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

被引：29

作者：

Ansari, Noureddin Nakhostin ^{[1
]}

Naghdi, Soofia ^{[1
]}

Hasson, Scott ^{[2
]}

Mousakhani, Atefeh ^{[1
]}

Nouriyan, Azam ^{[1
]}

Omidvar, Zeinab ^{[1
]}

机构：

[1] Univ Tehran Med Sci, Fac Rehabil, Tehran 11498, Iran

[2] Angelo State Univ, Phys Therapy Dept, San Angelo, TX 76909 USA

来源：

NEUROREHABILITATION | 2009年 / 24卷 / 03期

基金：

中国国家自然科学基金;

关键词：

Stroke; spasticity; modified modified ashworth scale; inter-rater reliability; MUSCLE SPASTICITY; BRAIN-INJURY; STROKE; TONE;

D O I：

10.3233/NRE-2009-0472

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Patients with neurological conditions may be affected by spasticity. The Modified Modified Ashworth Scale (MMAS) is a clinical tool used to measure spasticity. The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia. Twenty-one adult patients with stroke (5 women, 16 men) with a median age of 60 years (interquartile range, 47-68) were tested. Elbow flexors on the affected side were examined. Inter-rater reliability for two inexperienced raters was very good. The weighted Kappa value was 0.81 (Standard Error = 0.097, 95% CI: 0.62-1.00, p = 0.0002). The weighted percentage agreement was 97.4%. The agreement between raters occurred mostly on score 1 (38.1%) followed by score 0 (23.8%). The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor spasticity.

引用

页码：225 / 229

页数：5

共 29 条

[1] Reliability of the Modified Ashworth Scale in the assessment of plantar flexor muscle spasticity in patients with traumatic brain injury [J].