within one rater occurred mostly on the grade of 0. Discussion and Conclusion. The Modified Ashworth Scale yielded reliable measurements in the lower limb for a single examiner, and agreement was best on the grade of 0. The reliability between examiners was not good, which may bring into question the validity of measurements obtained with the scale.


2002 ◽  
Vol 83 (10) ◽  
pp. 1349-1354 ◽  
Author(s):  
Allison Brashear ◽  
Ross Zafonte ◽  
Michael Corcoran ◽  
Nestor Galvez-Jimenez ◽  
Jean-Michel Gracies ◽  
...  

2001 ◽  
Vol 15 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Frederike M.J. van Wijck ◽  
Anand D. Pandyan ◽  
Garth R Johnson ◽  
Michael P. Barnes

To describe current patterns in the use of clinical scales and measurement tech nology for the assessment of motor deficits in neurological rehabilitation. Question naire, sent to the 2,556 members of the World Forum for Neurological Rehabilita tion, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a num ber of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied in struments varied between centres. The application of measurement technology was re stricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, infor mation, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualita tive and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement tech nology further in neurological rehabilitation to assist in the process of quantification of outcomes. Key Words: Motor deficits—Neurological rehabilitation—Outcome as sessment—Standardisation—Measurement technology.


2008 ◽  
Vol 24 (5) ◽  
pp. 372-379 ◽  
Author(s):  
Soofia Naghdi ◽  
Noureddin Nakhostin Ansari ◽  
Somayye Azarnia ◽  
Anoushiravan Kazemnejad

2014 ◽  
Vol 10 (2) ◽  
pp. 89-97 ◽  
Author(s):  
S.J. Schils ◽  
T.A. Turner

A retrospective study of 241 clinical cases, utilising over 1,800 functional electrical stimulation (FES) treatments to alleviate epaxial muscle spasms, showed that almost 80% (191) of the horses had a 1-grade improvement in muscle spasms after 2 FES treatments, based on the Modified Ashworth Scale adapted to horses. In addition, 60% (142) of these horses showed a sustained improvement for a minimum of 2 months.


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