Journal of Manual & Manipulative Therapy最新文献

{"title":"Shifting pain phenotypes with physical therapy treatment: an exploration study.","authors":"Adriaan Louw, Merrill R Landers, Kevin Farrell, Candi Garner, Laura McEachern, Alexis Dandridge, Tristin King, Jessica Mendenhall, Spencer Schlarmann, Jenna Schrader, Kory Zimney","doi":"10.1080/10669817.2026.2667420","DOIUrl":"https://doi.org/10.1080/10669817.2026.2667420","url":null,"abstract":"<p><strong>Background: </strong>Pain phenotyping classifies a patient's pain as nociceptive, peripheral neuropathic, or nociplastic and should drive examination and treatment options. While it is theoretically possible for patients to transition between pain phenotypes during treatment, empirical clinical evidence for such changes remains unknown.</p><p><strong>Objective: </strong>To explore if pain phenotype clinical presentations shift during the course of physical therapy treatment.</p><p><strong>Methods: </strong>Patients attending outpatient physical therapy for musculoskeletal pain had their predominant pain phenotype evaluated by the attending clinician at the initial consultation. Patients received usual care per the attending clinician's discretion, and pain phenotype assessment was repeated at visits 3 and 6 by the same clinician.</p><p><strong>Results: </strong>Ninety-two patients were assessed and treated. There was a statistically significant difference among the means, χ2(2) = 10.133, <i>p</i> = 0.006. Post hoc comparisons revealed no significant difference between the evaluation phenotype and the visit 3 phenotype (<i>p</i> = 0.055). However, there were statistically significant differences between the visit 3 phenotype and the visit 6 phenotype (<i>p</i> = 0.023) and between the evaluation phenotype and the visit 6 phenotype (<i>p</i> = 0.018). The data suggest that participants' phenotypes changed from more complex (nociplastic) to less complex (nociceptive) over the duration of treatment.</p><p><strong>Conclusion: </strong>Pain phenotypes may shift during physical therapy. Additional research is needed to determine what additional clinical and non-clinical factors are associated with shifts in pain phenotypes during physical therapy.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dry needling directly into trigger points is associated with improved gait parameters: a randomized controlled trial.","authors":"Stephanie R Albin, Larisa R Hoffman, Cameron W MacDonald, Andrew Bates, Ann Brewer, Alexandra Gordon, Justin Hua, David Shaw, Shane L Koppenhaver, Jeffrey Hebert","doi":"10.1080/10669817.2026.2666327","DOIUrl":"https://doi.org/10.1080/10669817.2026.2666327","url":null,"abstract":"<p><strong>Objectives: </strong>Although used in individuals after ankle or hindfoot injury, little is known about the effects of dry needling (DN) on gait parameters or whether the effect depends upon location of the needle. Therefore, our aim was to compare the effect of DN into a myofascial trigger point (MTrP) versus needling within the same muscle on gait velocity, step length, and peak pressure during gait phases after injury to the ankle/hindfoot.</p><p><strong>Methods: </strong>Thirty-three individuals with injury to the ankle/hindfoot were randomized to receive DN directly to MTrPs (DNMTrP) or DN into the same muscle but 2.0 cm away from the MTrP (Control). Individuals received three DN sessions 1 week apart and were assessed prior to and immediately after each DNsession and 2 weeks later. Spatiotemporal characteristics of gait were assessed using the GAITRite system and peak pressure and force were assessed using the EMED platform using linear mixed models. .</p><p><strong>Results: </strong>After adjusting for baseline differences, normalized gait velocity and step length were significantly higher for the DNMTrP group than the control group at the second session and subsequent assessments [adjusted 4-week difference = 0.10 (0.03, 0.18) m/s and 4.88 (1.69, 8.07) cm, respectively]. After adjusting for baseline differences, peak pressure at weight acceptance was also significantly higher in the DNMTrP group than the control group at the second session and subsequent assessments [adjusted 4-week difference = 77.50 (36.60, 118.39) kPa].</p><p><strong>Discussion/conclusion: </strong>DN directly to MTrPs appears to increase gait velocity, step length and peak pressures at weight acceptance and changes lasted for 2 weeks following the intervention.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of shoulder external rotation on sensory responses to the upper limb neurodynamic test 1 in men and women with and without non-specific neck pain: a cross-sectional study.","authors":"Jaime Gascón-Jaén, Carlos Lozano-Quijada, Tamara Peña-Castillo, Sofía Pérez-Alenda, Jose-Vicente Segura-Heras, Emilio-José Poveda-Pagán","doi":"10.1080/10669817.2026.2664105","DOIUrl":"https://doi.org/10.1080/10669817.2026.2664105","url":null,"abstract":"<p><strong>Objective: </strong>To compare symptom intensity and sensory characteristics evoked during the standard Upper Limb Neurodynamic Test 1 (ULNT1) and a modified version without shoulder external rotation in men and women with and without nonspecific neck pain (NSNP).</p><p><strong>Methods: </strong>A cross-sectional study including 110 participants (55 with NSNP and 55 asymptomatic controls; 28 women and 27 men in each group) was conducted. Both ULNT1 versions were performed bilaterally in randomized order. Symptom intensity (Numerical Rating Scale), sensation type, and location were recorded after each test. Data were analyzed using a linear mixed-effects model with aligned rank transformation considering group, sex, and test as fixed factors.</p><p><strong>Results: </strong>Participants with NSNP reported higher symptom intensity than asymptomatic controls in both ULNT1 versions (<i>p</i> < 0.001). The standard ULNT1 elicited higher intensity than the modified version (<i>p</i> < 0.05). No significant main effect of sex or interaction effects were observed. Pain sensations were more frequent in women with NSNP, whereas tingling predominated in men with NSNP. Thumb-related symptoms were more common in the NSNP group, while forearm sensations were more frequent among asymptomatic participants.</p><p><strong>Conclusion: </strong>Individuals with NSNP show greater symptom intensity and distinct sensory profiles during both the standard and modified ULNT1, consistent with increased neural mechanosensitivity. Shoulder external rotation slightly amplifies these responses but without clinically meaningful differences. These findings highlight consistent differences in sensory responses between individuals with and without NSNP during neurodynamic testing, supporting more consistent clinical interpretation of ULNT1 and guiding test selection when shoulder rotation is restricted or not tolerated.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Have we missed the point? Myofascial trigger points, dry needling and a case for a bidirectional reframe.","authors":"Gary A Kearns, Jace Brown","doi":"10.1080/10669817.2026.2665282","DOIUrl":"https://doi.org/10.1080/10669817.2026.2665282","url":null,"abstract":"<p><strong>Objectives: </strong>Myofascial trigger points (MTrPs) have long been framed as local tissue abnormalities that initiate peripheral nociceptive input through a predominantly bottom-up cascade. This clinical commentary proposes a bidirectional, patient-centered lens for interpreting myofascial sensitivity that extends beyond isolated tissue pathology without ignoring its clinical relevance.</p><p><strong>Methods: </strong>A narrative review and clinical commentary synthesizing contemporary pain neuroscience, myofascial literature, and mechanism-based clinical reasoning frameworks was conducted to examine how provocative palpation findings may be reinterpreted through a bidirectional neurophysiologic lens.</p><p><strong>Results: </strong>While biochemical, electrophysiological, vascular, and imaging studies suggest regionally distinct tissue characteristics in areas identified as MTrPs, it remains unclear whether these represent stable local phenomena or transient, state-dependent expressions of nervous system modulation. Clinically, provocative palpation findings frequently occur in conditions where muscle is unlikely to be the primary nociceptive driver, supporting interpretation as secondary hyperalgesia within a sensitized system.</p><p><strong>Discussion: </strong>Rather than viewing MTrPs as the initiating source of nociception, provocative palpation is conceptualized as a fluctuating clinical signal shaped by interacting peripheral, spinal, supraspinal, and contextual influences. Emphasizing pain phenotyping and neurophysiologically guided clinical reasoning over lesion identification may better align myofascial constructs and related interventions, including dry needling, with contemporary pain neurophysiology and support more precise, adaptable clinical management.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing consensus on competency-based educational standards in orthopaedic manual physical therapy fellowship training: findings from a modified Delphi part 4: systems-based practice and patient management.","authors":"Megan Donaldson, Jennifer Bent, Kyle Covington, Chad E Cook, Ina Diener, Mareli Klopper, John Magel, Amy McDevitt, Bryan O'Halloran, Emilio Puentedura, Pierre Röscher, Chris Showalter, Moyo Tillery, Damian Keter","doi":"10.1080/10669817.2026.2662609","DOIUrl":"https://doi.org/10.1080/10669817.2026.2662609","url":null,"abstract":"<p><strong>Background: </strong>Competency-based education (CBE) emphasizes mastery of defined competencies rather than time-based progression. Within orthopedic manual physical therapy (OMPT), the evolving evidence supports person-centered, evidence-informed care, requiring fellowship training standards that reflect this shift. Among the seven proposed domains of competence, Systems-Based Practice (SBP) and Patient Management (PM) are essential. SBP focuses on navigating healthcare systems, interprofessional collaboration, and advocacy, while PM emphasizes delivering comprehensive, value-based care through evidence-informed, person-centered approaches. Consensus on competencies for these domains in OMPT fellowship training remains unclear.</p><p><strong>Objective: </strong>To achieve an international consensus on competencies and graduation milestones for OMPT fellowship training in SBP and PM.</p><p><strong>Methods: </strong>A modified three-Round Delphi study was conducted. In Round I, nine content experts drafted competencies and milestones. Rounds II and III invited stakeholders from the International Federation of Manual and Musculoskeletal Physical Therapists (IFOMPT) member organizations via web-based surveys. Consensus was defined <i>a priori</i> as ≥ 80% agreement. Descriptive statistics and composite scores were used to assess the strength of agreement. The reporting in this study follows guidelines from the Accurate Consensus Reporting Document (ACCORD).</p><p><strong>Results: </strong><i>Systems-Based Practice (SBP)</i>: Five competencies and 19 milestoneswere proposed; four competencies achieved consensus (health screening, healtheducation, healthcare system navigation, health policy and advocacy). <i>PatientManagement (PM)</i>: Six competencies and 17 milestones achieved consensus,with the strongest support for evidence-informed treatment implementation,person-centered care, cultural and social sensitivity, and outcomeoptimization. Lesser support was observed for applying the human movementsystem framework.</p><p><strong>Conclusions: </strong>Findingsunderscore the importance of competencies that promote leadership, advocacy,and evidence-informed, person-centered care in OMPT fellowship training. Gapsin consensus regarding quality improvement and the application of movementsystems highlight areas for future study or development. These resultscontribute to a global framework for advanced OMPT fellowship-level education.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manipulation versus steroid injection in the treatment of Morton's neuroma: a randomized control trial.","authors":"David G Cashley, Nigel Gleeson, Mark A Cashley","doi":"10.1080/10669817.2026.2658163","DOIUrl":"https://doi.org/10.1080/10669817.2026.2658163","url":null,"abstract":"<p><strong>Introduction: </strong>Manipulative therapy's rationale is pragmatically appealing as a noninvasive treatment for Morton's Neuroma, involving targeted manipulations of the metatarsophalangeal joints. Nevertheless, manipulation's efficacy has received limited scrutiny.</p><p><strong>Method: </strong>An exploratory, pragmatic randomized clinical trial was designed to investigate the efficacy of an acute, short dosage (6, weekly episodes) of physiologically principled manipulations, featuring discrete, high-velocity thrusting maneuvers for treating Morton's Neuroma. Adults electing treatment for Morton's Neuroma were randomly allocated to manipulative therapy (<i>n</i> = 29) or corticosteroid injection (<i>n</i> = 32). Baseline and follow-up (at 1.5, 3, 6, 9 and 12 months following treatment cessation) outcome measures of self-reported pain levels; pressure testing for discomfort thresholds; and functionality; pain and social interaction; activities of daily living and sports participation were measured ipsilaterally and by inventory.</p><p><strong>Results: </strong>Manipulation elicited substantive gains immediately after intervention (visual analog scale for Pain [Cohen's <i>d</i>, 3.3; 84.4%]; pressure threshold testing [<i>d</i>, 2.3; 147.0%]; functionality [<i>d</i>, 1.4; 52.8%]; pain [<i>d</i>, 1.3; 45.5%]; social interaction [<i>d</i>, 0.9; 39.2%]) or accumulated during follow-up (daily living [<i>d</i>, 2.2; 40.8%]; sport [<i>d</i>, 1.5; 66.1%]). Concomitant gains for control participants were modest (<i>d</i>, 0.4 to 1.0; 16.6% to 45.9%) (<i>p</i> < 0.05 to <i>p</i> < 0.0005). Retention of improvements following manipulation cessation was substantial for all metrics, significantly better than baseline scores and consistently exceeded that for corticosteroid injection (<i>p</i> < 0.01 to <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Manipulation elicited significant and clinically relevant improvements and retention in self-reported levels of pain, discomfort and functionality for patients electing treatment for Morton's neuroma.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The hidden cost of slouching : exploring scapulohumeral rhythm changes in forward-headed students.","authors":"Sheenam Popli, Vikas Kumar Lamba, Rahul Kumar, Shireen Rehman, Sonam Verma, Gaurav Agarwal","doi":"10.1080/10669817.2026.2663584","DOIUrl":"https://doi.org/10.1080/10669817.2026.2663584","url":null,"abstract":"<p><strong>Background: </strong>Forward head posture (FHP) may alter shoulder biomechanics through changes in neuromuscular control and scapular positioning; however, its relationship with scapulohumeral rhythm (SHR) remains unclear in asymptomatic individuals. To examine the association between FHP and SHR during shoulder abduction and compare SHR across abduction ranges.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 207 college-going young adults (18-25 years). FHP was assessed using the craniovertebral angle (CVA) via a validated smartphone application. Participants were categorized into FHP (CVA <44°) and normal posture groups. Scapular upward rotation was measured using a modified digital inclinometer, and SHR was calculated as the ratio of glenohumeral motion to scapular rotation across 0-90° abduction. Spearman's correlation analysis was performed.</p><p><strong>Results: </strong>Mean CVA was 41.82 ± 3.47°. SHR followed a range-dependent pattern approximating a 2:1 ratio. A moderate positive association was observed between CVA and SHR in early and mid ranges (0°-60°) (<i>r</i> = 0.387-0.421, <i>p</i> < 0.01), weakening at higher ranges and becoming slightly negative at 75°-90° (<i>r</i> = -0.198, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>FHP is associated with altered SHR, particularly in early and mid abduction. These findings support incorporating cervical and scapular assessment within a regional interdependence framework.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor- The effect of targeted upper cervical musculoskeletal management on the frequency and burden of migraine headache in adults - a single cohort pilot study.","authors":"Janish Chahal, Mousumi Saha, Shanvi Priya, Subhasish Chatterjee","doi":"10.1080/10669817.2026.2657374","DOIUrl":"https://doi.org/10.1080/10669817.2026.2657374","url":null,"abstract":"","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing consensus on competency-based educational standards in orthopaedic manual physical therapy fellowship training: findings from a modified Delphi: part 1: clinical reasoning.","authors":"Damian Keter, Jennifer Bent, Kyle Covington, Chad E Cook, Paul Bliton, Amy McDevitt, Mark Shepherd, Jason Silvernail, Megan Donaldson","doi":"10.1080/10669817.2026.2654487","DOIUrl":"https://doi.org/10.1080/10669817.2026.2654487","url":null,"abstract":"<p><strong>Objectives: </strong>Updated training paradigms within post-graduate orthopaedic manual physical therapy (OMPT) are critical to align training with current evidence-based practice. Competency-based education (CBE) has become prevalent in post-graduate training given its emphasis on competency rather than knowledge. This study, in conjunction with congruent studies, aimed to develop consensus on competencies and graduation milestones critical for OMPT fellowship education. The current study focused on the clinical reasoning domain.</p><p><strong>Methods: </strong>A modified 3-round Delphi was performed. Round I consisted of a panel of experts asynchronously developing competencies and graduation milestones related to clinical reasoning in OMPT. Round II and Round III invited International Federation of Manual and Musculoskeletal Physical Therapists (IFOMPT) members across 30 member organizations to vote on the competencies and milestones. Each round was completed over 6 weeks. Consensus was determined a priori to be reached at 80% agreement, and composite scores were developed to represent the strength of agreement.</p><p><strong>Results: </strong>Six experts including two OMPT fellowship directors/coordinators developed eight competencies and 33 graduation milestones related to OMPT clinical reasoning. One-hundred ninety-nine IFOMPT members across 15 countries participated in ranking the proposed competencies in Round II and III. The majority of respondents were from the United States (69%). All eight competencies and 33 milestones met consensus for inclusion. Strong support was demonstrated for advanced patient assessment, continuous reflection on learning, and evidence-informed evaluation while prognosis and outcome prediction had weaker support.</p><p><strong>Conclusion: </strong>Results support expectation for OMPT fellows to provide high level clinical reasoning, ability to communicate this reasoning with patients and other healthcare providers, ability to self-reflect on the clinical reasoning process, and commitment to growth and lifelong learning. OMPT fellowship education should consider transition to competency-based models of training and assessment to promote consistent competence in graduates across all domains of advanced practice.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/10669817.2025.2606596","DOIUrl":"10.1080/10669817.2025.2606596","url":null,"abstract":"","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"191"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}