Reliability of measurements of muscle tone and muscle power in stroke patients

Objectives: to establish the reliability of the modified Ashworth scale for measuring muscle tone in a range of muscle groups (elbow, wrist, knee and ankle, flexors and extensors) and of the Medical Research Council scale for measuring muscle power in the same muscle groups and their direct antagoni sts. Design: a cross-sectional study involving repeated measures by two raters. We estimated reliability using the k statistic with quadratic weights (Kw). Setting: an acute stroke ward, a stroke rehabilitation unit and a continuin g care facility. Subjects: people admitted to hospital with an acute stroke-35 patients, med ian age 73 (interquartile range 65-80), 20 men and 15 women. Results: inter and intra-rater agreement for the measurement of power was g ood to very good for all tested muscle groups (Kw = 0.84-0.96, Kw = 0.70-0. 96). inter and intra-rater agreement for the measurement of tone in the elb ow, wrist and knee flexors was good to very good (Kw = 0.73-0.96, Kw = 0.77 -0.94). inter and intra-rater agreement for the measurement of tone in the ankle plantarflexors was moderate to good (Kw = 0.45 -0.51, Kw = 0.59-0.64) . Conclusions: the Medical Research Council scale was reliable in the tested muscle groups. The modified Ashworth scale demonstrated reliability in all tested muscle groups except the ankle plantarflexors. If reliable measureme nt of tone at the ankle is required for a specific purpose (e.g. to measure the effect of therapeutic intervention), further work will be necessary.