PRIMARY OBJECTIVE: To assess the inter-rater reliability of the Modified Modified Ashworth Scale (MMAS) in lower limb muscle spasticity. RESEARCH DESIGN: Cross-sectional observational study. INTERVENTIONS: Not applicable. METHODS AND PROCEDURES: Twenty-two adults with neurological conditions (17 women, five men, age range 21-82 years; mean +/- SD, 44 +/- 18 years) participated. Hip adductor, knee extensor and ankle plantarflexor were assessed in a random order. MAIN OUTCOMES AND RESULTS: Inter-rater agreement for two raters was very good for the hip adductor and the knee extensor (weighted kappa = 0.82, p < 0.0001) and good for the ankle plantarflexor (weighted kappa = 0.74, p < 0.0001). CONCLUSIONS: The Modified Modified Ashworth Scale produced reliable measurements between raters in the assessment of lower limb muscle spasticity.
PRIMARY OBJECTIVE: To assess the inter-rater reliability of the Modified Modified Ashworth Scale (MMAS) in lower limb muscle spasticity. RESEARCH DESIGN: Cross-sectional observational study. INTERVENTIONS: Not applicable. METHODS AND PROCEDURES: Twenty-two adults with neurological conditions (17 women, five men, age range 21-82 years; mean +/- SD, 44 +/- 18 years) participated. Hip adductor, knee extensor and ankle plantarflexor were assessed in a random order. MAIN OUTCOMES AND RESULTS: Inter-rater agreement for two raters was very good for the hip adductor and the knee extensor (weighted kappa = 0.82, p < 0.0001) and good for the ankle plantarflexor (weighted kappa = 0.74, p < 0.0001). CONCLUSIONS: The Modified Modified Ashworth Scale produced reliable measurements between raters in the assessment of lower limb muscle spasticity.
Authors: João Carlos Correia de Sa; Laura Airas; Emmanuel Bartholome; Nikolaos Grigoriadis; Heinrich Mattle; Celia Oreja-Guevara; Jonathan O'Riordan; Finn Sellebjerg; Bruno Stankoff; Karl Vass; Agata Walczak; Heinz Wiendl; Bernd C Kieseier Journal: Ther Adv Neurol Disord Date: 2011-05 Impact factor: 6.570
Authors: Sindi Z Rodic; Tatjana I Knezevic; Darija B Kisic-Tepavcevic; Jelena R Dackovic; Irena Dujmovic; Tatjana D Pekmezovic; Jelena S Drulovic; Ljubica M Konstantinovic Journal: PLoS One Date: 2016-01-15 Impact factor: 3.240