Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Inter- and Intra-Rater Reliability of the Modified Modified Ashworth Scale in the Assessment of Muscle Spasticity in Cerebral Palsy: A Preliminary Study Publisher Pubmed



Ansari NN1, 2 ; Rahimi M1 ; Naghdi S1, 2 ; Barzegarganji Z1 ; Hasson S3 ; Moghimi E2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, 11489, Iran
  2. 2. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Physical Therapy, Augusta University, Augusta, GA, United States

Source: Journal of Pediatric Rehabilitation Medicine Published:2022


Abstract

PURPOSE: The aim of the study was to investigate the inter- and intra-rater reliability of the Modified Modified Ashworth Scale (MMAS) in the assessment of lower extremity spasticity in children with spastic cerebral palsy (CP). METHODS: Fifteen children (10 boys) with a mean age of 8.7±3.4 years participated. Two physiotherapists rated the spasticity of the hip adductors, knee extensors, and ankle plantar flexors for inter-rater reliability. Each child was examined again by one of the physiotherapists (same physiotherapist for all of the children) for intra-rater reliability (mean interval = 7 days). A random sequence of raters and muscles tested was applied. RESULTS: The reliability of the intraclass correlation coefficients (ICC) for individual muscle groups ranged between good to excellent (ICCagreement of 0.60-0.83). The ICC values for overall inter-rater (ICCagreement = 0.82) and intra-rater reliability (ICCagreement  = 0.85) were excellent. CONCLUSION: The MMAS showed excellent reliability for the assessment of lower extremity muscle spasticity in children with cerebral palsy. However, an interpretation should be made with caution due to the small sample size and wide range of confidence interval values. © 2022 - IOS Press. All rights reserved.
Related Docs
View other Related Docs
1. A Pilot Study on the Effects of Low Frequency Repetitive Transcranial Magnetic Stimulation on Lower Extremity Spasticity and Motor Neuron Excitability in Patients After Stroke, Journal of Bodywork and Movement Therapies (2015)
2. Effects of One Session Radial Extracorporeal Shockwave Therapy on Post-Stroke Plantarflexor Spasticity: A Single-Blind Clinical Trial, Disability and Rehabilitation (2017)
3. A Single Group, Pretest-Posttest Clinical Trial for the Effects of Dry Needling on Wrist Flexors Spasticity After Stroke, NeuroRehabilitation (2017)
4. Biomechanical Investigation of the Modified Tardieu Scale in Assessing Knee Extensor Spasticity Poststroke, Physiotherapy Research International (2018)
5. Comparison of Therapeutic Ultrasound and Radial Shock Wave Therapy in the Treatment of Plantar Flexor Spasticity After Stroke: A Prospective, Single-Blind, Randomized Clinical Trial, Journal of Stroke and Cerebrovascular Diseases (2019)
6. A Clinical Single Blind Study to Investigate the Immediate Effects of Plantar Vibration on Balance in Patients After Stroke, Journal of Bodywork and Movement Therapies (2018)
7. A Clinical Trial Protocol to Compare the Effect of Dry Needling and Acupoint Dry Needling on Wrist Flexor Spasticity After Stroke, JAMS Journal of Acupuncture and Meridian Studies (2022)
8. Effect of Ankle Plantar Flexor Spasticity Level on Balance in Patients With Stroke: Protocol for a Cross-Sectional Study, JMIR Research Protocols (2020)
Experts (# of related papers)
View all Related Experts
Noureddin Nakhostin Ansari (21)
Soofia Naghdi Dorbati (16)
Other Related Docs
9. The Effect of Dry Needling on Lower Limb Dysfunction in Poststroke Survivors, Journal of Stroke and Cerebrovascular Diseases (2020)
10. Role of Spasticity Severity in the Balance of Post-Stroke Patients, Frontiers in Human Neuroscience (2021)
11. Effects of Dry Needling on Gastrocnemius Muscle Spasticity and Gait in Patients With Multiple Sclerosis: A Pilot Randomized Controlled Trial, Medical Acupuncture (2024)
12. Comparison of the Immediate Effects of Plantar Vibration of Both Feet With the Plantar Vibration of the Affected Foot on Balance in Patients With Stroke: Preliminary Findings, Journal of Bodywork and Movement Therapies (2023)
13. A Study on the Immediate Effects of Plantar Vibration on Balance Dysfunction in Patients With Stroke, Journal of Exercise Rehabilitation (2018)
14. Effects of Dry Needling Session Frequency on Wrist Flexor Spasticity and Motor Recovery After Stroke: A Single-Blind Randomized Clinical Trial, Physiotherapy Theory and Practice (2023)
15. A Study on the Effects of Dry Needling in Multiple Sclerosis Patients With Spasticity: Protocol of a Randomized Waitlist-Controlled Trial, JAMS Journal of Acupuncture and Meridian Studies (2021)
16. Concurrent Impact of Bilateral Multiple Joint Functional Electrical Stimulation and Treadmill Walking on Gait and Spasticity in Post-Stroke Survivors: A Pilot Study, Physiotherapy Theory and Practice (2021)
17. A Double-Blind Randomized Controlled Trial for the Effects of Dry Needling on Upper Limb Dysfunction in Patients With Stroke, Acupuncture and Electro-Therapeutics Research (2021)
18. Effects of Dry Needling on Connectivity of Corticospinal Tract, Spasticity, and Function of Upper Extremity in People With Stroke: Study Protocol for a Randomized Controlled Trial, JAMS Journal of Acupuncture and Meridian Studies (2021)
19. Effects of Repetitive Transcranial Magnetic Stimulation on Lower Extremity Spasticity and Motor Function in Stroke Patients, Disability and Rehabilitation (2016)
20. A Single Blind, Clinical Trial to Investigate the Effects of a Single Session Extracorporeal Shock Wave Therapy on Wrist Flexor Spasticity After Stroke, NeuroRehabilitation (2015)
21. Dry Needling for the Treatment of Poststroke Muscle Spasticity: A Prospective Case Report, NeuroRehabilitation (2015)