Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 697-702 , May 2006

Test-Retest Reliability of Isokinetic Dynamometry for the Assessment of Spasticity of the Knee Flexors and Knee Extensors in Children With Cerebral Palsy

  • Samuel R. Pierce, PT, MS, NCS

      Affiliations

    • Research Department, Shriners Hospitals for Children in Philadelphia, Philadelphia, PA
    • Institute for Physical Therapy Education, Widener University, Chester, PA
    • Corresponding Author InformationReprint requests to Samuel R. Pierce, PT, MS, NCS, Research Department, Shriners Hospitals for Children, 3551 N Broad St, Philadelphia, PA 19140
    • ,
  • Richard T. Lauer, PhD

      Affiliations

    • Research Department, Shriners Hospitals for Children in Philadelphia, Philadelphia, PA
    • ,
  • Patricia A. Shewokis, PhD

      Affiliations

    • Research Department, Shriners Hospitals for Children in Philadelphia, Philadelphia, PA
    • College of Nursing and Health Professions, Drexel University, Philadelphia, PA
    • ,
  • Joseph A. Rubertone, PT, PhD

      Affiliations

    • Department of Physical Therapy, Temple University, Philadelphia, PA
    • ,
  • Margo N. Orlin, PT, PCS, PhD

      Affiliations

    • Research Department, Shriners Hospitals for Children in Philadelphia, Philadelphia, PA
    • Hahnemann Programs in Rehabilitation Sciences, Drexel University, Philadelphia, PA

,Accepted 13 January 2006.

References 

  1. Lance JW . The control of muscle tone, reflexes, and movement (Robert Wartenberg Lecture) . Neurology . 1980;30:1303–1313
  2. Damiano DL , Quinlivan J , Owen BF , Shaffrey M , Abel MF . Spasticity versus strength in cerebral palsy (relationships among involuntary resistance, voluntary torque, and motor function) . Eur J Neurol . 2001;8(Suppl 5):40–49
  3. McLaughlin J , Bjornson K , Temkin N , et al.   Selective dorsal rhizotomy (meta-analysis of three randomized controlled trials) . Dev Med Child Neurol . 2002;44:17–25
  4. Boyd RN , Hays RM . Current evidence for the use of botulinum toxin type A in the management of children with cerebral palsy (a systematic review) . Eur J Neurol . 2001;8(Suppl 5):1–20
  5. Almeida GL , Campbell SK , Girolami GL , Penn RD , Corcos DM . Multidimensional assessment of motor function in a child with cerebral palsy following intrathecal administration of baclofen . Phys Ther . 1997;77:751–764
  6. Bohannon RW , Smith MB . Interrater reliability of a modified Ashworth scale of muscle spasticity . Phys Ther . 1987;67:206–207
  7. Blackburn M , van Vliet P , Mockett SP . Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke . Phys Ther . 2002;82:25–34
  8. Fosang AL , Galea MP , McCoy AT , Reddihough DS , Story I . Measures of muscle and joint performance in the lower limb of children with cerebral palsy . Dev Med Child Neurol . 2003;45:664–670
  9. Pandyan AD , Johnson GR , Price CI , Curless RH , Barnes MP , Rodgers H . A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity . Clin Rehabil . 1999;13:373–383
  10. Boiteau M , Malouin F , Richards CL . Use of a hand-held dynamometer and a Kin-Com dynamometer for evaluating spastic hypertonia in children (a reliability study) . Phys Ther . 1995;75:796–802
  11. Engsberg JR , Olree KS , Ross SA , Park TS . Quantitative clinical measure of spasticity in children with cerebral palsy . Arch Phys Med Rehabil . 1996;77:594–599
  12. Damiano DL , Quinlivan JM , Owen BF , Payne P , Nelson KC , Abel MF . What does the Ashworth scale really measure and are instrumented measures more valid and precise? . Dev Med Child Neurol . 2002;44:112–118
  13. Katz RT , Rymer WZ . Spastic hypertonia (mechanisms and measurement) . Arch Phys Med Rehabil . 1989;70:144–155
  14. Pandyan AD , Price CI , Rodgers H , Barnes MP , Johnson GR . Biomechanical examination of a commonly used measure of spasticity . Clin Biomech (Bristol, Avon) . 2001;16:859–865
  15. Rabita G , Dupont L , Thevenon A , Lensel-Corbeil G , Perot C , Vanvelcenaher J . Quantitative assessment of the velocity-dependent increase in resistance to passive stretch in spastic plantarflexors . Clin Biomech (Bristol, Avon) . 2005;20:745–753
  16. Engsberg JR , Olree KS , Ross SA , Park TS . Spasticity and strength changes as a function of selective dorsal rhizotomy . J Neurosurg . 1998;88:1020–1026
  17. Engsberg JR , Ross SA , Park TS . Changes in ankle spasticity and strength following selective dorsal rhizotomy and physical therapy for spastic cerebral palsy . J Neurosurg . 1999;91:727–732
  18. Engsberg JR , Ross SA , Wagner JM , Park TS . Changes in hip spasticity and strength following selective dorsal rhizotomy and physical therapy for spastic cerebral palsy . Dev Med Child Neurol . 2002;44:220–226
  19. Schmit BD , Gaebler-Spira D . Mechanical measurements of the effects of intrathecal baclofen dosage adjustments in cerebral palsy (a pilot study) . Am J Phys Med Rehabil . 2004;83:33–41
  20. Lamontagne A , Malouin F , Richards CL , Dumas F . Evaluation of reflex- and nonreflex-induced muscle resistance to stretch in adults with spinal cord injury using hand-held and isokinetic dynamometry . Phys Ther . 1998;78:964–975 discussion 976-8
  21. Kakebeeke TH , Lechner H , Baumberger M , Denoth J , Michel D , Knecht H . The importance of posture on the isokinetic assessment of spasticity . Spinal Cord . 2002;40:236–243
  22. Bland JM , Altman DG . Applying the right statistics (analyses of measurement studies) . Ultrasound Obstet Gynecol . 2003;22:85–93
  23. Atkinson G , Nevill AM . Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine . Sports Med . 1998;26:217–238
  24. Bland JM , Altman DG . Measuring agreement in method comparison studies . Stat Methods Med Res . 1999;8:135–160
  25. Rankin G , Stokes M . Reliability of assessment tools in rehabilitation (an illustration of appropriate statistical analyses) . Clin Rehabil . 1998;12:187–199
  26. Palisano R , Rosenbaum P , Walter S , Russell D , Wood E , Galuppi B . Development and reliability of a system to classify gross motor function in children with cerebral palsy . Dev Med Child Neurol . 1997;39:214–223
  27. Portney LG , Watkins C . Foundations of clinical research (applications to practice) . Upper Sadldle: Prentice Hall Health; 2001;
  28. Altman DG . Practical statistics for medical research . London: Chapman & Hall; 1991;
  29. Baumgartner TA . Norm referenced measurement (reliability) . In:  Safrit MJ ,  Wood TM editor. Measurement concepts in physical education and exercise science . Champaign: Human Kinetics; 1989;p. 45–72
  30. McNair PJ , Hewson DJ , Dombroski E , Stanley SN . Stiffness and passive peak force changes at the ankle joint (the effect of different joint angular velocities) . Clin Biomech (Bristol, Avon) . 2002;17:536–540
  31. Nuyens G , De Weerdt W , Ketelaer P , Spaepen A , Staes F . Torque variations during repeated passive isokinetic knee movements in persons with multiple sclerosis . J Rehabil Med . 2001;33:85–89
  32. Nuyens GE , De Weerdt WJ , Spaepen AJ , Kiekens C , Feys HM . Reduction of spastic hypertonia during repeated passive knee movements in stroke patients . Arch Phys Med Rehabil . 2002;83:930–935

 Supported by Shriners Hospitals for Children (grant no. 8520).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)00103-1

doi: 10.1016/j.apmr.2006.01.020

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 697-702 , May 2006

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