International Journal of Sports Physical Therapy最新文献

{"title":"The Clinical Utility of Thigh Circumferential Measurement in Association with Quadriceps Limb Symmetry.","authors":"Aubrey N Krahn, Jill K Monson, Robert F LaPrade, Garrett G Eggleston, Nicole A Greufe","doi":"10.26603/001c.138312","DOIUrl":"10.26603/001c.138312","url":null,"abstract":"<p><strong>Background: </strong>Thigh circumference is a commonly gathered clinical data point intended to measure muscular atrophy. However, there is limited research examining whether thigh bulk, as observed through circumferential limb measurement, is meaningfully associated with quadriceps muscle strength.</p><p><strong>Purpose: </strong>To retrospectively assess if a correlation exists between side-to-side difference (SSD) of thigh bulk and limb symmetry index (LSI) with quadriceps isometric strength testing.</p><p><strong>Study design: </strong>A retrospective, case control study.</p><p><strong>Methods: </strong>Sixty-seven patients who underwent ligamentous reconstruction completed testing during a six-month post-operative follow-up visit (6.47 +/- 0.79 month). Testing included both clinical and strength measurements. Clinical measurements included side to side thigh bulk circumference difference (SSD) and strength testing included calculated quadriceps strength limb symmetry index (LSI) obtained from isometric testing at 90 degrees of knee flexion performed on an isokinetic dynamometer. Pearson's correlation coefficients were used to assess the relationships between variables.</p><p><strong>Results: </strong>The principal findings were a mean thigh circumference difference of 2.53 + 1.54 cm and mean quadriceps LSI at time of testing of 66.88 + 16.93%. A moderate, positive relationship was found between thigh circumference difference and the quadriceps LSI (r= 0.36, r2= 0.13, p = 0.003).</p><p><strong>Conclusion: </strong>A moderate positive correlation between circumference and isometric strength exists that may help clinicians monitor strength differences side to side. Thigh circumference only accounts for approximately ~13% of all factors that influence quadriceps LSI, therefore it is appropriate to incorporate a battery of different tests and measures to properly assess muscular strength following knee surgery.</p><p><strong>Level of evidence: </strong>Level 3 Evidence.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"885-891"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227270","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":"The Immediate Effects on Shoulder Internal Rotation Motion and External Rotation Strength Following a Muscle Energy Technique in a Young Overhead Thrower: A Case Report.","authors":"Vincent Ceasrine, Christine Ferraro, Jason K Grimes","doi":"10.26603/001c.137951","DOIUrl":"10.26603/001c.137951","url":null,"abstract":"<p><strong>Introduction: </strong>Glenohumeral internal rotation deficit (GIRD), total rotational motion (TRM) deficit, and weakness of the rotator cuff have been determined to be potential risk factors for the development of shoulder and elbow injuries in the overhead thrower. The causes for these deficiencies are multifactorial and the ability to identify and correct those deficits could decrease the potential for injury. Therefore, the purpose of this case report was to investigate the immediate effects of a muscle energy technique (MET) on shoulder internal rotation ROM and external rotation strength in the throwing shoulder of an overhead thrower.</p><p><strong>Case description: </strong>The subject of this case report was a 20-year-old collegiate baseball pitcher without any reported previous injury that presented with a loss of passive shoulder internal rotation at 90 degrees of abduction, a deficit in TRM, and weakness of the external rotators as determined by handheld dynamometry. The athlete was identified during a pre-sport screening for overhead throwers. Following the assessment, a MET was performed for shoulder internal rotation in a side-lying position.</p><p><strong>Outcome: </strong>The athlete demonstrated an immediate 38-degree improvement in shoulder internal rotation motion, reduction in TRM deficit from 42 degrees to 4 degrees, and 7.8% increase in shoulder external rotation strength.</p><p><strong>Discussion: </strong>It is not uncommon for symptomatic and asymptomatic overhead throwers to present with GIRD, TRM deficit, and rotator cuff weakness. The ability to improve these deficits following the application of a MET could imply that the deficits are linked. Previous studies have identified different methods that improve internal rotation ROM but have not documented possible related outcomes in external rotation strength. Future research should examine the potential mechanism for such a response to the MET, and if these changes have a lasting effect, as only short-term effects were examined.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"864-871"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227271","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":"Comparing the Dominant and Non-Dominant Leg Strength of Division I Collegiate Female Cutting Athletes to Jumping Athletes: A Pilot Study.","authors":"Julia L Rapicavoli, Luis A Feigenbaum, Kathryn E Roach, Eryn K Milian","doi":"10.26603/001c.137955","DOIUrl":"10.26603/001c.137955","url":null,"abstract":"<p><strong>Background: </strong>Assessing lower extremity strength and performance is common practice in sports medicine. Sport-specific demands could impact the amount of leg strength asymmetry between the dominant and non-dominant leg present in athletes.</p><p><strong>Hypothesis/purpose: </strong>The purpose of this pilot study was to explore the amount of lower limb strength asymmetry between the dominant and non-dominant of female collegiate athletes across different sports.</p><p><strong>Study design: </strong>Case control study.</p><p><strong>Methods: </strong>A total of 43 female Division I collegiate athletes from soccer, tennis, and volleyball teams participated in the study. Subjects were separated into groups based on participation in a jumping sport (volleyball) versus a cutting sport (soccer and tennis). Differences in concentric quadriceps peak torque between the dominant and non-dominant legs at 60 deg/sec, measured using the Biodex System 3 isokinetic dynamometer, were compared across groups. Athletes of each sport type were classified as \"dominant stronger\", \"equal\", or \"non-dominant stronger\" based on the differences between leg strength using a cut-off value of a difference of 10ft-lbs of torque. Odds ratios were calculated to determine the association between sport exposure and quadriceps strength on the dominant side.</p><p><strong>Results: </strong>Jumping athletes were 30 times (OR=29.96 (CI 95%, 1.56 - 577.25) more likely than cutting athletes to have a stronger dominant quadriceps. In jumping athletes, the participants were distributed almost evenly across the \"dominant stronger\", \"non-dominant stronger\", and \"equal\" groups. In cutting athletes, 76.9% fell into the \"equal\" category, while the remaining 23.1% fell into the \"non-dominant stronger\" category.</p><p><strong>Conclusion: </strong>Female collegiate jumping athletes were much more likely to have a stronger quadriceps on the dominant vs non-dominant leg than were cutting athletes. This information can be used to help develop specific strength and conditioning and rehabilitative programs for female athletes.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"793-800"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227194","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":"Improved Hip Flexibility and Gluteal Function Following a Daily Lunge-and-Reach Stretching Intervention.","authors":"Brent A Ehresman, B J Lehecka, Damien Hiser, Levi Koster, Jessica Wietharn","doi":"10.26603/001c.137692","DOIUrl":"10.26603/001c.137692","url":null,"abstract":"<p><strong>Background: </strong>A sedentary lifestyle contributes to hip flexor tightness. Some evidence suggests that tight hip flexors may contribute to impairments in gluteal function.</p><p><strong>Purpose: </strong>The purpose of this study was to determine the effects of a daily lunge-and-reach stretching program on hip flexor length and gluteus maximus strength, power, and endurance in healthy college-aged adults.</p><p><strong>Study design: </strong>Cohort Study.</p><p><strong>Methods: </strong>Twenty-three participants with hip flexor tightness (15 females, 8 males; average age 24.0 ± 2.58 years) totaling 46 limbs were tested. Twelve participants were randomly assigned to the experimental group, while the remaining eleven were placed in the control group. Hip flexor length was measured with the Modified Thomas Test using an inclinometer. Gluteal power was measured on each lower extremity using a single-leg broad jump for distance with a tape measure. Gluteal strength was measured with prone hip extension using a handheld dynamometer and luggage scale. Gluteal endurance was measured with a single-leg bridge using a stopwatch. Participants in the intervention group performed five minutes of a lunge-and-reach stretch daily for six weeks.</p><p><strong>Results: </strong>Statistically significant changes were found for the Modified Thomas Test (mean change 5.92 ± 3.73 deg, p=0.01) and single-leg broad jump for distance (mean change 12.39 ± 11.23 cm, p=0.02) for the intervention group. No significant change was found for gluteal strength or single-leg bridge endurance (p=0.23 and p=0.26, respectively) for the intervention group. All measurements demonstrated high reliability (ICC=0.92-0.99).</p><p><strong>Conclusion: </strong>These results suggest that the lunge-and-reach stretch can be used to improve hip flexor length and gluteal power in a young, healthy population. Clinicians, coaches, and athletes may find these improvements beneficial for rehabilitation or performance.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"814-823"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227196","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":"Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary.","authors":"Aidan Rich, Jillianne Cook, Andrew Hahne, Jon Ford","doi":"10.26603/001c.138308","DOIUrl":"10.26603/001c.138308","url":null,"abstract":"<p><p>Proximal hamstring tendinopathy (PHT) can occur in active and sedentary people and presents clinically as localised lower buttock pain with activities including prolonged sitting, squatting, and walking uphill or running. A recent systematic review of interventions for PHT reported insufficient evidence to recommend one intervention over another. The most commonly recommended treatment for PHT by experts is education and exercise. Exercise for PHT aims to restore kinetic chain function and loading capacity of the hamstring complex. The purpose of this commentary is to outline an education and exercise program developed for treating PHT utilizing principles successful in clinical trials for other tendinopathies adapted to the specific anatomical and biomechanical considerations of the proximal hamstring complex.</p><p><strong>Level of evidence: </strong>5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"892-910"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227273","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":"Collegiate Student-Athlete Perception of Value and Programming Barriers in Pre-Participation Movement Screen Implementation.","authors":"Amanda Snider, Kyle Matsel, Jenna Gourlay","doi":"10.26603/001c.137689","DOIUrl":"10.26603/001c.137689","url":null,"abstract":"<p><strong>Background: </strong>Pre-participation movement screenings, such as the Functional Movement Screen (FMS™), may have an important role in assessing physical activity readiness before an athletic season. However, the implementation of these screens by qualified health and fitness professionals continues to be challenging due to cost, screen availability, and community accessibility.</p><p><strong>Purpose: </strong>The purpose of this study was to assess athlete's previous screen exposure, perception of screen value, and identify barriers in performing a pre-participation movement screen for college-aged student-athletes.</p><p><strong>Study design: </strong>Descriptive cross-sectional survey.</p><p><strong>Methods: </strong>A 17-item online survey was emailed to 686 student-athletes throughout the Pennsylvania State University Commonwealth Campuses. Data were collected from September 2022 to April 2023. Descriptive statistics for nominal and ordinal data were summarized and analyzed for differences with a one-way chi-square test.</p><p><strong>Results: </strong>A total of 140 college-aged student-athletes (27 male, 83 female, and 1 non-binary) from Pennsylvania State University Commonwealth Campuses-including Beaver, Behrend, Mont Alto, and Shenango-responded to an online Qualtrics™ survey. Participants varied in academic cohort with representation from each year. In student-athletes who responded to the survey, only 41% (n=41/100) reported that they had ever been exposed to the FMS™. When asked about perceived value, 69% (n=69/99) of student-athletes reported that the screen could aid in the identification of injury vulnerability while 50% (n=50/100) reported that movement screening information could be used in programming to enhance athletic performance. Seventy-five percent of student-athletes responding to the survey reported that they would participate in movement screening if it took less than 10 minutes to complete.</p><p><strong>Conclusion: </strong>Student-athletes at the collegiate level appear to have little experience with pre-participation movement screens such as the FMS™. Although less than half of the student-athletes reported previous screening experiences, many perceived value in pre-participation movement screens for themselves, coaches, and athletic trainers.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"801-813"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227193","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":"Patellar Tendinopathy Responding to Spinal Treatment: A Case Report Using Mechanical Diagnosis and Therapy.","authors":"Wilfried Serres, Joachim Van Cant","doi":"10.26603/001c.137949","DOIUrl":"10.26603/001c.137949","url":null,"abstract":"<p><strong>Background: </strong>Patellar tendinopathy is a common condition among athletes. While treatment typically focuses on strengthening exercises for knee extensors, the underlying origin of knee pain often remains unclear. This case report aims to illustrate the clinical reasoning process for a patient referred to physical therapy for patellar tendinopathy using the Mechanical Diagnosis and Therapy (MDT) system assessment.</p><p><strong>Case description: </strong>A 45-year-old patient engaged in a marathon preparation was diagnosed with chronic patellar tendinopathy. He reported experiencing pain during long-distance runs and interval training, as well as during functional tests. Treatment involved only repeated lumbar movement exercises, which elicited changes in knee pain and functional limitations.</p><p><strong>Outcomes: </strong>Numeric pain rating scores and the Victoria Institute of Sport Assessment questionnaire were used to assess changes in pain, function, and sport limitations. NPRS decreased from 4/10 at rest after sport and 7/10 during activities to 0/10 in both scenarios. Meanwhile, disability scores improved from 57/100 to 99/100 after three weeks of follow-up and reached 100 at six months.</p><p><strong>Conclusion: </strong>The results of this case report emphasize the importance of assessing the spine in knee disorders. Through a comprehensive examination, chronic tendon pain can be effectively addressed. The MDT system was effective in distinguishing between spinal and knee-related symptoms in this marathon runner.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"855-863"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227199","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":"Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Triceps Tendon.","authors":"Robert C Manske, Chris Wolfe, Phil Page, Michael Voight","doi":"10.26603/001c.138464","DOIUrl":"10.26603/001c.138464","url":null,"abstract":"<p><p>The triceps tendon is responsible for extension of the elbow during upper extremity functional activities that require the motion of pushing. Accurate diagnosis of tendon partial tears or ruptures is essential for appropriate treatment planning and optimizing patient outcomes. Diagnostic musculoskeletal (MSK) ultrasound offers a portable, real-time, and cost-effective alternative that is gaining traction in rehabilitation and sports medicine settings. MSK ultrasound has emerged as a valuable, non-invasive imaging modality for evaluating triceps tendon injuries including partial and complete tears, tendinopathy, and calcifications of the triceps insertion onto the olecranon, and even avulsions from the olecranon. MSK ultrasound is adept at detecting changes in tendon tissue composition and integrity, including both tendinopathies and partial thickness tears. Furthermore, this manuscript will review the utility of MSK ultrasound in evaluating the triceps injury, including its anatomy, common injury patterns, sonographic techniques, and clinical implications for professional rehabilitation. Diagnosis of acute injury by physical examination is often challenging and is frequently misdiagnosed. By integrating MSK ultrasound into clinical practice, providers can improve the accuracy of diagnosis, enhance diagnostic confidence, monitor healing progression, and guide rehabilitation strategies to optimal patient outcomes.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"911-917"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227195","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":"Maximal Strength Testing Using the Long-Lever Hip Adduction Squeeze Test in Youth Elite Football (Soccer) Players: A Four-Week Reliability Study.","authors":"Lasse Ishøi, Jonas Petersen, Kasper Thornton, Matthew DeLang","doi":"10.26603/001c.138472","DOIUrl":"10.26603/001c.138472","url":null,"abstract":"<p><strong>Introduction: </strong>The long-lever hip adduction squeeze test is a feasible and quick way to measure maximal hip adduction strength, which is associated with groin injury risk. Excellent week-to-week reliability has been established in senior elite football. Youth elite players often engage in physical activities outside of the football academy, which may affect reliability. This study aimed to investigate the week-to-week reliability of the long-lever hip adduction squeeze strength in a youth elite academy football setting using a novel groin strength testing device.</p><p><strong>Materials and methods: </strong>Seventy-nine youth elite male football players from the U13 to U19 teams of a youth elite football academy were included. During four consecutive weeks, players were tested weekly at the same day each week (match day +2), using a long-lever hip adduction squeeze device with maximal strength recorded. Players who reported groin pain of >2 out of 10 during testing were excluded.</p><p><strong>Results: </strong>No systematic bias was observed between the different testing weeks (p>0.5). Good and consistent relative week-to-week reliability was observed (ICC: 0.916-0.933). Absolute reliability (SEM %) ranged from 7.6-8.6%, with MDCind % and MDCgroup % ranging from 21.2-24 % and 3.3-5.8 %, respectively.</p><p><strong>Conclusion: </strong>Week-to-week measures of long-lever hip adduction strength showed good relative and absolute reliability, and thus can be used in the academy setting to reliably screen for groin injury risk.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"824-831"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227198","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":"Speaking Up about Athlete Welfare in Sport - A Physio's Challenge.","authors":"Sian Knott, Nicola Phillips","doi":"10.26603/001c.138655","DOIUrl":"10.26603/001c.138655","url":null,"abstract":"","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"766-769"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227201","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}