Rater reliability of modified modified ashworth scale. Interrater reliability of the modified ashworth scale and. The modified ashworth scale mas is commonly used in clinical practice for grading spasticity. Interarater reliability of modified modified ashworth scale in the. The recently developed clinical measurement for the measurement of spasticity is the modified modified ashworth scale mmas purpose of study the purpose of this study is to determine the inter. Comparing the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts in the assessment of wrist flexor spasticity in patients with strokeprotocol for a neurophysiological study. Naghdi s, nakhostin ansari n, azarnia s, kazemnejad a.
The presence of pain during shoulder abduction or contracture of the shoulder adductors had no influence on the reliability of the mmas. Pdf neurophysiological examination of the modified. The mmas is an ordinal level measure of spasticity, which grades the intensity of. Ansari nn, naghdi s, mashayekhi m, hasson s, fakhari z, jalaie s. The aim of this study was to investigate the interrater reliability of mas and modified mas mmas for the assessment of poststroke elbow flexor spasticity. There is a dearth of research on the validity of the mmas. Jan 28, 2018 this video is about modified ashworth scale. Relationship between the modified modified ashworth scale and. To determine the extent to which the brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of modified modified ashworth scale mmas. Pdf the aim of this study was to investigate the intrarater reliability of the modified modified ashworth scale mmas in the upper limb of. The aim of this study was to investigate the intrarater reliability of the modified modified ashworth scale mmas in the upper limb of patients with hemiparesis and to determine the effect of pain and contracture presence on the reliability of the. Interrater reliability of the modified modified ashworth. The modified ashworth scale mas better measures muscle hypertonia instead of spasticity. The modified scale is considered a resistance to passive movement scale rather than a direct spasticity scale as similarly, the original ashworth scale looks at the resistance to passive movement of extremities, not just stretclex hyperexcitability.
The aim of the present study was to investigate the intrarater reliability of the mmas for the assessment of spasticity in the lower limb. These modifications resulted in a scale that conforms even more precisely than the ashworth scale to the guidelines of mackenzi e and charlson. A neurophysiological and clinical study of brunnstrom. Jun 28, 2019 ansari nn, naghdi s, mashayekhi m, hasson s, fakhari z, jalaie s. In the mmas, spasticity is scored on an ordinal scale from 0 to 4 as follows. Interrater reliability of a modified ashworth scale of muscle. Reliable and valid tools must be used to assess spasticity in clinical practise and research settings.
Review of the four item morisky medication adherence scale. Modified ashworth scale instructions general information derived bohannon and smith, 1987. Rater reliability of modified modified ashworth scale in the. Jul 10, 2009 the modified ashworth scale mas is the most widely used and accepted clinical scale of spasticity. Key messages reliable and valid tools must be used to assess spasticity accurately in clinical and research settings. For this testretest study 30 patients with hemiparesis were included. Introduction reliable and valid tools must be used to assess spasticity in clinical practise and research settings. Jan 01, 2012 the aim of this study was to investigate the intrarater reliability of the modified modified ashworth scale mmas in the upper limb of patients with hemiparesis and to determine the effect of pain and contracture presence on the reliability of the mmas. The modified modified ashworth scale mmas is a clinical test for the measurement of spasticity. One physiotherapist using the mmas, randomly rated the spasticity of. N, naghdi s, 2012 comparing the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts in the assessment of wrist flexor spasticity in patients with stroke.
Comparing the validity of the modified modified ashworth. Pdf neurophysiological examination of the modified modified. Abstractthe modified modified ashworth scale mmas is a clinical instrument for measuring spasticity. No study, to date, has been performed to compare the validity of the mmas and the mts. Few studies have been performed on the reliability of. Intrarater reliability of the modified modified ashworth scale mmas. The modified ashworth scale mas is the most widely used and accepted clinical scale of spasticity. There is a paucity of literature regarding the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts. Efficacy of taskoriented training on balance in children. Standby help means that the therapist stands by and may steady the patient but must not actively assist.
The modified ashworth scale is a 6point rating scale that is used to measure muscle tone. The purpose of this study was to investigate the reliability of measurements obtained with the scale in the lower limb of patients with stroke. The recently developed clinical measurement for the measurement of spasticity is the modified modified ashworth scale mmas purpose of study. This page is about the meanings of the acronymabbreviationshorthand mmas in the miscellaneous field in general and in the unclassified terminology in particular. Patient should be scored on the best performance out of three unless other specific instructions are stated. Ashworth scale mmas and the modified tardieu scale mts in the. Pdf comparing the validity of the modified modified ashworth. The modified ashworth scale mas measures resistance during passive softtissue stretching and is used as a simple measure of spasticity.
Interrater reliability of the modified modified ashworth scale mmas for patients with wrist flexor muscle spasticity. Rct n241 found that at week 4, abobotulinumtoxina improves muscle tone in children with dynamic equinus modified ashworth scale scores. The purpose of this study is to determine the inter. The purpose of this study is to determine the interrater reliability. Hamilton depression rating scale hamd or hdrs determine severity of depression modified sad persons scale assess depression with the modified sad persons scale patient health questionnaire9 phq9 screening tool to assist in identifying major depressive disorder geriatric depression scale a questionnaire to screen for depression in. Ask the patient each question and circle the corresponding yes or no response. The purpose of the present study was to investigate the interrater reliability of the mmas during the assessment of elbow flexor spasticity in adult patients with poststroke hemiplegia. The ashworth scale was originally developed in 1964, and modified by bohannon and smith in 1987. Jan 01, 2014 introduction spasticity occurs in disorders of the central nervous system such as stroke, spinal cord injury sci, multiple sclerosis and traumatic brain injury.
Introduction spasticity occurs in disorders of the central nervous system such as stroke, spinal cord injury sci, multiple sclerosis and traumatic brain injury. Interrater reliability of a modified ashworth scale of muscle spasticity. Inter and intrarater reliability of the modified modified. The modified modified ashworth scale mmas is a clinical tool used to measure spasticity. The aim of this investigation was to determine the interrater and intrarater reliability of clinical test of knee extensor poststroke spasticity graded on a modified modified ashworth scale mmas. Interrater reliability of modified ashworth scale and modified tardieu scale in children with spastic cerebral palsy. Comparing the validity of the modified modified ashworth scale ncbi. Modified ashworth scale instructions abilitylab home. Comparing the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts in the assessment of wrist flexor spasticity in. Comparing the validity of the modified modified ashworth scale. Pdf intrarater reliability of the modified modified. The mmas had very good intrarater reliability in the assessment of upper limb spasticity in patients with hemiparesis.
Ashworth scale modified ashworth scale rehabmeasures database. Intrarater reliability of the modified modified ashworth scale mmas in the assessment of upperlimb muscle spasticity. The aim of this study was to investigate the intrarater reliability of the modi. Pdf introduction reliable and valid tools must be used to assess spasticity in clinical. The modified modified ashworth scale mmas is a clinical instrument for measuring spasticity. The modified modified ashworth scale mmas, passive resistance force, wrist active and passive range of motion, box and block test, and fcr hreflex were outcome measures. Intrarater reliability of the modified modified ashworth. Sep, 2017 rct n241 found that at week 4, abobotulinumtoxina improves muscle tone in children with dynamic equinus modified ashworth scale scores. Circle the answer to each question and sum the score for the motivation column and sum the score for the knowledge column. Modified modified ashworth scale miscellaneous unclassified. The mas better measures muscle hypertonia instead of spasticity. Pdf comparing the validity of the modified modified. The bohannonsmith modified ashworth scale mas has been.
Open access protocol comparing the validity of the modi. The aim of this study was to investigate the interrater reliability of mas and modified mas mmas for the assessment of poststroke elbow flexor. This neurophysiological study protocol will compare. The interrater and intrarater reliability of measurements obtained with the scale remain equivocal. Few studies have been performed on the reliability of the mmas. Pdf interrater reliability of the modified modified. Ashworth scale modified ashworth scale rehabmeasures. Report the results on the cmag1 patient summary assessment form. The aim of this study was to investigate the intrarater reliability of the modified modified ashworth scale mmas in the upper limb of patients with hemiparesis and to determine the effect of pain and contracture presence on the reliability of the mmas. Interrater reliability of the modified ashworth scale.
The modified modified ashworth scale mmas is a clinical measure that has been recently developed for the assessment of muscle spasticity. Place the patient in a supine position if testing a muscle that primarily flexes a joint, place the joint in a maximally flexed position and move to a position of maximal extension over one second count one thousand one. Samford university, mcwhorter school of pharmacy dept. All items are to be performed independently by the patient unless otherwise stated.
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