Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 21, No. 12, 1031-1035 (2006)
DOI: 10.1177/7010.2006.00222

Interrater Reliability of Modified Ashworth Scale and Modified Tardieu Scale in Children With Spastic Cerebral Palsy

Winnie Ka Ling Yam, FHKAM

Department of Paediatrics and Adolescent Medicine, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China; wklyam{at}hotmail.com

Milan So Mei Leung, PDipPT

Department of Physiotherapy, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China

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.


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