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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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