ArticleCyborg and bionic systems (Washington, D.C.)2026
Sensorimotor Integration by Targeted Priming in Muscles with Electromyography-Driven Electro-vibro-feedback in Robot-Assisted Wrist/Hand Rehabilitation after Stroke.
Article in Cyborg and bionic systems (Washington, D.C.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Restoring precise muscular control in the poststroke wrist/hand (W/H) demands sensorimotor integration to correct compensatory neuroplasticity. However, current rehabilitation robots inadequately modulate ascending somatosensory pathways from specific muscles. This study developed an electromyography (EMG)-driven soft robot with electro-vibro-feedback (EVF-robot) for targeted somatosensory priming in W/H muscles. This system integrates (a) focal vibratory stimulation and neuromuscular electrical stimulation for recruiting the somatosensory pathways of the targeted W/H flexors and extensors; (b) an EMG-driven control algorithm for strengthening the voluntary motor control of a driving muscle; and (c) robot assistance to achieve coordinated joint extension and flexion. In a single-arm trial with 20 sessions, 15 chronic stroke participants assisted by the system achieved significant improvements in voluntary W/H behavioral control, somatosensory feedback, and intermuscular coordination in the paretic upper limb (
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