Physical & Occupational Therapy in Pediatrics最新文献

{"title":"Handwriting Skills in First-Grade Students: Socioeconomic Status and the Direct and Mediating Roles of Sensory-Motor Parameters.","authors":"Osman Karaca, Kamil Yılmaz, Hatice Yalçın","doi":"10.1080/01942638.2025.2552140","DOIUrl":"https://doi.org/10.1080/01942638.2025.2552140","url":null,"abstract":"<p><strong>Aims: </strong>Handwriting is crucial for academic success, influenced by sensorimotor and socioeconomic factors. Therapists, in collaboration with educators, play a key role in its support. The first objective is to investigate the association between SES and handwriting skills and to identify related factors associated with SES. The second objective is to investigate the direct and mediating roles of sensory-motor parameters in handwriting skills.</p><p><strong>Methods: </strong>Sixty-three children were divided into High-SES and Low-SES groups based on family income and parental education level. Handwriting skill was evaluated based on legibility and speed. Proprioception, grip strength, lateral pinch strength, and tip pinch strength were assessed.</p><p><strong>Results: </strong>The High-SES group demonstrated significantly faster handwriting speed and better proprioception, while motor parameters showed no significant differences between groups. Proprioception was found to mediate 15% of the association between SES and handwriting speed. Proprioception and lateral grip strength predicted faster handwriting speed, while grip strength predicted slower handwriting across participants.</p><p><strong>Conclusion: </strong>Study results indicate that improving proprioception is one of the key factors in supporting handwriting performance in students with low SES. Activities aimed at enhancing proprioception and lateral grip strength can be used to improve handwriting in all children, regardless of SES differences.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Sports Intervention Combined with a Context-Focused Intervention for Children with Cerebral Palsy: A Feasibility Randomised Clinical Trial.","authors":"Luana Cristina da Silva, Rafael Coelho Magalhães, Acsa Soares Santos, Ana Carolina Andrade Ramos de Souza, Emily Martins Ribeiro, Julia Melo Rocha Xavier, Ricardo Rodrigues de Sousa Junior, Dana Anaby, Georgina Clutterbuck, Egmar Longo, Ana Cristina Resende Camargos, Deisiane Oliveira Souto, Hércules Ribeiro Leite","doi":"10.1080/01942638.2025.2547374","DOIUrl":"https://doi.org/10.1080/01942638.2025.2547374","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the feasibility and preliminary effects of a modified sports intervention (Sports Stars) combined with a contextual-focused approach (Pathways and Resources for Engagement in Participation- PREP).</p><p><strong>Methods: </strong>This is a feasibility randomized clinical trial (RCT), registered under RBR-4m3b4b6 and U1111-1256-4998. Eighteen children with cerebral palsy (CP) were allocated to either the Sports Stars Brazil + PREP group (<i>n</i> = 9) or the Sports Stars Brazil group (<i>n</i> = 9). Feasibility outcomes included willingness to participate; acceptability of random allocation and screening; evaluator blinding feasibility; group contamination; treatment adherence and satisfaction; therapist communication; adverse events, and implementation resources. Effectiveness outcomes included performance and satisfaction with participation goals, participation pattern, physical literacy, family empowerment, and physical activity level. Descriptive statistics and tests were applied.</p><p><strong>Results: </strong>Feasibility analysis showed a high completion rate and adequate satisfaction, credibility, and acceptability in both groups. Significant differences were found favoring the Sports Stars Brazil + PREP group in performance (<i>p</i> = 0.02) and satisfaction (<i>p</i> = 0.04); family empowerment at post-intervention (<i>p</i> = 0.005); and involvement in school (<i>p</i> = 0.04) at follow-up. No significant differences were found for other outcomes.</p><p><strong>Conclusions: </strong>A future robust clinical trial appears feasible with adjustments. Combining a context-focused intervention with a modified sports approach shows potential to improve participation outcomes.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus-Based Development and Validation of Iranian ICF Core Set for 6-12-Year-Old Children with Cerebral Palsy: Iranian Occupational Therapists' Perspectives.","authors":"Alireza Amiri, Seyed Ali Hosseini, Nazila Akbarfahimi","doi":"10.1080/01942638.2025.2547371","DOIUrl":"10.1080/01942638.2025.2547371","url":null,"abstract":"<p><strong>Aims: </strong>To develop and validate the Iranian ICF-CS for 6-12-year-old children with CP from the perspective of Iranian Occupational Therapists (OTs).</p><p><strong>Method: </strong>In the first phase, using the Delphi technique, a three-round electronic-mail-survey was conducted from January to May 2022 among 22 experienced Iranian OTs working with children with CP. The experts were asked to identify and reach consensus on the most relevant ICF categories concerning the patients' problems, resources, and environmental aspects in children with CP. In the second phase, a new sample of 12 Iranian OTs rated the essentiality and relevancy of categories identified in the Delphi phase, with Content Validity Ratio (CVR), Item-Content Validity Index (I-CVI), Modified Kappa, and Scale-Content Validity Index/Average (S-CVI/Ave) calculated to ensure robust validation.</p><p><strong>Results: </strong>Among 154 proposed categories of the Delphi process, 119 categories were confirmed in the validation phase including 6 <i>Body-structures</i>, 37 <i>Body-functions</i>, 52 <i>Activity-and-participation</i>, and 24 <i>Environmental-factors</i> with the CVR and I-CVI ranges of 0.67- 1.00 and 0.83-1.00 respectively. The S-CVI/Ave of 0.93 was obtained as the scale-level CVI.</p><p><strong>Conclusion: </strong>The Iranian ICF-CS for 6-12-year-old children with CP, consisting of 119 categories, demonstrated strong content validity from the perspective of Iranian OTs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-20"},"PeriodicalIF":1.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Online Group Coaching for Mothers of Children with Sensory Differences: A Pilot Study.","authors":"Susan Allen, Fiona Knott, Amanda Branson, Shelly J Lane","doi":"10.1080/01942638.2025.2543271","DOIUrl":"https://doi.org/10.1080/01942638.2025.2543271","url":null,"abstract":"<p><strong>Aims: </strong>Sensory differences are associated with disruption to daily occupations for both children and families. A one-to-one coaching approach with mothers is effective in increasing performance and satisfaction in children's daily occupations, and in reducing maternal stress. The study aimed to pilot a brief online group coaching intervention for mothers of children with sensory differences.</p><p><strong>Methods: </strong>Eleven mothers participated in a brief online group coaching intervention of four x 90-minute sessions, based on Occupational Performance Coaching (OPC). Mothers gave both quantitative and qualitative feedback on their experience in the group. Mothers reported child occupational goals, maternal stress, and maternal sense of competence pre and post intervention.</p><p><strong>Results: </strong>Statistically significant improvement in child occupations and aspects of maternal stress were observed. Maternal sense of competence showed improvement but did not reach statistical significance. They valued the sensory focus and found the group safe and supportive; they also gave feedback on how groups could be improved.</p><p><strong>Conclusions: </strong>For mothers of children with sensory differences and associated occupational concerns, a brief online group coaching intervention, based on OPC, has the potential to support child occupational performance and reduce maternal stress.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balance Training to Improve Physical Abilities in Children During and After Oncological Treatment.","authors":"Sarah Otten, Meinolf Siepermann, Hannah Hoff, Volker Maas, Wilhelm Bloch, Julia Däggelmann","doi":"10.1080/01942638.2025.2535381","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535381","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the effects of a specific balance training (BT) on lower extremity functions during and after pediatric oncological therapy.</p><p><strong>Methods: </strong>During a 6-week intervention (DRKS00031418), children with cancer during (IG1) and after (IG2) acute oncological treatment participated in a child-friendly BT up to 6×/week. Training sessions were conducted supervised or self-administered. Parameters of feasibility were evaluated and effects on physical abilities were assessed through functional tests.</p><p><strong>Results: </strong>20 children (IG1 <i>n</i> = 10, IG2 <i>n</i> = 10) with different oncological diagnoses between 5 and 21 years participated. Of 36 training sessions offered, 22.8 ± 9.1 sessions took place (participation rate: 63.2 ± 25.3%), without occurrence of adverse events/severe side effects deteriorating health status or leading to study drop out. Functional tests revealed improvements in symptoms of chemotherapy-induced peripheral neuropathy in lower extremities in the total group (IG1 + IG2) (<i>n</i> = 18, T1: 8.6 ± 4.4, T2: 6.2 ± 5.8, <i>p</i> < 0.05, Wilcoxon test) and in active ankle dorsiflexion range of motion (extended legs) in IG1 (<i>n</i> = 9, T1: 2.2 ± 9.7, T2: 8.1 ± 11.5, <i>p</i> < 0.05, Wilcoxon test).</p><p><strong>Conclusions: </strong>The study's findings underline the feasibility of BT during and after pediatric-oncological therapy. Furthermore, the study revealed first improvements on single physical parameters.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Static Balance and Motor Imagery Abilities in Preschool Children with Probable Developmental Coordination Disorder.","authors":"Mei Yamada, Keisuke Irie, Sakura Nakata, Reika Yamashita, Kohei Mukaiyama, Hala Zeidan, Anuradhi Bandara, Momoko Nagai-Tanima, Nan Liang, Tomoki Aoyama","doi":"10.1080/01942638.2025.2535342","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535342","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the association between static balance and motor imagery (MI) abilities in preschool children with probable developmental coordination disorder (pDCD).</p><p><strong>Methods: </strong>The participants were 28 children aged 3-6 years, attending a child development support center. They were categorized into the pDCD and control groups based on their Movement Assessment Battery for Children-Second Edition score. Static balance ability was measured using a gravity sway meter to compare performance under eyes-opened and eyes-closed standing conditions. MI ability was assessed using the N-type test.</p><p><strong>Results: </strong>Compared with the controls (static balance; <i>n</i> = 10, MI; <i>n</i> = 14), children with pDCD (static balance; <i>n</i> = 13, MI; <i>n</i> = 14) showed significantly greater center of pressure (COP) displacement in eyes-closed standing condition and lower scores on the N-type test. A significant negative correlation (-0.59) was observed between MI ability and COP displacement during eyes-closed standing condition in the pDCD group, indicating that the poorer MI ability accompanied the worse static balance ability in this population.</p><p><strong>Conclusions: </strong>Preschool children with pDCD have poor static balance ability with their eyes closed, which may be related to their MI ability. These findings emphasize the importance of the early detection of pDCD and suggest that symptoms may be alleviated by understanding the condition and providing appropriate support.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, Acceptability and Tolerability of an Augmented Reality Gaming Intervention for Children With and Without Movement Impairments.","authors":"Ellana Welsby, Emily Moore, David Hobbs, Brenton Hordacre, Emily Ward, Susan Hillier","doi":"10.1080/01942638.2025.2536141","DOIUrl":"https://doi.org/10.1080/01942638.2025.2536141","url":null,"abstract":"<p><strong>Aims: </strong>To explore the feasibility, acceptability, and tolerability of an augmented reality intervention for children with and without movement impairments. Preliminary mechanisms of effect for motor learning were also assessed.</p><p><strong>Methods: </strong>This non-randomized feasibility study included 33 participants between the ages of six and twelve (mean age 9.54, SD 1.60), with a range of motor abilities. Experimental sessions comprised of i) the Movement Assessment Battery for Children, 2nd Edition assessment, ii) a testing session with <i>Intervention X</i>, and iii) a questionnaire examining their experience. A supporting clinician who observed all sessions provided feedback on the delivery of <i>Intervention X</i>.</p><p><strong>Results: </strong>Participants spent 895 min playing <i>Intervention X</i>. Most participants (92.2%) reported they had 'fun' using the intervention, and they would play at home (84.2%), and with friends (86.1%). Disengagement occurred in 16.7% of participants. <i>Intervention X</i> demonstrated evidence of a potential mechanism of effect for motor learning principles.</p><p><strong>Conclusion: </strong><i>Intervention X</i> was feasible, acceptable, and tolerable for children across a range of motor abilities in a school and clinic environment, supporting potential therapeutic benefits. Future studies should provide rigorous testing with children with movement impairments, such as developmental coordination disorder, to determine the long-term effectiveness of <i>Intervention X.</i></p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normative Values and Factors Affecting the Pediatric Functional Reach Test in Japanese Children Aged 3-6 Years: A Cross-Sectional Study.","authors":"Junichi Inatomi, Ieyasu Watanabe, Yuki Ikemoto, Hideaki Takebayashi","doi":"10.1080/01942638.2025.2535344","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535344","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to establish normative values for the Functional Reach Test (FRT) in Japanese children aged 3-6 years and examines age-related differences in FRT scores. Additionally, we evaluated the relationship between FRT scores and several factors and a predictive equation was developed to improve the clinical application of FRT.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 163 developing Japanese children. Participants completed two trials, with the average serving as the FRT score. Normative values were established for each age group. One-way analysis of variance and multiple regression analysis were used to assess age-related differences and factors influencing FRT performance, respectively.</p><p><strong>Results: </strong>FRT values significantly increased with age: 9.4 cm (3 years), 10.8 cm (4 years), 11.3 cm (5 years), and 15.7 cm (6 years). Six-year-olds exhibited significantly higher scores than all younger age groups (<i>p</i> < .001). Multiple regression analysis identified age and height as significant predictors, and a predictive equation incorporating these variables was developed.</p><p><strong>Conclusion: </strong>This study provides normative FRT data for Japanese children aged 3-6 years, emphasizing the role of age and height. The predictive equation enhances the clinical application of FRT as a balance screening tool for children.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between the Fine Motor Test for the School-Aged and the Movement Assessment Battery for Children-Second Edition in Chinese Children with Suspected Developmental Coordination Disorder.","authors":"Haiyun Liu, Qiongxuan Chen, Shiyao Chen, Quting Huang, Chi-Wen Chien","doi":"10.1080/01942638.2025.2535340","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535340","url":null,"abstract":"<p><strong>Aims: </strong>To examine the correlation between a newly developed Fine Motor Test for the School-aged (FMTS) and the Movement Assessment Battery for Children-Second Edition (MABC-2), and to explore the FMTS's ability to identify children with suspected developmental coordination disorder (DCD) compared to the MABC-2.</p><p><strong>Methods: </strong>Fifty-one children aged 7-14 years in Hong Kong participated. Each child was assessed with both the MABC-2 and FMTS, and their parents completed the revised Developmental Coordination Disorder Questionnaire (DCDQ-R). Suspected DCD was identified using the 15th percentile for the MABC-2 and the 5th percentile for the FMTS using DCDQ-R cutoffs. Spearman's <i>rho</i> correlation analyses were performed.</p><p><strong>Results: </strong>Moderate-to-strong correlations (<i>rho</i> = .41-.70, <i>p</i> = .011 to <i>p</i> < .001) between the FMTS and MABC-2, except for the aiming and catching subtest, among children aged 7-10 years. The FMTS identified 20 children with suspected DCD, of whom 18 scored below DCDQ-R cutoffs, while the MABC-2 identified seven children with suspected DCD.</p><p><strong>Conclusions: </strong>The FMTS demonstrates convergent validity and shows potential for aiding in the identification of DCD specifically related to fine motor difficulties in Hong Kong children. As the FMTS focuses solely on fine motor skills, combining it with gross motor assessments in clinical use is recommended.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Upper-Extremity Constraint-Induced Movement Therapy on Gross Motor Outcomes in Children with Cerebral Palsy: Systematic Review.","authors":"Sally Morsy, Cindy Dodds, Daniel L Brinton","doi":"10.1080/01942638.2025.2525881","DOIUrl":"https://doi.org/10.1080/01942638.2025.2525881","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to evaluate the impact of upper-extremity constraint-induced movement therapy (UE-CIMT) on gross motor skills, postural control, and lower extremity function in children with hemiplegic cerebral palsy (CP).</p><p><strong>Methods: </strong>The electronic databases PubMed, CINAHL, Scopus, and Ovid were searched for eligible articles using the following keywords: \"cerebral palsy,\" \"children,\" \"CIMT,\" \"gross motor skills,\" \"postural control,\" \"balance,\" and \"gait.\" Quality assessment of eligible studies was performed using the PEDro scale.</p><p><strong>Results: </strong>Out of 919 identified papers, nine met the inclusion criteria. Findings suggest potential benefits in improving gross motor skills, postural control, and lower extremity function, as shown by measures such as the Gross Motor Function Measure (GMFM), the Peabody Developmental Motor Scales (PDMS-2), and gait parameters. However, methodological heterogeneity limits the strength of evidence.</p><p><strong>Conclusion: </strong>While CIMT primarily targets UE function, emerging evidence suggests its influence may extend to gross motor skills. This highlights the potential for UE-CIMT to support broader motor improvements beyond the targeted limb. However, the quality of existing evidence is limited due to methodological weaknesses, small sample sizes, and variability in study design. Well-designed trials are needed to validate these findings and contribute to holistic rehabilitation approaches optimizing interventions for children with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}