ArticleJournal of neuroengineering and rehabilitation2019
Bimanual coordination deficits in hands following stroke and their relationship with motor and functional performance.
Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Brain-computer interface for upper limb functional recovery post-stroke: a meta-analysis of improvement in upper limb motor function and changes in neurophysiological markers.Journal of neuroengineering and rehabilitation · 2026Pooled it
- Stroke Neurorehabilitation and the Role of Motor Imagery Training: Do ARAT and Barthel Index Improvements Support Its Clinical Use? A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Effects of brain-computer interface based training on post-stroke upper-limb rehabilitation: a meta-analysis.Journal of neuroengineering and rehabilitation · 2025Pooled it
- Upper extremity function and disability recovery with vibration therapy after stroke: a systematic review and meta-analysis of RCTs.Journal of neuroengineering and rehabilitation · 2024Pooled it
- Pooled it
- The Use of ArmeoSensors (Basel, Switzerland) · 2022Trial
- Contralesional Crossed Facilitation Impairs Bimanual Force Coordination in Chronic Stroke Survivors with Moderate-to-Mild Motor Impairment.Restorative neurology and neuroscience · 2026Article
- Motor Imagery for Post-Stroke Upper Limb Recovery: A Meta-Analysis of RCTs on Fugl-Meyer Upper Extremity Scores.Journal of clinical medicine · 2025Review
- The impact of motion capture camera-supported telerehabilitation gamification on upper extremity functions and quality of life in stroke and cerebral palsy patients.Turkish journal of physical medicine and rehabilitation · 2025Article
- Symmetric bimanual coordination discrepancy and activities of daily living in individuals with autism spectrum disorder.International journal of developmental disabilities · 2025Article
- The impact of lesion side on bilateral upper limb coordination after stroke.Journal of neuroengineering and rehabilitation · 2023Article
- Post-stroke deficits in the anticipatory control and bimanual coordination during naturalistic cooperative bimanual action.Journal of neuroengineering and rehabilitation · 2023Article
- Upper extremity asymmetry due to nerve injuries or central neurologic conditions: a scoping review.Journal of neuroengineering and rehabilitation · 2023Article
- The Role and Importance of Using Sensor-Based Devices in Medical Rehabilitation: A Literature Review on the New Therapeutic Approaches.Sensors (Basel, Switzerland) · 2023Review
- Validating stroke-induced bilateral ankle coordination deficits using bilateral ankle measure relationship with motor functions in lower limbs.Journal of neuroengineering and rehabilitation · 2023Article
- Shoulder Joint Hybrid Assistive Limb Treatment for Chronic Stroke Patients with Upper Limb Dysfunction.Journal of clinical medicine · 2023Article
- Feeling the beat: a smart hand exoskeleton for learning to play musical instruments.Frontiers in robotics and AI · 2023Article
- Analysis of Vibration Frequency and Direction for Facilitating Upper-Limb Muscle Activity.Biology · 2022Article
- Effect of the Trunk and Upper Limb Passive Stabilization on Hand Movements and Grip Strength Following Various Types of Strokes-An Observational Cohort Study.Brain sciences · 2022Article
- Change in the Results of Motor Coordination and Handgrip Strength Depending on Age and Body Position-An Observational Study of Stroke Patients and Healthy Volunteers.International journal of environmental research and public health · 2022Observational
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke can lead to movement disorders that affect interlimb coordination control of the bilateral upper extremities, especially the hands. However, few studies have investigated the influence of a stroke on bimanual force coordination control between the hands using a quantitative measurement tool, or the relationship of force coordination with paretic upper extremity motor and functional performance. We aimed to investigate these outcomes using a novel measurement device, and analyze the relationship of bimanual force coordination control deficits in both hands with motor and functional performances of the paretic upper extremity in stroke patients.
methodsSixteen healthy adults and 22 stroke patients were enrolled. A novel bilateral hand grip measurement device with two embedded dynamometers was used to evaluate the grip force during a bilateral hand grip-force coordination control task. The alternating time and force applied for coordination with the grip force of both hands were calculated to analyze control of bimanual grip force coordination. Motor and functional measurements included the upper-extremity portion of the Fugl-Meyer assessment (FMA-UE), Wolf Motor Function Test (WMFT), Motor Assessment Scale (MAS), and Barthel Index (BI).
resultsCompared with the healthy group, the alternating time from the non-paretic to the paretic hand was 27.6% shorter for stroke patients (p < 0.001). The grip force generated for coordination in the healthy group was significantly greater (30-59%) than that of the stroke group (p < 0.05), and the coefficients of variation of alternating time (p = 0.001) and force applied (p = 0.002) were significantly higher in the stroke group than the healthy group. The alternating time from the paretic to the non-paretic hand showed moderately significant correlations with the FMA-UE (r = - 0.533; p = 0.011), the WMFT (r = - 0.450; p = 0.036), and the BI (r = - 0.497; p = 0.019).
conclusionsStroke results in a decline in bimanual grip force generation and increases the alternating time for coordinating the two hands. A shorter alternating time is moderately to highly associated with enhanced motor and functional performances.
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Registered trials
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