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PHYS THER
Vol. 67, No. 2, February 1987, pp. 206-207

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Research

Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity

Richard W Bohannon and Melissa B Smith

Mr. Bohannon is Chief, Department of Physical Therapy, Southeastern Regional Rehabilitation Center, Cape Fear Valley Medical Center, PO Box 2000, Owen Dr, Fayetteville, NC 28302 (USA).
Ms. Smith is Senior Physical Therapist, Southeastern Regional Rehabilitation Center.

We undertook this investigation to determine the interrater reliability of manual tests of elbow flexor muscle spasticity graded on a modified Ashworth scale. We each independently graded the elbow flexor muscle spasticity of 30 patients with intracranial lesions. We agreed on 86.7% of our ratings. The Kendall's tau correlation between our grades was .847 (p < .001). Thus, the relationship between the raters' judgments was significant and the reliability was good. Although the results were limited to the elbow flexor muscle group, we believe them to be positive enough to encourage further trials of the modified Ashworth scale for grading spasticity.

Key Words: Elbow • Muscle spasticity • Physical therapy


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J. E Harris and J. J Eng
Paretic Upper-Limb Strength Best Explains Arm Activity in People With Stroke
Physical Therapy, January 1, 2007; 87(1): 88 - 97.
[Abstract] [Full Text] [PDF]


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Neurorehabil Neural RepairHome page
C. E. Lang, J. M. Wagner, D. F. Edwards, S. A. Sahrmann, and A. W. Dromerick
Recovery of Grasp versus Reach in People with Hemiparesis Poststroke
Neurorehabil Neural Repair, December 1, 2006; 20(4): 444 - 454.
[Abstract] [PDF]


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Clin RehabilHome page
J L Sheehan, U Winzeler-Mercay, and M H Mudie
A randomized controlled pilot study to obtain the best estimate of the size of the effect of a thermoplastic resting splint on spasticity in the stroke-affected wrist and fingers
Clinical Rehabilitation, December 1, 2006; 20(12): 1032 - 1037.
[Abstract] [PDF]


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J Child NeurolHome page
O. El, O. Peker, C. Kosay, L. Iyilikci, O. Bozan, and H. Berk
Botulinum Toxin A Injection for Spasticity in Diplegic-Type Cerebral Palsy
J Child Neurol, December 1, 2006; 21(12): 1009 - 1012.
[Abstract] [PDF]


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J Child NeurolHome page
W. K. L. Yam and M. S. M. Leung
Interrater Reliability of Modified Ashworth Scale and Modified Tardieu Scale in Children With Spastic Cerebral Palsy
J Child Neurol, December 1, 2006; 21(12): 1031 - 1035.
[Abstract] [PDF]


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StrokeHome page
C. Church, C. Price, A. D. Pandyan, S. Huntley, R. Curless, and H. Rodgers
Randomized Controlled Trial to Evaluate the Effect of Surface Neuromuscular Electrical Stimulation to the Shoulder After Acute Stroke
Stroke, December 1, 2006; 37(12): 2995 - 3001.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
M. C. Olsson, M. Kruger, L.-H. Meyer, L. Ahnlund, L. Gransberg, W. A. Linke, and L. Larsson
Fibre type-specific increase in passive muscle tension in spinal cord-injured subjects with spasticity
J. Physiol., November 15, 2006; 577(1): 339 - 352.
[Abstract] [Full Text] [PDF]


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Neurorehabil Neural RepairHome page
J. E. Harris and J. J. Eng
Individuals with the Dominant Hand Affected following Stroke Demonstrate Less Impairment Than Those with the Nondominant Hand Affected
Neurorehabil Neural Repair, September 1, 2006; 20(3): 380 - 389.
[Abstract] [PDF]


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Neurorehabil Neural RepairHome page
J. M. Wagner, C. E. Lang, S. A. Sahrmann, Q. Hu, A. J. Bastian, D. F. Edwards, and A. W. Dromerick
Relationships between Sensorimotor Impairments and Reaching Deficits in Acute Hemiparesis
Neurorehabil Neural Repair, September 1, 2006; 20(3): 406 - 416.
[Abstract] [PDF]


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Neurorehabil Neural RepairHome page
M. E. Morris, A. Perry, B. Bilney, A. Curran, K. Dodd, J. E. Wittwer, and G. W. Dalton
Outcomes of Physical Therapy, Speech Pathology, and Occupational Therapy for People with Motor Neuron Disease: A Systematic Review
Neurorehabil Neural Repair, September 1, 2006; 20(3): 424 - 434.
[Abstract] [PDF]


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ptjournalHome page
K. Ohata, T. Tsuboyama, N. Ichihashi, and S. Minami
Measurement of Muscle Thickness as Quantitative Muscle Evaluation for Adults With Severe Cerebral Palsy
Physical Therapy, September 1, 2006; 86(9): 1231 - 1239.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
R. Schule, T. Holland-Letz, S. Klimpe, J. Kassubek, T. Klopstock, V. Mall, S. Otto, B. Winner, and L. Schols
The Spastic Paraplegia Rating Scale (SPRS): A reliable and valid measure of disease severity
Neurology, August 8, 2006; 67(3): 430 - 434.
[Abstract] [Full Text] [PDF]


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Clin RehabilHome page
L D de Jong, A Nieuwboer, and G Aufdemkampe
Contracture preventive positioning of the hemiplegic arm in subacute stroke patients: a pilot randomized controlled trial
Clinical Rehabilitation, August 1, 2006; 20(8): 656 - 667.
[Abstract] [PDF]


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Clin RehabilHome page
E. S. Park, C. I. Park, H. C. Chang, C. W. Park, and D. S. Lee
The effect of botulinum toxin type A injection into the gastrocnemius muscle on sit-to-stand transfer in children with spastic diplegic cerebral palsy
Clinical Rehabilitation, August 1, 2006; 20(8): 668 - 674.
[Abstract] [PDF]


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Clin RehabilHome page
E Grasel, R Schmidt, J Biehler, and W Schupp
Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients
Clinical Rehabilitation, July 1, 2006; 20(7): 577 - 583.
[Abstract] [PDF]


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ptjournalHome page
C.-L. Ho, K. G Holt, E. Saltzman, and R. C Wagenaar
Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy
Physical Therapy, July 1, 2006; 86(7): 987 - 1000.
[Abstract] [Full Text] [PDF]


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Age AgeingHome page
R. T. S. Kumar, A. D. Pandyan, and A. K. Sharma
Biomechanical measurement of post-stroke spasticity
Age Ageing, July 1, 2006; 35(4): 371 - 375.
[Abstract] [Full Text] [PDF]


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BrainHome page
O. Ciccarelli, T. E. Behrens, D. R. Altmann, R. W. Orrell, R. S. Howard, H. Johansen-Berg, D. H. Miller, P. M. Matthews, and A. J. Thompson
Probabilistic diffusion tractography: a potential tool to assess the rate of disease progression in amyotrophic lateral sclerosis
Brain, July 1, 2006; 129(7): 1859 - 1871.
[Abstract] [Full Text] [PDF]


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BrainHome page
P. Raghavan, J. W. Krakauer, and A. M. Gordon
Impaired anticipatory control of fingertip forces in patients with a pure motor or sensorimotor lacunar syndrome
Brain, June 1, 2006; 129(6): 1415 - 1425.
[Abstract] [Full Text] [PDF]


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Clin RehabilHome page
A. Reeuwijk, P. E. van Schie, J. G Becher, and G. Kwakkel
Effects of botulinum toxin type A on upper limb function in children with cerebral palsy: a systematic review
Clinical Rehabilitation, May 1, 2006; 20(5): 375 - 387.
[Abstract] [PDF]


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Clin RehabilHome page
J. Mehrholz, K. Rutte, and M. Pohl
Jump training is feasible for nearly ambulatory patients after stroke
Clinical Rehabilitation, May 1, 2006; 20(5): 406 - 412.
[Abstract] [PDF]


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Clin RehabilHome page
L. Gustafsson and K. McKenna
A programme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion -a randomized controlled trial
Clinical Rehabilitation, April 1, 2006; 20(4): 277 - 286.
[Abstract] [PDF]


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Clin RehabilHome page
A. Griffin and J. Bernhardt
Strapping the hemiplegic shoulder prevents development of pain during rehabilitation: a randomized controlled trial
Clinical Rehabilitation, April 1, 2006; 20(4): 287 - 295.
[Abstract] [PDF]


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Clin RehabilHome page
M. Pohl and J. Mehrholz
Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients
Clinical Rehabilitation, April 1, 2006; 20(4): 324 - 330.
[Abstract] [PDF]


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ptjournalHome page
K. W Nolan, L. L Cole, and G. S Liptak
Use of Botulinum Toxin Type A in Children With Cerebral Palsy
Physical Therapy, April 1, 2006; 86(4): 573 - 584.
[Full Text] [PDF]


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PediatricsHome page
A. M. Gordon, J. Charles, and S. L. Wolf
Efficacy of Constraint-Induced Movement Therapy on Involved Upper-Extremity Use in Children With Hemiplegic Cerebral Palsy Is Not Age-Dependent
Pediatrics, March 1, 2006; 117(3): e363 - e373.
[Abstract] [Full Text] [PDF]


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Clin RehabilHome page
E. Patrick and L. Ada
The Tardieu Scale differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it
Clinical Rehabilitation, February 1, 2006; 20(2): 173 - 182.
[Abstract] [PDF]




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