Comparing the Modified Ashworth scale and Tardieu scale with h/m ratio for assessing biceps spasticity in post stroke individuals – A cross-sectional study
DOI:
https://doi.org/10.46858/VIMSJPT.71005Keywords:
Hypertonia, Cerebro vascular Accidents, Assessment, H reflex, M waveAbstract
Background: Among the most reliable tools for assessing spasticity in stroke patients are the Modified Ashworth Scale (MAS), the Tardieu Scale, and the H/M ratio.
Method: A cross-sectional study was conducted on 30 post-stroke individuals aged over 30 years. Spasticity of the biceps muscle was assessed using MAS, Tardieu Scale and H/M ratio.
Results: Pearson’s correlation coefficient was used to analyse the relationships among the three assessment techniques. The results demonstrated a strong positive correlation between MAS and the Tardieu Scale (r = 0.756) and between the Tardieu Scale and the H/M ratio (r = 0.665). A moderate correlation was observed between the H/M ratio and MAS (r = 0.400).
Conclusion: The study concludes that both MAS and the Tardieu Scale show a positive correlation with the H/M ratio. However, the Tardieu Scale demonstrates a stronger correlation.
Keywords: Hypertonia, Cerebro vascular Accidents, Assessment, H reflex, M wave
References
Dr. Hetvi Jaimin Shukla DRS. Effect of trunk stabilization exercises on upper limb recovery in chronic stroke 2020;6(9).
Banerjee TK, Das SK. Fifty years of stroke researches in India. Ann Indian Acad Neurol. 2016;19(1):1-8.
Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020;21(20).
Simran Ostwal RN. Effects of neural tissue mobilisation and pnf technique of hold-relax on lower extremity flexibility in post stroke patients. International Journal of Physiotherapy and Research. 2018;6(2).
Santos ACNd, Goes ACGd, Lago RMV, Petto J. Neural mobilization as a therapeutic option in the treatment of stroke. Manual Therapy, Posturology & Rehabilitation Journal. 2016;0(0):1-4.
Susan BO, Sullivan TJS. Physical rehabilitation: Fifth edition. Philadelphia: F.A. Davis, [2007] ©2007; 2007.
Kuo C-L, Hu G-c. Post-stroke Spasticity: A Review of Epidemiology, Pathophysiology, and Treatments. International Journal of Gerontology. 2018.
Balci BP. Spasticity Measurement. Noro Psikiyatr Ars. 2018;55(Suppl 1): s49-s53.
Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206-7.
Morris S. Ashworth and Tardieu Scales: Their Clinical Relevance for Measuring Spasticity in Adult and Paediatric Neurological Populations. Physical Therapy Reviews. 2002;7(1):53-62.
Jabre JF. Surface recording of the H-reflex of the flexor carpi radialis. Muscle Nerve. 1981;4(5):435-8.
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