Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Handgrip strength and physical workload as key risk factors for low back pain in mothers of children with physical and intellectual disabilities: A post-COVID-19 study.","authors":"Sümeyye Demir, Selvin Balki","doi":"10.1177/10538127261433275","DOIUrl":"10.1177/10538127261433275","url":null,"abstract":"<p><p>BackgroundMothers raising children with disabilities may experience low back pain (LBP) due to depressive symptoms, physical workload (PW), and muscle weakness. Handgrip strength (HGS), a marker of total body muscular strength, is a controversial topic; however, its relationship with LBP in this population remains unclear and unexamined.ObjectiveThis study aimed to investigate LBP in mothers of children with physical and intellectual disabilities and its correlations with depression, physical workload, history of coronavirus disease 2019 (COVID-19), handgrip strength, and socio-economic factors.MethodsThis descriptive study included mothers of 179 children with disabilities attending special education schools in Turkey between 2021 and 2022. Participants completed the Physical Workload Questionnaire (PWQ) and the Beck Depression Inventory (BDI) and were asked about LBP during the previous year and their history of COVID-19. The HGS of their dominant hand was measured using a hand dynamometer. Multivariate logistic regression analysis was performed to identify factors associated with LBP.ResultsLBP was reported by 89.94% of the 179 enrolled mothers. The regression analysis indicated HGS < 28.50 lbs (odds ratio [OR] = 10.53; 95% confidence interval [CI], 2.09-53.03; <i>p</i> = 0.004) and PWQ score > 14.77 (OR = 4.88; 95% CI =1.43-16.59; <i>p</i> = 0.011) as independent risk factors for LBP.ConclusionsAssessment of HGS and PW may help identify the risk of LBP in mothers of children with physical or intellectual disabilities.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261433275"},"PeriodicalIF":1.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512344","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":"Activation ratio of transversus abdominis and internal oblique muscles during standing and single-leg standing in healthy adults.","authors":"Patraporn Sitilertpisan, Aatit Paungmali, Jitsak Soontornthip, Samatchai Chamnongkich, Sompong Sriburee, Amornthep Jankaew","doi":"10.1177/10538127261435311","DOIUrl":"https://doi.org/10.1177/10538127261435311","url":null,"abstract":"<p><p>BackgroundSymmetrical activation of the transversus abdominis (TrA) and internal oblique (IO) muscles is able to enhance spinal stability and functional efficiency. Previous studies have demonstrated side-to-side symmetry in the thickness of these deep abdominal muscles at rest and during contraction in the supine position. It remains unclear whether symmetry is presented in axial-loading postures such as double- and single-leg standing.ObjectiveTo examine side-to-side symmetry of TrA and IO activation in standing and single-leg standing in healthy adults.MethodsFifty-five healthy participants underwent ultrasound imaging to measure the thickness of the TrA and IO muscles at rest and during an abdominal drawing in maneuver (ADIM) in both standing and single-leg standing. Activation ratio (AR) was calculated as the ratio of ADIM thickness to resting thickness. A two-way repeated-measures ANOVA was used to compare ARs between sides and between muscles.ResultsIn both conditions, the IO demonstrated significantly higher AR on the dominant side than the non-dominant side (p <0.001), whereas no side-to-side difference was observed in the AR of TrA. The TrA activation was significantly greater than the IO on non-dominant side (p < 0.001), while no significant difference between TrA and IO activation was observed on the dominant side.ConclusionHealthy adults exhibit symmetrical TrA activation during functional upright postures, while the IO shows a modest predominance on the dominant-side. The AR of TrA exceeds the IO on the non-dominant side. These reference values may assist clinicians in differentiating physiological activation patterns from pathological alterations of the deep abdominal muscles.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261435311"},"PeriodicalIF":1.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512309","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 lumbopelvic and core strengthening exercises with and without pressure biofeedback on primary dysmenorrhea.","authors":"Sanem Şener, Tuğçe Duman Özkan","doi":"10.1177/10538127261434999","DOIUrl":"https://doi.org/10.1177/10538127261434999","url":null,"abstract":"<p><p>BackgroundPrimary dysmenorrhea is a common gynecological condition that negatively affects women's daily activities, well-being, and quality of life. Exercise is known to reduce menstrual pain; however, the added contribution of pressure biofeedback during abdominal strengthening remains unclear.ObjectiveThis study aimed to examine the effects of abdominal strengthening exercises performed with a Stabilizer Pressure Biofeedback Unit (PBU) on menstrual symptoms, pain intensity, and abdominal muscle strength in women with primary dysmenorrhea.MethodsThis randomized, controlled, single-blind clinical trial included 58 women aged 18-25 years with regular menstrual cycles and a Visual Analog Scale (VAS) score of ≥4. Participants were randomly allocated to an intervention group (n = 27) or a control group (n = 31). Both groups completed an eight-week lumbopelvic and core strengthening exercise program, while the intervention group additionally performed PBU-assisted abdominal training during the same period. Assessments were conducted at baseline, week 4, and week 8. Outcome measures included abdominal muscle strength assessed with PBU, menstrual symptoms measured using the Menstrual Symptom Questionnaire (MSQ), and pain intensity evaluated by VAS.ResultsBoth groups demonstrated significant improvements in abdominal muscle strength and pain intensity over time (p < 0.05). However, no significant between-group differences were observed in muscle strength, VAS, or MSQ scores at any assessment point (p > 0.05).ConclusionLumbopelvic and abdominal strengthening exercises reduced menstrual pain and improved abdominal muscle strength in women with primary dysmenorrhea. Adding PBU-assisted training did not produce superior outcomes compared to conventional exercise alone. Future studies should explore longer interventions and combined approaches to address symptoms.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261434999"},"PeriodicalIF":1.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512272","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":"Is force control altered in patients with chronic low back pain? A systematic review.","authors":"Reyes-Ferrada Waleska, Chirosa-Ríos Luis, Rodríguez-Perea Angela, Martínez-Valdes Eduardo, Jerez-Mayorga Daniel","doi":"10.1177/10538127261433616","DOIUrl":"https://doi.org/10.1177/10538127261433616","url":null,"abstract":"<p><p>BackgroundChronic low back pain (CLBP) is a significant public health concern. Proprioceptive and motor control deficits are contributing factors to its development and persistence; however, the force control has been scarcely investigated in this population.ObjectiveThis Systematic review aimed to synthesize evidence on whether trunk force control is altered in individuals with non-specific CLBP.MethodsThree databases were searched (PubMed, Web of Science, and Scopus) from inception to March 30, 2025. Following PRISMA guidelines, studies evaluating force sense, effort sense, or force steadiness in CLBP patients were included. Methodological quality was assessed using the Appraisal tool for Cross-Sectional Studies tool and certainty of evidence using the GRADE approach. The study was registered on PROSPERO (CRD420251028869).ResultsTen cross-sectional studies met the inclusion criteria. Four reported reduced accuracy in trunk force sense, one alteration in effort sense, and three decreased force steadiness, with a very low certainty of evidence. Due to substantial heterogeneity in assessment protocols, including movement types, target force levels, and feedback conditions, a meta-analysis was not feasible.ConclusionOverall, CLBP patients demonstrate impairments in trunk force sense and force steadiness, but the certainty of evidence was very low These proprioceptive deficits may compromise movement efficiency and safety by causing over or under estimation of required force for a given task. There is a critical need to standardize assessment protocols to enable consistent evaluation of force control and for the development of interventions aimed at improving trunk force control in CLBP patients.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261433616"},"PeriodicalIF":1.4,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498844","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 kinesiophobia, physical activity, quality of life, depression and anxiety level in adult people with hemophilia: A frequency-matched case-control study.","authors":"Sercan Onal Aykar, Filiz Can, Salih Aksu, Fahri Sahin","doi":"10.1177/10538127261433273","DOIUrl":"https://doi.org/10.1177/10538127261433273","url":null,"abstract":"<p><p>BackgroundIn people with hemophilia(PwH) repeated joint bleeding leads to physical limitations.However, there may be some factors,such as fear of movement or kinesiophobia, which may decrease physical activity.All these may reduce psychological well-being, and quality-of-life(QoL) throughout the lifespan in PwH.ObjectiveFor this reason the aim of this study was to examine the presence of fear of movement, physical activity, depression and anxiety levels, and health-related QoL in PwH compared to healthy male controls.MethodsThis was an unmatched case-control study with age- and gender-matched group distributions (frequency matching) including 40 cases and 45 controls.Tampa Scale for Kinesiophobia(TSK),International Physical Activity Questionnaire Short-Form(IPAQ-SF),Beck Depression Inventory(BDI),Beck Anxiety Inventory(BAI) and 36-Item Short-Form Health Survey(SF-36) were used to evaluate the participants.ResultsThe average age of participants in the Hemophilia Group was 33.15 ± 10.02 years(range 18-50 years) and in the Control Group was 31.29 ± 8.72 years(range 18-50 years), with no statistically significant difference between the groups (p > 0.05).The results were analyzed using Mann-Whitney U test.When both groups were compared, a significant difference was found in TSK scores measured for kinesiophobia(p = 0.000,r = -0.51).PwH had significantly lower-scores in the General Health(p = 0.001,r = -0.37),Physical Functioning(p = 0.000,r = -0.64),Bodily Pain(reflecting higher pain levels)(p = 0.037,r = -0.23) and Role Physical(p = 0.016,r = -0.26) domains of QoL compared to the healthy subjects.ConclusionThis study demonstrated that PwH had significantly higher levels of kinesiophobia and lower health-related QoL in domains of General Health,Physical Functioning,Role Physical,and Bodily Pain compared to healthy controls.These findings highlight the need for a multidisciplinary approach to treatment in hemophilia patients, addressing not only joint health but also fear of movement and psychological factors.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261433273"},"PeriodicalIF":1.4,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486009","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":"Examination of anterior cruciate ligament injuries and genetic relationship: A systematic study.","authors":"Sedat Kahya, Cihad Onur Kurhan","doi":"10.1177/10538127261430787","DOIUrl":"https://doi.org/10.1177/10538127261430787","url":null,"abstract":"<p><p>Background<b>:</b> Sports injuries can be an important health problem that is difficult to compensate for athletes. Anterior cruciate ligament injury (ACLI) is a soft tissue injury frequently faced by both athletes and sedentary individuals. In early studies on ACLI, it was reported that these injuries were mostly hormonal, biomechanical and genetic. However, the inconsistencies in these studies are still not fully explained. It is also known that differences in the protein levels of collagen structures play a critical role in non-contact soft tissue injuries. In this sense, it is thought that gene variants may cause sensitivity on ACLI by affecting collagen tissues.ObjectiveThe aim of the study is to systematically examine the relationship between ACLI and genes. In addition, the current study aims to reveal that some genes that are frequently studied in the literature may be related to the structure of the ACL.MethodsStudies on the subject were examined in PubMed and PubMed-Central databases registered with The National Center for Biotechnology Information. Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in data selection and evaluation.Results11 articles that met the criteria were subjected to bias analysis. It was reported that 7 studies were at a critical level in terms of overall risk. Additionally, statistically significant differences were reported in 6 of the 11 studies.ConclusionThe genes <i>COL1A1, COL5A1, MMP3, TGFBR3, TGFBI, VEGFA, β-fibrinogen</i> and <i>COL12A1</i> can protect individuals against ACLI by affecting the formation of soft tissues<i>.</i></p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261430787"},"PeriodicalIF":1.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498755","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":"Critical comments on ultrasound-guided paravertebral oxygen-ozone injections.","authors":"Marianno Franzini, Luigi Valdenassi, Francesco Vaiano, Umberto Tirelli, Salvatore Chirumbolo","doi":"10.1177/10538127261432690","DOIUrl":"https://doi.org/10.1177/10538127261432690","url":null,"abstract":"<p><p>The randomized controlled trial by Forogh and Kazemi compared ultrasound-guided \"paravertebral\" ozone-oxygen injections with pure oxygen in patients with chronic discogenic low back pain. While the study addresses an important clinical question, its methodological limitations constrain the reliability of its conclusions. The sample size of only 30 participants provides insufficient statistical power, and the justification for effect size and minimal clinically important difference is inadequate. Blinding was not verified, raising concerns that sensory cues from ozone injections may have compromised masking. The use of pure oxygen as a control, though novel, is problematic since oxygen is not biologically inert, and the absence of a true placebo arm prevents disentangling ozone-specific effects from contextual or procedural influences. Outcomes were limited to subjective measures (VAS and ODI) without objective functional or imaging endpoints. Overall, enthusiasm for ozone therapy is premature, and larger, rigorously designed trials are essential before clinical adoption.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261432690"},"PeriodicalIF":1.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498792","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":"Can AI chatbots guide patients and physicians about neck pain? A reliability and readability comparison of ChatGPT-4 and Gemini.","authors":"Dicle Rotinda Ozdas Sevgin, Elif Tarihci Cakmak, Gizem Yildirim Ogras, Demirhan Diracoglu","doi":"10.1177/10538127261433272","DOIUrl":"https://doi.org/10.1177/10538127261433272","url":null,"abstract":"<p><p>BackgroundArtificial intelligence (AI)-based chatbots are increasingly used as sources of medical information. Given the high prevalence of neck pain as a musculoskeletal symptom, patients may commonly consult such tools for health-related guidance.ObjectiveTo evaluate and compare the performance of ChatGPT 4.0 and Google Gemini in addressing commonly asked patient questions and clinical case scenarios related to neck pain, focusing on their accuracy, quality, understandability, readability, reliability, and usability.MethodsTwenty-four patient-oriented questions and four clinical case scenarios regarding neck pain were submitted to ChatGPT 4.0 and Google Gemini. Responses were evaluated using validated tools: modified DISCERN (mDISCERN) for reliability, Global Quality Scale (GQS) for quality, PEMAT-P for understandability and actionability, and Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) for readability. Case-based responses were assessed for accuracy, safety, and usability on a 7-point Likert scale by two experienced physicians.ResultsGemini demonstrated significantly higher reliability (mDISCERN, p < 0.001), whereas ChatGPT 4.0 had slightly higher, though statistically insignificant, GQS and PEMAT-P scores. Readability metrics were similar: ChatGPT's FRE was 48.78 and FKGL 9.08; Gemini's FRE was 47.12 and FKGL 9.11. Both models' outputs were considered difficult to read. In clinical scenarios, both chatbots showed comparable accuracy, safety, and usability, with minor omissions noted.ConclusionChatGPT 4.0 and Google Gemini provided similar performance in addressing neck pain-related queries. While both may support patient.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261433272"},"PeriodicalIF":1.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498770","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":"Effect of hamstring-targeted physiotherapy on low back pain and muscle viscoelastic properties in elite adolescent rowers: A single-blind randomized controlled trial.","authors":"Onur Atakan Sekibağ, Şule Hantal","doi":"10.1177/10538127261432694","DOIUrl":"https://doi.org/10.1177/10538127261432694","url":null,"abstract":"<p><p>BackgroundLow back pain (LBP) is highly prevalent among adolescent rowers and may be influenced by altered trunk-pelvic mechanics and hamstring characteristics. Hamstring-targeted physiotherapy interventions are widely used in clinical practice; however, comparative evidence regarding their effects on muscle mechanical properties and LBP in adolescent rowing populations is limited.ObjectiveTo compare the effects of ballistic hamstring stretching, hamstring extender exercise, and kinesiotaping on hamstring viscoelastic properties, low back pain, and athletic performance in elite adolescent rowers.MethodsThis single-blind, parallel-group randomized controlled trial included 60 elite male adolescent rowers (aged 14-18 years) with chronic low back pain, and participants were randomly assigned to three groups for a twelve-week program performed during training sessions four times per week. All outcomes were assessed at baseline and week 12, including hamstring viscoelastic properties measured using a handheld myotonometer, pain intensity assessed with the Numeric Pain Rating Scale, and athletic performance evaluated by the 2000-m rowing ergometer and standing long jump tests. Data were analyzed using age-adjusted analysis of covariance (ANCOVA).ResultsAfter adjustment for baseline values and age, both exercise-based interventions were associated with more favorable changes in hamstring viscoelastic properties and greater reductions in pain intensity compared with kinesiotaping (p < 0.001). Between-group differences in athletic performance were statistically significant but modest.ConclusionHamstring-focused exercise interventions were associated with greater improvements in muscle mechanical properties and reductions in LBP compared with kinesiotaping in adolescent rowers. These findings support the inclusion of active hamstring exercises in rehabilitation programs for athletes with LBP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261432694"},"PeriodicalIF":1.4,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463349","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":"Combined treatment in a rare case: Bilateral intra-articular and unilateral extra-articular synovial chondromatosis of the knees.","authors":"Bilgehan Kolutek Ay, Seda Nida Karaküçük, Muhammed Yıldız, Nurhayat Koca Arabacı","doi":"10.1177/10538127261430789","DOIUrl":"https://doi.org/10.1177/10538127261430789","url":null,"abstract":"<p><p>BackgroundSynovial chondromatosis (SC) is a rare proliferative disorder characterized by the metaplastic formation of cartilaginous and osteochondral nodules in the synovial membrane of joints, tendon sheaths, or bursae. It most commonly affects the knee, followed in frequency by the elbow, ankle, hip, and shoulder. Although SC usually presents as a monoarticular condition, bilateral, extra-articular, or multifocal involvement is uncommon.Case presentationWe report a 78-year-old patient with a history of cerebrovascular event and coronary artery disease who presented with bilateral intra-articular synovial chondromatosis extending extra-articularly to the right popliteal fossa and quadriceps tendon.InterventionsAfter completing 21 sessions of preoperative rehabilitation, the patient underwent right knee surgery consisting of debridement, synovectomy, and cystectomy.OutcomesPain intensity was assessed using the Visual Analog Scale (VAS), and joint range of motion was recorded.ConclusionAlthough bilateral involvement is rare, SC should be considered in the differential diagnosis of patients presenting with bilateral knee pain and stiffness. We suggest that preoperative rehabilitation may contribute positively to the overall treatment process, and in cases where surgery is declined, rehabilitation alone may lead to improvements in pain and joint mobility.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261430789"},"PeriodicalIF":1.4,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147457656","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}