Annals of Rehabilitation Medicine-ARM最新文献

{"title":"Immediate Effects of Manual Muscle Stretching on Respiratory Capacity, Heart Rate Variability, and Diaphragmatic Function in Patients With COPD.","authors":"Hsin-Lun Yang, Jian-Cheng Peng, Yu-Ting Huang, Hui-Ching Cheng, Ching-Hsia Hung, Chiung-Zuei Chen, Sheng-Yuan Wang, Chin-Wei Kuo, Kun-Ling Tsai","doi":"10.5535/arm.260028","DOIUrl":"https://doi.org/10.5535/arm.260028","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the acute physiological responses following a single session of manual muscle stretching in patients with moderate to severe chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>A single-group pre-post design was used. Nineteen participants with moderate to severe COPD received one session of manual stretching, incorporating passive stretching and muscle energy techniques targeting the anterior scalene, upper trapezius, pectoralis, and diaphragm muscles. Primary outcomes included spirometry values, static lung volumes, heart rate variability (HRV), and diaphragmatic ultrasound. Secondary outcomes included respiratory muscle strength, upper limb flexibility, and symptom scores.</p><p><strong>Results: </strong>Following the intervention, participants exhibited a significant increase in expiratory reserve volume and diaphragmatic mobility, accompanied by a decrease in resting heart rate. HRV parameters (SDNN, RMSSD, LF, HF, and TP) showed significant changes following the intervention. Maximal inspiratory pressure increased from 76±47% to 85±51%, and maximal expiratory pressure increased from 55±30% to 67±34%, along with enhanced upper limb flexibility. Chest tightness, as assessed by the COPD Assessment Test, was significantly reduced. However, no significant changes were observed in spirometry values (FEV1, FVC, FEV1/FVC), other static lung volumes (TV, IRV, IC, VC), standardized HRV indices (HFnu, LFnu, LF/HF), or modified Medical Research Council scores.</p><p><strong>Conclusion: </strong>A single session of manual muscle stretching may be associated with immediate changes in respiratory mechanics, autonomic function, and symptom perception in patients with COPD.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"50 4","pages":"265-277"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901317","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":"Translation, Cross-Cultural Adaptation, and Validation of the Malay Version of the Roland-Morris Disability Questionnaire for Low Back Pain.","authors":"Nur Sakinah Mohd Yasin, Erna Faryza Mohd Poot, Husna Ahmad Ainuddin, Noor Aziella Mohd Nayan, Mohammed Alrashdi, Nizam Baharom, Ahmad Zamir Che Daud","doi":"10.5535/arm.250173","DOIUrl":"10.5535/arm.250173","url":null,"abstract":"<p><strong>Objective: </strong>To translate, culturally adapt, and validate the Roland-Morris Disability Questionnaire (RMDQ) for Malay-speaking individuals with low back pain (LBP) in Malaysia.</p><p><strong>Methods: </strong>A methodological study was conducted following established international guidelines for cross-cultural adaptation and psychometric validation. The process included forward-backward translation, expert review, content validation, face validation, and psychometric testing among individuals with LBP. Content and face validity indices were evaluated by rehabilitation professionals (n=8) and individuals with LBP (n=9). Psychometric testing was conducted with 102 participants to assess internal consistency, test-retest reliability (n=31), concurrent validity using the Malay Oswestry Disability Index, and known-groups validity.</p><p><strong>Results: </strong>All items demonstrated excellent content and face validity (I-CVI, I-FVI, S-CVI/Ave, and S-FVI/Ave=1.00). The Malay RMDQ showed high internal consistency (Cronbach's α=0.932) and excellent test-retest reliability (ICC=0.996). Concurrent validity with the Malay Oswestry Disability Index was moderate (r=0.742, p<0.001). A preliminary known-groups comparison showed a statistically significant difference in the Malay RMDQ scores between participants with LBP and those without LBP (p=0.03).</p><p><strong>Conclusion: </strong>The Malay RMDQ demonstrated preliminary psychometric support, including evidence of reliability, validity, and cultural appropriateness, for assessing disability in individuals with LBP. Future research should explore its responsiveness and utility in broader populations.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"188-195"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302947","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":"Adding Extracorporeal Shockwave Therapy to Conventional Treatment Improves Pain, Function, and Electrophysiological Function in Females With Carpal Tunnel Syndrome: A Randomized Controlled Trial.","authors":"Doha H Al-Afify, Doaa Saeed, Fatma S Zidan, Mina Magdy Wahba, Omnya Samy A Ghoneim, Eman Naser Eid Sayed, Hanaa S Mohamed","doi":"10.5535/arm.260009","DOIUrl":"10.5535/arm.260009","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding extracorporeal shockwave therapy (ESWT) to conventional treatment enhances pain, function, and electrophysiological functionality in females with carpal tunnel syndrome (CTS).</p><p><strong>Methods: </strong>One hundred females (25-40 years) diagnosed with CTS were randomly allocated to a control group that received conventional therapy and an experimental group that received the same program augmented with ESWT. Outcome measures included the symptom severity scale (SSS), function severity scale (FSS), pain intensity assessed using the visual analog scale (VAS). In addition, distal sensory latency/distal motor latency (DSL/DML), and sensory nerve conduction velocity/motor nerve conduction velocity (SNCV/MNCV) were measured using a nerve conduction velocity study.</p><p><strong>Results: </strong>The experimental group exhibited significantly greater improvements in SSS, VAS, DSL, DML, SNCV, compared to controls (all p≤0.05). However, changes in MNCV and FSS were non-significant (p>0.05).</p><p><strong>Conclusion: </strong>Integrating ESWT into rehabilitation enhances function, pain, and electrophysiological recovery in females with CTS.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"179-187"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303529","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":"Reconnecting Minds to the World: Patient Perspectives on Brain-Computer Interface After High Cervical Spinal Cord Injury.","authors":"Youho Myong, Eunkyung Kim, Gain Shin, Eunseo Oh, Byung-Mo Oh","doi":"10.5535/arm.260018","DOIUrl":"10.5535/arm.260018","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perspectives of individuals with high cervical spinal cord injury (C-SCI) regarding expectations, concerns, and desired applications of brain-computer interface (BCI).</p><p><strong>Methods: </strong>A structured focus group interview was conducted with four individuals with chronic high cervical spinal cord injury, all with neurological levels of C4 or above. Pre- and post-interview questionnaires were administered to assess expectations, concerns, and acceptance of BCI before and after discussion. The interview was facilitated by experts in rehabilitation medicine and biomedical engineering, and qualitative data were analyzed inductively to identify key themes.</p><p><strong>Results: </strong>Five major themes emerged: digital accessibility, offline physical activity, social interactions and psychological health, usability, and acceptance. Participants expressed strong interest in using BCI to improve digital independence, particularly for messaging, online banking, internet use, and smart home control. They also viewed BCI as a potential tool to enhance autonomy in daily activities and reduce reliance on caregivers. Most participants were open to training and, in some cases, invasive procedures; however, concerns regarding surgical safety, device maintenance, reliability, and practical usability were frequently raised. Views on the emotional and social impact of BCI varied across individuals. Questionnaire responses showed increased willingness to undergo invasive procedures after the focus group interview, while expected functional outcomes became more realistic, suggesting that structured group discussion may have shaped participants' understanding of BCI.</p><p><strong>Conclusion: </strong>BCI was perceived as a promising pathway to greater independence, participation, and autonomy among individuals with high C-SCI. These findings emphasize user-centered design and demonstrate how lived experience can guide assistive neurotechnology development in rehabilitation research.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"168-178"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302899","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":"Identifying the Factors With Later Standing Acquisition in Patients With a Right-Hemisphere Stroke: A Cross-Sectional Study Using POSTIM Data.","authors":"Karim Jamal, Stéphanie Leplaideur, Chloé Rousseau, Etienne Foussat, Solène Painchaud, Lisa Viallard, Isabelle Bonan","doi":"10.5535/arm.250125","DOIUrl":"10.5535/arm.250125","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors associated with later standing acquisition in subacute post-stroke patients with right-hemisphere stroke.</p><p><strong>Methods: </strong>This cross-sectional study used baseline data from the POSTIM multicenter randomized controlled trial (ClinicalTrials.gov: NCT01677091), involving eight rehabilitation units in France. Included patients were patient aged 18-80 with a first right supratentorial stroke (within 9 months), who could stand unassisted for at least 30 seconds with eyes closed but had <40% body weight bearing on the paretic leg during posturography. Evaluations included motor weakness, spasticity (triceps surae, quadriceps, adductors), epicritic and arthrokinetic sensitivity, spatial neglect, body representation, and balance. Logistic regression identified factors associated with later standing acquisition (>3 months).</p><p><strong>Results: </strong>Among 86 participants (mean age 59.7±10.3 years; 68.6% male), 49 (57%) acquired standing capacity within 3 months, while 37 (43%) did so later. Those with later standing acquisition showed greater spasticity in all muscle groups (p<0.02), more severe motor weakness (p=0.003), and impaired arthrokinetic sensitivity (p=0.02). Balance was significantly worse in this group (p<0.005). Multivariate analysis identified three independent factors of later standing acquisition: spatial neglect (odds ratio [OR]=3.22; 95% confidence interval [CI], 1.09-9.51; p=0.03), ischemic stroke (OR=3.27; 95% CI, 1.08-9.90; p=0.04), and quadriceps spasticity (OR=1.98; 95% CI, 1.17-3.35; p=0.01).</p><p><strong>Conclusion: </strong>In right-hemisphere stroke, ischemic etiology, quadriceps spasticity, and spatial neglect are significantly associated with later standing acquisition. These factors may be useful for identifying patients at risk of later standing acquisition and for guiding future interventional research.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"50 3","pages":"160-167"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376353","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":"Enhancing Diagnostic Precision and Treatment Effectiveness Using Indocyanine Green Lymphography in Lymphedema.","authors":"Hiroo Suami, Jin A Yoon","doi":"10.5535/arm.260020","DOIUrl":"10.5535/arm.260020","url":null,"abstract":"<p><p>Indocyanine green (ICG) lymphography has rapidly emerged as a key imaging modality for improving the diagnosis and management of lymphedema. ICG lymphography offers superior sensitivity and detailed assessment of dermal backflow patterns, functional lymphatic channels, and collateral drainage routes. Evidence also supports its role in guiding targeted rehabilitation, including ICG-guided lymphedema treatment. Clinicians can enhance diagnostic precision and potentially improve therapeutic effectiveness by integrating ICG lymphography into clinical practice. This review summarizes current evidence on its clinical utility, highlighting how real-time visualization of superficial lymphatic pathways and lymph nodes allows for detection of dysfunction, and improved treatment planning. Future work should focus on standardizing protocols and developing quantitative metrics to expand its values in comprehensive lymphedema care.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"150-159"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303535","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":"Hormonal Shifts and Structural Strain: A Literature Review of Menopause and Perimenopause in Relation to Overuse Injuries and Stress Fractures.","authors":"Mustafa Ansari, Faisal Hussain, Mutasem Shopon, Hanfa Ajmal, Mueez Asif, Sharon David","doi":"10.5535/arm.250134","DOIUrl":"10.5535/arm.250134","url":null,"abstract":"<p><p>Musculoskeletal injury risk in midlife women has traditionally been attributed to estrogen decline, but this narrow focus overlooks the broader biomechanical, neuromuscular, and structural changes associated with menopause. Estrogen plays a multisystem role in maintaining trabecular bone integrity, collagen turnover, and neuromuscular coordination. Its abrupt loss causes bone demineralization (2%-5% annually in early menopause), impairs tendon repair, and contributes to sarcopenia. Fluctuating estradiol levels during perimenopause may transiently increase ligament laxity, further destabilizing joints. Common injuries such as Achilles and rotator cuff tendinopathies, plantar fasciitis, and stress fractures are amplified by low bone mineral density, prior fracture history, aromatase inhibitor use, and rapid increases in physical activity. Although early initiation of hormone replacement therapy reduces fracture risk by 20%-40%, it is not appropriate for all patients due to contraindications and individualized risk-benefit profiles. Non-hormonal strategies-including resistance training, nutritional optimization, and early screening with dual-energy X-ray absorptiometry and peripheral quantitative computed tomography-remain underutilized, particularly among marginalized populations. This structured narrative review synthesizes evidence from endocrinology, biomechanics, and musculoskeletal epidemiology to evaluate limitations in current research, including reliance on observational data, homogeneous cohorts, and technocentric approaches with limited generalizability. Future efforts should prioritize personalized, hormone-informed exercise prescriptions, biomarker-guided monitoring, and community-based prevention strategies. The prevailing estrogen-centric paradigm may benefit from a broader multidisciplinary framework integrating biological, mechanical, and social determinants of injury risk. We propose a hormone-tissue-load mismatch model that reframes menopause as a modifiable biomechanical window for injury prevention.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"139-149"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303523","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":"Swallowing Disturbance Questionnaire: Clinimetrics and Global Validation.","authors":"Han Gil Seo","doi":"10.5535/arm.260038","DOIUrl":"10.5535/arm.260038","url":null,"abstract":"","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"91-93"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724206","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":"Eccentric Cycling Improves Cardiopulmonary Fitness, Respiratory Function, and Quality of Life in Chronic Kidney Disease: A Randomized Controlled Trial.","authors":"Yu-Ting Huang, Hsin-Yeh Lee, Hui-Ching Cheng, Hsin-Lun Yang, Ching-Hsia Hung, Chien-Chou Su, Yu-Tzu Chang, Chien-Yao Sun, Kun-Ling Tsai","doi":"10.5535/arm.250163","DOIUrl":"10.5535/arm.250163","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of eccentric cycling (ECC), concentric cycling (CON), and standard care (CTL) on cardiopulmonary capacity, respiratory health, and quality of life (QoL) in patients with chronic kidney disease (CKD).</p><p><strong>Methods: </strong>Thirty-one CKD patients were divided into the CTL, CON, and ECC groups. The CON and ECC groups participated in 8-week, 24-session cycling programs. Outcomes were assessed through cardiopulmonary exercise tests, respiratory function tests, and the 36-Item Short Form Survey Instrument questionnaire.</p><p><strong>Results: </strong>The ECC group achieved significant improvements in maximal oxygen uptake, while the CTL group showed a decline. For oxygen uptake efficiency slope, significant changes were observed only in the ECC group, with a group-by-time interaction effect compared to CTL. Furthermore, the ECC group demonstrated the most significant increase in diaphragm movement and a significant increase in diaphragm thickness, with comparisons indicating that ECC outperformed both CTL and CON. Regarding QoL, the ECC group exhibited significantly greater improvements in Physical Component Summary and Mental Component Summary, with statistically significant differences compared with the CTL and CON groups.</p><p><strong>Conclusion: </strong>ECC is a low-effort, high-benefit exercise modality that significantly enhances cardiopulmonary fitness, respiratory function, and QoL in patients with CKD.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"105-116"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692758","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":"Electrode Placement and Continence Outcomes in Pediatric Hirschsprung's Disease: Rectal Versus Surface Stimulation After Trans-Anal Pull-Through Surgeries.","authors":"Fathia Ahmed, Safi Ahmed, Hany Elgohary, Shymaa Salem, Enas Abutaleb, Mohamed Eldesoky","doi":"10.5535/arm.250171","DOIUrl":"10.5535/arm.250171","url":null,"abstract":"<p><strong>Objective: </strong>To compare the outcome of rectal and surface electrode stimulation, when performed concomitantly with routine anal sphincter (AS) exercises and bio-feedback training, in children who have received corrective surgery to address Hirschsprung disease (HD).</p><p><strong>Methods: </strong>Sixty-seven patients (pediatric) who underwent corrective surgery due to HD were randomly assigned to Group A (rectal electrode, n=34) or Group B (surface electrode, n=33). The two groups were given the same protocols of AS and bio-feedback training. The Pediatric Quality of Life Inventory (PedsQL), Bowel Function Score (BFS), Pediatric Incontinence and Constipation Scoring System Scale (PICSS) were measured at baseline, post intervention and follow-up.</p><p><strong>Results: </strong>There were significant improvements in both groups over time across all outcomes. PedsQL increased (d=0.42-1.28, η²p up to 0.37), BFS improved notably (d=1.21, η²p=0.35), and PICSS decreased (d up to 1.15, η²p=0.33). The greatest gains occurred from baseline to follow-up, with smaller but significant changes from post-treatment to follow-up, indicating sustained effects.</p><p><strong>Conclusion: </strong>Electrical stimulation with rectal electrodes, combined with AS exercises and bio-feedback training, is a major way of improving bowel functioning, continence and quality of life in Hirschsprung child. Such results highlight the promise of multimodal rehabilitation and should be supported by additional multicenter studies.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"129-138"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700325","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}