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

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

60 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
Externally published	Yes

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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doi = "10.1080/02699050903200548",

language = "English (US)",

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issn = "0269-9052",

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T1 - Inter-rater reliability of the Modified Modified Ashworth Scale in assessing lower limb muscle spasticity

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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