Inter-rater reliability of the Modified Modified Ashworth Scale as a clinical tool in measurements of post-stroke elbow flexor spasticity

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 ◽  
...  

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 ◽  
...  

2016 ◽  
Vol 31 (7) ◽  
pp. 904-912 ◽  
Author(s):  
Yu-jie Yang ◽  
Jun Zhang ◽  
Ying Hou ◽  
Bao-yin Jiang ◽  
Hua-fei Pan ◽  
...  

Objective: To evaluate the effectiveness and safety of Chinese massage therapy (Tui Na) for patients with post-stroke spasticity. Design: A prospective, multicenter, blinded, randomized, placebo-controlled intervention trial. Subject: A total of 90 patients with post-stroke spasticity were randomly assigned to the experimental (Tui Na therapy) group ( n = 45) or control (placebo Tui Na therapy) group ( n = 45). Intervention: Participants in the experimental group received Tui Na therapy, while those in the control group received placebo-Tai Na (gentle rubbing) for 20–25 minutes per limb, once per day, five days per week for a total of four weeks. All participants in both groups received conventional rehabilitation. Main measure: The Modified Ashworth Scale, the Fugl-Meyer Assessment and the Modified Barthel Index were used to assess the severity of spasticity, motor function of limbs and activities of daily living, respectively. Assessments were performed at baseline, at four weeks and at three months. Results: Tui Na group had a significantly greater reduction in Modified Ashworth Scale in only four muscle groups than the control did (elbow flexors, P = 0.026; wrist flexors, P = 0.005; knee flexors, P = 0.023; knee extensors, P = 0.017). Improvements were sustained at three months follow-up. There was no significant difference between the two groups in Fugl-Meyer Assessment ( P = 0.503) and Modified Barthel Index ( P = 0.544). No adverse reaction was recorded in any of the cases mentioned at all study sites. Conclusions: Tui Na might be a safe and effective treatment to reduce post-stroke spasticity of several muscle groups.


2021 ◽  
Author(s):  
le xie ◽  
Yao Xie ◽  
Guo Mao ◽  
Junlin Jiang ◽  
Ting Yao ◽  
...  

Abstract BackgroundStroke is the first leading cause of mortality and disability worldwide, and post-stroke spasticity (PSS) is the common complication of stroke. Sangdantongluo Granule, a modern patent Traditional Chinese medicine (TCM), is widely used in clinical practice to treat PSS. Whereas, there is limited evidence of effectiveness for Sangdantongluo Granule to treat PSS. This study will evaluate the clinical efficacy and safety of Sangdantongluo granule in the treatment of PSS. MethodsThis multicenter, randomized, double-blind and placebo-controlled study will recruit 132 participants in China who develops PSS 15 days to 90 days after stroke. Participants will be randomly assigned in an equal ratio to receive either Sangdantongluo granule or placebo for 2 months twice a day orally. The primary measure is the Modified Ashworth Scale (MAS), Secondary outcome measures include Compopsite Spasticity Scale (CSS), Simplified Fugl-Meyer Motor Scale (S-FM), National Institute of Health stroke scale (NIHSS), Modified Rankin Scale (mRS), Modified Barther Index (MBI), and Surface electromyography. Adverse events will be supervised throughout the trial. DiscussionThe results of this study will present whether Sangdantongluo granule is clinical effective and safe for managing PSS.Trial registrationClinicalTrials.gov ChiCTR2100044544. Registered on 23 March 2021.


2002 ◽  
Vol 39 (7) ◽  
pp. 409-415 ◽  
Author(s):  
Tetsuya TSUJI ◽  
Tetsuo OTA ◽  
Akio KIMURA ◽  
Naoichi CHINO ◽  
Shigenobu ISHIGAMI

2012 ◽  
Vol 31 (2) ◽  
pp. 215-222 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Masoud Mashayekhi ◽  
Scott Hasson ◽  
Zahra Fakhari ◽  
...  

2021 ◽  
Vol 11 (8) ◽  
pp. 102-107
Author(s):  
Chinmayee Patel ◽  
Rajiv Limbasiya ◽  
Nensi Vaibhav Gandhi

Background: Spasticity is a common impairment following upper motor neuron lesions such as stroke. The appropriate measure of muscle spasticity, using validated tools to evaluate the outcome of therapies is important in clinical and research settings. Objective: To determine the concurrent criterion-related validity of the Modified Ashworth Scale in assessing post stroke Ankle flexor muscle spasticity based on its correlation with Modified Tardieu scale and the H-reflex tests. Methods: A total of 35 adult stroke participants underwent clinical and electrophysiological assessment of the ankle flexor muscle spasticity on the affected side. The primary outcome measures were: MMAS grade, R2−R1 of the MTS; and the H-reflex indices of H-max/M-max ratio. Results: Correlations tests revealed the correlation between the MMAS and MTS but did not reveal significant associations between the MMAS and the H-reflex tests. Conclusions: This study suggests that the MMAS may not be a valid tool to evaluate the ankle flexor muscle spasticity in these stroke participants. Key words: Stroke, spasticity, Modified Ashworth Scale, Tardieu Scale, H-reflex, criterion validity.


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