None of the review ed measurement tools demonstrated satisfactory results for all psychometric properties evaluated , and the majority lacked evidence concerning validity and absolute reliability .
This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke .
This review identified various clinical measures of spasticity that have been investigated in people after stroke .
PURPOSE To identify and appraise the literature on clinical measures of spasticity that has been investigated in people after stroke .
The correlation between Modified Ashworth Scale scores and the new index of alpha motoneurones excitability in post-stroke patients.
The  Modified Ashworth Scale ( MAS ) is currently a widely used clinical scale to evaluate muscle spasticity . However , it lacks reliability and the validity , of the MAS as a clinical measure of muscle spasticity has been challenged . The aim of the present study was to examine the validity of the MAS in patients with wrist flexor spasticity after stroke by using the Hslope/Mslope ( Hslp/Mslp ) ratio as the new index of alpha motoneuron excitability . Twenty-seven adult patients ( 14 women and 13 men ) with first ever stroke result ing in hemiplegia with a mean ( SD , range ) age of 57.9 ( 11.6 , 37 - 75 ) were included in the study . The main outcome measures were the  MAS for the clinical assessment of spasticity , and the Hslp/Mslp for the neurophysiological evaluation . There was not a significant correlation between the  MAS scores and Hslp/Mslp ratio ( r = 0.38 , p > 0.05 ) . The mean of the Hslp/Mslp did not show a hierarchical increase with the  MAS scores . The findings indicate that the MAS is not a valid and ordinal level measure of muscle spasticity
None of the review ed measurement tools demonstrated satisfactory results for all psychometric properties evaluated , and the majority lacked evidence concerning validity and absolute reliability .
This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke .
This review identified various clinical measures of spasticity that have been investigated in people after stroke .
PURPOSE To identify and appraise the literature on clinical measures of spasticity that has been investigated in people after stroke .