Inter-rater and intra-rater reliability of quantitative upper limb spasticity evaluation based on modified Ashworth scale tool

Ahmad Puzi, Asmarani and Sidek, Shahrul Na'im and Mohd Khairuddin, Ismail and Md Yusof, Hazlina (2019) Inter-rater and intra-rater reliability of quantitative upper limb spasticity evaluation based on modified Ashworth scale tool. In: 2018 IEEE EMBS Conference on Biomedical Engineering and Sciences )IECBES 2018), 3rd-6th December 2018, Kuching, Sarawak.

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Abstract

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.

Item Type:	Conference or Workshop Item (Plenary Papers)
Additional Information:	3028/69451
Uncontrolled Keywords:	Muscle spasticity, Reliability, Modified Ashworth Scale
Subjects:	T Technology > T Technology (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Engineering > Department of Mechatronics Engineering Kulliyyah of Engineering
Depositing User:	Dr. Shahrul Naim Sidek
Date Deposited:	08 Jan 2019 16:01
Last Modified:	14 Jun 2019 09:56
URI:	http://irep.iium.edu.my/id/eprint/69451

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