Reliability of the Modified Ashworth and Modified Tardieu Scales with Standardized Movement Speeds in Children with Spastic Cerebral Palsy
Bibliographic Data
| ID | 15719670 |
|---|---|
| Authors | Myungeun Yoo (0000-0002-8616-0253, Severance Hospital), Jeong Hyeon Ahn (Yonsei University), Dong‐wook Rha (0000-0002-7153-4937, Severance Hospital), Eun Sook Park (0000-0002-9144-3063, Yonsei University, corresponding author) |
| Year | 2022 |
| Volume | 9 |
| Issue | 6 |
| Pages | 827-827 |
| Publication date | 2022-06-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children9060827 |
| OpenAlex | W4282009118 |
| Language | EN |
| Citations received | 1 |
| References cited | 21 |
The Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) are widely used to quantify spasticity. However, the reliability of their use for ankle plantar flexors has been questioned. In this study, we aimed to examine whether their reliabilities could be increased to acceptable levels for ankle plantar flexors using standardized movement speed in children with spastic cerebral palsy. The MAS and MTS scores for 92 limbs were assessed by two raters on two occasions, 1 week apart. A metronome was used to maintain the stretching velocity at 120 beats per minute. The intraclass correlation coefficients (ICCs) of the intra-rater reliabilities of the MAS and MTS and inter-rater reliability of the MAS were over 0.7. However, the ICCs for the inter-rater reliability of the MTS were 0.75 for the gastrocnemius and soleus muscles, respectively. The ICCs for the inter- and intra-rater reliabilities of the R1 angles ranged from 0.68 to 0.84, while those of the R2 angles ranged from 0.74 to 0.93. The reliabilities of the R2-R1 angles were not satisfactory. In conclusion, with a standardized movement speed, the reliability of the MAS for the ankle plantar flexors and the MTS for the soleus were satisfactory; however, that of the MTS for the gastrocnemius was not
Ankle · Cerebral palsy · Intraclass correlation · Metronome · Modified Ashworth scale · Physical medicine and rehabilitation · Physical therapy · Physics · Plantar flexion · Reliability (semiconductor · Spastic · Spasticity · Botulinum Toxin and Related Neurological Disorders · Cerebral Palsy and Movement Disorders · Medicine · Psychology · Stroke Rehabilitation and Recovery · Internal Medicine · Surgery
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |