Stroke ranks as the second or third leading cause of death and is a major cause of adult disability. Hand strength deficits, including finger, grip, and pinch strength, are significant. Muscle disuse atrophy leads to reduced muscle fiber size, and sarcopenia, the loss of muscle mass in older adults, is common. 60% of stroke survivors do not fully regain arm and hand function, resulting in ongoing activity limitations and reduced quality of life. These individuals often lack voluntary movement for independent task practice or daily use of the affected limb. This review examines sEMG signals in hand muscles of stroke survivors and compiles data on sEMG use in their rehabilitation. A literature search was carried out in Pubmed & Ebsco for all studies that reported use of surface electromyography(sEMG) for hand rehabilitation in stroke patients. Selected articles were published in English. 185 papers were found of which 13 were included in the final review. 8 studies used EMG as a treatment procedure & 2 studies used EMG as an outcome measure to check the muscle activation pattern. sEMG can be used as an effective rehabilitation tool in the field of neuro physiotherapy to improve the hand muscle function following stroke. Surface Electromyography ,Stroke Patients / Hemiplegia , Hand Muscles