{"id":"https://openalex.org/W7127099900","doi":"https://doi.org/10.5281/zenodo.18448717","title":"Disruption of Interlimb Sensorimotor Synchronization After Stroke: Physiological Mechanisms, Physical Examination Innovation, And Global Physiotherapy Intervention Models","display_name":"Disruption of Interlimb Sensorimotor Synchronization After Stroke: Physiological Mechanisms, Physical Examination Innovation, And Global Physiotherapy Intervention Models","publication_year":2025,"publication_date":"2025-12-31","ids":{"openalex":"https://openalex.org/W7127099900","doi":"https://doi.org/10.5281/zenodo.18448717"},"language":"en","primary_location":{"id":"pmh:doi:10.5281/zenodo.18448717","doi":null,"is_oa":true,"landing_page_url":"https://weblogoa.com/articles/wjptr.2026.a2207","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://weblogoa.com/articles/wjptr.2026.a2207","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010338134","display_name":"P. Muthukrishnan","orcid":"https://orcid.org/0000-0001-5528-7641","observed_orcids":["https://orcid.org/0000-0001-5528-7641","https://orcid.org/0000-0001-6956-6449"]},"institutions":[{"id":"https://openalex.org/I290407205","display_name":"Meenakshi Academy of Higher Education and Research","ror":"https://ror.org/04jdy5g59","country_code":"IN","type":"education","lineage":["https://openalex.org/I290407205"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"P. Muthukrishnan","raw_affiliation_strings":["M.P.T (Orthopaedics), Research Scholar, Department of Physiotherapy, Meenakshi Academy of Higher Education & Research (MAHER), University in Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"M.P.T (Orthopaedics), Research Scholar, Department of Physiotherapy, Meenakshi Academy of Higher Education & Research (MAHER), University in Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I290407205"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5122914507","display_name":"Dr. Raja Durai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I290407205","display_name":"Meenakshi Academy of Higher Education and Research","ror":"https://ror.org/04jdy5g59","country_code":"IN","type":"education","lineage":["https://openalex.org/I290407205"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Dr. Raja Durai","raw_affiliation_strings":["MS Ortho, Associate Professor, Department of Clinical Research, MAHER, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MS Ortho, Associate Professor, Department of Clinical Research, MAHER, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I290407205"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I290407205"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.47106724,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10982","display_name":"Motor Control and Adaptation","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.6840000152587891},{"id":"https://openalex.org/keywords/central-pattern-generator","display_name":"central pattern generator","score":0.7059999704360962},{"id":"https://openalex.org/keywords/interhemispheric-coupling","display_name":"interhemispheric coupling","score":0.9779999852180481},{"id":"https://openalex.org/keywords/postural-stability","display_name":"postural stability","score":0.7760000228881836},{"id":"https://openalex.org/keywords/stroke-rehabilitation","display_name":"stroke rehabilitation","score":0.5320000052452087},{"id":"https://openalex.org/keywords/physiotherapy-assessment","display_name":"physiotherapy assessment","score":0.8209999799728394},{"id":"https://openalex.org/keywords/gait-coordination","display_name":"gait coordination","score":0.5230000019073486},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.5839999914169312},{"id":"https://openalex.org/keywords/fugl-meyer-assessment","display_name":"Fugl-Meyer Assessment","score":0.7950000166893005},{"id":"https://openalex.org/keywords/functional-walking","display_name":"functional walking","score":0.6129999756813049}],"concepts":[{"id":"https://openalex.org/C171790689","wikidata":"https://www.wikidata.org/wiki/Q1129066","display_name":"Proprioception","level":2,"score":0.8709999918937683},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.7567999958992004},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5716999769210815},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.46309998631477356},{"id":"https://openalex.org/C94487597","wikidata":"https://www.wikidata.org/wiki/Q11101","display_name":"Sensory system","level":2,"score":0.4320000112056732},{"id":"https://openalex.org/C137813230","wikidata":"https://www.wikidata.org/wiki/Q2996165","display_name":"Motor control","level":2,"score":0.3718000054359436},{"id":"https://openalex.org/C151800584","wikidata":"https://www.wikidata.org/wiki/Q2370000","display_name":"Gait","level":2,"score":0.32910001277923584},{"id":"https://openalex.org/C2778562939","wikidata":"https://www.wikidata.org/wiki/Q1298791","display_name":"Synchronization (alternating current)","level":3,"score":0.3197999894618988},{"id":"https://openalex.org/C130093455","wikidata":"https://www.wikidata.org/wiki/Q173253","display_name":"Sensation","level":2,"score":0.31769999861717224},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.31700000166893005},{"id":"https://openalex.org/C152478114","wikidata":"https://www.wikidata.org/wiki/Q660910","display_name":"Neurophysiology","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C2777515770","wikidata":"https://www.wikidata.org/wiki/Q507369","display_name":"Electromyography","level":2,"score":0.2879999876022339},{"id":"https://openalex.org/C194027367","wikidata":"https://www.wikidata.org/wiki/Q4420475","display_name":"Phase synchronization","level":3,"score":0.2624000012874603},{"id":"https://openalex.org/C169453685","wikidata":"https://www.wikidata.org/wiki/Q1054066","display_name":"Central pattern generator","level":3,"score":0.2524000108242035}],"mesh":[],"locations_count":4,"locations":[{"id":"pmh:doi:10.5281/zenodo.18448717","doi":null,"is_oa":true,"landing_page_url":"https://weblogoa.com/articles/wjptr.2026.a2207","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"pmh:oai:zenodo.org:18448718","doi":null,"is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18448718","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"WebLog Journal of Physical Therapy and Rehabilitation, V2(1), (2026-01-22)","raw_type":"info:eu-repo/semantics/article"},{"id":"doi:10.5281/zenodo.18448717","doi":"https://doi.org/10.5281/zenodo.18448717","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18448717","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.18448718","doi":"https://doi.org/10.5281/zenodo.18448718","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18448718","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"pmh:doi:10.5281/zenodo.18448717","doi":null,"is_oa":true,"landing_page_url":"https://weblogoa.com/articles/wjptr.2026.a2207","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure","score":0.6039608716964722}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Current":[2],"stroke":[3],"rehabilitation":[4,287],"treats":[5],"limbs":[6],"largely":[7],"independently,":[8],"despite":[9],"mounting":[10],"evidence":[11,91],"that":[12,288],"bilateral":[13,22,40,74,104,120,164,209,242,291],"sensorimotor":[14,57,140,263],"synchronization\u2014the":[15],"coordinated":[16,290],"temporal":[17,69],"and":[18,73,77,103,132,156,220,229,246,252,295],"spatial":[19],"control":[20],"of":[21,90,180],"limb":[23],"movement\u2014represents":[24],"a":[25,63,267],"core":[26],"physiological":[27,48,53],"requirement":[28],"for":[29],"functional":[30,221],"recovery.":[31],"No":[32],"standardized":[33,278],"physiotherapy":[34,79,279],"assessment":[35,112,214,228,280],"quantifies":[36],"interlimb":[37,56,116,139,147,234],"phase":[38,117,148,186],"lag,":[39],"proprioceptive":[41,75,101,121,165,210,243],"integration,":[42,76],"or":[43,258],"force-sharing":[44,177],"asymmetry":[45,124,166,178,183],"as":[46],"measurable":[47,269],"impairments.":[49],"Objectives:":[50],"To":[51],"characterize":[52],"mechanisms":[54],"underlying":[55],"synchronization":[58,141,235,264],"disruption":[59,142,265],"after":[60],"stroke,":[61],"establish":[62],"novel":[64],"physical":[65],"examination":[66],"framework":[67,113,215],"measuring":[68],"motor":[70,190,297],"output":[71],"mismatch":[72],"evaluate":[78],"strategies":[80],"restoring":[81],"synchrony":[82],"beyond":[83],"unilateral":[84,274],"strength":[85,181,275],"focus.":[86],"Methods:":[87],"Systematic":[88],"integration":[89,211,244],"from":[92,273],"gait":[93],"biomechanics,":[94],"neurophysiology":[95],"(central":[96],"pattern":[97,239],"generators,":[98],"interhemispheric":[99],"coupling),":[100],"assessment,":[102],"movement":[105,292],"training":[106],"literature":[107],"in":[108],"post-stroke":[109,154,161,270],"populations.":[110],"Novel":[111],"developed":[114],"incorporating:":[115],"lag":[118,149],"measurement,":[119],"accuracy,":[122],"force-timing":[123],"quantification,":[125],"postural":[126,202],"stability":[127],"under":[128,204],"asymmetrical":[129],"sensory":[130,206],"input,":[131],"neural":[133],"timing":[134],"consistency.":[135],"Key":[136],"Findings:":[137],"Post-stroke":[138],"manifests":[143],"through:":[144],"(1)":[145],"increased":[146],"during":[150],"walking":[151,222],"(normal":[152,158],"0\u00b0,":[153],"23.4\u00b18.2\u00b0)":[155],"pedaling":[157],"180\u00b0":[159],"coordination,":[160,187],"152.1\u00b116.4\u00b0);":[162],"(2)":[163],"with":[167,185,189,197,217],"distal":[168],"dominance":[169],"(wrist":[170],"3.2-fold":[171],"greater":[172],"deficit":[173],"than":[174],"shoulder);":[175],"(3)":[176],"independent":[179,272],"(work":[182],"r=0.78":[184],"r=0.32":[188],"impairment);":[191],"(4)":[192],"proprioceptive-motor":[193],"coupling":[194],"loss":[195],"correlating":[196],"coordination":[198],"deficits":[199],"(r=0.71);":[200],"(5)":[201],"instability":[203],"contralateral":[205],"perturbation":[207],"indicating":[208],"failure.":[212],"Integrated":[213],"correlates":[216],"Fugl-Meyer":[218],"(r=0.76)":[219],"ability":[223],"(r=0.82).":[224],"Clinical":[225],"Implications:":[226],"Physiotherapy":[227,313],"intervention":[230],"should":[231],"explicitly":[232],"target":[233],"restoration":[236],"through":[237,293],"central":[238],"generator":[240],"stimulation,":[241],"training,":[245],"force-coupling":[247],"retraining\u2014applicable":[248],"across":[249],"acute-to-chronic":[250],"phases":[251],"high-to-low":[253],"resource":[254],"settings":[255],"without":[256],"pharmacological":[257],"surgical":[259],"dependence.":[260],"Conclusions:":[261],"Interlimb":[262,301],"represents":[266],"distinct,":[268],"pathophysiology":[271],"deficits.":[276],"Establishing":[277],"operationalizes":[281],"this":[282],"construct":[283],"clinically,":[284],"enabling":[285],"mechanism-informed":[286],"restores":[289],"spinal":[294],"supraspinal":[296],"network":[298],"reorganization.":[299],"Stroke;":[300],"Coordination;":[302],"Bilateral":[303],"Synchronization;":[304],"Proprioception;":[305],"Central":[306],"Pattern":[307],"Generators;":[308],"Gait":[309],"Asymmetry;":[310],"Sensorimotor":[311],"Integration;":[312],"Assessment;":[314],"Motor":[315],"Recovery;":[316],"Rehabilitation":[317],"Mechanism":[318]},"counts_by_year":[],"updated_date":"2026-10-07T09:51:55.459714","created_date":"2026-02-03T00:00:00"}