Journal ArticleDOI
A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity
Anand Pandyan,Garth R. Johnson,Christopher Price,Richard Curless,Michael P. Barnes,Helen Rodgers +5 more
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TLDR
The application of both scales would suggest that confusion exists on their characteristics and limitations as measures of spasticity, and there is a need to standardize methods to apply these scales in clinical practice and research.Abstract:
Background: The Ashworth Scale and the modified Ashworth Scale are the primary clinical measures of spasticity. A prerequisite for using any scale is a knowledge of its characteristics and limitations, as these will play a part in analysing and interpreting the data. Despite the current emphasis on treating spasticity, clinicians rarely measure it.Objectives: To determine the validity and the reliability of the Ashworth and modified Ashworth Scales.Study design: A theoretical analysis following a structured literature review (key words: Ashworth; Spasticity; Measurement) of 40 papers selected from the BIDS-EMBASE, First Search and Medline databases.Conclusions: The application of both scales would suggest that confusion exists on their characteristics and limitations as measures of spasticity. Resistance to passive movement is a complex measure that will be influenced by many factors, only one of which could be spasticity. The Ashworth Scale (AS) can be used as an ordinal level measure of resistance to pa...read more
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A novel time-based surface EMG measure for quantifying hypertonia in paretic arm muscles during daily activities after hemiparetic stroke
TL;DR: A novel time-based surface electromyography (sEMG) measure that can overcome the limitations of the coarse clinical scales often measured in functionally irrelevant context and the magnitude-based sEMG measures that suffer from signal non-stationarity is proposed.
Journal ArticleDOI
Évaluation et approches rééducatives de la spasticité chez les hémiplégiques adultes
TL;DR: In this article, the authors present a methodologique de la spasticite, ainsi que les principales approches reeducatives utilisees essentiellement chez les hemiplegiques adultes.
Journal ArticleDOI
Management of generalized spasticity of lower limbs by selective posterior rhizotomy
TL;DR: Better long-term results were obtained in the spastic patients caused by spinal cord injury than in thespasticity caused by disseminated sclerosis, and MDT typically had a dramatic effect on tone in lower limbs.
Impact d'un programme d'entraînement périodisé sur la condition physique et sur les symptômes de spasticité chez les patients atteints de l'ataxie récessive spastique autosomique de Charlevoix- Saguenay
TL;DR: In this article, the authors evaluated the impact of training on physical fitness, functional capacity and the degree of spasticity in patients with Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay (ARSACS).
References
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Journal ArticleDOI
Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity
TL;DR: The relationship between the raters' judgments was significant and the reliability was good, and it is believed these results to be positive enough to encourage further trials of the modified Ashworth scale for grading spasticity.
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