{"id":1413,"date":"2026-08-10T16:51:32","date_gmt":"2026-08-10T16:51:32","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1413"},"modified":"2026-08-10T16:51:32","modified_gmt":"2026-08-10T16:51:32","slug":"ijpr-2026-137","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2026-137","title":{"rendered":"IJPR.2026.137"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.14.3\/IJPR.2026.137.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol14_3.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 14; Issue 3 (August 2026)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 5002-5007<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2026.137<\/h3>\n<h3 style=\"text-align: justify;\">Impact of Calf Muscle Spasticity on Tibialis Anterior Muscle Activation in Chronic Stroke Patients: A Cross-Sectional Study<\/h3>\n<p><strong>Jagruti Patel *<sup>1<\/sup>, Dhwanit Shah <sup>2<\/sup>. <\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> Professor, Ph.D. Scholar, S.S Agrawal Institute of Physiotherapy and Medical Care Education, Navsari, VNSGU -Gujrat, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Senior Lecturer, Ph.D. Guide VNSGU, Working Adress: Government Physiotherapy college, Surat, Gujrat, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> Dr. Jagruti Patel (PT), Professor, PhD Scholar, Working Address: S.S Agrawal Institute of Physiotherapy and Medical Care Education, Navsari, VNSGU -Gujarat, India. <strong>E-Mail:<\/strong> jagukpatel57@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong>\u00a0Calf muscle spasticity is a common consequence after stroke and can impede the functional activation of antagonist muscles such as the tibialis anterior, affecting gait and mobility.<\/p>\n<p style=\"text-align: justify;\"><strong>Objective:<\/strong>\u00a0To determine the relationship between calf muscle spasticity severity (via Modified Ashworth Scale, MAS) and tibialis anterior activation (via RMS, surface EMG) in chronic stroke patients.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong>\u00a0Cross-sectional study on 108 chronic stroke patients aged 35\u201365 years. Variables included Age, Gender, Side, MAS for calf, and tibialis anterior RMS. Spearman correlation and Kruskal-Wallis group analysis were applied.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong>\u00a0There was a significant negative correlation between MAS and RMS (\u03c1 = \u20130.42, p &lt; 0.001). RMS of tibialis anterior decreased with increasing calf muscle spasticity.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong>\u00a0Greater calf muscle spasticity is associated with reduced tibialis anterior activation, with important implications for gait rehabilitation and physiotherapy planning.<\/p>\n<p style=\"text-align: justify;\"><strong>Keywords:<\/strong> Stroke, Spasticity, Tibialis Anterior, Surface Electromyography, Modified Ashworth Scale, Foot Drop, Chronic Stroke.<\/p>\n<p style=\"text-align: justify;\">\u00a0<strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Feigin VL, Brainin M, Norrving B, Martins SO, Pandian J, Lindsay P, et al. World Stroke Organization: Global Stroke Fact Sheet 2025. Int J Stroke. 2025 Feb;20(2):132-44.<br \/>https:\/\/doi.org\/10.1177\/17474930241308142<br \/>PMid:39635884 PMCid:PMC11786524 <br \/>[2]. Katan M, Luft A. Global Burden of Stroke. Semin Neurol. 2018 Apr;38(2):208-11.<br \/>https:\/\/doi.org\/10.1055\/s-0038-1649503<br \/>PMid:29791947<br \/>[3]. Zeng H, Chen J, Guo Y, Tan S. Prevalence and Risk Factors for Spasticity After Stroke: A Systematic Review and Meta-Analysis. Front Neurol. 2020;11:616097.<br \/>https:\/\/doi.org\/10.3389\/fneur.2020.616097<br \/>PMid:33551975 PMCid:PMC7855612<br \/>[4]. Sommerfeld DK, Eek EUB, Svensson AK, Holmqvist LW, von Arbin MH. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke. 2004 Jan;35(1):134-9.<br \/>https:\/\/doi.org\/10.1161\/01.STR.0000105386.05173.5E<br \/>PMid:14684785<br \/>[5]. 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Front Neurol. 2025 Aug 11;16:1568797.<br \/>https:\/\/doi.org\/10.3389\/fneur.2025.1568797<br \/>PMid:40860978 PMCid:PMC12376433<br \/>[21]. Avila ER, Williams SE, Disselhorst-Klug C. Advances in EMG measurement techniques, analysis procedures, and the impact of muscle mechanics on future requirements for the methodology. J Biomech. 2023 Jul;156:111687.<br \/>https:\/\/doi.org\/10.1016\/j.jbiomech.2023.111687<br \/>PMid:37339541<br \/>[22]. Al-Ayyad M, Owida HA, De Fazio R, Al-Naami B, Visconti P. Electromyography Monitoring Systems in Rehabilitation: A Review of Clinical Applications, Wearable Devices and Signal Acquisition Methodologies. Electronics. 2023 Jan;12(7):1520.<br \/>https:\/\/doi.org\/10.3390\/electronics12071520<br \/>[23]. Clark DJ, Ting LH, Zajac FE, Neptune RR, Kautz SA. Merging of healthy motor modules predicts reduced locomotor performance and muscle coordination complexity post-stroke. J Neurophysiol. 2010 Feb;103(2):844-57.<br \/>https:\/\/doi.org\/10.1152\/jn.00825.2009<br \/>PMid:20007501 PMCid:PMC2822696<br \/>[24]. Wissel J, Manack A, Brainin M. Toward an epidemiology of poststroke spasticity. Neurology. 2013 Jan 15;80(3 Suppl 2):S13-19.<br \/>https:\/\/doi.org\/10.1212\/WNL.0b013e3182762448<br \/>[25]. Sharma N, Pc C. Effect of Surface EMG Biofeedback on Gait among Stroke subjects: A Randomized Clinical Trial. rjpt (Internet). 2021 (cited 2025 Sep 6);1(3). Available from: https:\/\/journalgrid.com\/view\/article\/rjpt\/407<br \/>https:\/\/doi.org\/10.26463\/rjpt.1_3_6<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Jagruti Patel, Dhwanit Shah. Impact of Calf Muscle Spasticity on Tibialis Anterior Muscle Activation in Chronic Stroke Patients: A Cross-Sectional Study. Int J Physiother Res 2026;14(3):5002-5007. DOI: 10.16965\/ijpr.2026.137 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 14; Issue 3 (August 2026) Page No.: 5002-5007 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2026.137 Impact of Calf Muscle Spasticity on Tibialis Anterior Muscle Activation in Chronic Stroke Patients: A Cross-Sectional Study Jagruti Patel *1, Dhwanit Shah 2. *1 Professor, Ph.D. Scholar, S.S Agrawal Institute of Physiotherapy and Medical Care Education, Navsari, VNSGU -Gujrat, India.<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2026-137\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1413","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1413"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=1413"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1413\/revisions"}],"predecessor-version":[{"id":1418,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1413\/revisions\/1418"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=1413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}