2017
DOI: 10.1038/sc.2017.48
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Reliability of the Modified Ashworth Scale and Modified Tardieu Scale in patients with spinal cord injuries

Abstract: MAS has adequate reliability for determining lower-extremity spasticity in patients with SCI. The demonstration of excellent inter-rater reliability and test-retest reliability of the MTS R2-R1 suggests its utility as a complementary tool for informing treatment decisions in patients with SCI.

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Cited by 64 publications
(46 citation statements)
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“…[2][3][4][5] This is also consistent with evidence showing that the MAS is sensitive for assessing limb spasticity after chronic complete SCI. 29 Limitations have been highlighted in the inter-rater reliability 30 and validity 31 of the MAS. Therefore, the pendulum test offers a controlled alternative to detect the severity of spasticity in the quadriceps femoris muscle.…”
Section: Discussionmentioning
confidence: 99%
“…[2][3][4][5] This is also consistent with evidence showing that the MAS is sensitive for assessing limb spasticity after chronic complete SCI. 29 Limitations have been highlighted in the inter-rater reliability 30 and validity 31 of the MAS. Therefore, the pendulum test offers a controlled alternative to detect the severity of spasticity in the quadriceps femoris muscle.…”
Section: Discussionmentioning
confidence: 99%
“…Though, some researches deny the accuracy of spasticity severity assessment as the feedback resistance and range of movement (ROM) of MAS 1-2 were indistinguishable [7]. This statement however can be rebuked as MAS distinguished each level simply by observing the catch and release position throughout the induced passive mobilization on the intended extremity [5], [8]. MAS categorized a set of patterns observed during passive mobilisation for each impairment level.…”
Section: Introductionmentioning
confidence: 99%
“…Spasticity is typically assessed by inducing a rapid stretch of the muscle, or administering a “stretch-reflex” test. Clinical tests such as the Modified Ashworth Scale [ 5 ] and Tardieu Scale [ 6 ] apply this method to quantify spasticity subjectively, but their inter-rater reliability [ 7 10 ] and validity [ 11 ] have been questioned. Several studies have examined objective approaches to quantifying spasticity in the clinic using wearable sensor technologies during passive muscle stretches [ 9 , 12 15 ], but there is not yet a clear consensus on testing protocol and how to best translate the resulting electrophysiological and biomechanical signals into clinically relevant measures of spasticity.…”
Section: Introductionmentioning
confidence: 99%