Evidence map›Paper›PMID 41630843›Full record

ReviewPeerJ2026

Exploring new rehabilitation pathways for stroke based on the comorbidity of post-stroke hypoesthesia with anxiety and depression.

Yuyan Chen, Yusheng Zhao, Bangqi Wu, Yupei Cheng, Jingjie Huang, Chaoran Wang, Jing Bai, Yuxing Zhang

Abstract readReview
In one paragraph

Review in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuyan Chen *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yusheng Zhao *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Bangqi WuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yupei ChengFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jingjie HuangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Chaoran WangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jing BaiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yuxing ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Post-stroke hypoesthesia is a common yet often overlooked sequela, involving diminished capacities in touch, temperature, and pain perception. Recent studies suggest that sensory deficits not only hinder functional recovery but also show a high rate of comorbidity with anxiety and depression. Objective: This study aims to systematically integrate the neural mechanisms, perceptual processing features, and behavioral consequences of post-stroke hypoesthesia and emotional disorders, to explore their comorbid relationship and propose more targeted rehabilitation strategies based on these mechanisms. Methods: This review conducts an interdisciplinary literature search, integrating research from neuroimaging, cognitive neuroscience, and rehabilitation medicine, including 73 relevant studies. The keywords used in the screening are "Hypesthesia," "Impaired Sensation," "Anxiety," and "Depression," covering studies on sensory impairments and mood disorders. By comparing the sensory-emotion interaction mechanisms in stroke and non-stroke populations, a bidirectional model is constructed. Results: Findings indicate that post-stroke hypoesthesia results not only from structural damage in regions such as the thalamus, insula, and prefrontal cortex, but also from functional disruptions in perceptual processing. These impairments contribute to a closed-loop mechanism involving neural dysconnectivity and predictive coding dysfunction, which facilitates the emergence of anxiety and depression. In turn, these emotional disorders further suppress sensory recovery, significantly reducing patients' motivation and rehabilitation compliance. Conclusion: Post-stroke hypoesthesia should be recognized as a critical etiological and maintaining factor in anxiety and depression. The coexistence of pathological and functional mechanisms underscores the need for rehabilitation strategies that transcend the boundaries of perception, emotion, and cognition. Developing a rehabilitation pathway centered on "sensory-emotional co-regulation" can facilitate early identification, subtype-specific intervention, and comprehensive support for emotional comorbidities following stroke.

Indexed as

AnxietyDepressionHypesthesiaStrokeStroke RehabilitationComorbidityHumansAnxietyDepressionHypoesthesiaMechanismsPredictive codingStroke

Identifiers

PMID41630843
PMCPMC12861131

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.