Inter-rater and intra-rater reliability of quantitative upper limb spasticity evaluation based on modified Ashworth scale tool
Clinical assessments of muscle spasticity are done by physiotherapists with the help of assessment scales. The gold standard is by using Modified Ashworth Scale (MAS), in which the scale quantifies the level of muscle spasticity by measuring resistance to passive movements. However, this scale i...
| Main Authors: | , , , |
|---|---|
| Format: | Conference or Workshop Item |
| Language: | English English English |
| Published: |
Institute of Electrical and Electronics Engineers Inc.
2019
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/69451/ http://irep.iium.edu.my/69451/ http://irep.iium.edu.my/69451/ http://irep.iium.edu.my/69451/1/69451_Inter-rater%20and%20intra-rater%20reliability%20of%20quantitative.pdf http://irep.iium.edu.my/69451/2/69451_Inter-rater%20and%20intra-rater%20reliability%20of%20quantitative_SCOPUS.pdf http://irep.iium.edu.my/69451/3/69451_Inter-rater%20and%20intra-rater%20reliability%20of%20quantitative_WOS.pdf |
| Summary: | Clinical assessments of muscle spasticity are done
by physiotherapists with the help of assessment scales. The gold
standard is by using Modified Ashworth Scale (MAS), in which
the scale quantifies the level of muscle spasticity by measuring
resistance to passive movements. However, this scale is highly
subjective to the assessors’ opinions and experiences. Therefore,
we proposed Muscle Spasticity Assessment System (MSAS) as an
attempt to add objective weights to the current spasticity
assessment method. In this study, inter-rater reliability of MSAS
and its intra-rater reliability with MAS are presented. 46
subjects with neurological disorders participated in this study.
Inter-rater reliability for clinical and MSAS assessment method
gives substantial to excellent (kappa value 0.82) and excellent
(kappa value 0.99) respectively. For both methods, intra-rater
proved to give excellent result. MSAS are accurate and reliable
in assisting the physiotherapist to quantify the spasticity of the
upper limbs. |
|---|