S. Brice, Elissa Phillips, Emma L. Millett, Adam B Hunter, B. Philippa
{"title":"Comparing inertial measurement units and marker-based biomechanical models during dynamic rotation of the torso","authors":"S. Brice, Elissa Phillips, Emma L. Millett, Adam B Hunter, B. Philippa","doi":"10.1080/17461391.2019.1666167","DOIUrl":"https://doi.org/10.1080/17461391.2019.1666167","url":null,"abstract":"Abstract Inertial measurement units (IMUs) enable human movements to be captured in the field and are being used increasingly in high performance sport. One key metric that can be derived from IMUs are relative angles of body segments which are important for monitoring form in many sports. The purpose of this study was to (a) examine the validity of relative angles derived from IMUs placed on the torso and pelvis; and (b) determine optimal positioning for torso mounted sensors such that the IMU relative angles match closely with gold standard torso–pelvis and thorax–pelvis relative angle data derived from an optoelectronic camera system. Seventeen adult participants undertook a variety of motion tasks. Four IMUs were positioned on the torso and one was positioned on the pelvis between the posterior superior iliac spines. Reflective markers were positioned around each IMU and over torso and pelvis landmarks. Results showed that the IMUs are valid with the root mean square errors expressed as a percentage of the angle range (RMSE%) ranging between 1% and 7%. Comparison between the IMU relative angles and the torso–pelvis and thorax–pelvis relative angles showed there were moderate to large differences with RMSE% values ranging between 4% and 57%. IMUs are highly accurate at measuring orientation data; however, further work is needed to optimise positioning and modelling approaches so IMU relative angles align more closely with relative angles derived using traditional motion capture methods.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"97 1","pages":"767 - 775"},"PeriodicalIF":3.2,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89985781","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}
Parisa Namazi, M. Zarei, H. Abbasi, F. Hovanloo, N. Rommers, Roland Rössler
{"title":"Proprioception is not associated with lower extremity injuries in U21 high-level football players","authors":"Parisa Namazi, M. Zarei, H. Abbasi, F. Hovanloo, N. Rommers, Roland Rössler","doi":"10.1080/17461391.2019.1662492","DOIUrl":"https://doi.org/10.1080/17461391.2019.1662492","url":null,"abstract":"Abstract Football is a contact sport with a significant risk of injury. Although proprioception is well studied in rehabilitation, little is known about the association between proprioception and the occurrence of sport injuries. The purpose of this study was to look into the association between ankle and knee proprioception and lower extremity injuries in young football players. Seventy-three football players from the highest U-21 league in Iran volunteered to participate in this study. Before the start of the 2017–2018 competitive season, joint position sense was measured at 30°, 60° and 90° knee flexion and at 10° and 15° ankle dorsiflexion, and inversion using the Biodex Isokinetic pro 4 system. The teams’ medical staff recorded football-related lower extremity injuries. We used mixed effects Cox regression models to calculate hazard ratios (HRs) with 95% CIs, acknowledging the clustered data structure. Twenty-two players (30.1%) suffered one or more lower extremity injuries during the season. None of the proprioception measures examined was significantly associated with the risk of lower extremity injuries. Based on these results of our sample, joint position sense does not seem to be associated with lower extremity injuries in young male football players.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"36 1","pages":"839 - 844"},"PeriodicalIF":3.2,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81416209","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}
A. Batrakoulis, Georgios Loules, K. Georgakouli, P. Tsimeas, D. Draganidis, A. Chatzinikolaou, Konstantinos Papanikolaou, Chariklia K. Deli, N. Syrou, Nikolaos Comoutos, Y. Theodorakis, A. Jamurtas, I. Fatouros
{"title":"High-intensity interval neuromuscular training promotes exercise behavioral regulation, adherence and weight loss in inactive obese women","authors":"A. Batrakoulis, Georgios Loules, K. Georgakouli, P. Tsimeas, D. Draganidis, A. Chatzinikolaou, Konstantinos Papanikolaou, Chariklia K. Deli, N. Syrou, Nikolaos Comoutos, Y. Theodorakis, A. Jamurtas, I. Fatouros","doi":"10.1080/17461391.2019.1663270","DOIUrl":"https://doi.org/10.1080/17461391.2019.1663270","url":null,"abstract":"Abstract It is unclear how high-intensity, interval-type nontraditional exercise training programmes can be feasible and effective options for inactive obese individuals. This randomized controlled trial investigated the hypothesis that a 10-month high-intensity, interval-type neuromuscular training programme (DoIT) with adjunct portable modalities, performed in a small-group setting, induces improvements in psychological well-being, subjective vitality and exercise behavioural regulations in obese women. Associations between adherence, psychological and physiological indicators were also investigated. Forty-nine previously inactive obese females (36.4 ± 4.4 yrs) were randomly assigned to three groups (control; N = 21, 10-month training; N = 14, or 5-month training plus 5 month-detraining; N = 14). DoIT was a supervised, progressive, and time-efficient (<30 min) programme that used 10–12 functional/neuromotor exercises and prescribed work and rest time intervals (20–40 sec) in a circuit fashion (1–3 rounds) for 10 months. Questionnaires were used to measure psychological distress, subjective vitality, and behavioural regulations in exercise at pre-, mid-, and post-intervention. The 10-month training reduced psychological distress (72%, p = 0.001), external regulation (75%, p = 0.011) and increased vitality (53%, p = 0.001), introjected regulation (63%, p = 0.001), intrinsic regulation (33%, p = 0.004), and identified regulation (88%, p = 0.001). A moderate to strong positive relationship was found between adherence rate and identified regulation scores (r = 0.59, p = 0.001) and between VO2peak and identified regulation scores (r = 0.59, p = 0.001). A mild dissociation between exercise intensity and perceived exertion was also observed. Our novel findings suggest that a 10-month implementation of a high-intensity interval neuromuscular training programme promotes positive psychological adaptations provoking exercise behavioural regulation and adherence while inducing weight loss in inactive obese women.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"51 1","pages":"783 - 792"},"PeriodicalIF":3.2,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75168541","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}
Annika Hof zum Berge, M. Kellmann, U. Kallweit, S. Mir, A. Gieselmann, T. Meyer, A. Ferrauti, M. Pfeiffer, S. Kölling
{"title":"Portable PSG for sleep stage monitoring in sports: Assessment of SOMNOwatch plus EEG","authors":"Annika Hof zum Berge, M. Kellmann, U. Kallweit, S. Mir, A. Gieselmann, T. Meyer, A. Ferrauti, M. Pfeiffer, S. Kölling","doi":"10.1080/17461391.2019.1659421","DOIUrl":"https://doi.org/10.1080/17461391.2019.1659421","url":null,"abstract":"Abstract Current sport-scientific studies mostly neglect the assessment of sleep architecture, although the distribution of different sleep stages is considered an essential component influencing an athlete’s recovery and performance capabilities. A mobile, self-applied tool like the SOMNOwatch plus EEG might serve as an economical and time-friendly alternative to activity-based devices. However, self-application of SOMNOwatch plus EEG has not been validated against conventional polysomnography (PSG) yet. For evaluation purposes, 25 participants (15 female, 10 male; M age = 22.92 ± 2.03 years) slept in a sleep laboratory on two consecutive nights wearing both, conventional PSG and SOMNOwatch plus EEG electrodes. Sleep parameters and sleep stages were compared using paired t-tests and Bland–Altman plots. No significant differences were found between the recordings for Sleep Onset Latency, stages N1 to N3 as well as Rapid Eye Movement stage. Significant differences (Bias [95%-confidence interval]) were present between Total Sleep Time (9.95 min [−29.18, 49.08], d = 0.14), Total Wake Time (−13.12 min [−47.25, 23.85], d = −0.28), Wake after Sleep Onset (−11.70 min [−47.25, 23.85], d = −0.34) and Sleep Efficiency (2.18% [−7.98, 12.34], d = 0.02) with small effect sizes. Overall, SOMNOwatch plus EEG can be considered a valid and practical self-applied method for the examination of sleep. In sport-scientific research, it is a promising tool to assess sleep architecture in athletes; nonetheless, it cannot replace in-lab PSG for all clinical or scientific purposes.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"22 1","pages":"713 - 721"},"PeriodicalIF":3.2,"publicationDate":"2019-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72976620","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}
Benjamin Pietsch, B. Weisser, R. Hanewinkel, Cindy M. Gray, K. Hunt, S. Wyke, M. Morgenstern
{"title":"Short term effects of a weight loss and healthy lifestyle programme for overweight and obese men delivered by German football clubs","authors":"Benjamin Pietsch, B. Weisser, R. Hanewinkel, Cindy M. Gray, K. Hunt, S. Wyke, M. Morgenstern","doi":"10.1080/17461391.2019.1660809","DOIUrl":"https://doi.org/10.1080/17461391.2019.1660809","url":null,"abstract":"Abstract Numbers of obese and overweight people continue to grow in Germany as they do worldwide. Men are affected more often but do less about it and few weight loss services attract men in particular. To evaluate the effectiveness of a men-only weight loss programme, Football Fans in Training (FFIT), delivered by football clubs in the German Bundesliga, we did a non-randomized trial with a waiting list control group. Participants’ data were collected between January 2017 and July 2018. FFIT is a 12-week, group-based, weight loss programme and was delivered in stadia and facilities of 15 professional German Bundesliga clubs. Inclusion criteria were age 35–65 years, BMI ≥ 28 and waist circumference ≥100 cm. Clubs recruited participants through Social Media, E-Mail and match day advertisement. 477 German male football fans were allocated to the intervention group by order of registration date at their respective clubs. 84 participants on the waiting list were allocated to the control group. Primary outcome was mean difference in weight loss with treatment condition over time as independent variable. We performed a multilevel mixed-effects linear regression analysis. Results were based on Intention-to-treat (ITT) analysis with Multiple Imputation. After 12 weeks, the mean weight loss of the intervention group adjusted for club, course and participants’ age was 6.24 kg (95% CI 5.82–6.66) against 0.50 kg (−0.47–1.49) in the comparison group (p < 0.001). The results indicate that Football Fans in Training effectively helped German men to reduce their weight and waist circumference.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"418 1","pages":"703 - 712"},"PeriodicalIF":3.2,"publicationDate":"2019-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84912245","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}
A. Piepmeier, J. Etnier, L. Wideman, Nathaniel T. Berry, Zachary Kincaid, M. Weaver
{"title":"A preliminary investigation of acute exercise intensity on memory and BDNF isoform concentrations","authors":"A. Piepmeier, J. Etnier, L. Wideman, Nathaniel T. Berry, Zachary Kincaid, M. Weaver","doi":"10.1080/17461391.2019.1660726","DOIUrl":"https://doi.org/10.1080/17461391.2019.1660726","url":null,"abstract":"Abstract Little is known about the biological mechanisms underlying the beneficial effect of acute exercise on memory or the influence of single nucleotide polymorphisms (SNPs) on this effect. Brain-derived neurotrophic factor (BDNF) is a putative biological mechanism, and while findings from human studies are equivocal, they have neglected to assess how exercise affects individual BDNF isoform (proBDNF, mBDNF) concentrations in serum or the influence of the BDNF val66met SNP on BDNF isoform concentrations. Therefore, the objective of this study was to conduct an exploratory assessment of the effect of acute exercise intensity on memory performance and BDNF isoform concentrations relative to carrier status of the BDNF val66met SNP met allele and to provide guidance for future, fully-powered trials. Memory and BDNF isoform concentrations were assessed in three exercise groups (light intensity, vigorous intensity, and non-exercise) relative to BDNF met carrier status. Analyses revealed that BDNF isoform concentrations and memory were differentially affected by exercise intensity and BDNF met carrier status. Vigorous intensity exercise increased mBDNF, and BDNF met carriers had lower mBDNF concentration. Light intensity exercise improved memory, and over 24 h, memory was worse for BDNF met carriers. Implications from this work will help direct future mechanistic studies of the exercise-memory relationship.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"29 1","pages":"819 - 830"},"PeriodicalIF":3.2,"publicationDate":"2019-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74738883","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}
Lilian Ribeiro, A. Costa, H. Louro, P. Sobreiro, Pedro T. Esteves, A. Conceição
{"title":"Estimating time-to-contact with temporal occlusion in relay swimming: a pilot study","authors":"Lilian Ribeiro, A. Costa, H. Louro, P. Sobreiro, Pedro T. Esteves, A. Conceição","doi":"10.1080/17461391.2019.1658809","DOIUrl":"https://doi.org/10.1080/17461391.2019.1658809","url":null,"abstract":"Abstract The purpose of this study was to analyse swimmers’ perceptual judgements of a simulated time-to-contact task in freestyle swimming relays. The study sample consisted of 31 national-level swimmers of both genders (n = 18 males, 17.22 ± 1.95 yrs.; n = 13 females, 14.61 ± .76 yrs.). Participants were asked to watch two videos corresponding to the last course of a given swimmer during a competition of 4 × 100 m and 4 × 200 m freestyle events. These videos were presented with temporal occlusion correspondent to predetermined approaching distances (7.5, 5.0, and 2.5 m). Participants were required to simulate a typical position in standby for exiting the block and estimate the time-to-contact of the incoming swimmer by pressing a switch. A Wilcoxon test was performed to determine differences between time-to-contact and real contact time. The results showed that estimation of time-to-contact was generally lower than real contact time at all approaching distances (with occlusion) and for both genders (p < .05), except at a 7.5-m distance in the men’s 4 × 200 m (p = .744; r = .09) and at 5.0 m in both the 4 × 100 m and 4 × 200 m for the female group (p = .279, r = .22 for 4 × 100 m; p = .2453, r = .17 for 4 × 200 m). The larger variation (Δ) between estimation and real contact time was found at a 7.5 m occlusion distance in the female 4 × 100 m (p < .001; r = .82). Swimmers tend to underestimate the time-to-contact of the incoming swimmer, in the context of a simulated relay race. Taken together, these results highlight the importance of perceptual abilities development in swimmers to optimize their technique and effectiveness during relay starts.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"33 1","pages":"592 - 598"},"PeriodicalIF":3.2,"publicationDate":"2019-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79748332","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":"Pacing characteristics of whole and part-game players in professional rugby union","authors":"J. Tee, Y. Coopoo, M. Lambert","doi":"10.1080/17461391.2019.1660410","DOIUrl":"https://doi.org/10.1080/17461391.2019.1660410","url":null,"abstract":"Abstract Contemporary theories on players’ intensity distribution in team sports suggest that they regulate their outputs using pacing strategies. There is currently limited information on how movement patterns and pacing strategies of rugby union players in different position groups (forwards and backs) vary when exposed to different bout types (whole game, starter or finisher). Global positioning system (GPS) and accelerometer data were collected from 100 professional match participations to determine temporal effects on movement patterns. For forwards, finishers (players who entered the game as substitutes) demonstrated significantly greater high-speed running distance (% difference, ± 90%CI; magnitude-based inference and effect size) (↑ 55, ±17%; very likely large) and acceleration frequency (↑ 78, ±59%; very likely large) than whole game players. For backs, starters (players who started the game and were later substituted) displayed greater high-speed running distance than whole game players (↑ 27, ±21%; ES = likely medium) but this difference did not achieve statistical significance (p = .07). Forwards displayed “slow-positive” pacing strategies regardless of bout type, while backs displayed “flat” pacing strategies. Forwards and backs adopt different pacing strategies regardless of bout type, with forwards demonstrating progressively greater performance decrements over the course of the match. These findings reflect differing physical demands, notably contact and running loads, of players in different positions.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"515 1","pages":"722 - 733"},"PeriodicalIF":3.2,"publicationDate":"2019-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77099936","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}
P. Hurst, Lieke Schipof-Godart, A. Szabó, J. Raglin, F. Hettinga, B. Roelands, A. Lane, A. Foad, D. Coleman, Chris Beedie
{"title":"The Placebo and Nocebo effect on sports performance: A systematic review","authors":"P. Hurst, Lieke Schipof-Godart, A. Szabó, J. Raglin, F. Hettinga, B. Roelands, A. Lane, A. Foad, D. Coleman, Chris Beedie","doi":"10.1080/17461391.2019.1655098","DOIUrl":"https://doi.org/10.1080/17461391.2019.1655098","url":null,"abstract":"Abstract The aim of this review was to determine the magnitude of the placebo and nocebo effect on sport performance. Articles published before March 2019 were located using Medline, Web of Science, PubMed, EBSCO, Science Direct, and Scopus. Studies that examined placebo and nocebo effects of an objective dependent variable on sports performance, which included a control or baseline condition, were included in the analysis. Studies were classified into two categories of ergogenic aids: (1) nutritional and (2) mechanical. Cohen’s d effect sizes were calculated from 32 studies involving 1513 participants. Small to moderate placebo effects were found for both placebo (d = 0.36) and nocebo (d = 0.37) effects and when separated by nutritional (d = 0.35) and mechanical (d = 0.47) ergogenic aids. The pooled effect size revealed a small to moderate effect size across all studies (d = 0.38). Results suggest that placebo and nocebo effects can exert a small to moderate effect on sports performance.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"118 3 1","pages":"279 - 292"},"PeriodicalIF":3.2,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86464549","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}
G. Coratella, Gianpaolo Tornatore, S. Longo, F. Esposito, E. Cé
{"title":"Specific prime movers’ excitation during free-weight bench press variations and chest press machine in competitive bodybuilders","authors":"G. Coratella, Gianpaolo Tornatore, S. Longo, F. Esposito, E. Cé","doi":"10.1080/17461391.2019.1655101","DOIUrl":"https://doi.org/10.1080/17461391.2019.1655101","url":null,"abstract":"Abstract The current study compared the muscle excitation in free-weight bench press variations and chest press machine. Ten competitive bodybuilders were recruited. The EMG-RMS amplitude of clavicular and sternocostal head of pectoralis major, long head of triceps brachii and anterior and lateral deltoid was recorded while performing horizontal (BP), inclined (45°) (IBP) or declined (−15°) bench press (DBP) and chest press machine (CP). Four non-exhaustive repetitions were performed using 80% of 1-repetition maximum of each exercise. Both concentric and eccentric phases were recorded. During the concentric phase, [d effect size: 2.78/7.80] clavicular head was more excited in IBP and less excited in CP (d: −9.69/−4.39) compared to all other exercises. The sternocostal head was similarly excited in DBP vs. BP and BP vs. CP and more excited (d: 2.42/9.92) compared to IBP. Triceps brachii excitation was overall greater (d: 2.01/6.75) in BP and DBP compared to all other exercises. Anterior deltoid was less excited (d: 3.84/19.77) in DBP compared to all other exercises. Lateral deltoid excitation was greater (d: 0.96/3.10) in BP, IBP and DBP compared to CP. Muscle excitation during the eccentric phase followed a similar pattern, with the exception of the greater (d: 3.89/11.32) excitation in the clavicular head in BP compared to all other exercises. The present outcomes showed that the excitation of the clavicular and sternocostal head of pectoralis major depends on the bench inclination angle. The use of BP variations vs. CP allows overall greater triceps brachii and lateral deltoid excitation, due to the greater instability.","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"12 1","pages":"571 - 579"},"PeriodicalIF":3.2,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74830588","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}