PTJ
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

PHYS THER
Vol. 72, No. 2, February 1992, pp. 115-122
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Florence, J.
Right arrow Articles by Signore, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Florence, J.
Right arrow Articles by Signore, L.

Research Report

Intrarater reliability of manual muscle test (Medical Research Council scale) grades in Duchenne's muscular dystrophy

JM Florence, S Pandya, WM King, JD Robison, J Baty, JP Miller, J Schierbecker, and LC Signore

Department of Neurology, Washington University School of Medicine, St Louis, MO 63110.

The purpose of this study was to document the intrarater reliability of manual muscle test (MMT) grades in assessing muscle strength in patients with Duchenne's muscular dystrophy (DMD). Subjects were 102 boys, aged 5 to 15 years, who were participating in a double-blind, multicenter trial to document the effects of prednisone on muscle strength in patients with DMD. Four physical therapists participated in the study. Two identical (duplicate) evaluations were performed within 5 days of each other by the same examiner initially and after 6 and 12 months of treatment. A total of 18 muscle groups were tested on each patient, 16 of them bilaterally, using a modification of the Medical Research Council scale. Reliability of muscle strength grades obtained for individual muscle groups and of individual muscle strength grades was analyzed using Cohen's weighted Kappa. The reliability of grades for individual muscle groups ranged from .65 to .93, with the proximal muscles having the higher reliability values. The reliability of individual muscle strength grades ranged from .80 to .99, with those in the gravity-eliminated range scoring the highest. We conclude the MMT grades are reliable for assessing muscle strength in boys with DMD when consecutive evaluations are performed by the same physical therapist.


This article has been cited by other articles:


Home page
 NeurologyHome page
C. L. Skura, E. G. Fowler, G. T. Wetzel, M. Graves, and M. J. Spencer
Albuterol increases lean body mass in ambulatory boys with Duchenne or Becker muscular dystrophy
Neurology, January 8, 2008; 70(2): 137 - 143.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
L. J. McCann, S. M. Garay, M. M. Ryan, R. Harris, P. Riley, and C. A. Pilkington
Oropharyngeal dysphagia in juvenile dermatomyositis (JDM): an evaluation of videofluoroscopy swallow study (VFSS) changes in relation to clinical symptoms and objective muscle scores
Rheumatology, August 1, 2007; 46(8): 1363 - 1366.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
L. J. McCann, A. D. Juggins, S. M. Maillard, L. R. Wedderburn, J. E. Davidson, K. J. Murray, C. A. Pilkington, and on behalf of the Juvenile Dermatomyositis Research
The Juvenile Dermatomyositis National Registry and Repository (UK and Ireland)--clinical characteristics of children recruited within the first 5 yr
Rheumatology, October 1, 2006; 45(10): 1255 - 1260.
[Abstract] [Full Text] [PDF]

Home page
 ptjournalHome page
N. H Miller, D. J Miller, and J. L Goldberg
Physical Therapist Examination, Evaluation, and Intervention for a Patient With West Nile Virus Paralysis
Physical Therapy, June 1, 2006; 86(6): 843 - 856.
[Abstract] [Full Text] [PDF]

Home page
 ptjournalHome page
R. L White
Ketoprofen Gel as an Adjunct to Physical Therapist Management of a Child With Sever Disease
Physical Therapy, March 1, 2006; 86(3): 424 - 433.
[Abstract] [Full Text] [PDF]

Home page
 ptjournalHome page
M. T Cibulka and J. Threlkeld-Watkins
Patellofemoral Pain and Asymmetrical Hip Rotation
Physical Therapy, November 1, 2005; 85(11): 1201 - 1207.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
S. M. Maillard, R. Jones, C. Owens, C. Pilkington, P. Woo, L. R. Wedderburn, and K. J. Murray
Quantitative assessment of MRI T2 relaxation time of thigh muscles in juvenile dermatomyositis
Rheumatology, May 1, 2004; 43(5): 603 - 608.
[Abstract] [Full Text] [PDF]

Home page
 Clin RehabilHome page
M A. Schoenmakers, V A. Gulmans, R H. Gooskens, and P J. Helders
Spina bifida at the sacral level: more than minor gait disturbances
Clinical Rehabilitation, February 1, 2004; 18(2): 178 - 185.
[Abstract] [PDF]

Home page
 ptjournalHome page
J. A Shrader and K. L. Siegel
Nonoperative Management of Functional Hallux Limitus in a Patient With Rheumatoid Arthritis
Physical Therapy, September 1, 2003; 83(9): 831 - 843.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
S. K. Mirza, A. J. Mirza, J. R. Chapman, and P. A. Anderson
Classifications of Thoracic and Lumbar Fractures: Rationale and Supporting Data
J. Am. Acad. Ortho. Surg., September 1, 2002; 10(5): 364 - 377.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
G. M. Fenichel, R. C. Griggs, J. Kissel, T. I. Kramer, J. R. Mendell, R. T. Moxley, A. Pestronk, K. Sheng, J. Florence, W. M. King, et al.
A randomized efficacy and safety trial of oxandrolone in the treatment of Duchenne dystrophy
Neurology, April 24, 2001; 56(8): 1075 - 1079.
[Abstract] [Full Text] [PDF]

Home page
 ptjournalHome page
K. S Maluf, S. A Sahrmann, and L. R Van Dillen
Use of a Classification System to Guide Nonsurgical Management of a Patient With Chronic Low Back Pain
Physical Therapy, November 1, 2000; 80(11): 1097 - 1111.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1992 by the American Physical Therapy Association.