A Study to Co-Relate the Foot Posture Index, H/M Ratio and Spatial Gait Parameters in Post-Stroke Patients with Ankle Planter-Flexor(Calf) Spasticity- An Observational Study


  • Rahul Chhatlani 1 , Ashish Kakkad2 , Krina Ved3 , Chirag Solanki4




Stoke, Foot Posture Index, Gait, Step Length, Stride Length, H-reflex, H/m ratio.


Background: Stroke is one of the most commonly occurring disease which leads to hemiparesis along with

other symptoms like spasticity, sensory disturbances etc. considered to be a part of positive signs of upper

motor neuron (UMN) syndrome. Spasticity is a common disorder in patients with injury of the brain and

spinal cord.

Aim: The aim of the present study was to corelate the foot posture index, H/M ratio and spatial gait

parameters in the assessment of poststroke patients with ankle planter-flexor spasticity.

Methodology: It was an observational study which consisted of 32 chronic stroke patients. Both male and

female with age group 45-70 years and stroke duration more than 3 months were included in the study.

Spasticity was assessed using H/M ratio, foot posture was assessed by Foot Posture Index (FPI) and Step

length and Stride length were taken.

Result: Statistical analysis was done using SPSS 20 for windows. The correlation between Hmax/Mmax

ratio, FPI, step length and Stride length were evaluated using Spearman’s correlation coefficient test. It was

suggestive of strong negative correlation between FPI and Hmax/Mmax ratio, weak negative correlation

between step length Hmax/Mmax ratio, strong negative co-relation between stride length and H/M ratio,

moderate positive co-relation between Foot Posture Index (FPI) and step length and strong positive co

relation between FPI and stride length. (p<0.05)

Conclusion: From the present study it can be concluded that there is co-relation between Spasticity, Foot

posture and Gait parameters in planter-flexor spasticity in post-stroke patients. It can also be concluded that

Hmax/Mmax ratio and FPI are needed to be assessed in every post stroke patient as it has influence on Gait

parameters such as step length and stride length.

Author Biography

Rahul Chhatlani 1 , Ashish Kakkad2 , Krina Ved3 , Chirag Solanki4

1 Assistant Professor, School of Physiotherapy, P P Savani University, 2 Associate Professor, S.P.B. Physiotherapy

College, Ugat-Bhesan Road, Mora Bhagal, Rander Road, Surat-5, 3 Assistant Professor, College of Physiotherapy

Sumandeep Vidhyapeeth, College of Physiotherapy, Sumandeep Vidhyapeeth, Piparia, Waghodia, Vadodara, 4 Assistant Professor, School of Physiotherapy, R K University, Tramba, Rajkot.