The Correlation between Upper extremity Range of motion and Modified Ashworth scale in Stroke Patients

The Correlation between Upper extremity Range of motion and Modified Ashworth scale in Stroke Patients | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The Correlation between Upper extremity Range of motion and Modified Ashworth scale in Stroke Patients Nafeesa Zamurd, Mirza Obaid Baig This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7098644/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract BACKGROUND: Stroke is common disease which affects arteries leading to brain. In stroke co contraction of agonist and antagonist muscle occur. Spasticity occurs due to loss of inhibition conducted by dorsal reticulospinal tract and increased excitation conducted by medial reticulospinal tract. OBJECTIVE: To determine correlation between Range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and modified ashworth scale (MAS) for spasticity in stroke patients. METHODS: It was a randomized control trial. Sample size was 41. Data collection was done from DHQ Hospital Jhelum. Conventional treatment was applied to control group and conventional treatment with dynamic neural mobilization was applied to experimental group, 10 rep/ set, 1set/ day, 3 days/week for 6 weeks. 0, 3rd and 6th week assessment was done through goniometry and modified ashworth scale (MAS). Correlation analysis was done through SPSS version 21. RESULTS: Spearmen correlation analysis was done through SPSS version 21. The result of study indicates that value of r was (0.439-0.493) for shoulder flexion, (0.361-0.504) for shoulder extension, (0.441-0.510) for shoulder abduction, (0.407-0.496) for shoulder internal rotation, (0.428-0.506) for shoulder external rotation, (0.357-0.436) for elbow flexion, (0.501-0.415) for elbow extension, (0.454-0.509) for forearm supination, (0.471-0.556) for forearm pronation, (0.392-0.482) for wrist flexion, (0.413-0.493) for wrist extension, (0.395-0.551) for radial deviation, (0.375-0.513) for ulnar deviation and (0.469-0.552) for thumb abduction. CONCLUSION: This study concluded that there was moderate to high correlation between range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and modified ashworth scale (MAS) for spasticity in stroke patients. Physical Medicine & Rehab Dynamic neural mobilization spasticity stroke Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7098644","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":484057822,"identity":"2d473fc6-d24b-4e4e-b904-41bc76b9a085","order_by":0,"name":"Nafeesa Zamurd","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABB0lEQVRIiWNgGAWjYFACxgcINk9FjRyIPvAAu1ooYDZA0nLmmDFYSwLRWnjbmBMbQAx8WszZDzM++PDHzp5/2hmzD2/b2NLnhx1+CLTFTk63AbsWy55kZsOZbcnMErdzjGfOOSeTu/F2mgFQS7Kx2QHsWgwO5B+T5m1gZmMAamHmKWPL3Tg7AaTlQOI2XFrOP2b//edPPY88WAsbc7rh7PQP+LXcSGZjZmA7LGEA1tLGnCAvnUPAlhuPmSV7244bGN5OK2acc+aY4QbpnIIDCQZ4/HI+mfHDjz/V9nK3kzczvKmokZefnb75w4cKOzlcWrAFCJgkVjkIyDeQonoUjIJRMApGAgAApb5g/HthKnUAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0001-5762-6926","institution":"Safia Hafeez Hospital Jhelum","correspondingAuthor":true,"prefix":"","firstName":"Nafeesa","middleName":"","lastName":"Zamurd","suffix":""},{"id":484058433,"identity":"add6a847-2226-47f9-b14a-112bb42c7931","order_by":1,"name":"Mirza Obaid Baig","email":"","orcid":"","institution":"Riphah International University, Islamabad","correspondingAuthor":false,"prefix":"","firstName":"Mirza","middleName":"Obaid","lastName":"Baig","suffix":""}],"badges":[],"createdAt":"2025-07-11 07:02:07","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":true,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-7098644/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7098644/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":86772438,"identity":"d36adea4-365b-4e77-b8ba-9de8658ce661","added_by":"auto","created_at":"2025-07-15 12:02:52","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":227117,"visible":true,"origin":"","legend":"","description":"","filename":"TheCorrelationbetweenUpperextremityRangeofmotionandModifiedAshworthscaleinStrokePatients.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7098644/v1_covered_3a4482f1-cf3b-4929-b8d9-0a460bae0ced.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003eThe Correlation between Upper extremity Range of motion and Modified Ashworth scale in Stroke Patients\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Dynamic neural mobilization, spasticity, stroke","lastPublishedDoi":"10.21203/rs.3.rs-7098644/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7098644/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBACKGROUND: \u003c/strong\u003eStroke is common disease which affects arteries leading to brain. In stroke co contraction of agonist and antagonist muscle occur. Spasticity occurs due to loss of inhibition conducted by dorsal reticulospinal tract and increased excitation conducted by medial reticulospinal tract. OBJECTIVE: To determine correlation between Range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and modified ashworth scale (MAS) for spasticity in stroke patients.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMETHODS:\u003c/strong\u003e It was a randomized control trial. Sample size was 41. Data collection was done from DHQ Hospital Jhelum. Conventional treatment was applied to control group and conventional treatment with dynamic neural mobilization was applied to experimental group, 10 rep/ set, 1set/ day, 3 days/week for 6 weeks. 0, 3rd and 6th week assessment was done through goniometry and modified ashworth scale (MAS). Correlation analysis was done through SPSS version 21. \u003cstrong\u003eRESULTS:\u003c/strong\u003e Spearmen correlation analysis was done through SPSS version 21. The result of study indicates that value of r was (0.439-0.493) for shoulder flexion, (0.361-0.504) for shoulder extension, (0.441-0.510) for shoulder abduction, (0.407-0.496) for shoulder internal rotation, (0.428-0.506) for shoulder external rotation, (0.357-0.436) for elbow flexion, (0.501-0.415) for elbow extension, (0.454-0.509) for forearm supination, (0.471-0.556) for forearm pronation, (0.392-0.482) for wrist flexion, (0.413-0.493) for wrist extension, (0.395-0.551) for radial deviation, (0.375-0.513) for ulnar deviation and (0.469-0.552) for thumb abduction.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCONCLUSION:\u003c/strong\u003e This study concluded that there was moderate to high correlation between range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and modified ashworth scale (MAS) for spasticity in stroke patients.\u0026nbsp;\u003c/p\u003e","manuscriptTitle":"The Correlation between Upper extremity Range of motion and Modified Ashworth scale in Stroke Patients","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-07-15 11:54:45","doi":"10.21203/rs.3.rs-7098644/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"399dcdcc-d400-4d6e-b3ec-6ca1ab744803","owner":[],"postedDate":"July 15th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":51399034,"name":"Physical Medicine \u0026 Rehab"}],"tags":[],"updatedAt":"2025-07-15T11:54:45+00:00","versionOfRecord":[],"versionCreatedAt":"2025-07-15 11:54:45","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-7098644","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7098644","identity":"rs-7098644","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}