Assessing the reliability of the Modified Modified Ashworth Scale between two physiotherapists in adult patients with hemiplegia

被引：35

作者：

Ansari, Noureddin Nakhostin ^{[1
]}

Naghdi, Soofia ^{[1
]}

Hasson, Scott ^{[2
]}

Fakhari, Zahra ^{[1
]}

Mashayekhi, Masoud ^{[1
]}

Herasi, Mona ^{[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 / 25卷 / 04期

关键词：

Spasticity; Modified Modified Ashworth Scale; hemiplegia; reliability; MUSCLE SPASTICITY; POSTSTROKE SPASTICITY; INTERRATER RELIABILITY; INTRARATER RELIABILITY; STROKE; LIMB; PATHOPHYSIOLOGY; MOVEMENT; SCORES; TONE;

D O I：

10.3233/NRE-2009-0520

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The Modified Modified Ashworth Scale (MMAS) is a simple clinical outcome measure to assess muscle spasticity in people with brain injury. The objective of this cross-sectional study was to assess the interrater reliability of the MMAS in the upper limb of adult patients with hemiplegia. Participants were fifteen patients with a mean age of 57.3 +/- 14.4 years. They had brain injury on average 33.3 +/- 26.2 months earlier. Two common spastic muscle groups (elbow flexor and wrist flexor) on the hemiparetic side of the patients were rated by two physiotherapists according to a standardized protocol. The order of raters' assessment and the sequence of muscle testing was randomized. The weighted Kappa (kappa w) values were calculated for reliability. The kappa w was 0.61 for elbow flexor and 0.78 for wrist flexor. Results support the good interrater reliability of the MMAS for persons with upper limb spasticity.

引用

页码：235 / 240

页数：6

共 40 条

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