| Inter- and intrarater reliability of the Ashworth Scale and the Disability Assessment Scale in patients with upper-limb poststroke spasticity. | |
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MedLine Citation:
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PMID: 12370866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the reliability of the Ashworth Scale and the Disability Assessment Scale (DAS) in poststroke patients with upper-limb spasticity and functional disability. DESIGN: Single-center trial. SETTING: University medical center. PARTICIPANTS: Nine patients > or = 6 months poststroke with upper-limb spasticity and impairment in the areas of hygiene, dressing, limb posture, or pain were included in the analysis. INTERVENTIONS: Ten experienced medical professionals rated each patient in randomized order twice on the same day (results based on mean of evaluations at times 1 and 2). Elbow, wrist, finger, and thumb flexion tones were assessed by using the Ashworth score (range, 0-4), and functional disability was assessed using the DAS (range, 0-3). MAIN OUTCOME MEASURES: Intra- and interrater reliability of the Ashworth Scale and DAS. RESULTS: For the Ashworth parameters, 38 of 40 evaluations indicated excellent (weighted kappa > or = .75) or good (weighted kappa > or = .4) intrarater reliability. For DAS parameters, 31 of 40 evaluations indicated excellent or good intrarater reliability. The interrater reliability was also good for both the Ashworth Scale (Kendall W=.598-.792) and DAS (Kendall W=.494-.772) with statistically significant agreement found among raters (all P<.001). CONCLUSIONS: In patients with upper-limb spasticity after stroke, the Ashworth Scale and DAS had good intra- and interrater reliability when used by trained medical professions. |
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Authors:
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Allison Brashear; Ross Zafonte; Michael Corcoran; Nestor Galvez-Jimenez; Jean-Michel Gracies; Mark Forrest Gordon; Anita McAfee; Kyle Ruffing; Barbara Thompson; Michael Williams; Chia-Ho Lee; Catherine Turkel |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 83 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-10-08 Completed Date: 2002-10-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1349-54 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation |
Affiliation:
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Indiana University School of Medicine, Indianapolis, IN, USA. abrashea@iupui.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arm Female Health Status Indicators* Humans Male Middle Aged Muscle Spasticity / rehabilitation* Reproducibility of Results Stroke / rehabilitation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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