Bidirectional neuromuscular interface based on associative plasticity for stroke therapy during activities of daily living

A stroke survivor could wear a single device on their arm that delivers rehabilitation therapy while they cook, dress, or walk around their home. This matters because most stroke rehabilitation stops when patients leave the clinic, yet the brain’s ability to rewire itself—neuroplasticity—continues for months or years afterward. Current home therapy options are limited, often requiring bulky equipment or frequent hospital visits that many patients cannot sustain. The Neubond device combines muscle activity monitoring with real-time neurostimulation, creating a feedback loop that encourages the brain to rebuild motor control during ordinary daily activities. If this device passes clinical trials and regulatory approval, it could shift stroke recovery from a clinic-based, time-limited process to a continuous, home-based one. That would reduce the long-term costs of rehabilitation for health systems and give patients a practical way to keep improving their movement without disrupting their routines. The technology is being developed to meet medical device safety standards, with the aim of making advanced neurorehabilitation accessible to far more people than current equipment allows.