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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 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). During their W\/H extension, the cortical peaks of corticomuscular coherence shifted contralaterally for W\/H extensors, and the ascending corticomuscular coherence from W\/H flexors increased (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). These improvements persisted at the 3-month follow-up. The findings provide preliminary evidence that sensorimotor integration training with the EMG-driven EVF-robot may modulate compensatory neuroplasticity and facilitate improvements in coordinated motor control of the distal joints in individuals with chronic stroke.\n                  <\/jats:p>","DOI":"10.34133\/cbsystems.0507","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T02:58:26Z","timestamp":1767322706000},"update-policy":"https:\/\/doi.org\/10.34133\/aaas_crossmark_01","source":"Crossref","is-referenced-by-count":2,"title":["Sensorimotor Integration by Targeted Priming in Muscles with Electromyography-Driven Electro-vibro-feedback in Robot-Assisted Wrist\/Hand Rehabilitation after Stroke"],"prefix":"10.34133","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4863-7129","authenticated-orcid":false,"given":"Legeng","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5270-8594","authenticated-orcid":false,"given":"Yanhuan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1497-4204","authenticated-orcid":false,"given":"Wanyi","family":"Qing","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man-Ting","family":"Kuet","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengtian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7024-2772","authenticated-orcid":false,"given":"Fuqiang","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Rong","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waiming","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3188-3005","authenticated-orcid":true,"given":"Xiaoling","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."},{"name":"Research Institute for Smart Ageing (RISA), \rThe Hong Kong Polytechnic University, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"221","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrn.2017.26"},{"issue":"4","key":"e_1_3_4_3_2","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1177\/1545968308328727","article-title":"What do motor \u201crecovery\u201d and \u201ccompensation\u201d mean in patients following stroke?","volume":"23","author":"Levin MF","year":"2009","unstructured":"Levin MF, Kleim JA, Wolf SL. 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