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


  • Rahul Chhatlani1 , Chirag Solanki2 , Payal Mehta1




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.

Author Biography

Rahul Chhatlani1 , Chirag Solanki2 , Payal Mehta1

1 Assistant Professor, School of Physiotherapy, P P Savani University, 2 Assistant Professor,

School of Physiotherapy, R K University.