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Research Article | Open Access

Published on: 29 Jan 2026

Article ID: wjptr.2026.a2905

Ergonomic Risk Factors and Musculoskeletal Discomfort in College Students: A Cross-Sectional Observational Study
V. Swaminathan* 1 P. Muthukrishnan 2

Background: Prolonged digital device use among college students is increasingly associated with musculoskeletal discomfort, yet comprehensive studies examining ergonomic practices, multitasking behavior, and symptom prevalence remain limited in undergraduate populations.

Objective: This study examined the prevalence of musculoskeletal discomfort and associations with ergonomic practices and digital device multitasking in college…

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Case Report | Open Access

Published on: 22 Jan 2026

Article ID: wjptr.2026.a2205

Canalith Repositioning Maneuvers with Vestibular Rehabilitation for Bilateral Posterior Canal BPPV Secondary to Otitis Media in an Older Adult: A Case Report
Sultan M. Hakami* 1 Laila I Hattan 1

Benign Paroxysmal Positional Vertigo (BPPV) is the most common peripheral vestibular disorder and is especially prevalent among older adults. While most cases are idiopathic, secondary BPPV following otitis media has gained increasing recognition. This case report describes a 63-year-old female with bilateral posterior canal BPPV involving mixed mechanisms(Right-sided cupulolithiasis and left-sided canalithiasis) occurring one year after medically treated otitis media. The diagnosis was…

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Review Article | Open Access

Published on: 22 Jan 2026

Article ID: wjptr.2026.a2206

Neurovascular–Neuromuscular Uncoupling After Stroke: Physiological Effects on Motor Recovery and a Novel Physiotherapy-Based Physical Examination Framework
P. Muthukrishnan* 1 Dr. Raja Durai 2

Background: Current stroke rehabilitation focuses on motor output parameters (strength, spasticity, motor recovery) without directly assessing neurovascular–neuromuscular coupling (NMC)—the synchronization between neural drive, muscle activation, and local blood flow. Emerging neuroscience indicates that impaired microvascular perfusion–muscle activation coupling represents a fundamental pathophysiological mechanism limiting motor recovery post-stroke, yet no standardized…

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Review Article | Open Access

Published on: 22 Jan 2026

Article ID: wjptr.2026.a2207

Disruption of Interlimb Sensorimotor Synchronization After Stroke: Physiological Mechanisms, Physical Examination Innovation, And Global Physiotherapy Intervention Models
P. Muthukrishnan* 1 Dr. Raja Durai 2

Background: Current stroke rehabilitation treats limbs largely independently, despite mounting evidence that bilateral sensorimotor synchronization—the coordinated temporal and spatial control of bilateral limb movement—represents a core physiological requirement for functional recovery. No standardized physiotherapy assessment quantifies interlimb phase lag, bilateral proprioceptive integration, or force-sharing asymmetry as measurable physiological…

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Research Article | Open Access

Published on: 15 Jan 2026

Article ID: wjptr.2026.a1501

Efficacy of Integrated Neuromechanical Rehabilitation on Symptom Resolution and Recurrence Rates in Medial Tibial Stress Syndrome: A Randomized Controlled Trial
J. Selva* 1 P. Muthukrishnan 2

Background: Medial tibial stress syndrome (MTSS) affects 4-35% of runners with substantial recurrence rates ranging from 25-57% following standard care protocols. While individual interventions (load management, gait retraining, strengthening) demonstrate independent efficacy, high-quality randomized controlled trial evidence evaluating integrated models combining all three components remains limited in the current literature.

Objective: To…

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Research Article | Open Access

Published on: 10 Jan 2026

Article ID: wjptr.2026.a1004

Comparative Effectiveness of Neuromuscular Re-Education Versus Conventional Strengthening on Sensorimotor Control, Dynamic Knee Stability, Pain Modulation, Gait Performance, and Fall Risk in Geriatric Patients with Knee Osteoarthritis: A Randomized Controlled Trial
N. Krishna Prakash* 1 P. Muthukrishnan 2

Background: Knee osteoarthritis (KOA) significantly impairs functional capacity and independence in geriatric populations, with increased susceptibility to falls and reduced quality of life. While both neuromuscular re-education (NMR) and conventional strengthening (CS) have demonstrated efficacy, comparative evidence remains limited.

Objective: This randomized controlled trial (RCT) compared the effectiveness of neuromuscular re-education versus…

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Case Report | Open Access

Published on: 08 Jan 2026

Article ID: wjptr.2026.a0801

Impact of a Five-Year Clinical Pilates Intervention on Functional Mobility and Quality of Life in a 69-Year-Old Male with Idiopathic Inflammatory Myositis: A Case Study
Amparo Leticia de la Fuente-Reynoso* 1 Jennifer Dyall 1 Laura Verónica Peña-Zermeño 1 Agostino Menna 1 Tom Adamyk 1

Objective: The objective of this case study is to examine the effects of a structured Clinical Pilates (CP) intervention on functional mobility, balance, disability, quality of life, and selected biochemical markers in a 69-year-old male patient diagnosed with Idiopathic Inflammatory Myositis (IIM). Limited evidence regarding CP’s potential to improve functional mobility, balance, and psychosocial well-being in this population underscores the urgent need for exploratory,…

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Case Presentation | Open Access

Published on: 05 Jan 2026

Article ID: wjptr.2026.a0502

Airplane Vestibular Repositioning Maneuver (AVRM): A Pediatric Adaptation of the Foster Half-Somersault Maneuver - A Case Report
Miguel Angel Segura* 1 Ralph Warren Lubrico 1

Background: Children with histories of extreme prematurity and congenital hypotonia often present with delayed motor development and gait instability. Positional vestibular dysfunction may be underrecognized in this population, and standard canalith repositioning maneuvers are frequently not feasible for toddlers.

Case Presentation: This case report describes a 3-year-old child born at 23 weeks gestation with congenital hypotonia and delayed…

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Research Article | Open Access

Published on: 03 Jan 2026

Article ID: wjptr.2026.a0306

Technology-Driven Lifestyle Disorders: Long Term Musculoskeletal, Biomechanical, and Postural Consequences of Smartphone, AI, and Work-From-Home Device Usage in Young and Working-Age Adults—A Preventive and Interventional Study
P. Muthukrishnan* 1 Dr. Raja Durai 2

The rapid proliferation of smartphone and digital device usage among young and working age adults has created a silent epidemic of technology-driven musculoskeletal disorders (tech MSDs), yet preventive interventions remain underexplored in clinical practice. This prospective, longitudinal cohort study combined with a randomized controlled trial (RCT) investigates the biomechanical consequences of technology-driven postural dysfunction and evaluates the efficacy of physiotherapy-led…

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Mini Review | Open Access

Published on: 24 Dec 2025

Article ID: wjptr.2025.l2401

Rehabilitation of Median Nerve and Radial Artery Injuries in Children: A Mini Review
Nourhan Alsaeeid Alsaeeid* 1 Hanaa Mohamed Ibrahim 2 Shymaa Ali Abdel Ati 1 Marwa Tantawy 3 Marwa Abd Elwahab 3 Abubakr Khalil Elshazly 3 Eman Hassan 3 Dina Safwat Elasal 4

Peripheral nerve Injuries in children, particularly those involving the median nerve and radial artery, represent complex and functionally significant conditions. Damage to these structures can lead to profound deficits in fine motor coordination, precision grip, sensory discrimination, and overall hand function. Early and well-structured rehabilitation is essential to prevent long-term complications and to maximize functional recovery, especially considering the high degree of…

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