Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity

Noureddin Nakhostin Ansari, Soofia Naghdi, Scott Hasson, Atefeh Mousakhani, Azam Nouriyan, Zeinab Omidvar

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Patients with neurological conditions may be affected by spasticity. The Modified Modified Ashworth Scale (MMAS) is a clinical tool used to measure spasticity. The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia. Twenty-one adult patients with stroke (5 women, 16 men) with a median age of 60 years (interquartile range, 47-68) were tested. Elbow flexors on the affected side were examined. Inter-rater reliability for two inexperienced raters was very good. The weighted Kappa value was 0.81 (Standard Error = 0.097, 95% CI: 0.62-1.00, p = 0.0002). The weighted percentage agreement was 97.4%. The agreement between raters occurred mostly on score 1 (38.1%) followed by score 0 (23.8%). The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor spasticity.

Original languageEnglish (US)
Pages (from-to)225-229
Number of pages5
JournalNeuroRehabilitation
Volume24
Issue number3
DOIs
StatePublished - Jul 31 2009

Fingerprint

Elbow
Stroke
Hemiplegia

Keywords

  • Inter-rater reliability
  • Modified modified ashworth scale
  • Spasticity
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity. / Ansari, Noureddin Nakhostin; Naghdi, Soofia; Hasson, Scott; Mousakhani, Atefeh; Nouriyan, Azam; Omidvar, Zeinab.

In: NeuroRehabilitation, Vol. 24, No. 3, 31.07.2009, p. 225-229.

Research output: Contribution to journalArticle

Ansari, Noureddin Nakhostin ; Naghdi, Soofia ; Hasson, Scott ; Mousakhani, Atefeh ; Nouriyan, Azam ; Omidvar, Zeinab. / Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity. In: NeuroRehabilitation. 2009 ; Vol. 24, No. 3. pp. 225-229.
@article{1678ce6280fb47cf97941b0ab4772038,
title = "Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity",
abstract = "Patients with neurological conditions may be affected by spasticity. The Modified Modified Ashworth Scale (MMAS) is a clinical tool used to measure spasticity. The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia. Twenty-one adult patients with stroke (5 women, 16 men) with a median age of 60 years (interquartile range, 47-68) were tested. Elbow flexors on the affected side were examined. Inter-rater reliability for two inexperienced raters was very good. The weighted Kappa value was 0.81 (Standard Error = 0.097, 95{\%} CI: 0.62-1.00, p = 0.0002). The weighted percentage agreement was 97.4{\%}. The agreement between raters occurred mostly on score 1 (38.1{\%}) followed by score 0 (23.8{\%}). The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor spasticity.",
keywords = "Inter-rater reliability, Modified modified ashworth scale, Spasticity, Stroke",
author = "Ansari, {Noureddin Nakhostin} and Soofia Naghdi and Scott Hasson and Atefeh Mousakhani and Azam Nouriyan and Zeinab Omidvar",
year = "2009",
month = "7",
day = "31",
doi = "10.3233/NRE-2009-0472",
language = "English (US)",
volume = "24",
pages = "225--229",
journal = "NeuroRehabilitation",
issn = "1053-8135",
publisher = "IOS Press",
number = "3",

}

TY - JOUR

T1 - Inter-rater reliability of the modified modified ashworth scale as a clinical tool in measurements of post-stroke elbow flexor spasticity

AU - Ansari, Noureddin Nakhostin

AU - Naghdi, Soofia

AU - Hasson, Scott

AU - Mousakhani, Atefeh

AU - Nouriyan, Azam

AU - Omidvar, Zeinab

PY - 2009/7/31

Y1 - 2009/7/31

N2 - Patients with neurological conditions may be affected by spasticity. The Modified Modified Ashworth Scale (MMAS) is a clinical tool used to measure spasticity. The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia. Twenty-one adult patients with stroke (5 women, 16 men) with a median age of 60 years (interquartile range, 47-68) were tested. Elbow flexors on the affected side were examined. Inter-rater reliability for two inexperienced raters was very good. The weighted Kappa value was 0.81 (Standard Error = 0.097, 95% CI: 0.62-1.00, p = 0.0002). The weighted percentage agreement was 97.4%. The agreement between raters occurred mostly on score 1 (38.1%) followed by score 0 (23.8%). The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor spasticity.

AB - Patients with neurological conditions may be affected by spasticity. The Modified Modified Ashworth Scale (MMAS) is a clinical tool used to measure spasticity. The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia. Twenty-one adult patients with stroke (5 women, 16 men) with a median age of 60 years (interquartile range, 47-68) were tested. Elbow flexors on the affected side were examined. Inter-rater reliability for two inexperienced raters was very good. The weighted Kappa value was 0.81 (Standard Error = 0.097, 95% CI: 0.62-1.00, p = 0.0002). The weighted percentage agreement was 97.4%. The agreement between raters occurred mostly on score 1 (38.1%) followed by score 0 (23.8%). The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor spasticity.

KW - Inter-rater reliability

KW - Modified modified ashworth scale

KW - Spasticity

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=67651229448&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67651229448&partnerID=8YFLogxK

U2 - 10.3233/NRE-2009-0472

DO - 10.3233/NRE-2009-0472

M3 - Article

VL - 24

SP - 225

EP - 229

JO - NeuroRehabilitation

JF - NeuroRehabilitation

SN - 1053-8135

IS - 3

ER -