A Study to Correlate Modified Modified Ashworth Scale(Mmas) and Modified Tardieu Scale(Mts) with H-Reflex to Assess Planterflexor Spasticity in Chronic Post-Stroke Patients- An Observational Study
Keywords:Stoke, Modified Ashworth Scale, Modified Tardieu scale, Modified Modified Ashworth Scale, H-reflex, H/m ratio.
Background : Stroke or cerebrovascular accident is the sudden loss of neurological function caused by
an interruption of the blood flow to the brain. Stroke leads to various signs and symptoms, which includes
alteration in tone (commonly spasticity), loss of superficial and deep sensations, muscle weakness, abnormal
synergy patterns, abnormal reflexes, gait abnormality, altered coordination, etc. Modified Modified Ashworth
scale and Modified Tardieu scale both are tools to assess spasticity in stroke patients. Modified Ashworth
Scale was less reliable than Modified Tardieu scale hence Ansari et al. developed Modified Modified Tardieu
Aim: The aim of the study is to correlate Modified Modified Ashworth Scale with H-reflex and Modified
Tardieu Scale with H-reflex to assess Planterflexor spasticity in Chronic post-Stroke patients.
Method: This Observational study which included 40 chronic post- stroke patients whose age was between
45-60 years and having stroke since at least 1 year. The patients were assessed with MMAS and MTS along
with H/M ratio to find spasticity in Planterflexors.
Result: Data was analysed using SPSS software version 23.0 using Spearman’s correlation test. The statistical
analysis showed MMAS has more positive correlation has H/M ratio as compared to MTS. (p<0.05)
Conclusion: From the above study it can be concluded that both MTS and MMAS have a positive correlation
with H/M ratio. But MMAS has better positive correlation when compared and hence should be used as
assessment tool in assessing planterflexor spasticity in chronic post-stroke patients.