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 journalArticlepeer-review

49 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 languageEnglish (US)
Pages (from-to)815-819
Number of pages5
JournalBrain Injury
Volume23
Issue number10
DOIs
StatePublished - Jan 1 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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