Physical Therapy最新文献

{"title":"Mapping the education researcher trajectory: a mixed methods exploration of identity and community in the GAMER program.","authors":"Melissa M Tovin, Chris Sebelski, Gail M Jensen, Richard L Segal, Elizabeth Mostrom","doi":"10.1093/ptj/pzag077","DOIUrl":"10.1093/ptj/pzag077","url":null,"abstract":"<p><strong>Importance: </strong>Development of education researchers in physical therapy has been historically overlooked despite the success of clinical researcher development programs. The Grant writing and Mentorship in Education Research (GAMER) program addresses this gap by fostering education research capacity and professional identity formation among physical therapist educators.</p><p><strong>Objective: </strong>The objective was to explore and describe the experiences, impacts, and outcomes of GAMER on education researcher development.</p><p><strong>Design: </strong>A convergent parallel mixed methods design with emphasis on the qualitative component was employed.</p><p><strong>Setting: </strong>This retrospective study was conducted following completion of the GAMER program, a 4-day immersive professional development initiative for physical therapist education researchers.</p><p><strong>Participants: </strong>Participants were 21 GAMER graduates from 4 cohorts (2018-2022) and 5 institutional sponsors who supported faculty attendance.</p><p><strong>Intervention: </strong>GAMER is a 4-day intensive and immersive program designed to jumpstart the development of emerging physical therapist education researchers. The curriculum emphasizes social learning, intentional mentorship, and iterative scholarly work within a community of practice (CoP).</p><p><strong>Main outcomes and measures: </strong>Outcomes were primarily derived using an inductive qualitative approach, interview data were coded and analyzed toward development of a conceptual framework. Quantitative data on scholarly achievements were comparatively integrated with qualitative findings to examine convergence, divergence, or expansion of qualitative findings.</p><p><strong>Results: </strong>Participants described their GAMER experience as a developmental journey with 4 sequential phases: Contemplation, Preparation, The GAMER Experience, and Continuing the Journey. The program's impact extended well beyond traditional metrics, fostering professional identity and advocacy for education research, which participants attributed to the GAMER CoP and enacted curriculum.</p><p><strong>Conclusions: </strong>The GAMER program effectively supports the development of education researchers in physical therapy by providing a structured, immersive experience that promotes identity formation and community engagement.</p><p><strong>Relevance: </strong>This study highlights the importance of targeted professional development programs like GAMER in advancing education research capacity and fostering a supportive community for emerging researchers.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606419","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":"Beyond biomechanics: advancing physical therapy through bioenergetic integration in clinical practice.","authors":"Liana Wooten, Brian Neville, Angela Spontelli Gisselman, Andrew A Guccione","doi":"10.1093/ptj/pzag067","DOIUrl":"10.1093/ptj/pzag067","url":null,"abstract":"<p><p>Physical therapists are considered movement experts, yet many physical therapists lack the knowledge, training, and confidence to incorporate bioenergetic considerations when prescribing aerobic exercise and resistance training interventions. Additionally, clinical practice guidelines (CPGs) omit bioenergetic considerations reflecting a fundamental gap in how the profession conceptualizes rehabilitation, one that individual clinicians cannot be expected to bridge when CPGs themselves exclude the bioenergetic dimensions of health conditions. As this perspective outlines, bioenergetics are essential for propelling human movement and should inform physical therapist interventions. A bioenergetically informed approach to physical therapist interventions empowers physical therapists to design interventions that integrate physiologic systems critical to bioenergetic capacities more fully, optimizing both the mechanical components and fuel systems that power movement. This perspective uses recovery as a model framework to emphasize the benefits of a bioenergetically informed approach, and importantly, it serves as a component of rehabilitation that can be immediately acted on by clinicians, recognizing that optimal therapeutic outcomes require adequate bioenergetic capacity to support the intended applications. While physical therapists have traditionally excelled as biomechanical practitioners who address the structural and mechanical aspects of human movement, the integration of comprehensive bioenergetic principles represents a transformative opportunity to elevate clinical practice by understanding not only the machinery, but also the metabolic systems that fuel optimal performance.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387935","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":"Building pain resilience in LGBTQIA+ individuals.","authors":"Megan H Ross, Joe Tatta, Janet Bezner","doi":"10.1093/ptj/pzag071","DOIUrl":"10.1093/ptj/pzag071","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, queer, intersex, asexual, and individuals with other related experiences or identities (LGBTQIA+) experience chronic pain and disability at twice the rate as their cisgender, endosex, and heterosexual counterparts. These disparities are shaped by intersecting social, structural, and historical factors, including minority stress, health care discrimination, and barriers to affirming care. While contextualized approaches to pain management have been recommended to address the unique lived experiences of LGBTQIA+ individuals, prevailing pain models largely remain grounded in deficit-oriented frameworks that emphasize vulnerability, maladaptive cognitions, and individual pathology. Such approaches risk obscuring the broader social determinants of health that shape pain experiences and may inadvertently reproduce dynamics of stigma and medical mistrust. This perspective argues for a conceptual shift toward an affirmative, resilience-based approach to chronic pain management for LGBTQIA+ individuals. Drawing on evidence from LGBTQIA+ affirming care, trauma-informed practice, and resilience-based approaches, this perspective proposes a framework that integrates recognition of social and structural inequities with strengths-based principles that emphasize adaptive coping, psychological flexibility, identity affirmation, and community connection. It outlines how physical therapists are uniquely positioned to operationalize this approach by fostering psychological safety, supporting meaningful movement and values-based engagement, and addressing contextual barriers to care. By moving beyond vulnerability-focused models and centering resilience as a dynamic, contextually situated process, this perspective offers a pathway for physical therapists to promote equity, empowerment, and more effective pain care for LGBTQIA+ individuals. Prevailing pain management models for LGBTQIA+ individuals are largely deficit-oriented, often overlooking minority stress, structural inequities, and the historical pathologization of LGBTQIA+ identities. Resilience-based, LGBTQIA+-affirming approaches integrate strengths, adaptive coping, and community resources while explicitly acknowledging social determinants of health and previous trauma. This perspective calls for a conceptual and practice-level shift in physical therapy, positioning affirming, resilience-informed pain care as essential to advancing equity and improving outcomes for LGBTQIA+ communities.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148423282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Early mobilization in patients with aneurysmal subarachnoid hemorrhage: a prospective observational study.\" Hernandez S, Tipping C, Deane AM, et al. Phys Ther. 2026;106(4):pzag031.  https://doi.org/10.1093/ptj/pzag031.","authors":"Suraj Pradhan, Sunita Sharma","doi":"10.1093/ptj/pzag072","DOIUrl":"https://doi.org/10.1093/ptj/pzag072","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148831539","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 RESOLVE Trial: A Stepped-Wedge, Cluster-Randomized Clinical Trial Evaluating the Effects of Clinical Practice Guidelines and Psychologically Informed Physical Therapy on Low Back Pain Outcomes in Service Members and Veterans.","authors":"Emma H Beisheim-Ryan, Brad D Hendershot, Charity G Patterson, Joseph Kakyomya, Jason Maikos, M Jason Highsmith, Sara R Gorczynski, Christopher L Dearth, Shawn Farrokhi","doi":"10.1093/ptj/pzag074","DOIUrl":"https://doi.org/10.1093/ptj/pzag074","url":null,"abstract":"<p><strong>Importance: </strong>Low back pain (LBP) clinical practice guidelines (CPGs) recommend using evidence-based active and manual treatments within a psychologically informed physical therapy (PIPT) framework, but the effectiveness of a combined, CPG-adherent approach remains understudied.</p><p><strong>Objective: </strong>This trial evaluated the effectiveness of a CPG and PIPT (CPG+PIPT) implementation strategy in reducing LBP-related disability, pain, and downstream health care utilization.</p><p><strong>Design: </strong>This was a multisite, stepped-wedge, cluster-randomized trial.</p><p><strong>Setting: </strong>The locations were military and veteran health care settings.</p><p><strong>Participants: </strong>Data from patients seeking LBP care were collected during usual care, training, and post-training (CPG+PIPT) periods.</p><p><strong>Interventions: </strong>Physical therapists from 6 clinics received CPG+PIPT training and monthly feedback reports regarding practice patterns and patient outcomes.</p><p><strong>Main outcomes and measures: </strong>Primary outcomes were the Oswestry Disability Index (ODI) and the Defense and Veterans Pain Rating Scale (DVPRS), obtained at intake and regular intervals throughout treatment. LBP-related health care utilization data (opioid prescriptions, spinal injections, specialty care visits, hospitalizations, imaging) were extracted from medical databases 12 months after the index visit. Linear mixed models were used to test whether ODI and DVPRS trajectories improved after training. Generalized linear mixed models were used to compare LBP-related health care utilization between usual care and CPG+PIPT periods.</p><p><strong>Results: </strong>Analysis included data from 2320 patients seen by 74 physical therapists. Patients reported moderate disability (ODI) and pain (DVPRS) at intake, which persisted throughout follow-up. Patients treated during the CPG+PIPT period had slightly more ODI and DVPRS improvements over time but no clinically meaningful differences at 6 and 12 weeks. The CPG+PIPT period was associated with a 30% reduction in 12-month opioid prescriptions, but patterns of other LBP-related encounters and physical therapist treatments were similar across periods.</p><p><strong>Conclusions: </strong>Despite promising improvements in opioid prescription rates, minimal changes in other practice patterns were observed, and differences in outcomes did not translate to clinically meaningful improvements.</p><p><strong>Relevance: </strong>Findings underscore the complexity of implementing high-value LBP management strategies in military and veteran health care settings.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520764","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":"Perspectives of Private Practice Physical Therapy Health Care Systems Participating in a Pragmatic Clinical Trial: A Qualitative Study.","authors":"Barbara J Van Gorp, Elizabeth Johnson, Kari Vance, Jonah Pedelty, Dana L Dailey, Kristin R Archer, Leslie Crofford, Carol G T Vance, Katherine A Sluka, Heather Schacht Reisinger","doi":"10.1093/ptj/pzag073","DOIUrl":"https://doi.org/10.1093/ptj/pzag073","url":null,"abstract":"<p><strong>Importance: </strong>The pragmatic clinical trial, Fibromyalgia TENS In Physical Therapy Study (FM-TIPS), includes 4 private practice physical therapy (PT) health care systems (HCS). Private practice HCS are the largest employers of physical therapists (43%) in the United States. This novel study shares the perspectives of the 4 private practice PT-HCS in the clinical trial - as most clinical research is completed at academic centers. These results may benefit both clinicians and researchers considering inclusion of physical therapy from non-academic settings in research.</p><p><strong>Objectives: </strong>This study shares perspectives and lived-experiences of the 4 private practice PT-HCS in FM-TIPS.</p><p><strong>Design: </strong>A generic qualitative study including semi-structured, individual interviews and a focus group discussion.</p><p><strong>Setting: </strong>An electronic platform and in-person observations were utilized.</p><p><strong>Participants: </strong>The directors of the four private PT-HCS in FM-TIPS participated.</p><p><strong>Interventions: </strong>Individual interviews and focus group discussions were recorded electronically. Surveys of clinician characteristics were completed.</p><p><strong>Main outcome and measures: </strong>Transcriptions were reviewed, coded, and analyzed. A priori codes were compared and combined into themes. Analysis of workforce characteristics compared study trained clinicians to national averages from the American Physical Therapy Association (APTA) for an understanding of clinics.</p><p><strong>Results: </strong>Four themes emerged: Participation is not a burden; Private practice directors see benefits; Participation brings challenges and new opportunities; Private practice PT-HCS should participate in future research. The secondary analysis demonstrated clinicians had higher rates of professional membership and advanced training.</p><p><strong>Conclusion: </strong>With study team support, private practice PT-HCS participation is feasible and successful, provides benefits to the practice and clinicians, and should be considered for future research.</p><p><strong>Relevance: </strong>These results are important information for all aspects of the physical therapy community- from clinicians to academic researchers. The viewpoints of these private practice physical therapy clinics differ from previous research experiences. Understanding facilitators and barriers can inform future clinical research.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520812","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":"Clinical practice guideline for physical therapist management of total knee arthroplasty: revision 2026.","authors":"Allyn M Bove, Lindsay A Carroll, Sean Cone, Pamela Dibblee, Craig P Hensley, Kimberly Lenington, Paul A Manner, David A Scalzitti, James Tompkins, Michael J Bade","doi":"10.1093/ptj/pzag058","DOIUrl":"10.1093/ptj/pzag058","url":null,"abstract":"<p><p>An updated clinical practice guideline on total knee arthroplasty, initially published in 2020, was developed by an American Physical Therapy Association volunteer guideline development group consisting of physical therapists, an orthopedic surgeon, and an occupational therapist. The guideline was based on a systematic review of current scientific literature. Twenty recommendations were formulated. Benefits, harms, feasibility, and role of patient preferences in implementing these recommendations were identified. Recommendations identified current gaps in knowledge and future areas of needed research.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"News from the Foundation for Physical Therapy Research, July 2026.","authors":"","doi":"10.1093/ptj/pzag064","DOIUrl":"https://doi.org/10.1093/ptj/pzag064","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148472064","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":"Impact of entry-level curriculum reform on evidence-based practice competencies in physical therapists: a cross-sectional study.","authors":"Vincent Fontanier, Etienne Delforge, Jules Opplert, Pauline Eon, Guillaume Grangié, Arnaud Bruchard, David Laplaud","doi":"10.1093/ptj/pzag062","DOIUrl":"10.1093/ptj/pzag062","url":null,"abstract":"<p><strong>Importance: </strong>Evidence-based practice (EBP) is a core competency in physical therapy. In 2015, France implemented a major reform of physical therapist education, extending training from 3 to 5 years and embedding EBP throughout the curriculum. However, whether this reform translates into improved EBP competencies remains unclear.</p><p><strong>Objective: </strong>This study aimed to determine the impact of evidence-informed curriculum changes on EBP competencies among physical therapist graduates.</p><p><strong>Design: </strong>This study was a national cross-sectional survey.</p><p><strong>Setting: </strong>This study was conducted in France.</p><p><strong>Participants: </strong>The participants were French physical therapists trained under the pre-reform (1989 to 2015) and post-reform (2015 to present) curricula.</p><p><strong>Intervention(s) or exposure(s): </strong>The exposures included the 2015 reform of entry-level physical therapist education and participation in continuing education related to EBP.</p><p><strong>Main outcome(s) and measure(s): </strong>EBP competencies were assessed using the Evidence-Based Practice Profile questionnaire (EBP2) and the Knowledge of Research Evidence Competencies test (K-REC). The EBP2 evaluates self-reported attitudes, confidence, EBP use, and understanding of research terminology. The K-REC measures applied knowledge of research evidence using a clinical scenario.</p><p><strong>Results: </strong>A total of 168 physical therapists participated. Compared with pre-reform graduates, post-reform graduates had higher scores across most EBP domains, with the largest improvement in the \"Knowledge\" domain (effect size = 0.50). Moderate gains were observed in \"Terminology\" and smaller but significant improvements in \"Confidence\" and attitudes toward EBP. Despite these gains, only 35.1% of respondents achieved a passing score on the knowledge test, and self-reported EBP practice remained limited. Continuing education and curriculum reform exerted independent and additive effects.</p><p><strong>Conclusions and relevance: </strong>The curriculum reform was associated with meaningful improvements in EBP competencies, particularly knowledge. However, important gaps remain between knowledge acquisition and routine clinical application, indicating that entry-level reform alone is insufficient to ensure sustained EBP implementation. These findings suggest that lifelong learning and supportive clinical environments remain necessary to achieve durable integration of evidence-based physical therapy.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259267","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":"Implementation of a gait and balance battery of outcome measures in an inpatient rehabilitation hospital.","authors":"Leah Ling, Randy Carson, Geneviève N Olivier, Margaret A French","doi":"10.1093/ptj/pzag059","DOIUrl":"10.1093/ptj/pzag059","url":null,"abstract":"<p><strong>Importance: </strong>Standardized outcome measure batteries are important for tracking functional progress, enhancing communication among providers, and evaluating intervention effectiveness in physical therapy. However, implementation of standardized batteries is challenging due to time constraints, documentation requirements, and limited resources.</p><p><strong>Objective: </strong>The objective was to evaluate the implementation of a standardized gait and balance outcome measure battery by physical therapists for patients with stroke, brain injury, and spinal cord injury in the inpatient rehabilitation facility (IRF) setting.</p><p><strong>Design: </strong>This study used a retrospective cohort study of 773 episodes of care at the IRF, and a quantitative survey for 22 staff physical therapists at the IRF.</p><p><strong>Setting: </strong>This study was conducted at a 50-bed IRF in the United States.</p><p><strong>Interventions: </strong>A standardized outcome measure battery with 5 measures (10 Meter Walk Test, 6 Minute Walk Test, Berg Balance Scale, Functional Gait Assessment, and 5 Times Sit to Stand) was implemented by all physical therapist teams at the IRF.</p><p><strong>Main outcomes and measures: </strong>The main implementation outcomes were Penetration and Sustainability, assessed with retrospective cohort data, and Acceptability and Feasibility, assessed with the quantitative survey of physical therapists.</p><p><strong>Results: </strong>There was a significant improvement in the completion rates of all 5 outcome measures, with most measures exceeding a 70% completion rate threshold 1 year after implementation. Completion rates of the entire battery did not reach 70%. Physical therapists indicated that implementation of the battery resulted in positive practice changes, and that barriers to completion were patients' functional levels and the time required for completion.</p><p><strong>Conclusions: </strong>Implementation of a standardized outcome measure battery is feasible in the IRF setting. However, outcome measure completion rates may improve with a more condensed battery and with integration into clinical workflows.</p><p><strong>Relevance: </strong>This study provides a practical model for IRFs to adopt and evaluate standardized outcome measure batteries that improve physical therapists' ability to assess physical function across health systems and settings.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148055894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}