Interrater reliability of a modified ashworth scale of muscle spasticity. Modified modified ashworth scale miscellaneous unclassified. The mmas had very good intrarater reliability in the assessment of upper limb spasticity in patients with hemiparesis. 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 modified modified ashworth scale mmas is a clinical test for the measurement of spasticity. Inter and intrarater reliability of the modified modified. This page is about the meanings of the acronymabbreviationshorthand mmas in the miscellaneous field in general and in the unclassified terminology in particular. The modified ashworth scale mas measures resistance during passive softtissue stretching and is used as a simple measure of spasticity. The aim of this study was to investigate the interrater reliability of mas and modified mas mmas for the assessment of poststroke elbow flexor.
The bohannonsmith modified ashworth scale mas has been. 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 mas better measures muscle hypertonia instead of spasticity. No study, to date, has been performed to compare the validity of the mmas and the mts.
Pdf interrater reliability of the modified modified. Jan 28, 2018 this video is about modified ashworth scale. Report the results on the cmag1 patient summary assessment form. The modified modified ashworth scale mmas is a clinical tool used to measure spasticity. There is a paucity of literature regarding the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts. The purpose of this study is to determine the inter. The aim of the present study was to examine the validity of the mmas in patients with wrist flexor. The ashworth scale was originally developed in 1964, and modified by bohannon and smith in 1987. 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. There is a dearth of research on the validity of the mmas. Pdf neurophysiological examination of the modified modified. Patient should be scored on the best performance out of three unless other specific instructions are stated.
Intrarater reliability of the modified modified ashworth scale mmas in the assessment of upperlimb muscle spasticity. Naghdi s, nakhostin ansari n, azarnia s, kazemnejad a. Pdf comparing the validity of the modified modified. 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. 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.
Review of the four item morisky medication adherence scale mmas 4 and eight item morisky medication adherence scale mmas 8 xi tan. Pdf comparing the validity of the modified modified ashworth. The purpose of this study is to determine the interrater reliability. Pdf the aim of this study was to investigate the intrarater reliability of the modified modified ashworth scale mmas in the upper limb of. Efficacy of taskoriented training on balance in children. The recently developed clinical measurement for the measurement of spasticity is the modified modified ashworth scale mmas purpose of study. Standby help means that the therapist stands by and may steady the patient but must not actively assist. Interrater reliability of the modified modified ashworth. Rater reliability of modified modified ashworth scale. Few studies have been performed on the reliability of. Rct n241 found that at week 4, abobotulinumtoxina improves muscle tone in children with dynamic equinus modified ashworth scale scores.
Reliability of measurements obtained with the modified. The modified ashworth scale mas better measures muscle hypertonia instead of spasticity. Jul 10, 2009 the modified ashworth scale mas is the most widely used and accepted clinical scale of spasticity. One physiotherapist using the mmas, randomly rated the spasticity of. Relationship between the modified modified ashworth scale and. Abstractthe modified modified ashworth scale mmas is a clinical instrument for measuring spasticity. Comparing the validity of the modified modified ashworth scale ncbi. 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.
The modified ashworth scale is a 6point rating scale that is used to measure muscle tone. Intrarater reliability of the modified modified ashworth. Interarater reliability of modified modified ashworth scale in the. Introduction reliable and valid tools must be used to assess spasticity in clinical practise and research settings. 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. Rater reliability of modified modified ashworth scale in the. Reliable and valid tools must be used to assess spasticity in clinical practise and research settings. Comparing the validity of the modified modified ashworth scale mmas and the modified tardieu scale mts in the assessment of wrist flexor spasticity in. Review of the four item morisky medication adherence scale. Intrarater reliability of the modified modified ashworth scale mmas.
The presence of pain during shoulder abduction or contracture of the shoulder adductors had no influence on the reliability of the mmas. 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. Jun 28, 2019 ansari nn, naghdi s, mashayekhi m, hasson s, fakhari z, jalaie s. The modified ashworth scale mas is the most widely used and accepted clinical scale of spasticity. 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. The aim of this study was to investigate the intrarater reliability 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 spasticity. Sep, 2017 rct n241 found that at week 4, abobotulinumtoxina improves muscle tone in children with dynamic equinus modified ashworth scale scores. Comparing the validity of the modified modified ashworth. Ask the patient each question and circle the corresponding yes or no response. 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 modified modified ashworth scale mmas is a clinical instrument for measuring spasticity. Key messages reliable and valid tools must be used to assess spasticity accurately in clinical and research settings.
The aim of the present study was to investigate the intrarater reliability of the mmas for the assessment of spasticity in the lower limb. Interrater reliability of a modified ashworth scale of muscle. Pdf introduction reliable and valid tools must be used to assess spasticity in clinical. All items are to be performed independently by the patient unless otherwise stated. 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. A neurophysiological and clinical study of brunnstrom. In the mmas, spasticity is scored on an ordinal scale from 0 to 4 as follows. Circle the answer to each question and sum the score for the motivation column and sum the score for the knowledge column. 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 the modified modified ashworth scale mmas for patients with wrist flexor muscle spasticity. Interrater reliability of the modified ashworth scale. The interrater and intrarater reliability of measurements obtained with the scale remain equivocal. 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. Pdf intrarater reliability of the modified modified. The modified ashworth scale mas is commonly used in clinical practice for grading 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. Ansari nn, naghdi s, mashayekhi m, hasson s, fakhari z, jalaie s. Open access protocol comparing the validity of the modi.
The ashworth scale is one of the most widely used methods of measuring spasticity, due in a large part to the simplicity and reproducible method. Ashworth scale modified ashworth scale rehabmeasures. 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. Ashworth scale mmas and the modified tardieu scale mts in the. Modified ashworth scale instructions abilitylab home.
The modified modified ashworth scale mmas is a clinical measure that has been recently developed for the assessment of muscle spasticity. Pdf neurophysiological examination of the modified. For this testretest study 30 patients with hemiparesis were included. Interrater reliability of the modified ashworth scale and. Comparing the validity of the modified modified ashworth scale. The mmas is an ordinal level measure of spasticity, which grades the intensity of. 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. Interrater reliability of modified ashworth scale and modified tardieu scale in children with spastic cerebral palsy.
Samford university, mcwhorter school of pharmacy dept. These modifications resulted in a scale that conforms even more precisely than the ashworth scale to the guidelines of mackenzi e and charlson. Modified ashworth scale instructions general information derived bohannon and smith, 1987. Few studies have been performed on the reliability of the mmas.
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