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 .
Inter-rater reliability of the Modified Modified Ashworth Scale as a clinical tool in measurements of post-stroke elbow flexor spasticity.
Patients with neurological conditions may be affected by spasticity . The Modified Modified Ashworth Scale ( MMAS ) is a clinical tool used to measure spasticity . The purpose of the present study was to investigate the inter-rater reliability of the MMAS during the assessment of elbow flexor spasticity in adult patients with post-stroke hemiplegia . Twenty-one adult patients with stroke ( 5 women , 16 men ) with a median age of 60 years ( interquartile range , 47 - 68 ) were tested . Elbow flexors on the affected side were examined . Inter-rater reliability for two inexperienced raters was very good . The weighted Kappa value was 0.81 ( St and ard Error = 0.097 , 95 % CI : 0.62 - 1.00 , p = 0.0002 ) . The weighted percentage agreement was 97.4 % . The agreement between raters occurred mostly on score 1 ( 38.1 % ) followed by score 0 ( 23.8 % ) . The MMAS yielded reliable measurements between raters when used on patients post-stroke with elbow flexor 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 .