The effect of standardization and training on inter- and intra-rater reliability of the Modified Ashworth Scale in children with cerebral palsy

2015 ◽  
Vol 57 ◽  
pp. 84-84
PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8561
Author(s):  
Åsa B. Tornberg ◽  
Katarina Lauruschkus

Purpose The aim of this study was to compare the effects of four months of two types of structured training regimes, static standing (StS) versus dynamic standing (DyS), on passive range of motion (PROM) and spasticity in the hip among non-ambulatory children with cerebral palsy. Method Twenty non-ambulatory children with cerebral palsy participated in an exercise intervention study with a crossover design. During StS, the Non-ambulatory children with cerebral palsy were encouraged to exercise according to standard care recommendations, including daily supported StS for 30–90 min. During DyS, daily exercise for at least 30 min at a speed between 30 and 50 rpm in an Innowalk (Made for movement, Norway) was recommended. We assessed adaptive effects from the exercise programs through PROM in the hip assessed with a handheld goniometer, and spasticity in the hip assessed with the Modified Ashworth Scale before and after 30 min of StS or DyS. A trained physiotherapist performed the assessments. The exercise test and exercise training were performed in the children’s habitual environment. Non-parametric statistics were used and each leg was used as its own control. Result PROM increased in all directions after 30 min (p < 0.001), and after four months of exercise training (p < 0.001) of DyS. Thirty minutes of DyS lowered the spasticity in the muscles around the hip (p < 0.001) more than 30 min of StS (p < 0.001). Conclusion Thirty minutes of DyS increased PROM and decreased spasticity among non-ambulatory children with CP. Four months of DyS increased PROM but did not decrease spasticity. These results can help inform individualised standing recommendations.


2009 ◽  
Vol 24 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Scott Hasson ◽  
Atefeh Mousakhani ◽  
Azam Nouriyan ◽  
...  

2018 ◽  
Vol 99 (12) ◽  
pp. e205-e206
Author(s):  
Chetan Phadke ◽  
Erica Zurawski ◽  
Kirsten Behm ◽  
Charlotte Dunlap ◽  
James Koo ◽  
...  

2014 ◽  
Vol 31 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Lidija Dimitrijević ◽  
Hristina Čolović ◽  
Marija Spalević ◽  
Anita Stanković ◽  
Dragan Zlatanović ◽  
...  

Summary Spastic cerebral palsy (CP) is the most common type of CP. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinical practice is the Modified Ashworth Scale (MAS). The test is based on the assessment of resistance to passive strech of muscle group at one nonspecified velocity. Management of spasticity in CP involves multidisciplinary intervention intended to increase functionality, sustain health, and improve quality of life for children and their carers. This may include: oral medications, intrathecal medications, physiotherapy, occupational therapy, orthoses, surgical interventions, and pharmacological agents such as botulinum toxin.


1992 ◽  
Vol 15 (2) ◽  
pp. 158-161 ◽  
Author(s):  
R. L. SLOAN ◽  
E. SINCLAIR ◽  
J. THOMPSON ◽  
S. TAYLOR ◽  
B. PENTLAND

2012 ◽  
Vol 36 (4) ◽  
pp. 538 ◽  
Author(s):  
Ji Hong Min ◽  
Yong-Il Shin ◽  
Kyung Lim Joa ◽  
Sung Hwa Ko ◽  
Myung Jun Shin ◽  
...  

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