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
Citations
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Journal ArticleDOI
Effects of a Soft Robotic Hand for Hand Rehabilitation in Chronic Stroke Survivors.
TL;DR: In this article, the clinical efficacy of a soft robotic hand that could actively flex and extend the fingers in chronic stroke subjects with different levels of spasticity was investigated for stroke rehabilitation in terms of their high compliance and low inherent stiffness.
Journal ArticleDOI
Case Series: Intrathecal Baclofen Therapy in Stiff-Person Syndrome.
Justin R. Abbatemarco,Mary A. Willis,Robert Wilson,Sean J. Nagel,Andre G. Machado,Francois Bethoux +5 more
TL;DR: This retrospective case series evaluates the outcomes of screening tests and chronic infusion of intrathecal baclofen (ITB) in patients diagnosed with SPS treated in the spasticity clinic.
Dissertation
Récupération motrice du membre supérieur post-AVC : recherche de mesures adaptées pour l'évaluation et étude de l'efficacité de stratégies thérapeutiques
TL;DR: In this paper, the effect of vasculaires cerebraux (AVC) on femmes and hommes is investigated, i.e., 5 a 25 % of patients with AVC need to recuperer a membre superieur fonctionnel.
Proceedings ArticleDOI
Wearable dummy to simulate joint impairment: severity-based assessment of simulated spasticity of knee joint
TL;DR: It is expected that using the system in educational institutions for physical therapists will help students learn the typical levels of joint resistance caused by spasticity with different degrees of severity.
Journal ArticleDOI
Triple Stimulation Technique in Amyotrophic Lateral Sclerosis.
TL;DR: Triple stimulation technique appears to be an accurate, early measure for detecting clinical and subclinical UMN abnormalities in ALS and could also be useful to investigate central motor conduction abnormalities in other disorders.
References
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Book
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TL;DR: This is the revision of the classic text in the field, adding two new chapters and thoroughly updating all others as discussed by the authors, and the original structure is retained, and the book continues to serve as a combined text/reference.
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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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TL;DR: The design of experiments, analysis of the means of small samples using the t-c Distribution, and selection of the statistical method for clinical measurement and the structure of human populations are reviewed.
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