title: Interrater reliability of Modified Ashworth Scale and Modified Tardieu Scale in children with spastic cerebral palsy.
abstract: Resistance to passive movement in children with spastic cerebral palsy was assessed by two raters using the Modified Ashworth Scale and the Modified Tardieu Scale. Four muscle groups in the lower limbs were tested using a standardized procedure. Interrater reliability of the scales was evaluated by the intraclass correlation coefficient. Seventeen children, with a mean age of 7 years 9 months, were included. Two children were rated twice. The intraclass correlation coefficients of both scales were low and did not reach the acceptable limit of 0.75. Caution should be used when these scales are applied.
authors.affiliation: Department of Paediatrics and Adolescent Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong SAR, China. wklyam@hotmail.com
authors.forename: Winnie Ka Ling
authors.initials: WK
authors.lastname: Yam
authors.forename: Milan So Mei
authors.initials: MS
authors.lastname: Leung
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000175:diagnosis* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007866:Leg / Q000503:physiopathology; D008297:Male; D009128:Muscle Spasticity / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D018482:Muscle, Skeletal / Q000503:physiopathology*; D009460:Neurologic Examination / Q000379:methods / Q000592:standards; D015588:Observer Variation; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D013223:Statistics as Topic