Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Evaluating shoulder pain and disability index (SPADI) outcomes post-rotator cuff repair: Minimal clinically important difference (MCID), patient acceptable symptom state (PASS) and substantial clinical benefit (SCB) analysis.","authors":"Giuseppe Salvatore, Umile Giuseppe Longo, Sergio De Salvatore, Vincenzo Candela, Ilaria Piergentili, Benedetta Bandini, Alberto Lalli, Margaux D'Hooghe, Alessandro de Sire, Vincenzo Denaro","doi":"10.1177/10538127251320504","DOIUrl":"https://doi.org/10.1177/10538127251320504","url":null,"abstract":"<p><p>BackgroundThe Shoulder Pain and Disability Index (SPADI) is one of the most widely used Patient Reported Outcome Measures designed to assess the severity of pain and disability in patients with shoulder conditions.ObjectiveThe aim of the study is to define the clinically significant outcomes of the Minimum Clinically Important Difference (MCID), Substantial Clinical Benefit (SCB) and Patient Acceptable Symptom State (PASS) for the SPADI scores after Rotator Cuff Repair (RCR).MethodsThe present study takes into account patients undergone RCR with a 6-month follow-up. The MCID, PASS and SCB of the SPADI score were evaluated using both distribution and anchor approaches.ResultsFifty-nine patients (mean aged 60.3 ± 13.1 years) who had undergone RCR in a single surgical center were retrospectively included. The MCID cutoff of the SPADI total score after RCR from the initial evaluation to 6 months post-operatively was 17 (95% CI:13.6,20.4). The outcome measures for the MCID and SCB values of the SPADI pain score were 26 (95% CI:22.3,29.7) and 37 (95% CI:33.4,40.6), respectively. The MCID threshold of the SPADI disability score was 21.9 (95% CI:18.7,25.1). A value of at least 76.9 (95% CI:73.4,80.4), 75 (95% CI:71.6,78.4), and 78.1 (95% CI:74.6,81.6) for SPADI total, pain, and disability dimensions, represented the PASS.ConclusionsThe study shows significant improvements in SPADI scores after RCR, suggesting that could lead to meaningful pain relief and functional recovery. The findings indicate that a post-operative SPADI total score of at least 76.9 correlates with patient satisfaction regarding shoulder health.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320504"},"PeriodicalIF":1.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730029","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}

{"title":"Spinal disorders: Piecing together the puzzle of evidence.","authors":"Judith R Meakin","doi":"10.1177/10538127251328628","DOIUrl":"https://doi.org/10.1177/10538127251328628","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328628"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700501","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}

{"title":"Comparisons of test-retest reliability of infraspinatus strength during wiper exercise with and without external fixation in individuals of scapular dyskinesis.","authors":"Eun-Chong Kim, Min-Young Hwang, Hyun-Min Shin, Su-Yeon Bae, Su-Yeon Cho, In-Cheol Jeon","doi":"10.1177/10538127251318942","DOIUrl":"https://doi.org/10.1177/10538127251318942","url":null,"abstract":"<p><p>BackgroundThe wiper exercise in a side-lying position is commonly used in clinical settings to assess the strength of the infraspinatus muscle. In addition, a reliable test of infraspinatus strength is important for individuals with scapular dyskinesis.ObjectiveThe purpose is to compare the test-retest reliability of infraspinatus strength during the wiper exercise with and without external fixations in individuals with scapular dyskinesis.MethodsThirty individuals with scapular dyskinesis participated. A dynamometer was utilized to measure the strength of the infraspinatus during the wiper exercise with and without external fixation applied to the posterior superior iliac spine (PSIS) and spinous process of a fourth thoracic vertebra (T4). The intra-class correlation coefficients (ICC 3,1) were used to compare the reliability of infraspinatus strength measurement.ResultsThe reliability for infraspinatus strength measurement was higher with external fixation than without external fixation. The ICC value during wiper exercise with external fixation was 0.99 (95% confidence interval: 0.96-0.99; P < 0.01), and the average strength was 7.35 ± 2.2 kg. In contrast, the ICC value during wiper exercise without external fixation was 0.79 (95% confidence interval: 0.49-0.93; P < 0.01), and the average strength was 5.86 ± 1.45 kg.ConclusionIn individuals with scapular dyskinesis, the infraspinatus strength measurement during the wiper exercise with external fixation is recommended to improve the test-retest reliability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318942"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700495","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}

{"title":"Effectiveness of physical agent modalities for pain relief in injured athletes: A systematic review.","authors":"Alessandro de Sire, Nicola Marotta, Emanuele Prestifilippo, Andrea Parente, Lorenzo Lippi, Marco Invernizzi, Umile Giuseppe Longo, Antonio Ammendolia","doi":"10.1177/10538127251314711","DOIUrl":"https://doi.org/10.1177/10538127251314711","url":null,"abstract":"<p><p>IntroductionFrom a rehabilitation perspective, various approaches can be applied to help athletes overcome injury, including drugs, physical agent modalities (PAMs) with conventional physical therapy. This systematic review aimed to evaluate the impact of physical agent modalities (PAMs) for pain relief in injured athletes.MethodsPubMed, Scopus, and Web of Science were systematically searched from inception until May 8^th, 2024. The papers were considered eligible for review in compliance with the conditions determined by the following PICO model: P) Participants: injured athletes; I) Intervention: magnetic therapy, TENS, lasertherapy, ultrasound therapy, diathermy, and extracorporeal shockwave therapy (ESWT); C) Comparator: NA; O) Outcome measure: any pain assessment. PROSPERO registration number: CRD42024532304ResultsStudy selection reported a total of 785 records, resulting in 484 articles after duplicate removal. After the title and abstract screening, 433 papers were excluded and 51 articles were evaluated for eligibility. Therefore, 21 studies were included, involving a total of 806 subjects: 10 ESWT, 1 Cryotherapy, 2 Cryo + ultrasound, 3 diathermy, 1 NMES, 1 TENS, 2 Laser therapy, 1 combined procedure.ConclusionsThe systematic review indicated potential effectiveness of PAMs in managing and reducing pain in sport-related injuries. Taken together, our findings suggested a positive role of ESWT in term of pain relief, also considering that these PAMs are the most used in these subjects. However, the high heterogeneity of the results could not consent to define the specific effect of the single PAMs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251314711"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700497","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}

{"title":"A comparison of Contractile properties of posterior chain muscles and trunk strength in females with non-specific chronic low back pain.","authors":"Hyungwoo Lee, Seungwon Lee, Chanki Kim, Kyoungkyu Jeon","doi":"10.1177/10538127251316172","DOIUrl":"https://doi.org/10.1177/10538127251316172","url":null,"abstract":"<p><p>ObjectiveThe purpose of this study was to compare the contractile properties of posterior chain muscles and isokinetic trunk strength in females with or without non-specific chronic low back pain (NSCLBP).MethodAll participants (control group: n = 22, NSCLBP group: n = 22) were assessed using tensiomyography to evaluate the contractile properties of the posterior chain muscles, and all participants were also assessed for isokinetic trunk strength. An independent t-test was performed to compare the tensiomyography variables and isokinetic trunk strength test results between group.ResultsResult of tensiomyography, we found that the contraction time significant differences in the maximal radial muscle displacement, and velocity of contraction between groups in erector spinae. Semitendinosus revealed significant differences in all variables between groups. Additionally, the isokinetic trunk strength test revealed significant differences in all variables between groups.ConclusionThese findings suggest that due to the characteristics of NSCLBP, such as increased muscle stiffness, fat infiltration, and muscle fatigue, kinesiophobia, physical deconditioning syndrome, the posterior chain muscles of the NSCLBP group showed higher muscle stiffness and slower contraction speed than the control group. Also in the NSCLBP group, trunk isokinetic muscle strength was lower than in the control group, and flexor and extensor muscles were unbalanced.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251316172"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700413","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}

{"title":"Chronic low back pain lowers balance test scores among people who are middle-aged.","authors":"Lucinda E Bouillon, Abbey Lauver, Emma Ferdon, Thomas Schindler","doi":"10.1177/10538127251328915","DOIUrl":"https://doi.org/10.1177/10538127251328915","url":null,"abstract":"<p><p>BackgroundPeople who are middle aged are at risk for chronic low back pain (CLBP) which can impair balance. Identifying an appropriate balance test may help to detect balance deficits for this particular age group.ObjectiveTo assess balance on the dominant and non-dominant limbs among middle-aged people, (CLBP = 25 and Painfree = 25).MethodsStatic balance included the 30 s single limb stance test and dynamic balance was assessed using the modified Star Excursion Balance test (mSEBT) for anterior, posterolateral, posteromedial directions and composite score on both limbs (dominant and non-dominant) using a randomized limb and direction order for mSEBT and normalized to percent of leg length, (%LL).ResultsNo group differences were found among the SLS on either limb, (<i>p </i>> 0.05). The control group reached further anteriorly (78%LL) and with the composite (83%LL) compared to the CLBP group, (72%LL) and (75%LL), respectively. The dominant limb had longer reaches for both groups in the posterolateral and composite directions compared to non-dominant limb.ConclusionThe dynamic balance test may be more sensitive than the SLS test among individuals who are middle-aged and have CLBP. The results support that CLBP group could not reach as far in the anterior direction and composite score resulting in lower dynamic balance compared to the controls. In addition, there were inter-limb differences in both groups during the dynamic balance test which implies both limbs should be assessed among people who are middle-aged with or without chronic low back pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328915"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700435","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}

{"title":"Influence of low bone mineral density on risk of falls and gait in post-menopausal women and elderly: A systematic review.","authors":"Andrea Demeco, Alessandro de Sire, Nicola Marotta, Antonio Frizziero, Antonello Salerno, Giorgio Filograna, Marco Cavajon, Cosimo Costantino","doi":"10.1177/10538127251316187","DOIUrl":"https://doi.org/10.1177/10538127251316187","url":null,"abstract":"<p><p>BackgroundLow bone mineral density (LBMD) significantly contributes to loss of independence, gait impairment, and increased fall risk. Instrumental gait analysis provides an accurate evaluation of walking ability, that represent the first step for a personalized rehabilitation.ObjectiveTo collect and describe the available literature on the effect of LBMD on walking characteristics and the use of motion analysis systems in patients with LBMD.MethodsWe performed a literature search of the last ten years on PubMed, Web of Science and Scopus of papers on older people and patients with LBMD in terms of gait parameters, balance, and fall risk. The review protocol was registered on PROSPERO (CRD42024590090).ResultsThe database search identified totally 756 records; after duplicates deletion, 13 were considered eligible. The results reported that subjects with LBMD had kinematic alterations of the walk, alterations of posture, speed of walking and the strength generated in the gait. Patients with osteoporosis show a reduction of gait speed and trunk asymmetry; moreover, there is a a decrease in body rotation and lower hip and ankle moments in post-menopausal women.ConclusionsPatients with LBMD showed gait alterations that can higher the risk of falls. In this context, gait analysis can be useful in detecting variations in pattern, symmetry, gait speed and posture in elderly patients, that can represent an essential step for a personalized rehabilitation program.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251316187"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700499","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}

{"title":"The effects of dynamic flamingo balance exercises and balance training with a Tetrax^® posturography device on the balance performance and fall risk of patients with Parkinson's disease.","authors":"Sevil Karagül, Işıl Fazilet Kartaloğlu","doi":"10.1177/10538127251314727","DOIUrl":"https://doi.org/10.1177/10538127251314727","url":null,"abstract":"<p><p>BackgroundBalance disorder is more prevalent in patients with Parkinson's Disease (PD). This study aimed to examine the effects of flamingo balance exercises and balance training with Tetrax^® Interactive Balance System (TIBS) (Sunlight Medical Ltd, Ramat Gan, Israel) on the balance performance and fall risk of patients with PD.MethodsThis randomized-controlled, single-blind, prospective study was performed at the Department of Physical Medicine and Rehabilitation, Istanbul Atakent Acıbadem Hospital, Turkey, between September 2022 and January 2023. One hundred twenty-four patients were randomly divided into four groups: (1) balance training group with TIBS (n = 31), (2) flamingo training group (n = 32), (3) combined training group (n = 31), and (4) control group (n = 30). All participants trained 3 days a week for 6 weeks, with patient-specific training. Trial groups were evaluated with pre-treatment and post-treatment.ResultsAfter the treatment, there was a statistically significant difference in all balance and fall scores in patients who received alternate balance training (p < 0.05). The balance and falling values in the combined training group were superior to single-type training groups (p < 0.05).ConclusionsDynamic flamingo therapy combined with balance exercises with a static posturography device improves balance disorder in PD patients compared to therapy restricted to individual training.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251314727"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700503","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}

{"title":"Bilateral training guided by contralaterally controlled functional electrical stimulation for shoulder pain and subluxation in subacute stroke: A randomized controlled trial.","authors":"Yafei Zhou, Yaolong Tu, Qingzhen Chen, Yingying Li, Qingqing Sun, Fenglan Zhan, Shihong Hu","doi":"10.1177/10538127251318940","DOIUrl":"https://doi.org/10.1177/10538127251318940","url":null,"abstract":"<p><p>BackgroundShoulder pain, subluxation, and motor dysfunction are common issues in hemiplegic patients, which hinder the recovery of upper limb function and have a negative impact on patients' daily life abilities and quality of life. Current rehabilitation interventions alone can not purposefully address the aforementioned problems, while bilateral training (BT) and contralaterally controlled functional electrical stimulation (CCFES) can be synergistically coordinated to provide a simultaneous treatment for hemiplegic shoulders.ObjectiveThis study attempted to treat hemiplegic patients using bilateral training with contralaterally controlled functional electrical stimulation (BT-CCFES), aiming to observe the changes of shoulder pain, subluxation, and motor function.MethodsThirty-eight individuals who had experienced hemiplegia with shoulder pain and subluxation due to stroke were randomly divided into two groups: a control group and an experimental group consisting of nineteen cases both. Patients in the control group underwent neuromuscular electrical stimulation (NMES) therapy, while those in the experimental group received BT-CCFES. Before and after a four-week treatment period, shoulder subluxation distance (SSD) was measured using a flexible ruler, and the pain level was assessed using the visual analogue scale (VAS). Additionally, shoulder joint active range of motion (AROM) and the upper extremity Fugl-Meyer assessment (UE-FMA) were used to evaluate shoulder motor function.ResultsAfter four weeks of treatment, there were significant improvements in SSD, VAS, UE-FMA, and AROM in the experimental group (<i>p </i>< 0.001), as well as in the control group (<i>p </i>< 0.05). The changes between the experimental group and control group showed significant differences in SSD (-9.74 ± 6.63 vs -3.58 ± 5.51, <i>p </i>= 0.016), flexion (37.37 ± 14.08 vs 21.05 ± 12.65, <i>p </i>= 0.001), and UE-FMA (15.21 ± 4.30 vs 8.84 ± 4.26, <i>p </i>< 0.001), while the difference in VAS (-1.31 ± 1.34 vs -1.10 ± 1.24, <i>p </i>= 0.619) and abduction (15.00 ± 8.82 vs 10.79 ± 7.86, <i>p </i>= 0.111) was not significant.ConclusionBT-CCFES can be used to prevent and treat hemiplegic shoulder subluxation after stroke, improve shoulder and upper limb function, and is superior to NMES except in pain relief.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318940"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700417","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}

{"title":"Comparing the clinical efficacy of multiple vs. single dose ozone (O2-O3) injections and corticosteroid injection in subacromial impingement syndrome: A prospective, randomized controlled trial with One-Year Follow-Up.","authors":"Mehmet Cenk Turgut, Yavuz Şahbat, Ali Afşar, Aslı Turgut, Muhammed Çağatay Engin, Gonca Sağlam Akkaya","doi":"10.1177/10538127251322859","DOIUrl":"https://doi.org/10.1177/10538127251322859","url":null,"abstract":"<p><p>BackgroundOzone (O2-O3) therapy, is a novel and increasingly utilized intervention in musculoskeletal medicine. This therapeutic approach has gained attention for its potential in managing conditions such as chronic pain, arthritis, and soft tissue injuries, offering a minimally invasive alternative to conventional treatments.ObjectiveThis study aims to explore the effectiveness of multiple-dose ozone injections in subacromial impingement syndrome (SAIS) and to compare it with single-dose ozone and corticosteroids regarding patient-related clinical outcomes.MethodsThis single-center prospective randomized controlled clinical trial comprised 108 SAIS patients divided into three groups: Group 1, multiple-dose ozone (50 mcg ozone/ week for five weeks); Group 2, single-dose ozone (50 mcg ozone) and Group 3, single-dose corticosteroid (40 mg triamcinolone). The pain, functionality, and quality of life of the patients were evaluated via the Visual Analogue Scale (VAS), Constant-Murley score (CMS), University of California Los Angeles Shoulder Scale (UCLA), and 36-Item Survey Short-Form (SF-36) in three, six and twelve months. ANOVA/Friedman's test was applied to evaluate the statistical differences between the groups for each outcome measure at each time point.ResultsThe mean age of the study population was 53.3 ± 3.1 years, and 52.8% of them were female. In the first week, the steroid group scored less than the other two groups (p < 0.001) in VAS. At 3, 6, and 12 months, CMS was significantly higher in the multiple ozone group compared to the other two groups (p < 0.001 for all). UCLA scores increased in all groups, with the greatest improvement observed in the multiple ozone group. After 12 months, all groups differed significantly in SF-36 scores (65.0 [11.0] in the multiple-ozone group, 43.5 [4.8] in the ozone group, and 40.0 [11.0] in the steroid group, p < 0.001).ConclusionsMultiple ozone (O2-O3) injections had better patient-related outcomes regarding pain, functioning, and quality of life in patients with SAIS in 3-m, 6-m, and one-year follow-up periods.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251322859"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700439","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}