International Journal of Rehabilitation Research最新文献_第7页

Clinimetric evaluation of five clinically feasible measures of the leg extensor muscle strength in neurological rehabilitation settings. 神经康复环境中五种临床可行的腿部伸肌力量测量方法的临床评估。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-07-11 DOI: 10.1097/MRR.0000000000000594

Edwina J Sutherland, Michelle B Kahn, Gavin P Williams

{"title":"Clinimetric evaluation of five clinically feasible measures of the leg extensor muscle strength in neurological rehabilitation settings.","authors":"Edwina J Sutherland, Michelle B Kahn, Gavin P Williams","doi":"10.1097/MRR.0000000000000594","DOIUrl":"10.1097/MRR.0000000000000594","url":null,"abstract":"A gold-standard clinical measure of leg muscle strength has not been established. Therefore, the aim of this study was to evaluate clinimetric properties of five clinically feasible measures of lower-limb extensor muscle strength in neurological rehabilitation settings. This was a cross-sectional observational study of 36 participants with leg weakness as a result of a neurological condition/injury. Participants were recruited across a range of walking abilities, from non- to independently ambulant. Each was assessed using each of the following five measures: manual muscle test (MMT), hand-held dynamometry (HHD), seated single leg press one repetition maximum (1RM), functional sit-to-stand (STS) test and seated single leg press measured with a load cell. Each clinical measure was evaluated for its discriminative ability, floor/ceiling effects, test-retest reliability and clinical utility. The load cell and HHD were the most discriminative of the tests and were also resistant to floor/ceiling effects; however, the load cell was superior to the HHD when compared for its clinical utility. The MMT/STS tests received perfect scores for clinical utility, although similar to the 1RM test, they were susceptible to floor and ceiling effects. The load cell leg press test was the only measure of lower limb strength to satisfy all four clinimetric properties. Implications for clinical practice include, firstly, that strength tests available to clinicians vary in their clinimetric properties. Secondly, the functional status of the person will determine selection of the best clinical strength test. And lastly, load cell device technology should be considered for clinical strength assessments.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"344-349"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discharge outcomes as predictors of social participation in the community after a stroke: a cohort study. 出院结果作为卒中后社区社会参与的预测因素：一项队列研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-08-03 DOI: 10.1097/MRR.0000000000000599

Flaviane Ribeiro de Souza, Matheus Sales, Larrie Rabelo Laporte, Ailton Melo, Nildo Manoel da Silva Ribeiro

{"title":"Discharge outcomes as predictors of social participation in the community after a stroke: a cohort study.","authors":"Flaviane Ribeiro de Souza, Matheus Sales, Larrie Rabelo Laporte, Ailton Melo, Nildo Manoel da Silva Ribeiro","doi":"10.1097/MRR.0000000000000599","DOIUrl":"10.1097/MRR.0000000000000599","url":null,"abstract":"The mapping of possible predictors of restrictions in the social participation of people after stroke in the community can be an essential tool to support the development of rehabilitation strategies even in the hospital environment. This study aimed to identify whether mobility, functional balance and dependence on functionality at hospital discharge can predict restrictions on social participation 1 year after stroke in the community. This is a hospital-based cohort study, with individuals over 18 years old admitted with a diagnosis of acute stroke included. People with dementia, previous functional limitations and cancer patients were omitted. Mobility, balance and functional independence were the predictor variables at hospital discharge, and the outcome of interest was social participation assessed 1 year after a stroke in the community. Forty-eight patients were included after a 1-year follow-up. The degree of functional independence at hospital discharge ( β = 0.813; P < 0.01) was the independent predictor of social participation, specifically the locomotion ( β = 0.452; P < 0.001) and social cognition ( β = 0.462; P < 0.001) related to functional independence. Mobility ( β = 0.040; P = 0.777) and functional balance ( β = 0.060; P = 0.652) did not show an independent association. Cognitive functional independence was a predictor of daily activities ( β = 0.786; P < 0.001), social roles ( β = 0.390; P = 0.014) and satisfaction ( β = 0.564; P < 0.001) of social participation. The degree of functional independence of people after a stroke at hospital discharge was able to predict the level of social involvement in the community one year after the stroke.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"325-330"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability and validity of the T-shirt test for the assessment of unsupported sitting in manual wheelchair users with spinal cord injury. T恤测试用于评估无支撑坐在手动轮椅使用者脊髓损伤的可靠性和有效性。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-08-15 DOI: 10.1097/MRR.0000000000000600

Francielle Romanini, Rafaella M Zambetta, Natália Padula, Roberta C Gaspar, Thiago L Russo, Jocemar Ilha

{"title":"Reliability and validity of the T-shirt test for the assessment of unsupported sitting in manual wheelchair users with spinal cord injury.","authors":"Francielle Romanini, Rafaella M Zambetta, Natália Padula, Roberta C Gaspar, Thiago L Russo, Jocemar Ilha","doi":"10.1097/MRR.0000000000000600","DOIUrl":"10.1097/MRR.0000000000000600","url":null,"abstract":"This study aimed to evaluate the validity and reliability of the T-shirt test (TST) in assessing sitting stability under three thigh support conditions and with timed outcomes derived in six ways among individuals with a spinal cord injury (SCI). The TST was performed five times under three thigh support conditions (85%, 55% and 25% of total thigh length) in two evaluations spaced between 7-14 days. For each thigh condition, six different outcomes were derived (average or best time from 2, 3, and 5 trial). All outcomes derivation showed excellent reliability on test day (intraclass correlation coefficient; ICC ≥ 0.997) and excellent test-retest reliability (ICC ≥ 0.874) for each thigh support condition. The TST showed high inverse correlations with the Spinal Cord Independence Measure III (SCIM)-mobility score for all outcomes and support conditions (ρ≥-0.706), except for Best-5; moderate inverse correlations with total SCIM-total scores for most outcome derivations and support conditions (ρ≥-0.636); and a moderate inverse correlation with confidence and capacity domains of Wheelchair Skills Test-Questionnaire for most outcome derivation and support conditions (ρ≥-0.504). The TST could discriminate cervical from high and low thoracic levels of injuries under minimal thigh support condition. Overall, all the TST-derived outcomes and support conditions showed adequate validity and test-retest reliability, but Best-5 had inconsistency. Under the minimal thigh support condition, all outcome derivations except Best-3 could discriminate cervical from other injury-level groups. Although all outcome derivations and thigh support conditions provided reliable results, we recommend using the average of 3 trials under the maximal thigh support condition.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"331-337"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time to say goodbye. 是时候说再见了。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-09-21 DOI: 10.1097/MRR.0000000000000603

Črt Marinček

引用次数: 0

The effectiveness of home-based therapeutic exercises on adults with fibromyalgia: a systematic review and meta-analysis. 家庭治疗性锻炼对成人纤维肌痛的有效性：一项系统综述和荟萃分析。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI: 10.1097/MRR.0000000000000606

Esra' Saleh, Mohammad A Yabroudi, Mohammad Al-Wardat, Zakariya H Nawasreh, Khader Almhdawi, Mohammad Etoom

{"title":"The effectiveness of home-based therapeutic exercises on adults with fibromyalgia: a systematic review and meta-analysis.","authors":"Esra' Saleh, Mohammad A Yabroudi, Mohammad Al-Wardat, Zakariya H Nawasreh, Khader Almhdawi, Mohammad Etoom","doi":"10.1097/MRR.0000000000000606","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000606","url":null,"abstract":"The objective of this systematic review and meta-analysis is to evaluate the effectiveness of home-based exercises (HBE) in alleviating pain, fatigue, depression, and anxiety and enhancing the quality of life (QOL) among adults with fibromyalgia. A comprehensive search was conducted across four databases PubMed, Cochrane, CINAHL (EBSCO), and PEDro to identify eligible randomized controlled trials (RCTs). Standardized mean differences (SMDs) at a 95% confidence interval (CI) were computed. Ten RCTs met the inclusion criteria, involving 601 participants, with a good-to-fair quality according to the PEDro scale. Of the 10 included studies, 3 compared HBE to no exercise, while 7 compared HBE to center-based exercises (CBE). HBE showed significant pain reduction (SMD = 0.775, P = 0.003) and improved QOL as measured by the fibromyalgia impact questionnaire (FIQ) (SMD = 0.621, P = 0.001) compared with no exercise, but there were no significant differences in depression and QOL as measured by SF-36 compared with CBE. In contrast, CBE demonstrated greater pain reduction (SMD = -1.325, P < 0.001) and improved FIQ scores (SMD = -0.843, P = 0.017) compared with HBE. In conclusion, HBE exhibit effectiveness in alleviating pain, and depression and enhancing QOL among fibromyalgia patients in comparison to no exercise. However, CBE are more effective in reducing pain and enhancing QOL than HBE, although HBE can be valuable for maintaining activity levels in fibromyalgia patients between treatment cycles.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 4","pages":"359-368"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71423484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addition of backward walking training to forward walking training improves walking speed in children with cerebral palsy: a systematic review with meta-analysis. 将后向行走训练与前向行走训练相结合可提高脑瘫儿童的行走速度：一项荟萃分析系统综述。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-08-15 DOI: 10.1097/MRR.0000000000000598

Kênia K P Menezes, Patrick R Avelino, Lucas R Nascimento

{"title":"Addition of backward walking training to forward walking training improves walking speed in children with cerebral palsy: a systematic review with meta-analysis.","authors":"Kênia K P Menezes, Patrick R Avelino, Lucas R Nascimento","doi":"10.1097/MRR.0000000000000598","DOIUrl":"10.1097/MRR.0000000000000598","url":null,"abstract":"The objective was to examine the effects of backward walking training for improving walking speed and balance in children with cerebral palsy. A systematic review of randomized trials was conducted. Trials had to include children with cerebral palsy, with a Gross Motor Function Classification System, between I and III, that delivered backward walking training as a solo intervention or in combination with forward walking training. The outcomes of interest were walking speed and balance. The methodological quality of included trials was assessed by the PEDro scale, and the quality of evidence was assessed according to Grading of Recommendations Assessment, Development and Evaluation. Eight papers, involving 156 participants, were included. Using random-effects meta-analysis, we estimated that backward walking training improved walking speed by 0.10 m/s [95% confidence interval (CI) 0.05-0.16] and by 2 points on the Pediatric Balance Scale (0-56) (95% CI 1.5-2.2) more than forward walking training. We also estimated that the addition of backward walking training increased walking speed by 0.20 m/s (95% CI 0.07-0.34) and reduced the angular excursion of the center of gravity by 0.5 degrees (95% CI -0.7 to -0.3). The quality of the evidence was classified as low to moderate. In conclusion, overall, backward walking training appears to be as effective or slightly superior to forward walking training for improving walking speed in children with CP. The addition of backward walking training statistically significantly and clinically important enhanced benefits on walking speed.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"300-307"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of manual dexterity at 3 and 6 months after stroke: integration of clinical, neurophysiological, and neuroimaging factors. 卒中后3个月和6个月手巧的预测因素：临床、神经生理学和神经影像学因素的整合。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-09-05 DOI: 10.1097/MRR.0000000000000601

Eui Jin Jeong, Mun Jeong Kang, Sekwang Lee, Yeji Hwang, Ju Seob Park, Ki Min Kim, Sung-Bom Pyun

{"title":"Predictors of manual dexterity at 3 and 6 months after stroke: integration of clinical, neurophysiological, and neuroimaging factors.","authors":"Eui Jin Jeong, Mun Jeong Kang, Sekwang Lee, Yeji Hwang, Ju Seob Park, Ki Min Kim, Sung-Bom Pyun","doi":"10.1097/MRR.0000000000000601","DOIUrl":"10.1097/MRR.0000000000000601","url":null,"abstract":"This retrospective study aimed to predict dexterity at 3 and 6 months post-stroke by integrating clinical, neurophysiological, and neuroimaging factors. We included 126 patients with first-ever, unilateral, and supratentorial stroke. Demographic, stroke characteristics, and initial clinical assessment variables [Mini-mental state examination and Fugl-Meyer Assessment Upper Extremity (FMA-UE)] were evaluated 2 weeks after stroke. Dexterity, measured using the Manual Function Test (MFT) hand subscore, was the primary outcome. The neurophysiological variables, upper limb somatosensory evoked potential (SEP) and motor evoked potential (MEP), were assessed 2 weeks post-stroke. The neuroimaging variable, fractional anisotropy (FA) of the corticospinal tract (CST), was assessed 3 weeks post-stroke. Multiple regression analysis revealed significant predictors for improved dexterity at 3 and 6 months post-stroke, including younger age, higher FMA-UE score, presence of waveforms in the SEP and MEP, and higher FA values in the CST (adjusted R 2 = 0.776, P < 0.001 at 3 months; adjusted R 2 = 0.668, P < 0.001 at 6 months; where MEP, SEP, and FA accounted together for an additional 0.079 and 0.166 of variance beyond age and FMA-UE, respectively). Subgroup analysis was conducted by categorizing the participants based on their initial hand function: those with no hand function (MFT hand subscore = 0) (N = 60) and those with a score >0 (N = 51). Initial FMA-UE was a primary predictive factor regardless of the time point or initial severity, whereas the presence of MEP was a significant predictor only in the group with no initial hand dexterity.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"308-315"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of ankle-foot orthosis on gait pattern and spatiotemporal indices during treadmill walking in hemiparetic stroke. 踝足矫形器对偏瘫脑卒中平板行走步态模式和时空指标的影响。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-09-22 DOI: 10.1097/MRR.0000000000000602

Kei Ohtsuka, Masahiko Mukaino, Junya Yamada, Matsuda Fumihiro, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Toshio Teranishi, Eiichi Saitoh, Yohei Otaka

{"title":"Effects of ankle-foot orthosis on gait pattern and spatiotemporal indices during treadmill walking in hemiparetic stroke.","authors":"Kei Ohtsuka, Masahiko Mukaino, Junya Yamada, Matsuda Fumihiro, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Toshio Teranishi, Eiichi Saitoh, Yohei Otaka","doi":"10.1097/MRR.0000000000000602","DOIUrl":"10.1097/MRR.0000000000000602","url":null,"abstract":"Ankle-foot orthosis (AFO) is known to correct abnormal gait patterns and improve walking stability and speed in patients with hemiparesis. To quantify these benefits in post-stroke gait, a three-dimensional motion analysis of gait pattern was conducted. Forty patients with hemiparesis were enrolled. A three-dimensional motion analysis system was used to analyze patients' treadmill walking with/without an AFO. Outcome measures were 12 abnormal gait indices (forefoot contact, knee extensor thrust, retropulsion of the hip, flexed-knee gait, medial whip in the stance phase, circumduction gait, hip hiking, insufficient knee flexion during the swing phase, excessive lateral shifting of the trunk, contralateral vaulting, excessive hip external rotation, and posterior pelvic tilt), calculated using kinematic data and spatiotemporal indices, and the symmetry index of double-stance and single-stance time and step length. Forefoot contact (without AFO vs. with AFO: 71.0 vs. 65.8, P < 0.001), circumduction gait (65.0 vs. 57.9, P < 0.001), and contralateral vaulting (78.2 vs. 72.2, P = 0.003) were significantly reduced, whereas excessive hip external rotation (53.7 vs. 62.8, P = 0.003) significantly increased during walking with an AFO. Hip hiking (77.1 vs. 71.7) showed marginal reduction with the use of AFO ( P = 0.096). The absolute symmetry index of double-stance time (21.9 vs. 16.1, P = 0.014) significantly decreased during walking with an AFO. AFO effectively mitigates abnormal gait patterns typical of hemiparetic gait. A 3D motion analysis system with clinically oriented indices can help assess intervention efficacy for gait abnormalities.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"316-324"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41130933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An observational, cross-sectional and monocentric study assessing psychological and cognitive features as main predictors of psychological well-being in stroke survivors. 一项观察性、横断面和单中心研究，评估心理和认知特征是中风幸存者心理健康的主要预测因素。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI: 10.1097/MRR.0000000000000605

Chiara Curatoli, Alessia Marcassoli, Erika Guastafierro, Matilde Leonardi, Anna Bersano, Giorgio Boncoraglio, Isabella Canavero, Alberto Raggi

引用次数: 0

Association between depressive symptoms and heart rate variability in older patients admitted for rehabilitation: a cross-sectional study. 接受康复治疗的老年患者抑郁症状与心率变异性之间的关系:一项横断面研究

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-07-07 DOI: 10.1097/MRR.0000000000000585

Go Owari, Kenichi Kono, Daiki Kanouchi, Masayoshi Uchiyama, Yusuke Nishida

{"title":"Association between depressive symptoms and heart rate variability in older patients admitted for rehabilitation: a cross-sectional study.","authors":"Go Owari, Kenichi Kono, Daiki Kanouchi, Masayoshi Uchiyama, Yusuke Nishida","doi":"10.1097/MRR.0000000000000585","DOIUrl":"10.1097/MRR.0000000000000585","url":null,"abstract":"Heart rate variability (HRV) is associated with depressive symptoms, but this relationship in older inpatients undergoing rehabilitation remains unclear. This study investigated the relationship between HRV and depressive symptoms in older inpatients undergoing rehabilitation. Fifty patients aged ≥65 years were assessed for depressive symptoms using the Geriatric Depression Scale. HRV was assessed by frequency analysis. The relationship between depressive symptoms and HRV indices, age, sex, Short Physical Performance Battery (SPPB) score, Mini-Mental State Examination score was examined using simple linear regression. Next, the predictors from the simple linear regression analysis significant at the 0.15 level were inputted in a multiple regression model. Multiple regression analysis revealed that very low frequency HRV [ β = -2.13, 95% confidence interval (CI) -3.15 to -1.11, P < 0.05] and SPPB score ( β = -0.30, 95% CI -0.52 to -0.08, P < 0.05) were negatively associated with depressive symptoms: the lower the HRV and the more severe the mobility impairment, the higher the severity of the depressive symptoms. Very low frequency (VLF) HRV and physical performance, as measured by the SPPB score, were associated with depressive symptoms in older patients undergoing rehabilitation. VLF HRV may serve as a useful biomarker for detecting depressive symptoms in this population.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"248-251"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0