Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity

Nastaran Ghotbi; Noureddin Nakhostin Ansari; Soofia Naghdi; Scott Hasson; Boushra Jamshidpour; Somayeh Amiri

doi:10.1080/02699050903200548

Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity

Nastaran Ghotbi, Noureddin Nakhostin Ansari, Soofia Naghdi, Scott Hasson, Boushra Jamshidpour, Somayeh Amiri

Physical Therapy

Research output: Contribution to journal › Article › peer-review

58 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	815-819
Number of pages	5
Journal	Brain Injury
Volume	23
Issue number	10
DOIs	https://doi.org/10.1080/02699050903200548
State	Published - 2009

Keywords

Measurement
Modified Modified Ashworth Scale
Reliability
Spasticity

ASJC Scopus subject areas

Neuroscience (miscellaneous)
Developmental and Educational Psychology
Clinical Neurology

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10.1080/02699050903200548

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title = "Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity",

abstract = "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.",

keywords = "Measurement, Modified Modified Ashworth Scale, Reliability, Spasticity",

author = "Nastaran Ghotbi and Ansari, {Noureddin Nakhostin} and Soofia Naghdi and Scott Hasson and Boushra Jamshidpour and Somayeh Amiri",

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AU - Ghotbi, Nastaran

AU - Ansari, Noureddin Nakhostin

AU - Naghdi, Soofia

AU - Hasson, Scott

AU - Jamshidpour, Boushra

AU - Amiri, Somayeh

PY - 2009

Y1 - 2009

N2 - 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.

AB - 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.

KW - Measurement

KW - Modified Modified Ashworth Scale

KW - Reliability

KW - Spasticity

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Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity

Abstract

Keywords

ASJC Scopus subject areas

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