Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Acupuncture for the treatment of pregnancy-related low back pain: A systematic review and network meta-analysis.","authors":"Min Li, Zongyi Xiao, Dongling Tan, Xixi Tang, Daqiang Zhao, Qi Chen","doi":"10.1177/10538127241301682","DOIUrl":"https://doi.org/10.1177/10538127241301682","url":null,"abstract":"<p><p>BackgroundThe effects of acupuncture are rarely studied in pregnant women. A relevant systematic review did not include comparisons with sham acupuncture (SAcu).ObjectiveTo explore the effects of acupuncture, SAcu, and standard care (SC) on pregnancy-related low back pain.MethodsWe searched five medical literature databases for articles published from inception to September 30, 2022. The primary outcome was visual analog scale (VAS) intensity after the intervention. The secondary outcomes were the overall effects of treatment, quality of life (QOL), and QOL was evaluated by the Short Form-36 Health Survey Questionnaire (SF-36).ResultsThe network meta-analysis included eight studies and 864 patients. Six trials were at low risk of bias and two studies had a high risk of bias due to allocation concealment and blinding. Acupuncture and SAcu were relatively more advantageous in terms of analgesic effects after intervention than SC, but there were no differences between them. In terms of overall effects in number of remissions and the SF-36, Acupuncture was found to be superior to other methods, and SAcu was better than SC. Acupuncture had the highest surface under the cumulative ranking curve, followed by SAcu and SC for all outcomes.ConclusionsAcupuncture performs similarly to SAcu in pain relief and is more efficient than SC. Regarding the effectiveness of treatment and QOL, acupuncture therapy was superior to SAcu and SC.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241301682"},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284482","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":"Comparison of resistance and stretching exercises in women with primary dysmenorrhea: A randomized controlled trial.","authors":"Ayşe Öz, Metehan Yana","doi":"10.1177/10538127251345961","DOIUrl":"https://doi.org/10.1177/10538127251345961","url":null,"abstract":"<p><p>ObjectiveThis study compared the effects of resistance and stretching exercises on menstrual symptoms, quality of life, and functional and emotional status in young women with primary dysmenorrhea.MethodsIn this randomized controlled trial, 54 women (18-25 years) with primary dysmenorrhea were assigned to stretching (n = 17), resistance (n = 19), or control (n = 18) groups. Outcomes were assessed using the Visual Analog Scale (VAS), Menstrual Symptoms Questionnaire (MSQ), Pittsburgh Sleep Quality Index (PSQI), Health-Related Quality of Life (SF-36), and Functional and Emotional Measure of Dysmenorrhea (FEMD). Assessments were conducted before the intervention and over two menstrual cycles. Exercise groups trained three times weekly for eight weeks.ResultsVAS, MSQ, PSQI, and FEMD scores significantly decreased in both exercise groups compared to the control group (p < 0.05). SF-36 scores were significantly higher in both exercise groups (p < 0.05). Post-treatment, medication use decreased significantly. Subdimension analyses revealed improvements in SF-36 and reductions in MSQ and FEMD subdimensions. No significant differences were found between the resistance and stretching groups in the primary outcomes (p > 0.05).ConclusionBoth resistance and stretching exercises reduce menstrual symptoms and improve quality of life. No significant difference was found; women may choose stretching or strengthening exercises based on personal preference.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251345961"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284483","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":"Predictive role of surface electromyography and shoulder kinematic analysis on injury risk in padel players: A proof-of-concept study.","authors":"Nicola Marotta, Ennio Lopresti, Andrea Demeco, Emanuele Prestifilippo, Lucrezia Moggio, Umile Giuseppe Longo, Alessandro de Sire, Antonio Ammendolia","doi":"10.1177/10538127251344494","DOIUrl":"https://doi.org/10.1177/10538127251344494","url":null,"abstract":"<p><p>ObjectivePadel, a high-intensity overhead sport, poses significant shoulder injury risks due to repetitive motions and microtrauma. This study utilized an inertial motion unit (IMU) and surface electromyography (sEMG) to identify kinematic and muscle activation patterns distinguishing injury-prone and non-prone players, emphasizing prehabilitation's role in preventing shoulder injuries and enhancing performance.MethodsMale padel players with ≥5 years of experience were assessed at the Rehabilitation Unit of the University Hospital \"Renato Dulbecco\" of Catanzaro, Italy, Participants were stratified into high-risk and low-risk groups based on prior shoulder tendinopathies. Surface electromyography (sEMG) and IMU were used to measure muscle activation and movement smoothness during flexion, abduction, and rotation movements.ResultsThe high-risk group exhibited increased mean jerk during abduction (<i>p</i> < 0.05), indicative of reduced movement smoothness. Muscle activation analysis showed significant overactivation of the biceps brachii and under-activation of the trapezius during shoulder movements. Infraspinatus activation was significantly lower during rotation in the high-risk group (<i>p</i> < 0.001). ROC analysis identified predictive cut-offs for injury risk: mean jerk >2.51, deltoid activation <46%, trapezius activation <30.6%, biceps brachii activation >13%, and infraspinatus activation >25.7%, with sensitivity and specificity exceeding 83% for most parameters.ConclusionsThis study highlights the utility of combining IMUs and sEMG for biomechanical and physiological evaluation in padel players. The findings suggested that decreased movement fluidity and muscle activation imbalances may increase the risk of shoulder injuries. Future longitudinal studies should focus on broader athletic motions, larger sample sizes to refine injury prevention and rehabilitation strategies for padel players.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251344494"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266311","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 impact of prehabilitation on postoperative outcomes in spine surgery: A systematic review and meta-analysis.","authors":"Zuyao Liu, Deng Yang","doi":"10.1177/10538127251346600","DOIUrl":"https://doi.org/10.1177/10538127251346600","url":null,"abstract":"<p><p>BackgroundPrehabilitation aims to optimize patients' physical and psychological status before spine surgery to enhance recovery. However, its effectiveness on postoperative outcomes remains remains to be controversial. This meta-analysis aims to evaluate Prehabilitation impact on pain, functional recovery, psychological status, and perioperative outcomes.MethodsA systematic search of MEDLINE/PubMed, Web of Science, Scopus, and Embase was conducted through January 2025 using PRISMA guidelines. A total of 5738 records were initially identified through database searches, of which 3765 remained after duplicate removal. Studies comparing postoperative outcomes in patients undergoing spine surgery with and without prehabilitation were included. Meta-analysis was performed using a random-effects model, with subgroup analyses based on exercise inclusion.ResultsAccording to our inclusion criteria, twenty-seven studies (2449 participants) were deemed appropriate to be included in our study. Our meta-analysis showed prehabilitation significantly reduced postoperative back pain (SMD = -0.4028, p = 0.0269) and improved trunk muscle strength (SMD = 0.1472, p = 0.0142). However, no significant differences were observed for disability (SMD = -0.3772, p-value = 0.5705), quality of life (SMD = 0.0657, p-value = 0.5372), and leg pain (SMD = -0.1921, p-value = 0.3920). In addition, depression, operation time, blood loss, or length of stay were shown to be comparable between the two groups of patients.ConclusionsPrehabilitation may reduce postoperative back pain and improve muscle function, but does not significantly impact disability, quality of life, or perioperative outcomes. Future research should refine protocols and identify patient subgroups that benefit most from prehabilitation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251346600"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266312","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":"Comparison of conventional radiofrequency thermocoagulation to femoral and obturatory nerve articular branches with intra-articular steroid injection and PENG block in chronic hip pain.","authors":"Bilgenur Ergün Demiröz, Sinem Sarı, Yusufcan Ekin, Hüseyin Alp Ertuğrul, Osman Nuri Aydın","doi":"10.1177/10538127251349152","DOIUrl":"https://doi.org/10.1177/10538127251349152","url":null,"abstract":"<p><strong>Introduction: </strong>Radiofrequency thermocoagulation(RFT), intra-articular steroid-injection(IAI) and PENG block application to the articular branches of the femoral and obturator nerves are the methods used in the treatment of pain in patients with chronic hip pain. We aimed to investigate the effectiveness of these methods.</p><p><strong>Methods: </strong>Randomization was performed as conventional RFT applied to the articular branches of the femoral and obturator nerves with fluoroscopy(Group1), IAI of corticosteroids with ultrasonography(Group2) and PENG block with ultrasonography Group3).Pain intensity was evaluated with the (NRS) or Verbal Pain Scale(VPS) before the procedure and 2 h, 1 and 3 months after the procedure, and functional capacity was evaluated with the (WOMAC) scale before the procedure, 1 and 3 months after the procedure.</p><p><strong>Results: </strong>In Group1, NRS/VPS and WOMAC scores were significantly higher before the procedure. NRS/VPS before the procedure and at the 3rd month were significantly higher in Group2 and Group3.In Group3, 1st month scores were significantly higher than 2nd hour scores. In Group2, pre-procedure WOMAC scores were significantly higher than 1st and 3rd Months, and 3rd Month scores were significantly higher than 1st Month.The 1st month WOMAC scores of Group 3 were significantly higher than the other groups and the 3rd month scores of Group 1 were significantly lower than the other groups.</p><p><strong>Conclusion: </strong>In our study, PENG Block, RFT and IAI applications were effective on short-time pain in patients with chronic hip pain.IAI and RFT were effective on chronic pain until the 1st month, and only RFT was effective at the 3rd month follow-up.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251349152"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258136","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":"Cross-cultural adaptation of the lower extremity functional scale in kannada and assessment of its measurement properties - a longitudinal study.","authors":"Glenisha Ancita DSouza, Charu Eapen, Saurabh P Mehta, Vivek D Patel","doi":"10.1177/10538127251343946","DOIUrl":"https://doi.org/10.1177/10538127251343946","url":null,"abstract":"<p><p>BackgroundLower Extremity Functional Scale (LEFS) is a useful tool for evaluating lower extremity (LE) disability, but it has not been adapted for use with Kannada or other regional languages in India.ObjectiveThis study aimed to perform cross-cultural adaptation and Kannada translation of the LEFS (LEFS-K) and examine its psychometric properties.MethodsA Longitudinal study on 150 patients with hip and knee injuries. Numeric Rating Scales for Pain (NRS-P) and disability (NRS-D), and Sit-to-stand (5STS) was administered at the initial visit. LEFS-K and NRS again 2 days later and at discharge. Intraclass correlation coefficient (ICC) and Cronbach's alpha (CA) assessed test-retest reliability and internal consistency. Pearson correlation coefficients (r) examined concurrent relations. Effects size was calculated for responsiveness. Clinically important (MCID) and statistically true (MDC) were assessed for the LEFS-K.ResultsLEFS-K demonstrated excellent test-retest reliability (ICC = 0.98) and internal consistency (CA = 0.88). Low to moderate correlations (r < 0.70) were observed between the LEFS-K and other measures (NRS-P, NRS-D, and 5STS). The LEFS-K was deemed responsive to assess change for LE disability (ES = 0.84).ConclusionThe Kannada LEFS is proved to be a reliable, valid and responsive tool for evaluating LE MSK disability in Kannada speaking individuals with hip and knee disorders.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251343946"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258137","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 sensorimotor dysfunction in the upper extremities in unilateral cervical radiculopathies: A level-specific approach.","authors":"Tuba Eren, Çiğdem Ayhan Kuru","doi":"10.1177/10538127251341822","DOIUrl":"https://doi.org/10.1177/10538127251341822","url":null,"abstract":"<p><p>BackgroundCervical radiculopathy (CR) is a neurological disorder with unilateral motor and sensory deficits. This study examines its bilateral impact on upper extremity function across different nerve root levels to inform rehabilitation approaches.ObjectiveThe aim of this study is to examine bilateral sensorimotor dysfunctions in patients with cervical radiculopathy.MethodsForty-two patients (mean age 44.4 ± 11.05 years; 34 women, 8 men) with C4-5, C5-6, or C6-7 CR and 16 controls (mean age 42.2 ± 15.5 years; 9 women, 7 men) with non-specific neck pain participated. Evaluations included pain (VAS), neck disability (NDI), upper extremity functionality (DASH), muscle strength measurements, sensory function, hand performance, kinesiophobia (TAMPA) and emotional status (Beck Inventory).ResultsAll radiculopathy groups showed significant bilateral muscle weakness (5-12%) in upper extremities and reduced lateral pinch strength compared to controls (p < 0.05). Sensory deficits were severe, with C5 and C6 groups showing 46% reduction in light touch sensation and C7 group exhibiting 80% reduction, with decreased vibration sensation. The C7 group demonstrated the most severe impairments. Psychological assessment revealed kinesiophobia in all groups, with radiculopathy groups showing moderate anxiety compared to mild anxiety in controls, and mild depressive symptoms across all groups.ConclusionsUnilateral cervical radiculopathy leads to significant bilateral sensorimotor impairments, with severity varying by nerve root level. Findings emphasize the need for comprehensive bilateral assessment and rehabilitation programs addressing both affected and unaffected limbs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341822"},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215838","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 oxygen-ozone therapy in knee osteoarthritis: A systematic review.","authors":"Giacomo Farì, Annatonia Fai, Danilo Donati, Roberto Tedeschi, Giustino Varrassi, Vincenzo Ricci, Cristiano Sconza, Alessio Baricich, Andrea Bernetti","doi":"10.1177/10538127251341834","DOIUrl":"https://doi.org/10.1177/10538127251341834","url":null,"abstract":"<p><p>IntroductionOxygen-ozone therapy (OOT) is an innovative treatment showing potential for various conditions, including knee osteoarthritis (KOA), a joint disorder causing cartilage degeneration, inflammation, and pain. This review evaluates OOT's effectiveness in treating KOA, focusing on pain relief, joint function, and quality of life.Materials and MethodsThe review synthesizes findings from five randomized controlled trials (RCTs) comparing OOT with standard treatments such as corticosteroids, hyaluronic acid, and placebo, assessing its effects on pain relief, joint function, and quality of life.ResultsOOT significantly reduces pain and improves joint mobility in KOA patients, with some studies reporting longer-lasting effects than corticosteroids. OOT also shows anti-inflammatory benefits by reducing pro-inflammatory cytokines, suggesting a potential to modify disease mechanisms. It is minimally invasive and has fewer side effects compared to traditional treatments.ConclusionsOOT presents a promising alternative to conventional treatments, offering pain relief, functional improvement, and safety benefits. Despite some limitations, such as treatment variability and lack of long-term follow-up, OOT is a valuable therapeutic option for KOA.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341834"},"PeriodicalIF":1.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199209","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":"Shedding more light on the short-term effect of low-level laser therapy on pain in tendinopathy: A systematic review with meta-analysis.","authors":"Benjamin Wei Da Yap, Edwin Choon Wyn Lim","doi":"10.1177/10538127251339104","DOIUrl":"https://doi.org/10.1177/10538127251339104","url":null,"abstract":"<p><p>BackgroundIn recent years, the effect of low level laser therapy (LLLT) on pain in tendinopathy has been increasingly evaluated in clinical trials. However, conflicting evidence regarding its use persists.ObjectiveThe aim of this review is to evaluate the effect of LLLT on pain in the management of tendinopathy, and investigate the influence of LLLT parameters on the effect size of pain score.MethodsSearches of eight databases were conducted from inception to Jan 2025. Meta-analyses were conducted where possible, using either a fixed- or random-effects model, standardized mean differences (SMDs), and tests of heterogeneity. Multivariable meta-regression was performed to identify significant predictors of the effect size in pain score.ResultsThirty-five clinical controlled trials were identified and included in the meta-analyses. Compared to minimal intervention, LLLT provided superior pain relief in chronic tendinopathy, with pooled SMD -0.57(95% confidence interval [CI] -0.93 to -0.20, <i>P</i> = 0.002) after sensitivity analysis (15 RCTs, 299 participants in the experimental group and 282 participants in the control group). Additionally, the total number of sessions was a significant predictor of the effect size of pain relief (<i>P</i> < 0.05), after adjusting for age.ConclusionsLLLT is more effective than minimal intervention for pain relief in chronic tendinopathy. Greater total number of treatment sessions may be associated with a greater extent of pain relief.OtherNo funding was received for this review. PROSPERO registration number (CRD42021256567).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251339104"},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173888","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":"Investigation of the relationship between core endurance and upper extremity function, muscle strength, and reaction time in healthy young adults.","authors":"Metehan Yana, Musa Güneş, Agabek Orunbayev, Feruza Jumayeva","doi":"10.1177/10538127251338180","DOIUrl":"https://doi.org/10.1177/10538127251338180","url":null,"abstract":"<p><p>BackgroundCore endurance is important for daily activities and sports performance and may affect extremity function. However, the relationship between core endurance and upper extremity function is poorly understood.ObjectiveTo investigate the relationship between core endurance and upper extremity function, muscle strength, and reaction time in healthy young adults.MethodsA cross-sectional study was conducted with 104 healthy young adults (21.88 ± 1.92 years, 60 female, 44 male). Core endurance was assessed using Sorensen, trunk flexor endurance, and side bridge test. Shoulder muscle strength, upper extremity hand dexterity (Purdue Pegboard Test (PPT)), and reaction time were assessed. Spearman correlation analysis was used for statistical analysis.ResultsThe core endurance tests were found to be positively correlated with shoulder flexor and abductor muscles (p < 0.05). There were weak negative correlations between Sorensen and trunk flexor endurance tests and dominant hand reaction time (r = -0.230, p = 0.019; r = -0.253, p = 0.010). The Sorensen test was found to be associated with bilateral PPT and total scores (r = 0.257, p = 0.008; r = 0.251, p = 0.010).ConclusionsIncreased core endurance was associated with increased shoulder muscle strength, dexterity, and reaction speed. Assessing core endurance provides better insight into upper extremity function difficulties. Therefore, improving core strength may contribute to improving upper extremity function.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251338180"},"PeriodicalIF":1.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159310","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}