Clinical Rehabilitation最新文献

{"title":"Effectiveness of therapeutic exercise programs on balance and gait in children and adolescents with unilateral cerebral palsy: A systematic review and meta-analysis of randomized controlled trials.","authors":"María Martínez-Olagüe Jácome, Patricia Domínguez-López, Raquel Rodrigo-Masanet, Rocío Palomo-Carrión, Purificación López-Muñoz, María Coello-Villalón","doi":"10.1177/02692155261432024","DOIUrl":"10.1177/02692155261432024","url":null,"abstract":"<p><p>ObjectiveUnilateral cerebral palsy causes motor impairments affecting upper and lower limbs; compromising balance and gait. Although therapeutic exercise is commonly used, heterogeneity in interventions and outcomes hinders interpretation. This systematic review evaluated the effects of exercise programs on balance and gait in children and adolescents with unilateral cerebral palsy.Data SourcesSearches were conducted in PubMed, Cochrane CENTRAL, PEDro, SPORTDiscus, and Scopus from inception to January 2026. Reference lists of eligible studies were also screened.MethodsRandomized controlled trials including participants aged 2-18 years with unilateral cerebral palsy, assessing exercise programs targeting balance or gait were eligible. Independent reviewer pairs conducted screening, data extraction, and risk-of-bias assessments, resolving disagreements with a third reviewer. Standardized mean differences (SMD) were pooled using a random-effects model. Subgroup, sensitivity, and meta-regression analyses were performed. Certainty of evidence was rated with GRADE.ResultsThirteen trials were included. Exercise programs produced a significant moderate effect on balance (SMD = 0.61; 95% CI: 0.38 to 0.83; <i>I</i>² = 0.003%). The pooled effect on gait was moderate (SMD = 0.51; 95% CI: -0.22 to 1.23) but not significant, with high heterogeneity (<i>I</i>² = 91.1%). Subgroup analyses suggested larger effects with non-plyometric training for balance and with plyometric training for gait. Meta-regression indicated a positive dose-response relationship for balance.ConclusionTherapeutic exercise programs improve balance in youths with unilateral cerebral palsy with evidence of a dose-response effect. Effects on gait remain uncertain. Structured balance-focused interventions should be integrated into rehabilitation programs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1315-1328"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early controlled mobilisation improves functional outcomes in nonoperatively treated radial head fractures: A multicenter retrospective cohort study.","authors":"Yusuf Altuntas, Enver Ipek, Mehmet Ali Bozca, Ismail Tuter, Osman Tugrul Eren","doi":"10.1177/02692155261441555","DOIUrl":"10.1177/02692155261441555","url":null,"abstract":"<p><p>DesignRetrospective multicentre cohort study.SettingData were collected between 2015 and 2024 from the orthopaedic departments of multiple hospitals.ParticipantsAdult patients with isolated Mason type I and selected Mason type II radial head fractures (≤2 mm displacement, no mechanical block) treated nonoperatively between 2015 and 2024 were included. A total of 174 patients met the inclusion criteria and completed a minimum follow-up of 24 months.InterventionPatients were allocated to either early controlled mobilisation using a functional brace (Group 1) or delayed rehabilitation following four weeks of long-arm cast immobilisation (Group 2).Main measuresPrimary outcome measures were the Mayo Elbow Performance Score at final follow-up. Secondary outcomes included elbow range of motion, pain assessed using the visual analogue scale, time to return to work, and treatment-related complications.ResultsEarly controlled mobilisation was associated with slightly higher functional outcome scores, including the Mayo Elbow Performance Score (89.5 vs 87.0) and the Oxford Elbow Score (87.3 vs 85.0). Differences were also observed in elbow flexion (138.0° vs 134.8°), pain scores (0.67 vs 1.01), and time to return to work (10.5 vs 11.7 weeks), whereas extension loss and forearm rotation were comparable between groups. Complication rates were similar. However, the magnitude of these differences did not exceed established minimal clinically important difference thresholds.ConclusionsEarly controlled mobilisation is a safe and reasonable approach in the nonoperative management of radial head fractures. Although small differences favouring early mobilisation were observed, no clinically meaningful difference was identified between the two approaches.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1353-1365"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modernising functional independence measurement: Validation of a Contemporary Extended Activities of Daily Living scale in a mixed sample.","authors":"Kalliopi Mavromati, Lucie Tvrda, Terence J Quinn","doi":"10.1177/02692155261436989","DOIUrl":"10.1177/02692155261436989","url":null,"abstract":"<p><p>ObjectiveTo validate a previously described 5-item short-form Nottingham Extended Activities of Daily Living and assess the properties of incorporating contemporary tasks to create a novel Contemporary Extended Activities of Daily Living scale.DesignValidation study.SettingConducted through an online questionnaire.ParticipantsAdults over 60 years of age, living with a chronic condition or receiving care, caregivers, and healthcare providers.Main measuresWe assessed internal consistency of each scale using Cronbach's alpha. Additionally, criterion validity and convergent validity of the short-form and contemporary scales were assessed using Spearman's correlation analyses with the original 22-item Nottingham scale, and with quality of life measured by the European Quality of Life 5-dimension scale.ResultsAcross 712 participants (<i>n</i> = 256, 36% with a chronic condition), both the short-form Nottingham Extended Activities of Daily Living scale (α = 0.84, 95% CI: 0.82-0.86) and a novel Contemporary Extended Activities of Daily Living scale (α = 0.88, 95% CI: 0.87-0.89) had good internal consistency. The short-form scale had excellent concurrent validity (<i>r_s</i> = 0.82, <i>p</i> < .00). Each contemporary item was correlated with the original Nottingham scale, and the full Contemporary scale had good concurrent validity (<i>r_s</i> = 0.78, <i>p</i> < .001). Both scales had moderate construct validity in relation to quality of life (short-form Nottingham scale <i>r_s</i> = 0.68, <i>p</i> < .001, contemporary scale <i>r</i>_s = 0.56, <i>p</i> ≤ .001).ConclusionsOur initial evaluation of a Contemporary Extended Activities of Daily Living scale shows that construct validity is not compromised by the inclusion of contemporary tasks. Future research is needed to account for the diversity of activity patterns to improve the perceived relevance of scales assessing functional outcomes.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1377-1386"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare professionals' perspectives on early sling removal following conservatively managed proximal humerus fractures: A qualitative study.","authors":"Helen Tunnicliffe, Seth O'Neill, Sion Scott, Harvinder Singh, David Wright","doi":"10.1177/02692155261437345","DOIUrl":"10.1177/02692155261437345","url":null,"abstract":"<p><p>DesignA qualitative study using uni-professional focus groups, forming the first stage of a multi-phase co-design project to develop a model of care for early sling removal after conservatively managed proximal humerus fracture.SettingFocus groups were conducted online via Microsoft Teams with participants from a wide geographical spread across multiple United Kingdom National Health Service Trusts.ParticipantsHealthcare professionals (<i>n</i> = 23), including orthopaedic surgeons, therapists (physio and occupational), and nurses, recruited through purposive sampling.InterventionThree focus groups explored healthcare professionals' perspectives on early sling removal in the non-operative management of proximal humerus fractures. Patient and public involvement and engagement work informed study design, identifying the need to first understand professionals' viewpoints before engaging patients and progressing to consensus co-design.Main measuresData were collected through focus groups supported by pre-session forms and analysed thematically following Braun and Clarke's framework using NVivo software.ResultsThree overarching themes were identified: <i>Navigating pain and fear</i>, <i>clinician confidence</i>, and <i>early engagement</i>. Fear of patient harm and high pain levels in the early weeks were barriers to early sling removal. Confidence was influenced by experience, fracture severity and limited evidence, with hierarchical decision-making by surgeons. Participants considered enablers to be consistent messaging, early education, and reassurance to support both clinicians and patients.ConclusionsWhilst healthcare professionals recognise benefits of earlier sling removal, implementation is limited by pain, uncertainty, and hierarchical decision-making. These findings highlight the need for multidisciplinary, co-designed pathways. There is a need next to explore patient perspectives to inform future co-designed pathways.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1399-1408"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual-task performance as a clinical marker of upper limb decline in Duchenne muscular dystrophy.","authors":"Dilan Savas-Kalender, Merve Kurt-Aydin, Tulay Tarsuslu, Uluc Yis","doi":"10.1177/02692155261437333","DOIUrl":"10.1177/02692155261437333","url":null,"abstract":"<p><p>ObjectiveTo compare upper extremity performance of ambulant children with Duchenne muscular dystrophy and typically developing peers under single- and dual-task conditions, and to examine its associations with mobility and balance.DesignCross-sectional observational study.SettingData were collected at the Pediatric Neurology Department and the Pediatric Rehabilitation Unit of the Faculty of Physical Therapy and Rehabilitation.ParticipantsTwenty ambulant boys with Duchenne muscular dystrophy (6-12 years) and 19 age-matched typically developing peers.InterventionNot applicable.Main measuresUpper extremity performance was assessed using the Nine-Hole Peg Test under single-task, motor dual-task, and cognitive dual-task conditions. Functional mobility and balance, as well as clinical scales, were also evaluated.ResultsChildren with Duchenne muscular dystrophy performed significantly slower than typically developing peers under cognitive dual-task conditions (p < 0.001) and under motor dual-task conditions for the left hand (p = 0.032). Slower dual-task performance was moderately associated with poorer balance and trunk control. Cognitive dual-task performance showed high diagnostic accuracy for identifying Duchenne muscular dystrophy (area under curve = 0.91-0.96).ConclusionsDual-task paradigms may reveal functional vulnerability in upper-limb performance in ambulant children with Duchenne muscular dystrophy that is not evident during single-task testing. Increased cognitive-motor demands appear to exacerbate functional difficulties beyond muscle weakness. These findings suggest that dual-task assessment may complement conventional clinical evaluations and provide additional insight for rehabilitation planning.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1409-1420"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of mind-body exercises for treating chronic obstructive pulmonary disease: a systematic review and network meta-analysis.","authors":"Qian Gao, Peijun Li, Xiaoyu Han, Yifan Lv, Jun Wang, Huifang Tang, Yuhong Zhang, Xiaodan Liu, Weibing Wu","doi":"10.1177/02692155261444584","DOIUrl":"10.1177/02692155261444584","url":null,"abstract":"<p><p>ObjectiveThe comparative effectiveness of various mind-body exercises for chronic obstructive pulmonary disease remains unclear. This study aimed to compare and rank different mind-body interventions for improving objective and subjective outcomes in patients with chronic obstructive pulmonary disease.Data sourcesWe systematically searched PubMed, Web of Science, EMBASE, Cochrane Library, and Scopus.MethodsRandomised controlled trials assessing mind-body exercises for chronic obstructive pulmonary disease were included. A network meta-analysis was performed using Stata 16.0. The protocol was registered with PROSPERO (CRD42024592835).ResultsThirty-seven studies involving 3179 participants and nine interventions were analysed. Regarding objective outcomes, Pilates plus pulmonary rehabilitation showed the largest improvement in exercise capacity. For pulmonary function, Pilates plus pulmonary rehabilitation significantly improved forced expiratory volume in the first second as a percentage of the predicted value and forced expiratory volume in the first second/forced vital capacity, while Yoga demonstrated superior effects on forced expiratory volume in the first second and forced vital capacity. Regarding subjective outcomes, Tai Chi, alone or combined with pulmonary rehabilitation, was superior in reducing dyspnea, while Tai Chi plus pulmonary rehabilitation and Qigong showed the greatest benefits for health-related quality of life.ConclusionsMind-body exercises are beneficial for chronic obstructive pulmonary disease management. Pilates plus pulmonary rehabilitation stands out for improving objective outcomes, particularly exercise capacity and pulmonary function, whereas Tai Chi, alone or combined with pulmonary rehabilitation, emerges as the most effective intervention for subjective outcomes, including dyspnea and health-related quality of life.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1340-1352"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise to reduce falls in Community-Dwelling people after stroke: A systematic review with meta-analysis.","authors":"Katharine Scrivener, Ingrid Lin, Louise Ada, Natasha A Lannin, Petra L Graham, Elisabeth Preston, Alena Haines, Sally Day, Lindy Clemson, Catherine M Dean","doi":"10.1177/02692155261441558","DOIUrl":"10.1177/02692155261441558","url":null,"abstract":"<p><p>ObjectiveTo determine the effect of falls-prevention exercise compared with nothing, sham or another exercise intervention on reducing falls after stroke. To also determine the effect of falls-prevention exercise on balance, mobility and quality of life.Data sourcesSearches were conducted from inception to December 2025 on MEDLINE, EMBASE, Scopus and PEDro databases according to predefined search terms with details provided in supplementary materials.Review methodsRandomised trials were included if the intervention targeted falls and the primary outcome was the rate of falls or the number of people experiencing one or more falls. Other outcomes of interest were balance, mobility and quality of life. Methodological quality was rated with the PEDro scale. Two researchers independently extracted data, which was synthesised by meta-analysis.ResultsThree trials (n = 677) were included in the review. Exercise trended towards a lower rate of falls compared to no/sham intervention (IRR 0.84, 95% CI 0.62 to 1.15, p = 0.29) with uncertainty in the estimate (confidence interval includes the possibility of no effect). Exercise did not reduce the number of individuals experiencing one or more falls (RR 0.98, 95% CI 0.81 to 1.18, p = 0.84). There was a trend towards improved balance (MD 0.49 steps in the Step Test, 95% CI -0.11 to 1.08, p = 0.11) and exercise did improve mobility a small amount (MD 0.04 m/s preferred walking speed, 95% CI 0.01 to 0.07, p < 0.01). No trials compared two exercise interventions.ConclusionThere is a suggestion that exercise can reduce the rate of falls after stroke but does not affect the number of individuals falling.RegistrationPROSPERO CRD42024520272.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1329-1339"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation, reliability, and validity of the arabic version of the foot-health status questionnaire.","authors":"Afnan M Shayani, Alaa J Albarakati, Hosam Alzahrani","doi":"10.1177/02692155261441559","DOIUrl":"10.1177/02692155261441559","url":null,"abstract":"<p><p>ObjectiveTo translate and culturally adapt the Foot Health Status Questionnaire into Arabic (Foot Health Status Questionnaire-Ar) and investigate its psychometric properties in patients with various foot conditions.DesignCross-sectional study.<b>Setting:</b> The study was conducted in outpatient clinics across various private and general hospitals in Saudi Arabia.ParticipantsParticipants included 135 adult patients from Saudi Arabia (83.7% females) with foot problems (mean age=38.1 years).Main measuresWe utilized the intraclass correlation coefficient and Cronbach's alpha to evaluate the test-retest reliability and internal consistency, respectively, of the Foot Health Status Questionnaire-Ar domains. To evaluate construct validity, we calculated Pearson's correlation coefficients between the Foot Health Status Questionnaire-Ar domains scores and other related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and the EuroQol Health Questionnaire, five-dimension, five-level. Floor and ceiling effects were also assessed to determine the scale's ability to discriminate across the full range of scores.ResultsThe Foot Health Status Questionnaire-Ar exhibited acceptable test-retest reliability, with intraclass correlation coefficients ranging from 0.760-0.858 across four domains. Internal consistency was good, with Cronbach's α values between 0.843 and 0.912 across the domains. The construct validity was supported by significant correlations between the Foot Health Status Questionnaire-Ar domains and related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and EuroQol Health Questionnaire.ConclusionFoot Health Status Questionnaire-Ar is a reliable and valid scale for evaluating foot health in Arabic-speaking populations. These results support its use in research and clinical settings for evaluating foot health.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1387-1398"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators of decision-making in home-based rehabilitation exercise among older adults following total knee arthroplasty: A qualitative study.","authors":"Jiayi Guo, Biyun Zeng, Yabin Guo, Xiaotong Liu, Yang Zhou","doi":"10.1177/02692155261493797","DOIUrl":"https://doi.org/10.1177/02692155261493797","url":null,"abstract":"<p><p>ObjectiveTo explore the decision-making experiences regarding home-based rehabilitation exercises among older adults following total knee arthroplasty, and to identify its barriers and facilitators based on dual-process theory.DesignA qualitative descriptive design was employed in this study.SettingThree tertiary hospitals in China.ParticipantsA purposive sample of 21 older adults who had undergone total knee arthroplasty was recruited.Main measuresData were collected through semi-structured telephone interviews and analysed using thematic analysis.ResultsThe findings identified three themes and 10 subthemes. Barriers comprised two themes with six subthemes: intuitive avoidance responses from the impulsive system (pain-triggered exercise avoidance, willingness constrained by physical conditions, overprotection driven by fear and uncertainty and preference for immediate comfort) and external support constraints (inadequate post-discharge rehabilitation guidance and limited family support availability). Facilitators comprised one theme with four subthemes: rational adherence of the reflective system (perceived threat of poor prognosis, reassurance from life proverbs, goal-directed willpower activation and use of negotiation strategies).ConclusionsHome-based rehabilitation exercise is essential for functional recovery following total knee arthroplasty. Exercise decision-making involves cognitive conflicts between impulsive responses and reflective evaluations. Healthcare professionals should mitigate impulsive barriers through comprehensive pain management and by prescribing safe and effective ranges of joint motion, while enhancing reflective engagement through individualised goal setting, positive cultural framing and negotiation strategies that help regulate automatic responses. Age-friendly follow-up services and family support should be strengthened to address exercise-related decision-making conflicts.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261493797"},"PeriodicalIF":2.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor regarding methodological considerations for evaluating power-assist devices in manual wheelchair users.","authors":"Ling Chen, Zhenhua Jin","doi":"10.1177/02692155261492137","DOIUrl":"https://doi.org/10.1177/02692155261492137","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261492137"},"PeriodicalIF":2.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}