Clinical Rehabilitation最新文献

{"title":"Validation of the work functioning assessment for epilepsy - An ICF-based instrument for measuring work functioning of individuals with epilepsy.","authors":"Patricia Dos Santos Fernandes, Renato Nickel, Gabriella Bueno Ferreira, Eduarda Barboza, Carla Sabariego, Cesar Augusto Taconeli, Carlos Silvado","doi":"10.1177/02692155251340681","DOIUrl":"https://doi.org/10.1177/02692155251340681","url":null,"abstract":"<p><p>ObjectiveTo validate the Work Functioning Assessment for Epilepsy.DesignMethodological and cross-sectional research in which the Work Functioning Assessment for Epilepsy was applied to a sample of individuals with epilepsy.SettingThe field test was conducted through in-person and online interviews with individuals treated in public and private services in two epilepsy outpatient clinics.Participants120 individuals with epilepsy.Main measuresExploratory Factor Analysis, Confirmatory Factor Analysis, Cronbach's alpha coefficient analysis, and Pearson's linear correlation coefficient were used to measure the validity and reliability of the instrument.ResultsThe Work Functioning Assessment for Epilepsy final version contains 30 items divided into two dimensions. The Exploratory Factor Analysis and Confirmatory Factor Analysis confirmed the plausibility of the factor structure established. The Cronbach's alpha (95% IC) coefficient was 0.94 and there was a significative linear correlation (p-value: <0.001) between the Work Functioning Assessment for Epilepsy, WHO Disability Assessment Schedule -12 items, and Seizure Severity Questionnaire scores.ConclusionsThe Work Functioning Assessment for Epilepsy is a brief, valid and reliable tool for measuring the work functioning of individuals with epilepsy and has the potential to be a basis for a unified system of work functioning assessment to be used throughout Brazil and translated and adapted for other countries and cultures.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251340681"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181198","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":"Effectiveness of non-pharmacological interventions for post-stroke depression in stroke survivors: A systematic review with meta-analysis.","authors":"Dan Shi, Yuen Yu Chong, Yating Li, Ho Yu Cheng","doi":"10.1177/02692155251345126","DOIUrl":"https://doi.org/10.1177/02692155251345126","url":null,"abstract":"<p><p>ObjectivesTo evaluate the effectiveness of non-pharmacological interventions for managing post-stroke depression and identify the characteristics of optimal interventions.Data SourcesEight English databases and two Chinese databases were searched from inception to February 2025, alongside grey literature.MethodsTwo reviewers independently screened studies and extracted data from randomised controlled trials (RCTs) or pilot/feasibility RCTs. Study quality was evaluated with the Cochrane Risk of Bias 2 tool. Meta-analyses used Review Manager 5.3 when feasible; otherwise, narrative syntheses were conducted. Certainty of evidence was assessed via the Grading of Recommendations Assessment, Development, and Evaluation system.ResultsSeventeen studies (1297 stroke survivors) were included. Two had a low risk of bias, two had a high risk, and 13 had some concerns. Meta-analyses showed cognitive-behavioural intervention had significant short-term effects (< one month) on depressive symptoms versus control (standardised mean difference SMD: -0.63, 95% CI: -1.00 to -0.26, <i>p</i> < 0.001, <i>I²</i> = 81%; 7 studies; 693 participants). Cognitive-behavioural interventions without cognitive restructuring showed significant short-term (effect size <i>ES</i> = 0.52-1.08) and medium-term (1-6 months) effects (<i>ES</i> = 0.73-1.71). Preliminary evidence suggested that exercise with music, acceptance and commitment therapy, mindfulness meditation, and aromatherapy also improve depressive symptoms versus control.ConclusionNon-pharmacological interventions, including cognitive-behavioural intervention, exercise, acceptance and commitment therapy, mindfulness meditation, and aromatherapy, could improve post-stroke depressive symptoms. However, with very low evidence certainty, further rigorous RCTs are needed.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251345126"},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126788","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":"Expert consensus on the application of dry needling in stroke patients: A modified delphi method.","authors":"Jorge Velázquez-Saornil, Vanesa Abuín-Porras, Raúl Frutos-Llanes, José Manuel Barragan-Casas, Angélica Campón-Chekroun, Zacarías Sánchez-Milá","doi":"10.1177/02692155251342071","DOIUrl":"https://doi.org/10.1177/02692155251342071","url":null,"abstract":"<p><p>ObjectiveThis study aimed to establish an expert consensus on the use of dry needling for treating spasticity in stroke patients via the Delphi method.DesignA modified Delphi technique was conducted over four rounds.SettingThe study was guided by the NEUMUSK Group Research, Department of Physiotherapy, Faculty of Health Sciences. Ávila Catholic University, following the Checklist for Reporting of Survey Studies (CROSS).ParticipantsA total of 102 international experts in stroke rehabilitation and dry needling collaborated on this consensus study.InterventionPanellists rated 35 key questions across rounds via a 6-point Likert scale. Questions that failed to reach 70% consensus were eliminated.Main measurementsValidated Likert scale responses to carry out the expert consensus.ResultsThere was a high level of consensus regarding the use of dry needling in the early spasticity and hypertonia phases of stroke rehabilitation (early spasticity defined as the first few weeks after stroke when increased muscle tone begins to appear), with 87% and 91% agreement, respectively. However, less consensus has been reached for its application in hypotonia. Local twitch responses have been identified as critical indicators of treatment success, and ultrasound-guided dry needling has been widely endorsed for its precision. The effects of dry needling were reported to last between 48 and 72 h.ConclusionThis study provides clear recommendations for the use of dry needling in stroke patients, particularly during the early stages of spasticity. While the short-term benefits are evident, further research is needed to optimize the treatment frequency and explore its role in different stages of recovery, such as hypotonia. This consensus will aid healthcare professionals in integrating dry needling into comprehensive stroke rehabilitation programmes.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251342071"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109980","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":"The effect of cognitive retraining after stroke on everyday living: A systematic review and meta-analysis.","authors":"Jennifer White, Kylee J Lockwood","doi":"10.1177/02692155251336981","DOIUrl":"https://doi.org/10.1177/02692155251336981","url":null,"abstract":"<p><p>ObjectiveTo determine if the addition of cognitive retraining to rehabilitation following stroke results in better everyday living outcomes.Data sourcesElectronic databases MEDLINE, EMBASE, PsycINFO, CINAHL, OT Seeker and Cochrane Library were searched until January 2025.Review methodsRandomised controlled trials were included if they measured change in function and investigated a cognitive retraining intervention aimed at restoration of impaired cognition in one or more specific cognitive domains in the adult stroke population. Papers were excluded if they exclusively provided interventions that were not restorative, such as compensatory approaches or direct task retraining. Two independent reviewers extracted data and assessed study quality.ResultsTwenty-one studies involving 1476 participants were included. There was very low-quality evidence that basic activity of daily living (ADL) was not improved by the addition of cognitive retraining (standardised mean difference (SMD) 0.48, 95% confidence interval (CI) -0.04 to 1.01). There was moderate quality evidence that cognitive retraining had no effect on Instrumental ADL (IADL) (SMD -0.19, 95% CI -0.65 to 0.27) or other measures of functional performance (SMD -0.03, 95% CI -0.31 to 0.24).ConclusionsCognitive retraining focusing on restoration of one or more cognitive domains after stroke did not show an impact in basic ADL performance, IADL performance, or other measures of functional performance. Results were complicated by low-quality evidence and methodological factors including variations in study populations, interventions provided and outcome measures. Further research that includes suitable measures of everyday living is needed to provide more robust evidence and guide clinical practice.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251336981"},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985359","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":"Intra- and inter-rater reliability of anterior and posterior drawer tests for the assessment of people with shoulder instability.","authors":"Rocio Aldon-Villegas, Gema Chamorro-Moriana, Patricio Lopez-Tarrida, Maria-Luisa Benitez-Lugo","doi":"10.1177/02692155251339380","DOIUrl":"10.1177/02692155251339380","url":null,"abstract":"<p><p>BackgroundThe well-known drawer tests to assess glenohumeral laxity and instability have shown appropriate reliability, although analysed mainly in healthy subjects.ObjectiveTo evaluate the intra- and inter-rater reliability of anterior and posterior drawer tests in subjects with symptoms of shoulder instability.DesignClinometric study of intra- and inter-rater reliability of drawer tests was carried out following COSMIN recommendations and GRRAS checklist.SettingCentres with equipped facilities for assessments.ParticipantsThere were 105 participants (69 male/36 female) aged 18 to 60 years with instability symptoms in at least one shoulder. Each participant underwent bilateral assessments. The sample consists of 210 shoulders, unstable and healthy.InterventionAnterior and posterior drawer tests.Main measuresHumeral translations were assessed using drawer tests and graded with Hawkins scale, modified Hawkins and dichotomising (positive/negative). Two sessions were performed (seven to fourteen-day washout period): Each patient was evaluated by two examiners in the first session and by one of them in the second. Weighted Kappa analysed the reliability.ResultsThe intra-rater reliability of the anterior and posterior drawer tests was <i>excellent (weighted Kappa</i> = 1) with the Hawkins scale. Inter-rater reliability was <i>good</i> for the anterior drawer: <i>weighted Kappa</i> = 0.76 (95%confidence interval: 0.67-0.85) with the Hawkins scale, <i>weighted Kappa</i> = 0.78 (95%confidence interval: 0.69-0.87) with modified Hawkins, and <i>weighted Kappa</i> = 0.80 (95%confidence interval: 0.71-0.89) dichotomising; and for the posterior drawer: <i>weighted Kappa</i> = 0.62 (95%confidence interval: 0.52-0.72), <i>weighted Kappa</i> = 0.67 (95%confidence interval: 0.57-0.78), and <i>weighted Kappa</i> = 0.70 (95%confidence interval: 0.59-0.80), respectively.ConclusionDrawer tests demonstrated <i>excellent</i> intra-rater and <i>good</i> inter-rater reliability in subjects with symptoms of shoulder instability.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251339380"},"PeriodicalIF":2.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967062","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":"Maintaining the use of telehealth for delivering rehabilitation services in a regional hospital post-COVID19: Learning from telehealth delivery rates and staff experiences.","authors":"Owen Howlett, Tracy Harnetty, Stephen Barrett","doi":"10.1177/02692155251326050","DOIUrl":"10.1177/02692155251326050","url":null,"abstract":"<p><p>ObjectiveTo examine what delivery format had been used to facilitate rehabilitation services over recent years and to identify barriers and enablers to using telehealth in the future.DesignMultiple method research approach.Setting:Outpatient rehabilitation service in a large regional hospital in Australia.Participants:Clinicians that deliver rehabilitation interventions including allied health professionals and nurses.Main measuresFirst, a retrospective audit of data examining the rate of telehealth use. Second, semi-structured focus groups with clinical staff to identify barriers and enablers to using telehealth. Data were thematically analysed and mapped to a behaviour change framework.ResultsPre-pandemic, 82% (n = 45,960) of rehabilitation services were delivered in-person; during peak restrictions, in-person delivery was 54% (n = 49,337). Following the ease of restrictions, 71% (n = 49,337) of the rehabilitation services were delivered in-person, 28% (n = 21,624) via phone and 1% (n = 493) via video. Telehealth use increased 11% from pre-pandemic to when restrictions were eased, driven by increased use of phone consultations. Six themes related to barriers and four themes related enablers to using telehealth were identified. Using the behaviour change framework, five interventions functions (education, training, environmental restructure, modelling and enablement) were recommended to facilitate telehealth use.ConclusionsTelehealth-delivered rehabilitation rates increased post-pandemic, primarily via phone consultations. Reported barriers and enablers highlight the need for targeted strategies, with five intervention functions identified that may support increased telehealth adoption in rehabilitation settings. Future efforts should address clinician-raised barriers to optimise telehealth integration into service delivery.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"679-689"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699523","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":"Aquatic exercise interventions in the treatment of musculoskeletal upper extremity disorders: A scoping review.","authors":"Lynn Murray, Michelle Kennedy, Michael Malone, Lyn Mair, Lyndsay Alexander","doi":"10.1177/02692155251315078","DOIUrl":"10.1177/02692155251315078","url":null,"abstract":"<p><p>ObjectiveTo identify literature on aquatic exercise therapy used to manage upper extremity musculoskeletal disorders and identify key concepts, intervention components, and gaps in the evidence base.Data sourcesThe comprehensive search included MEDLINE (Ovid), CINAHL (EBSCOHost), Embase (Ovid), CENTRAL (Cochrane Central Register of Controlled Trials) databases and grey literature sources.Review methodsJBI Scoping review methodology guided this review through protocol development, searching, screening, data extraction and analysis. Study Selection included: Participants - Adults with upper extremity musculoskeletal disorders; Concept - Aquatic based exercise therapy; Context - any setting in any very highly developed nation.ResultsThe search identified 5045 sources with 68 studies included in the final synthesis. Findings outlined shoulder problems were the most reported upper extremity condition treated (<i>n</i> = 78) especially following rotator cuff repair (<i>n</i> = 17), followed by the hand and wrist (<i>n</i> = 9), and elbow (<i>n</i> = 6). Range of movement (<i>n</i> = 36) and resistance exercises (<i>n</i> = 17) were the most common interventions reported for aquatic therapy, however compliance with reporting guidance across included studies was poor. Sixteen health domains were identified with range of movement (<i>n</i> = 21) and pain (<i>n</i> = 20) the most common, and 62 outcome measures were reported related to the identified domains. Qualitative aspects of aquatic interventions were evaluated in two papers.ConclusionThere is a need for more primary experimental and qualitative studies related to the upper extremity and aquatic therapy. Improved reporting quality of aquatic therapy exercise intervention is required as is the need to establish specific core outcome sets and domains in this area.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"565-579"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078704","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":"Response letter: The only defendable scientific position: A strong case against radial extracorporeal shockwave therapy for insertional Achilles tendinopathy.","authors":"Peter Malliaras, Luke Perraton, Patrick Vallance, Tim Powers, Baraa Alsulaimani","doi":"10.1177/02692155251327664","DOIUrl":"10.1177/02692155251327664","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"703-704"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647581","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":"Enhanced recovery in cardiac surgery patients with frailty through comprehensive perioperative nursing interventions: A randomized controlled trial.","authors":"Na Jin, Tianxiang Gu, Shiyang Song, Jiannan Yao, Xin Pang","doi":"10.1177/02692155251325618","DOIUrl":"10.1177/02692155251325618","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effects of comprehensive perioperative nursing interventions on postoperative recovery in cardiac surgery patients with frailty, with a focus on physical activity, nutritional status, and cognitive function.DesignA prospective, randomized, single-blind, parallel-group design with a 1:1 allocation ratio.SettingCardiac surgery department in a tertiary care hospital.ParticipantsThis study included 300 patients with frailty after cardiac surgery. Using a computer-generated random number table, patients were randomly assigned to the experimental group (150 patients) and the control group (150 patients). The intervention group received preoperative psychological counseling, targeted nutritional support, skincare, and continuous hemodynamic monitoring; the control group received routine care, including postoperative vital sign monitoring, basic nutritional support, wound care, and standard cardiovascular assessments (e.g., heart rate and blood pressure).Primary outcomesPostoperative recovery was assessed through improvements in physical activity (Barthel Index), nutritional status (Mini Nutritional Assessment), cognitive function (Mini-Mental State Examination), biostatistical data and cardiopulmonary function indicators.ResultsThe intervention group showed significant improvements: Barthel Index increased by 20 points (95% CI: 15-25, <i>p</i> < 0.01), Mini Nutritional Assessment scores by 3 points (95% CI: 1-5, <i>p</i> < 0.05), and Mini-Mental State Examination scores by 4 points (95% CI: 2-6, <i>p</i> < 0.05). Hospital stay was reduced by 5 days (95% CI: 3-7, <i>p</i> < 0.01), and the 6-month survival rate was 10% higher (95% CI: 5-15%, <i>p</i> < 0.05) compared to the control group.ConclusionsComprehensive perioperative nursing interventions significantly improve postoperative recovery, self-care ability, nutritional status, cognitive function, and short-term survival in cardiac surgery patients with frailty.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"632-645"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974396","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":"Acupuncture combined with pelvic floor rehabilitation training for postpartum stress urinary incontinence: A systematic review and meta-analysis.","authors":"Wenming Chu, Xiaoman Deng, Ling Gao, Xiyan Gao","doi":"10.1177/02692155251324585","DOIUrl":"10.1177/02692155251324585","url":null,"abstract":"<p><p>ObjectivePostpartum stress urinary incontinence is a common postpartum complication. Acupuncture combined with pelvic floor rehabilitation training has certain clinical effects. This systematic review and meta-analysis aims to investigate the efficacy of acupuncture combined with pelvic floor rehabilitation training in the treatment of postpartum stress urinary incontinence.Data sourcesWe searched randomized controlled trials in eight databases including PubMed, Web of Science, EMBASE, Cochrane Library, CNKI, Wanfang, VIP, and Sinomed, as well as the Chinese Clinical Trial Registry and ClinicalTrials.gov databases. The search was conducted on 6 February 2025.MethodsAfter the retrieved literature were screened and the relevant data were extracted, RevMan 5.4 software was used to conduct the statistical analysis. The risk of bias was assessed using the methods recommended in the <i>Cochrane Handbook.</i>ResultsTwenty-one studies with 1867 participants were included in the review. Compared with pelvic floor rehabilitation training alone, acupuncture combined with pelvic floor rehabilitation training improved the clinical efficacy rate (relative risk (RR) = 1.24, 95% CI = 1.19-1.29) and pelvic floor muscle potential (mean difference (MD) = 10.85, 95% CI = 9.28-12.43) and reduced the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form score (MD = -2.32, 95% CI = -3.06 to -1.58) and 1-hour pad test (MD = -1.80, 95% CI = -2.32 to -1.28) in patients with postpartum stress urinary incontinence.ConclusionCurrent literature reviewed here suggests that the combination of acupuncture and pelvic floor rehabilitation training may offer benefits in the management of stress urinary incontinence in postpartum women over pelvic floor rehabilitation training alone.Registration numberPROSPERO CRD42023455801.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"618-631"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604228","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}