Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Patientś experiences of everyday life before and after cervical spine surgery.","authors":"Jane Tiede Barsballe, Lisa Gregersen Oestergaard, Maurits van Tulder, Louise Moeldrup Nielsen","doi":"10.1177/10538127251323375","DOIUrl":"10.1177/10538127251323375","url":null,"abstract":"<p><p>BackgroundNeck pain is a common musculoskeletal disorder. Although surgery reduces symptoms, some patients still report significant pain and disabilities postoperatively. A deeper understanding of patients' experiences is needed to plan coherent rehabilitation.ObjectiveTo explore how patients undergoing cervical spine surgery experience their everyday life pre- and post-operatively.MethodsA qualitative study with a descriptive approach. Nine patients who had recently undergone cervical spine surgery were interviewed. Systematic text condensation was used in the analysis.ResultsFive themes emerged: \"Neck pain has an extensive impact\", \"Surgery gives expectations of a life again\", \"Handling the situation\", \"After surgery, it´s in the back of your mind\" and \"Uncertainty abounds\". Patients living with neck pain experience a high impact on physical, mental and social aspects. Acceptance, support and planning are important to deal with the situation. Postoperatively, patients experience a fear of doing something wrong making them refrain from activities.ConclusionLiving with neck pain seems to have an extensive impact on physical, mental and social aspects of everyday life. Although patients have positive expectations, uncertainty concerning physical abilities is a mental challenge. This indicates that the rehabilitation process should target efficient utilization of mental, social and physical resources.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1106-1113"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730037","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, validity, and reliability of the arabic version of the short musculoskeletal function assessment questionnaire.","authors":"Mohamed Abdelmegeed, Sara Yahya, Aya El-Razaz, Elsadat Saad Soliman","doi":"10.1177/10538127251325425","DOIUrl":"10.1177/10538127251325425","url":null,"abstract":"<p><p>BackgroundThe evaluation and intervention process of musculoskeletal disorders necessitates the assessment of functional disabilities. An Arabic version of the short musculoskeletal function assessment questionnaire (SMFA) is unavailable and necessary to be delivered.ObjectiveTo cross-culturally adapt the SMFA into the Arabic language (SMFA-AR) and then to examine its measurement properties.MethodsFour hundred and forty-six patients with a mean age of 40.99 ± 11.74 were recruited through direct referrals. The translation process was performed using published guidelines. Patients were asked to fill out the SMFA-AR twice within a 2-7-day interval for the reliability assessment which was calculated using Intraclass Correlation Coefficient (ICC) for test-retest and by using Cronbach's alpha for internal consistency. Construct and concurrent validity were tested by calculating the Pearson's correlation coefficient between the SMFA-AR, the Arabic version of the quick Disability of the Arm, Shoulder, and Hand (Quick DASH-AR), the Arabic Lower Extremity Functional Scale (LEFS- Arabic), the Arabic version of the European quality of life questionnaire (EQ-5D- AR), and the Arabic numeric pain rating scale (NPRS-AR).ResultsThe SMFA-AR showed excellent test-retest reliability (ICC = .988) and excellent internal consistency (Cronbach's alpha = 0.89). The standard error of measurement (SEM) and the minimal detectable change (MDC₉₅) values were 1.419 and 3.933 respectively. On the other hand, the SMFA-AR showed a weak to moderate construct and concurrent validity with the quick DASH-AR, LEFS-AR, EQ-5D-AR, and NPRS-AR (r = 0.56, -0.24, -0.58, 0.31 respectively). There was no floor or ceiling effect for the SMFA-Ar. All the reported P values were less than 0.01ConclusionRegarding test-retest reliability and internal consistency, an excellent result was reported by the newly adapted SMFA-AR. Additionally, a weak to moderate construct and concurrent validity was found. It is advised to use the newly adapted SMFA-AR with Arabic-speaking patients having different musculoskeletal dysfunctions.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1148-1157"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993041","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":"Criteria for knee flexion range of motion and quadriceps strength to ascend and descend stairs 1 year after bilateral total knee arthroplasty: A cross-sectional study.","authors":"Keigo Nanjo, Takashi Ikeda, Ryutaku Kaneyama, Hiroyuki Okuyama, Tomoko Sakai, Tetsuya Jinno","doi":"10.1177/10538127251323980","DOIUrl":"10.1177/10538127251323980","url":null,"abstract":"<p><p>BackgroundStair ascent/descent pose significant challenges after total knee arthroplasty (TKA); however, the exact knee flexion range of motion (ROM) and quadriceps strength requirements remain unclear.ObjectiveTo establish criteria for knee flexion ROM and quadriceps strength to determine independence in stair ascent/descent and evaluate the accuracy of the combination of these factors in patients with bilateral TKA.MethodsPatients with bilateral TKA were cross-sectionally assessed at 1 year postoperatively for independence in stair ascent/descent. Receiver operating characteristic curves provided cutoff values for knee flexion ROM and quadriceps strength. The area under the curves (AUC) of each factor and logistic regression models including both factors were evaluated.ResultsEighty-two participants were included. Fifty-eight participants could independently ascend and 52 could descend stairs, with equal cutoff values for both: 121° for knee flexion ROM (AUC: 0.66 and 0.67) and 1.09 Nm/kg for quadriceps strength (AUC: 0.70 and 0.73). Logistic regression models produced AUCs of 0.73 and 0.76 for ascent and descent, respectively.ConclusionsA quadriceps strength of 1.09 Nm/kg is a useful cutoff for independent stair ascent/descent, but combining it with knee flexion ROM did not enhance accuracy. Other functions such as coordination of the knee or other joints may influence stair performance post-TKA.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1114-1124"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036098","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":"Effects of modified hip airplane exercise on gluteal muscle activation in healthy individuals.","authors":"Jae Keun Song, Won-Gyu Yoo","doi":"10.1177/10538127251322857","DOIUrl":"10.1177/10538127251322857","url":null,"abstract":"<p><p>BackgroundPrevious studies have investigated traditional gluteal strengthening exercises, such as single-leg squats and pelvic drops, research on gluteal muscle activation during the hip airplane exercise remains limited. Moreover, the traditional hip airplane exercise requires a high degree of motor control, making it a challenging and advanced movement.ObjectiveTo compare muscle activation during the hip airplane exercise, the modified hip airplane exercise, and traditional gluteal exercises, including the single-leg squat and pelvic dropMethodsTwenty healthy adult males participated in the study. Electromyography (EMG) activity of the gluteus maximus (Gmax), gluteus medius (Gmed), and tensor fasciae latae (TFL) was measured during all four exercises using a wireless surface EMG system.ResultsGmax activity was significantly higher during the single-leg squat than during the other exercises (p < 0.05). Gmed activity was significantly higher during the modified and original hip airplane exercise compared to the other traditional gluteal exercises (p < 0.05). TFL activity was highest during the pelvic drop exercise but significantly lower during the modified hip airplane exercise than in the other exercises (p < 0.05). Furthermore, the Gmed/TFL ratio was significantly higher in the modified hip airplane exercise than in the other exercises (p < 0.05). No significant differences were observed in Gmax or Gmed activation between the hip airplane and modified hip airplane exercises.ConclusionThese findings suggest that the modified hip airplane exercise is more effective at activating the Gmed while minimizing TFL activity compared to the hip airplane exercise and traditional gluteal exercises. Therefore, the modified hip airplane exercise is useful for strengthening the gluteal muscles, which may help prevent various lower extremity musculoskeletal disorders.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1021-1030"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729941","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":"Low back pain and sitting time, posture and behavior in office workers: A scoping review.","authors":"Nuray Alaca, Ali Ömer Acar, Sergen Öztürk","doi":"10.1177/10538127251320320","DOIUrl":"10.1177/10538127251320320","url":null,"abstract":"<p><p>BackgroundOffice workers spend approximately two-thirds of their daily work time in a sitting position.ObjectiveThis scoping review aimed to identify and categorize key themes and knowledge gaps in research on how sitting time, posture, and behavior affect the risk of low back pain among office workers.MethodsThe authors conducted a comprehensive literature search in electronic databases [MEDLINE [via PubMed], SCOPUS, CINAHL, PEDro, and CENTRAL] from inception to March 2024, resulting in 22 studies involving 7814 participants. The methodological quality of these studies was assessed using the Mixed Methods Appraisal Tool (MMAT).ResultsSeventeen studies [77%] were rated as high quality, four studies [18%] as moderate quality, and one study [5%] as low quality. Thirteen studies assessed sitting time, ten assessed sitting posture, and thirteen assessed sitting behavior. Among the studies investigating sitting time, five showed no relationship with low back pain (LBP) prevalence, while eight demonstrated a relationship with LBP prevalence. For studies exploring sitting posture, seven found a relationship with LBP. Regarding studies on sitting behavior, only one showed no relationship between LBP prevalence, while twelve indicated a relationship.ConclusionsLonger sitting time, poor sitting posture, fewer breaks and more static sitting in sitting behavior, were found to be associated with LBP. The strongest evidence for an association with LBP was found for sitting behavior. When considering workplace ergonomics and interventions for LBP, it is advisable to consider all factors, including sitting, posture and behavior.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"919-943"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669174","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":"How does pes planus affect jumping performance and balance ability?","authors":"Rigina Rakhmatova, Mehmet Miçooğulları, Mehmet Ismet Tok","doi":"10.1177/10538127251324728","DOIUrl":"10.1177/10538127251324728","url":null,"abstract":"<p><p>BackgroundPes planus is characterized by the flattening of the medial longitudinal arch of the foot, which can alter the biomechanics of the lower extremities and affect overall athletic performance. This randomized double-blinded controlled study was designed to investigate the effects of pes planus on jumping and balance performance.MethodsOne hundred thirty-one participants were assigned to the pes planus group (n = 66) and the control group (n = 65). Foot posture index (FPI) was used to determine pes planus. The vertical jump was measured by the VertiMetric device; horizontal jump performance by using the single leg hop test. Y Balance Test (YBT) was used to evaluate dynamic balance. The Mann-Whitney U test has been used for comparison of the groups and the alpha level is set at 0.05.ResultsVertical jump results of the pes planus group have been found statistically lower compared to the control group (p < 0.05). However, there were no statistically significant differences in the horizontal jump and YBT measurements between groups (p > 0.05). A weak negative correlation was found between the vertical jump distance and FPI scores (p < 0.05). There was a significant weak positive relationship between the FPI scores and anterior parameter of YBT in both sides (p < 0.05) and there were no statistically significant correlations between the posteromedial and posterolateral parameters in both sides (p > 0.05).ConclusionPes planus is associated with the only anterior reach of YBT, and vertical jumping performance; therefore, it is recommended to include strengthening and correction exercises for pes planus to improve vertical jumping performance and reduce risk of injuries.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1094-1105"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730034","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":"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":"1031-1043"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","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}

{"title":"Exercises to treat diastasis rectus abdominis and improve abdominal function: Two case reports.","authors":"Beatriz Rodríguez-Romero, Francisco Senín-Camargo, Javier Sande-Fuentes, Sandra Martínez-Bustelo","doi":"10.1177/10538127251325839","DOIUrl":"10.1177/10538127251325839","url":null,"abstract":"<p><p>BackgroundThese two case reports describe the rehabilitation program of exercises in two male participants aged 19 and 21 with diastasis rectus abdominis.ObjectiveThis paper aims to improve high inter-rectus distance, lumbar pain, abdominal and lumbopelvic function, Due to the lack of literature, this paper looks to provide clinicians with guidance in the rehabilitation of this injury.MethodsBoth cases participated in a multimodal program that included lumbopelvic stabilization, strengthening, and hypopressive exercises. Sociodemographic, clinical and muscular information was collected, as well as ultrasound measurements at three points: above the umbilicus, below the umbilicus, and at the midpoint between the xiphoid process and the umbilicus. Specific maneuvers and functional tests were used to assess changes in abdominal muscles.ResultsThe results showed improvements in both clinical and ultrasound scores. In terms of improvement in inter-rectus distance, case 1 had a reduction of 25% above the umbilicus and case 2 showed a 23.9% improvement in inter-rectus distance at the midpoint.ConclusionsIt is concluded that a combination of superficial contractions and isometric exercises may be effective in reducing inter-rectus distance and improving abdominal function, suggesting the need for further research in this area.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1180-1188"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993042","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":"Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial.","authors":"Petra Hampel, Kevin Dadaczynski","doi":"10.1177/10538127251326157","DOIUrl":"10.1177/10538127251326157","url":null,"abstract":"<p><p>BackgroundResearch has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation.ObjectiveTo investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR).MethodsThis multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index.ResultsCompared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters.ConclusionsHealth-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1165-1173"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078258","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 patient enablement instrument for back pain turkish version, validity and reliability study.","authors":"Erkan Erol, Halime Arikan","doi":"10.1177/10538127251322855","DOIUrl":"10.1177/10538127251322855","url":null,"abstract":"<p><p>BackgroundThe only survey that assesses the ability of individuals with low back pain to self-manage their condition is the Patient Enablement Instrument for Back Pain (PEI-BP).ObjectiveThe study aims to create a Turkish version of PEI-BP and test its validity and reliability.Methods67 individuals (47 females, 20 males) with low back pain participated, comprising. Reliability was evaluated through test-retest reliability, internal consistency, and repeatability measures. Validity was assessed via structural, content, face validity analyses. Floor and ceiling effects were examined to ensure a comprehensive evaluation. Additionally, the relationship between PEI-BP and pain intensity, Brief Illness Perception Questionnaire (BIPQ), Fear Avoidance Beliefs Questionnaire (FABQ), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) was explored.ResultsThe Intraclass Correlation Coefficient value (0.795) and Cronbach's α (0.886) of PEI-BP were high. The goodness-of-fit values for the model, including fit indices and reference ranges, indicated strong validity. The PEI-BP demonstrated the absence of both floor and ceiling effects. Correlations between PEI-BP and pain intensity, BIPQ, FABQ, ODI, and SF-36 exhibited a range from weak to good (0.258 to -0.440).ConclusionsPEI-BP has demonstrated high reliability and good validity. PEI-BP can be used to evaluate Turkish-speaking individuals with low back pain.<b>ClinicalTrials.gov ID:</b> NCT06109246 (Date: 10/25/2023).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1044-1050"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700507","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}