Publication Name	World Journal of Psychiatry
Manuscript ID	115160
Country	China

Category	Psychiatry
Manuscript Type	Editorial
Article Title	Integrating electromyographic biofeedback in stroke rehabilitation: A paradigm shift in motor and psychological recovery
Manuscript Source	Invited Manuscript
All Author List	Fu-Gang Luo, Jun-Jie Wang, Hao-Yu Xing, Wen-Ye Wu, Kai-Jie Fang and Juan Yan
Funding Agency and Grant Number
Corresponding Author	Juan Yan, Manager, MD, Professor, Quality Control Office, Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou Seventh People’s Hospital, No. 305 Tianmushan Road, Xihu District, Hangzhou 310013, Zhejiang Province, China. 294162939@qq.com
Key Words	Electromyographic biofeedback; Stroke rehabilitation; Motor recovery; Anxiety reduction; Neural plasticity; Fugl-Meyer assessment; Hamilton scales
Core Tip	Electromyographic biofeedback demonstrates significant dual benefits in stroke rehabilitation, improving motor function (Fugl-Meyer Assessment: d = 0.79-0.82) and reducing anxiety (Hamilton Anxiety Scale: d = -0.75) compared to conventional therapy alone. The mechanism involves Hebbian plasticity through real-time visual/auditory feedback, creating a virtuous cycle of neuroplastic change and psychological empowerment. Despite implementation challenges (5000-15000 startup costs), the 2-3 weeks faster functional recovery yields 8000-12000 per-patient savings, supporting integration into value-based care models. Optimal protocols involve 45-minute sessions targeting agonist-antagonist pairs 4 times weekly for 8-12 weeks, with future research needed for personalized application in severe stroke cases.
Citation	Luo FG, Wang JJ, Xing HY, Wu WY, Fang KJ, Yan J. Integrating electromyographic biofeedback in stroke rehabilitation: A paradigm shift in motor and psychological recovery. World J Psychiatry 2025; In press

Received	2025-10-09 17:29
Peer-Review Started	2025-10-09 17:29
First Decision by Editorial Office Director	2025-10-31 07:36
Return for Revision	2025-10-31 07:36
Revised	2025-11-03 13:20
Publication Fee Transferred
Second Decision by Editor	2025-12-08 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-08 03:09
Articles in Press	2025-12-08 03:09
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com