International Journal of Health Sciences and Research Vol.13; Issue: 2; February 2023 Website: www.ijhsr.org Review Article ISSN: 2249-9571 International Journal of Health Sciences and Research (www.ijhsr.org) 163 Volume 13; Issue: 2; February 2023 Methods and Tools for Measurement of Genu Recurvatum in Patients with Stroke: A Systematic Review Simran A Mishra 1 , Dr. Suvarna S Ganvir 1 , Dr. Maheshwari A Harishchandre 1 1 Department of Neurophysiotherapy, DVVPF’s College of Physiotherapy, MUHS, Ahmednagar, India. Corresponding Author: Simran A Mishra DOI: https://doi.org/10.52403/ijhsr.20230224 ABSTRACT Background: The effect of interventions in post stroke patients on proxies of motor changes especially Genu Recurvatum (GR) are well documented in literature. However, evidence based standard methods for its assessment haven’t been established yet in patients with stroke. Objectives: To explore literature to determine standard method for evaluation of Genu Recurvatum and to find out the best strategy or Instruments to assessed GR and the estimated range of knee hyperextension Stroke patients. Data sources: A computerized Systematic Literature search was performed, from January 2000 to October 2022 to extract data. A best evidence synthesis was conducted to summarize the results. Result: Twelve studies were included in the review. Eight out of ten studies have mentioned the degrees of GR. Various different methods have been found, commonest being the analysis of gait cycle by software and stance phase of gait cycle being commonest position. Conclusion: The most widely preferred position for assessment of GR is stance phase of gait cycle by videotaping it and analysis with software method in patients with Stroke. Keywords: Genu Recurvatum, Hyperextension, Hemiplegia, Stroke INTRODUCTION The World Health Organization (WHO) defined Cerebrovascular Accident (CVA) or stroke as ‘Rapidly developed clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than of vascular origin. [1] It is second largest cause of death and the third-largest cause of disability worldwide. [1,2] Stroke will occur in the lifespan of one in four people over the age of 25 worldwide. According to the Global Stroke Fact Sheet 2022; Stroke prevalence was 101 million and incidence was 12.2 million, most affected group being elderly population. [3] In India geriatric population stood at 1.36 billion (2019) and will grow by twenty percent until 2025, a demographic that is described vulnerable. [4] According to The Asian Stroke Advisory Panel, the overall incidence of stroke ranged from 116 to 483 /100,000 per year in Asia. [5] The average annual incident ratio of Stroke in India ranged from 108 -172 /100,000 population and estimated prevalence range from 26- 757/100,000, in 2020. [6] Stroke causes a variety of deficits, including motor, sensory, perceptual, and language impairments. The most noticeable impairment is motor weakness or hemiparesis on contralateral side of body, resulting in disability. [7,8] One of the variation that results with hemiplegia is Unilateral knee hyperextension i.e. in paretic limb, during weight bearing