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Spastik serebral palsili çocuklarda spastisiteyi değerlendirmede modifiye Ashworth ve Tardieu skalalarının gözlemci içi güvenirliği

Year 2012, Volume: 46 Issue: 3, 196 - 200, 01.06.2012

Ayse Numanoglu Mintaze Gunel

Abstract

Amaç: Bu çalışmanın amacı spastik serebral palsili (SP) çocuklarda spastisiteyi değerlendirmede kullanılan Modifiye Ashworth Skalası (MAS) ve Modifiye Tardieu Skalası (MTS) yöntemlerinin gözlemci içi güvenirliğini incelemekti.
Çalışma planı: Spastik SP’li 37 olgunun dirsek fleksörleri, el bileği fleksörleri, kalça addüktörleri, hamstringler, gastroknemius ve soleus kasları spastisitenin şiddeti açısından MAS ve MTS ile değerlendirildi.
Bulgular: Çalışmanın sonucunda MAS’ın gözlemci içi güvenirliğinin tüm ölçümler için anlamlı olup (p<0.01), ‘düşük’ ve ‘orta’ uyum arasında değiştiği, MTS’nin gözlemci içi güvenirliğinin tüm ölçümler için anlamlı olup (p<0.01), ‘orta’, ‘iyi’, ‘çok iyi’ uyum arasında değiştiği görüldü.
Çıkarımlar: Spastik SP’li çocuklarda spastisiteyi değerlendirmede MTS için bulunan yüksek gözlemci içi güvenirliğin skalanın klinik kullanımını arttıracağı görüşü ile birlikte, gözlemciler içi güvenirliği test edecek yeni çalışmalara ihtiyaç duyulduğu düşünülmektedir.

Keywords

Gözlemci içi güvenirlik; Modifiye Ashworth Skalası; Modifiye Tardieu Skalası; serebral palsi; spastisite.

Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy

Year 2012, Volume: 46 Issue: 3, 196 - 200, 01.06.2012

Ayse Numanoglu Mintaze Gunel

Abstract

Objective: The aim of this study was to analyze the intraobserver reliability of the Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) in the assessment of spasticity in children with cerebral palsy (CP).
Methods: Elbow flexor muscles, wrist flexor muscles, hip adductors, hamstrings, gastrocnemius and soleus muscles of 37 children (mean age: 8.97±4.41) with spastic CP were evaluated using the MAS and MTS according to the severity of spasticity.
Results: Intraobserver reliability of MAS was significant for all assessments (p<0.01) and reliability ranged from ‘low’ to ‘average’. The reliability of MTS was significant for all assessments (p<0.01) and intraobserver reliability ranged among ‘average’, ‘good’ and ‘excellent’.
Conclusion: Although the high intraobserver reliability for MTS to assess spasticity level in muscles of children with CP will improve usage of this scale, new research testing the intraobserver reliability of this scale is needed.

Keywords

Cerebral palsy intraobserver reliability Modified Ashworth Scale Modified Tardieu Scale spasticity

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Ayse Numanoglu This is me

Mintaze Gunel This is me

Publication Date June 1, 2012
Published in Issue Year 2012 Volume: 46 Issue: 3

Cite

APA Numanoglu, A., & Gunel, M. (2012). Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Acta Orthopaedica Et Traumatologica Turcica, 46(3), 196-200.
AMA Numanoglu A, Gunel M. Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica. June 2012;46(3):196-200.
Chicago Numanoglu, Ayse, and Mintaze Gunel. “Intraobserver Reliability of Modified Ashworth Scale and Modified Tardieu Scale in the Assessment of Spasticity in Children With Cerebral Palsy”. Acta Orthopaedica Et Traumatologica Turcica 46, no. 3 (June 2012): 196-200.
EndNote Numanoglu A, Gunel M (June 1, 2012) Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica 46 3 196–200.
IEEE A. Numanoglu and M. Gunel, “Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy”, Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 3, pp. 196–200, 2012.
ISNAD Numanoglu, Ayse - Gunel, Mintaze. “Intraobserver Reliability of Modified Ashworth Scale and Modified Tardieu Scale in the Assessment of Spasticity in Children With Cerebral Palsy”. Acta Orthopaedica et Traumatologica Turcica 46/3 (June 2012), 196-200.
JAMA Numanoglu A, Gunel M. Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica. 2012;46:196–200.
MLA Numanoglu, Ayse and Mintaze Gunel. “Intraobserver Reliability of Modified Ashworth Scale and Modified Tardieu Scale in the Assessment of Spasticity in Children With Cerebral Palsy”. Acta Orthopaedica Et Traumatologica Turcica, vol. 46, no. 3, 2012, pp. 196-00.
Vancouver Numanoglu A, Gunel M. Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica. 2012;46(3):196-200.