scholarly journals Electrophysiological Evaluation of the Modified Ashworth Scale in Assessment of Post Stroke Ankle Plantar Spasticity

2021 ◽  
Vol 11 (8) ◽  
pp. 102-107
Author(s):  
Chinmayee Patel ◽  
Rajiv Limbasiya ◽  
Nensi Vaibhav Gandhi
Keyword(s):  
Motor Neuron ◽  
Key Words ◽  
Primary Outcome ◽  
H Reflex ◽  
Flexor Muscle ◽  
Muscle Spasticity ◽  
Post Stroke ◽  
Modified Ashworth Scale ◽  
Ashworth Scale ◽  
Modified Tardieu Scale

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.

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

2008 ◽  
Vol 24 (5) ◽  
pp. 372-379 ◽  
Author(s):  
Soofia Naghdi ◽  
Noureddin Nakhostin Ansari ◽  
Somayye Azarnia ◽  
Anoushiravan Kazemnejad
Keyword(s):  
Interrater Reliability ◽  
Flexor Muscle ◽  
Muscle Spasticity ◽  
Wrist Flexor ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

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 ◽  
...  
Keyword(s):  
Elbow Flexor ◽  
Clinical Tool ◽  
Rater Reliability ◽  
Post Stroke ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Effectiveness and safety of Chinese massage therapy (Tui Na) on post-stroke spasticity: a prospective multicenter randomized controlled trial

2016 ◽  
Vol 31 (7) ◽  
pp. 904-912 ◽  
Author(s):  
Yu-jie Yang ◽  
Jun Zhang ◽  
Ying Hou ◽  
Bao-yin Jiang ◽  
Hua-fei Pan ◽  
...  
Keyword(s):  
Barthel Index ◽  
Therapy Group ◽  
Massage Therapy ◽  
Control Group ◽  
Post Stroke ◽  
Modified Ashworth Scale ◽  
Significant Difference ◽  
Multicenter Randomized Controlled Trial ◽  
Muscle Groups ◽  
Ashworth Scale

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.

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