Rehabilitation Research and Practice最新文献

{"title":"Gateway to Recovery: A Comparative Analysis of Stroke Patients' Experiences of Change and Learning in Norway and Denmark.","authors":"Hanne Pallesen,&nbsp;Lena Aadal,&nbsp;Siri Moe,&nbsp;Cathrine Arntzen","doi":"10.1155/2019/1726964","DOIUrl":"https://doi.org/10.1155/2019/1726964","url":null,"abstract":"<p><strong>Objectives: </strong>The recovery process is reported by stroke survivors to be a change process fraught with crises and hazard. Interaction with health professionals and others may play a central role in establishing renewed control over life.</p><p><strong>Research questions: </strong>(1) How do patients handle and overcome experienced changes after stroke? (2) How do they experience the support to handle these changes during the first year after stroke? (3) How do the similarities and differences transpire in Danish and Norwegian contexts? <i>Methodology</i>. A qualitative method was chosen. Six patients from Denmark and five patients from Norway (aged 25-66) were followed up until one year after stroke, by way of individual interviews. The data were analyzed (using NVivo 11) by means of phenomenological analysis.</p><p><strong>Findings: </strong>The participants described four main issues in the recovery process that impacted the experienced changes: (i) strategies and personal factors that promote motivation, (ii) the involvement of family, social network, and peers, (iii) professionals' support, and (iv) social structures that limit the recovery process. There was a diversity of professional support and some interesting variations in findings about factors that affected recovery and the ability to manage a new life situation between Central Denmark and Northern Norway. Both Norwegian and Danish participants experienced positive changes and progress on the bodily level, as well as in terms of activity and participation. Furthermore, they learned how to overcome limitations, especially in bodily functions and daily activities at home. Unfortunately, progress or support related to psychosocial rehabilitation was almost absent in the Norwegian data.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2019 ","pages":"1726964"},"PeriodicalIF":1.8,"publicationDate":"2019-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1726964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36568377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Outcomes of Interdisciplinary Hip Fracture Rehabilitation in Frail Elderly Inpatients.","authors":"Manuel Bayon-Calatayud,&nbsp;Ana Maria Benavente-Valdepeñas","doi":"10.1155/2018/1708272","DOIUrl":"https://doi.org/10.1155/2018/1708272","url":null,"abstract":"<p><strong>Objective: </strong>To investigate short-term outcomes of an interdisciplinary rehabilitation program for elderly inpatients who underwent surgical treatment for hip fractures.</p><p><strong>Methods: </strong>This is a prospective cohort study of fifty older inpatients who were admitted to a geriatric rehabilitation unit. Clinical and functional outcomes were assessed at admission, at discharge, and one month postdischarge.</p><p><strong>Results: </strong>Patients mean age was 84.1 ± 4.7 years. Proportions of study population with risk factors of frailty were cognitive impairment (64%), Charlson comorbidity index > 1 (72%), and protein malnutrition (59.2%). Before fracture, Barthel median was 90 (IQR 85, 100), and functional ambulation classification (FAC) score was ≥ 4 for 90% of study participants. One month after concluding rehabilitation, Barthel median was 80, 1 month postdischarge FAC ≥ 4 - prefracture FAC ≥ 4 mean change was - 8% (95% CI, -21.5%, 3.4%), and average for gait speed was 0.48 ± 0.18 m/s (95% CI, 0.43, 0.54). Significant correlation was found between admission Barthel score and 1 month postdischarge Barthel score (<i>ρ</i>= 0.27, p=0.05), and between prefracture FAC score and FAC score 1 month postdischarge (<i>ρ</i> = 0.57, p = 0.05). According to regression analysis, age, cognitive status, prefracture Barthel, prefracture FAC, type of surgery, and length of stay were associated with short-term recovery outcomes.</p><p><strong>Conclusion: </strong>An early interdisciplinary rehabilitation management was insufficient to recover prefracture functional status. Future studies should investigate the best therapeutic strategies to optimize functional recovery, according to clinical and prefracture frail conditions of these patients.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"1708272"},"PeriodicalIF":1.8,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1708272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36907707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Approaches of Whole Body Vibration Exercises.","authors":"Mario Bernardo-Filho,&nbsp;Redha Taiar,&nbsp;Borja Sañudo,&nbsp;Trentham Furness","doi":"10.1155/2018/9123625","DOIUrl":"https://doi.org/10.1155/2018/9123625","url":null,"abstract":"1Laboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biof́ısica e Biometria, Universidade do Estado do Rio de Janeiro, RJ, Brazil 2Department of Sport Science, Université de Reims Champagne-Ardenne, Reims, France 3Departamento de Educación Fı́sica y Deporte, Universidad de Sevilla, Sevilla, Spain 4Australian Catholic University, School of Nursing, Midwifery and Paramedicine, Victoria, Australia","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"9123625"},"PeriodicalIF":1.8,"publicationDate":"2018-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9123625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36812695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mirror and Vibration Therapies Effects on the Upper Limbs of Hemiparetic Patients after Stroke: A Pilot Study.","authors":"Maria da Conceição Barros Oliveira,&nbsp;Danylo Rafhael Costa Silva,&nbsp;Bruno Vieira Cortez,&nbsp;Constância Karyne da Silva Coêlho,&nbsp;Francisco Mayron de Sousa E Silva,&nbsp;Giselle Borges Vieira Pires de Oliveira,&nbsp;Danúbia de Cunha de Sá-Caputo,&nbsp;Angela Cristina Tavares-Oliveira,&nbsp;Mário Bernardo-Filho,&nbsp;Janaína De Moraes Silva","doi":"10.1155/2018/6183654","DOIUrl":"https://doi.org/10.1155/2018/6183654","url":null,"abstract":"<p><strong>Background/aim: </strong>To evaluate, in this pilot study, the effects of the mirror (MT) and vibration therapies (VT) on the functionality of hemiparesis patients after stroke.</p><p><strong>Materials and methods: </strong>Twenty-one individuals after stroke with upper limb hemiparesis were randomized into control group (CG), Mirror Therapy Group (MTG), and Vibration Therapy Group (VTG). The functionality was evaluated before and after 12 sessions with three tests (i) Mobility Index Rivermead, (ii) Motor Function Wolf Test (time, functional ability), and (iii) Jebsen Taylor Test.</p><p><strong>Results: </strong>Significant findings were observed for MTG or VTG when compared to the CG, obtaining improvements in the three functional tests: Mobility Index Rivermead, Motor Function Test Wolf (time) and Motor Function Test Wolf (functional ability), and Jebsen Test Taylor.</p><p><strong>Conclusions: </strong>MT or VT showed enhancements on the functionality of subjects with poststroke hemiparesis. In consequence, these interventions may be used in the rehabilitation of these individuals in order to promote improvements of the affected upper limb functionality. Probably, neuromuscular responses of the used therapies would be related to these desirable effects. However, it is necessary conducting further controlled studies with more subjects.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"6183654"},"PeriodicalIF":1.8,"publicationDate":"2018-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6183654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36755702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Municipal Cross-Disciplinary Rehabilitation following Stroke in Denmark and Norway: A Qualitative Study.","authors":"Lena Aadal, Hanne Pallesen, Cathrine Arntzen, Siri Moe","doi":"10.1155/2018/1972190","DOIUrl":"10.1155/2018/1972190","url":null,"abstract":"<p><strong>Aim: </strong>To explore and compare the content of rehabilitation practices in, respectively, a Danish and a Norwegian region, focusing on how the citizens' rehabilitation needs are met during rehabilitation in the municipalities.</p><p><strong>Method: </strong>Six Danish and five Norwegian cases were followed 12 months after the onset of stroke. Field work and focus group interviews with multidisciplinary teams in the municipalities were conducted. The conceptual frame of the International Classification of Functioning was used to outline general patterns and local variation in the rehabilitation services.</p><p><strong>Findings: </strong>Each of the settings faces different challenges and opportunities in the provision of everyday life-supportive rehabilitation services. Rehabilitation after stroke in both settings basically follows the same guidelines, but the organization of rehabilitation programmes is more specialized in Denmark than in Norway. Team organization, multidisciplinarity, and collaboration to assess and target the patients' needs characterized the Danish rehabilitation services. Decentralized coordination and monodisciplinary contributions with scarce or unsystematic collaboration were common in the Norwegian cases. Seamless holistic rehabilitation was challenged in both countries, but more notably in Norway. The municipal services emphasized physical functioning, which could conflict with the patients' needs. Cognitive disturbances to and aspects of activity or participation were systematically addressed by the interdisciplinary teams in Denmark, while practitioners in Norway found that these disturbances were scarcely addressed.</p><p><strong>Discussion: </strong>The study showed major differences in municipal stroke rehabilitation services in the Northern Norway and Central Denmark Regions-in their ability to conduct everyday life-supportive rehabilitation services. Despite the fact that biopsychosocial conceptions of disease and illness, as recommended in the ICF, have been generally accepted, they seemed scarcely implemented in the political and health managerial arenas, especially in Norway. These national diversities can partly be explained by the size of the municipalities and the available health profiles in delivering patient and family-centred rehabilitation services.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"1972190"},"PeriodicalIF":1.8,"publicationDate":"2018-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36737636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Dual-Task Conditions on Gait Performance during Timed Up and Go Test in Children with Traumatic Brain Injury.","authors":"Rabiatul Adawiah Abdul Rahman,&nbsp;Fazira Rafi,&nbsp;Fazah Akhtar Hanapiah,&nbsp;Azlina Wati Nikmat,&nbsp;Nor Azira Ismail,&nbsp;Haidzir Manaf","doi":"10.1155/2018/2071726","DOIUrl":"https://doi.org/10.1155/2018/2071726","url":null,"abstract":"<p><strong>Background: </strong>Tasks requiring simultaneous mobility and cognition (dual tasks) have been associated with incidence of falls. Although these deficits have been documented in individuals with neurologic disorder, the effect of dual task in children with traumatic brain injury has not been fully explored.</p><p><strong>Objective: </strong>To investigate the effect of dual-task (dual-motor and dual-cognitive task) conditions on spatiotemporal gait parameters during timed up and go test in children with traumatic brain injury.</p><p><strong>Methods and material: </strong>A total of 14 children with traumatic brain injury and 21 typically developing children participated in this case-control study. Functional balance was assessed before the actual testing to predict the risk of falls. Timed up and go test was performed under single-task and dual-task (dual-motor and dual-cognitive task) conditions. Spatiotemporal gait parameters were determined using the APDM Mobility Lab system. The descriptive statistics and <i>t</i>-test were used to analyze demographic characteristics and repeated measure ANOVA test was used to analyze the gait parameters.</p><p><strong>Results: </strong>Under dual-task (dual-motor and dual-cognitive task) conditions during the timed up and go test, gait performance significantly deteriorated. Furthermore, the total time to complete the timed up and go test, stride velocity, cadence, and step time during turning were significantly different between children with traumatic brain injury and typically developing children.</p><p><strong>Conclusions: </strong>These findings suggest that gait parameters were compromised under dual-task conditions in children with traumatic brain injury. Dual-task conditions may become a component of gait training to ensure a complete and comprehensive rehabilitation program.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"2071726"},"PeriodicalIF":1.8,"publicationDate":"2018-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2071726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36642934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Approaches of Whole-Body Vibration Exercises in Individuals with Stroke: A Narrative Revision.","authors":"Borja Sañudo,&nbsp;Redha Taiar,&nbsp;Trentham Furness,&nbsp;Mario Bernardo-Filho","doi":"10.1155/2018/8180901","DOIUrl":"https://doi.org/10.1155/2018/8180901","url":null,"abstract":"<p><p>Stroke is associated with long-term disability and patients experience numerous physical impairments including muscle weakness, particularly in the paretic limbs, balance, and functional mobility. During acute stroke rehabilitation, when individuals are less likely to be functionally independent and rely on rehabilitative care, the efficacy of low skill interventions that can reduce sedentary behaviour should be established. As such, this narrative revision focused on the use of empirical studies of whole-body vibration exercise (WBVE) on different health outcomes in stroke patients. The effects of WBVE on neuromuscular performance (muscular strength and power), mobility, spasticity, and cardiovascular responses have been highlighted. Although some positive results were reported we can conclude that there is no solid evidence confirming the beneficial effects of WBVE among people with stroke compared with either other types of physical activities or sham WBVE. Therefore, further research should be performed in this area, testing the feasibility and efficacy of using WBVE in a more homogeneous sample of stroke patients or comparing different WBVE parameters.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"8180901"},"PeriodicalIF":1.8,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/8180901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36604165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stochastic Resonance Training Improves Balance and Musculoskeletal Well-Being in Office Workers: A Controlled Preventive Intervention Study.","authors":"Yannik Faes,&nbsp;Clare Maguire,&nbsp;Michele Notari,&nbsp;Achim Elfering","doi":"10.1155/2018/5070536","DOIUrl":"https://doi.org/10.1155/2018/5070536","url":null,"abstract":"<p><p>Sixty-two office workers in a Swiss federal department were randomly assigned to a training and a control group. While the training group was instructed to complete 3 stochastic resonance whole-body vibration (SR-WBV) exercises every week for 4 weeks, the control group received no treatment. During this time all participants answered a daily questionnaire concerning their surefootedness, sense of balance, musculoskeletal well-being, and muscle relaxation. Before and after the 4-week SR-WBV intervention, balance was tested with a single-leg stance on a foam mat of the Balance Error Scoring System (BESS) using a SwayStar™-System measuring Total Angle Area (TotAngArea) and Total Velocity Area (TotVelArea). Multilevel results highlighted a significant increase over time for surefootedness and sense of balance (t = 2.491, p = .016), as well as for musculoskeletal well-being and muscle relaxation (t = 2.538, p = .014) in the training group but not in the control group. Balance tests showed improvement of balance in the training group (TotAngArea: Z = 2.550, p = .011; TotVelArea: Z = 3.334, p = .001) but not in the control group. SR-WBV exercise indicated a high compliance during this study (3.87±0.45 trainings per week) underlining its benefits for the working context. Especially office workers who spend most of their time in sitting position could profit from SR-WBV exercise to improve balance and reduce the risk of falls.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"5070536"},"PeriodicalIF":1.8,"publicationDate":"2018-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/5070536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36558524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Right Judgement Task and Sensory, Motor, and Cognitive Assessment in Participants with Wrist/Hand Pain.","authors":"René Pelletier, Daniel Bourbonnais, Johanne Higgins, Maxime Mireault, Michel Alain Danino, Patrick G Harris","doi":"10.1155/2018/1530245","DOIUrl":"10.1155/2018/1530245","url":null,"abstract":"<p><p>The Left Right Judgement Task (LRJT) involves determining if an image of the body part is of the left or right side. The LRJT has been utilized as part of rehabilitation treatment programs for persons with pain associated with musculoskeletal injuries and conditions. Although studies often attribute changes and improvement in LRJT performance to an altered body schema, imaging studies suggest that the LRJT implicates other cortical regions. We hypothesized that cognitive factors would be related to LRJT performance of hands and feet and that sensory, motor, and pain related factors would be related to LRJT in the affected hand of participants with wrist/hand pain. In an observational cross-sectional study, sixty-one participants with wrist/hand pain participated in a study assessing motor imagery ability, cognitive (Stroop test), sensory (Two-Point Orientation Discrimination, pressure pain thresholds), motor (grip strength, Purdue Pegboard Test), and pain related measures (West Haven Yale Multidimensional Pain Inventory) as well as disability (Disability of the Arm, Shoulder and Hand). Multiple linear regression found Stroop test time and motor imagery ability to be related to LRJT performance. Tactile acuity, motor performance, participation in general activities, and the taking of pain medications were predictors of LRJT accuracy in the affected hand. Participants who took pain medications performed poorly in both LRJT accuracy (p=0.001) and reaction time of the affected hand (p=0.009). These participants had poorer cognitive (p=0.013) and motor function (p=0.002), and higher pain severity scores (p=0.010). The results suggest that the LRJT is a complex mental task that involves cognitive, sensory, motor, and behavioural processes. Differences between persons with and without pain and improvement in LRJT performance may be attributed to any of these factors and should be considered in rehabilitation research and practice utilizing this task.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"1530245"},"PeriodicalIF":1.8,"publicationDate":"2018-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36499548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review.","authors":"Nelly Darbois, Albin Guillaud, Nicolas Pinsault","doi":"10.1155/2018/6412318","DOIUrl":"10.1155/2018/6412318","url":null,"abstract":"<p><strong>Background: </strong>Mirror therapy has been used in rehabilitation for multiple indications since the 1990s. Current evidence supports some of these indications, particularly for cerebrovascular accidents in adults and cerebral palsy in children. Since 2000s, computerized or robotic mirror therapy has been developed and marketed.</p><p><strong>Objectives: </strong>To map the extent, nature, and rationale of research activity in robotic or computerized mirror therapy and the type of evidence available for any indication. To investigate the relevance of conducting a systematic review and meta-analysis on these therapies.</p><p><strong>Method: </strong>Systematic scoping review. Searches were conducted (up to May 2018) in the <i>Cochrane Library, Google Scholar, IEEE Xplore, Medline, Physiotherapy Evidence Database</i>, and <i>PsycINFO</i> databases. References from identified studies were examined.</p><p><strong>Results: </strong>In sum, 75 articles met the inclusion criteria. Most studies were publicly funded (57% of studies; n = 43), without disclosure of conflict of interest (59% of studies; n = 44). The main outcomes assessed were pain, satisfaction on the device, and body function and activity, mainly for stroke and amputees patients and healthy participants. Most design studies were case reports (67% of studies; n = 50), with only 12 randomized controlled trials with 5 comparing standard mirror therapy versus virtual mirror therapy, 5 comparing second-generation mirror therapy versus conventional rehabilitation, and 2 comparing other interventions.</p><p><strong>Conclusion: </strong>Much of the research on second-generation mirror therapy is of very low quality. Evidence-based rationale to conduct such studies is missing. It is not relevant to recommend investment by rehabilitation professionals and institutions in such devices.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":"2018 ","pages":"6412318"},"PeriodicalIF":1.5,"publicationDate":"2018-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36483392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}