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

Abstract

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 scale. 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.