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

GHOTBI N; ANSARI NN; NAGHDI S; HASSON S; JAMSHIDPOUR B; AMIRI S
BRAIN INJ , 2009, vol. 23, n° 10, p. 815-819
Doc n°: 145874
Localisation : en ligne

D.O.I. : http://dx.doi.org/DOI:10.1080/02699050903200548
Descripteurs : AD32 - SPASTICITE

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 : 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. 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.

Langue : ANGLAIS

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