Merve Sarıipek, Ali İmran Yalçın, Semra Topuz, Tüzün Fırat
{"title":"Investigation of Center of Pressure Displacement During Upper Limb Movements in Children with Neonatal Brachial Plexus Palsy.","authors":"Merve Sarıipek, Ali İmran Yalçın, Semra Topuz, Tüzün Fırat","doi":"10.1080/01942638.2025.2475953","DOIUrl":"10.1080/01942638.2025.2475953","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine the amount of displacement of the Center of Pressure (CoP) during movement of the affected limb in children with Neonatal Brachial Plexus Palsy (NBPP) and to compare it with the unaffected side.</p><p><strong>Method: </strong>Forty-six children (6.63 ± 1.97 years) with NBPP who met the inclusion criteria were enrolled in this cross-sectional descriptive study. The amount of CoP displacement was measured using the Bertec BP5046 force plate while performing Modified Mallet Movement Scale (MMMS) subtests.</p><p><strong>Results: </strong>When performing the MMMS subtests, maximum CoP displacements were greater for movements performed with the affected side (<i>p</i> < 0,05). The CoP displacements at the end of the movement were also greater for the affected side movements for global external rotation, hand to spine, hand to mouth and internal rotation (<i>p</i> < 0,05).</p><p><strong>Conclusions: </strong>In children with NBPP, the difference in the amount of CoP displacement during the affected and unaffected side movements does not necessarily indicate pathology. It may instead reflect a specific postural control strategy. However, since the difference in the amount of trunk perturbation caused by limb movements can result in an asymmetric loading, it is crucial to include trunk control in rehabilitation protocols.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"628-638"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587798","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}
Kim Hébert-Losier, Yash Pandit, Oliver W A Wilson, Jenny Clarke
{"title":"Looking Beyond the Number of Repetitions: An Observational Cross-Sectional Study on Calf Raise Test Outcomes in Children Aged 10-17 Years.","authors":"Kim Hébert-Losier, Yash Pandit, Oliver W A Wilson, Jenny Clarke","doi":"10.1080/01942638.2024.2404463","DOIUrl":"10.1080/01942638.2024.2404463","url":null,"abstract":"<p><strong>Aims: </strong>The calf raise test (CRT) assesses plantarflexor strength and endurance, but normative data for children are scarce. Furthermore, contradictions exist on which factors are associated with total repetitions, with repetitions being the only metric considered. We quantified three of the main CRT outcomes (repetitions, total work, and peak height) in children 10-17 years and explored their relationship with various factors.</p><p><strong>Methods: </strong>Healthy children (<i>n</i> = 165, 50.3% female) completed single-legged calf raises on a 10° incline, once on each leg. Test outcomes were extracted using the valid and reliable Calf Raise application.</p><p><strong>Results: </strong>CRT outcomes were not significantly different between legs (<i>p</i> ≥ .19). The only covariates significantly associated with outcomes based on stepwise quantile regressions were body mass index centile for repetitions, meeting physical activity recommendations for total work and peak height, and age for total work. Outcomes did not significantly differ based on sex or maturation. Median values were around 26 for repetitions, 640-1460 J for total work (age dependent), and 10.1 cm for peak height for children meeting physical activity recommendations.</p><p><strong>Conclusion: </strong>Children who were older, had lower body mass indices, and were more active exhibited superior CRT outcomes. Meeting physical activity recommendations appears beneficial for plantarflexor function and should continue to be prioritized in children.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"240-255"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299325","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}
Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton
{"title":"Development of the Applied Coaching Tool for Pediatric Rehabilitation Therapists: A Practice Support Tool for Therapists Coaching Parents of Young Children.","authors":"Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton","doi":"10.1080/01942638.2025.2486119","DOIUrl":"10.1080/01942638.2025.2486119","url":null,"abstract":"<p><strong>Aim: </strong>Describes the development and implementation of the Applied Coaching Tool (ACT), and training protocol, to build coaching competency in therapists supporting parents of young children.</p><p><strong>Methods: </strong>The ACT was developed using literature review, draft tool creation, expert review and refinement. A training protocol for therapists to learn how to coach was developed using principles of adult learning, coaching and instructional design to increase learner competence and confidence.</p><p><strong>Results: </strong>The ACT framework includes five coaching events to support therapists to implement coaching practices including self-directed goals, learner-focused interventions with meaningful reflection, practice and feedback. Within the ACT, behaviors associated with coaching events were defined as overt therapist actions and elaborations - examples of interactional behaviors. The training plan for therapists consisted of a workshop, intentional practice with coaching feedback over a period of five months, and assessment of competence. Pilot implementation demonstrated evidence of acceptability, appropriateness, adoption and fidelity of the ACT.</p><p><strong>Conclusion: </strong>Use of the ACT, and the training plan, provides practical clinical behaviors for therapists to coach families to be active participants in rehabilitation which may contribute to improvements in self-efficacy and motivation in therapy. Furthermore, it provides a reliable standard amongst therapists coaching in pediatric rehabilitation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"769-784"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062694","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}
Hilary D Terhune, Lisa A Chiarello, Robert J Palisano, Lorraine Sylvester
{"title":"Pilot Testing the Youth Engaging Transition: Perspectives of Youth, Parents, and School Physical Therapists.","authors":"Hilary D Terhune, Lisa A Chiarello, Robert J Palisano, Lorraine Sylvester","doi":"10.1080/01942638.2025.2506067","DOIUrl":"10.1080/01942638.2025.2506067","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the feasibility, acceptability, and relevance of the Youth Engaging Transition (YET) instrument.</p><p><strong>Methods: </strong>In this observational study, nine youth (16-21 years) with motor disabilities, their parents, and school physical therapists completed the YET, then triad members gave feedback about the experience (<i>n</i> = 27).</p><p><strong>Results: </strong>Parents and PTs agreed that both sections (S1: Future Plans and S2: Self-Assessment and Goal Planning) were feasible. Three triads questioned the youth's understanding of the YET. Parents agreed that S1 and S2 were acceptable. Three PTs disagreed that S2 was an appropriate scope/depth. Five triads questioned the YET's length and repetitiveness. Youth and PTs reported that the YET was relevant. Perhaps due to previous transition planning experience, some parents reported not learning new information by completing the YET. Parents' and PTs' ratings were aligned, suggesting a common experience using the YET.</p><p><strong>Conclusions: </strong>Results of this pilot study suggest that the YET has promise as a feasible, acceptable, and relevant transition planning instrument. Larger studies investigating the validity and reliability of the YET should include modifications to the YET, involve other transition team members, and ascertain the team's previous involvement in the planning process. Future YET iterations will include enhanced cognitive accessibility and shortened length.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"785-803"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112552","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}
Heather Curtin, Ciaran K Simms, Damien Kiernan, Richard B Reilly, Michelle Spirtos
{"title":"The Effect of Mobility Assistance Dogs on Quality of Life in Children with Physical and Neurological Impairments.","authors":"Heather Curtin, Ciaran K Simms, Damien Kiernan, Richard B Reilly, Michelle Spirtos","doi":"10.1080/01942638.2024.2400344","DOIUrl":"10.1080/01942638.2024.2400344","url":null,"abstract":"<p><strong>Aims: </strong>To measure the quality of life in children with impaired walking who receive a mobility assistance dog (MAD).</p><p><strong>Methods: </strong>The parents of ten children who received a MAD completed the cerebral palsy quality of life questionnaire, before receiving their dog and at one, three, and six-month follow-up. Data were analyzed to assess changes for each participant and to the group.</p><p><strong>Results: </strong>The group showed a positive change in the domains of social well-being and acceptance, feelings about functioning, and emotional well-being and self-esteem after six months. Children with less impairment (GMFCS I-II) showed a change in social-wellbeing and acceptance, feelings about functioning, participation, physical health, and emotional-wellbeing and self-esteem after six months. Children with more impairment (GMFCS III-IV) showed no change at any timepoint measured.</p><p><strong>Conclusions: </strong>This novel therapeutic area of receiving a MAD demonstrated some positive quality of life changes after six months for a small group of children with impaired walking. These are preliminary findings in a small sample and this intervention would benefit from further study.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"102-115"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308885","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}
Lorena Costa Ferreira, Egmar Longo, Alexandre Varella Giannetti, Yanca Luiza Sabarense Rezende, Eduarda de Assis Oliveira, Tuane Fernandes Silva, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos
{"title":"Factors Associated with Participation Patterns of Young Brazilian Children with Myelomeningocele.","authors":"Lorena Costa Ferreira, Egmar Longo, Alexandre Varella Giannetti, Yanca Luiza Sabarense Rezende, Eduarda de Assis Oliveira, Tuane Fernandes Silva, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos","doi":"10.1080/01942638.2024.2447025","DOIUrl":"10.1080/01942638.2024.2447025","url":null,"abstract":"<p><strong>Aims: </strong>To describe participation patterns and identify factors associated with participation of young Brazilian children with myelomeningocele (MMC) in their home, daycare/preschool, and community settings.</p><p><strong>Methods: </strong>The participants were parents/caregivers of 70 children with MMC, averaging 26.7 (±17.3) months in age. Participation was measured by the Young Children's Participation and Environment Measure (YC-PEM) completed by interview. Simple and stepwise multiple linear egression models were used to examine factors associated with participation.</p><p><strong>Results: </strong>On average children participated in home activities a few times a week, community activities once a month to a few times in the last month, and daycare or preschool activities once to a few times in the past four months. Age was associated with participation frequency (<i>R</i><sup>2</sup> = 0.32; <i>p</i> < .0001) and number of activities (<i>R</i><sup>2</sup> = 0.27; <i>p</i> < .02) in daycare/preschool and in the number of activities in the community (<i>R</i><sup>2</sup> = 0.30; <i>p</i> < .0001). Number of environmental facilitators was associated with the desire for change in participation in daycare/preschool (<i>R</i><sup>2</sup> = 0.21; <i>p</i> < .04). Mobility performance was associated with children's level of involvement (<i>R</i><sup>2</sup> = 0.10; <i>p</i> = .006) and caregivers' desire for change in community participation (<i>R</i><sup>2</sup> = 0.11; <i>p</i> = .006).</p><p><strong>Conclusion: </strong>Knowledge of participation and factors that influence participation can help in designing interventions to improve participation opportunities for young children with MMC.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"358-374"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933001","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}
Kelsey Philpott-Robinson, Dianne Blackwell, Casey Regan, Carl Leonard, Kirsti Haracz, Alison E Lane, Kylie Wales
{"title":"Conflicting Definitions of Self-Regulation in Occupational Therapy: A Scoping Review.","authors":"Kelsey Philpott-Robinson, Dianne Blackwell, Casey Regan, Carl Leonard, Kirsti Haracz, Alison E Lane, Kylie Wales","doi":"10.1080/01942638.2024.2434468","DOIUrl":"10.1080/01942638.2024.2434468","url":null,"abstract":"<p><strong>Aims: </strong>To understand how occupational therapy literature conceptualizes, discusses, describes, implies, and operationalizes self-regulation.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and JBI methodology guided the review. MEDLINE, Embase, CINAHL, PsychInfo and ERIC databases were searched with studies from 2000 - June 2023 deemed eligible. Two reviewers extracted data with results presented in figurative, tabular, and narrative synthesis. Critical appraisal was conducted using the Mixed Methods Appraisal Tool and the Critical Appraisal Skills Programme checklist for systematic reviews. Content analysis of construct descriptions was conducted.</p><p><strong>Results: </strong>A total 4159 articles were screened for eligibility, and eighty-one assessed at full text. Nine additional studies were retrieved through hand-searching. Sixty-four studies were included and underwent critical appraisal. Content analysis revealed five self-regulation constructs and associated terms in the occupational therapy literature, including self-regulation, executive function, emotion regulation, interoception and social-emotional learning.</p><p><strong>Conclusions: </strong>Five distinct self-regulation constructs were analyzed in the occupational therapy literature, with various terms used to describe and define these. Self-regulation and executive function were often described as linked constructs. Similarly, lack of congruence between self-regulation measures, identified interventions and the underlying self-regulation construct was identified.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"318-357"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781630","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}
Georgina L Clutterbuck, Caroline Ho, Genevieve M Dwyer
{"title":"The Feasibility and Reliability of the Test of Gross Motor Development (TGMD-3) for Children with Disabilities in Regional Australia: A Pragmatic Pilot Study.","authors":"Georgina L Clutterbuck, Caroline Ho, Genevieve M Dwyer","doi":"10.1080/01942638.2025.2463350","DOIUrl":"10.1080/01942638.2025.2463350","url":null,"abstract":"<p><strong>Aims: </strong>Evaluate feasibility and preliminary inter- and intra-rater reliability of the Test of Gross Motor Development, third edition (TGMD-3) for children with disabilities in regional Australia; comparing \"live\" and videorecorded scoring.</p><p><strong>Methods: </strong>Three physiotherapists (one familiar with TGMD administration, two unfamiliar) completed \"live\" administration and scoring. Five raters (three physiotherapists, two familiar and one unfamiliar, and two unfamiliar student physiotherapists) scored video-recordings at normal and slow speed. Semi-structured interviews explored raters' experiences using the TGMD-3 for children with disabilities in a regional context, and/or scoring via videorecording. Agreement within and among raters were reported using intraclass correlation coefficients.</p><p><strong>Results: </strong>Raters agreed that TGMD-3 was feasible in terms of acceptability (mean 22.5 min scoring, slow-speed assisted accuracy), practicality (minimal resources), demand (addressed client goals), and implementation and integration into practice in regional Australia. Subscale and total scores showed good-to-excellent intra-rater (ICC = 0.73-0.99), and moderate-to-good inter-rater reliability for all but one student rater (ICC = 0.29-0.88). Filming recommendations were developed to enhance scoring.</p><p><strong>Conclusions: </strong>The TGMD-3 is feasible and has acceptable reliability when measuring high-level gross-motor performance for children with disabilities in regional Australia using live or video scoring. Modifications to criterion descriptors and more disability-targeted training, are recommended to optimize scoring consistency for this population.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"572-593"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460224","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":"Physiotherapists Identify Movement Difficulties in Autistic Children Using Subjective and Objective Measures: An Observational Study.","authors":"Lisa Truscott, Kate Simpson, Stephanie A Malone","doi":"10.1080/01942638.2025.2477183","DOIUrl":"10.1080/01942638.2025.2477183","url":null,"abstract":"<p><strong>Objective: </strong>To explore the assessment practices and identification of movement difficulties in autistic children aged 12 months to 6 years by physiotherapists in Australia.</p><p><strong>Methods: </strong>Registered physiotherapists providing services to autistic children ages 12 months - 6 years completed a survey. The survey was distributed <i>via</i> closed physiotherapy social media (Facebook) pages in Australia from March to June 2022. The survey included 8 items on strategies/approaches to assessment, 47 items on measurement, and 23 items on movement difficulties.</p><p><strong>Results: </strong>85 physiotherapists completed the survey. Findings indicated that parent reports, observations, and movement analyses were the most commonly used assessment strategies employed 100% of time, followed by musculoskeletal assessments (80%) and standardized assessments (50%). Of standardized assessments used, Alberta Infant Motor Scale (AIMS) was used most, by over 69% of physiotherapists, with multiple versions of five other standardized assessments used by over 52% of physiotherapists, namely Movement Assessment Battery for Children, Neurological Sensory Motor Developmental Assessment, Bruininks-Oseretsky Test of Motor Proficiency, Developmental Coordination Disorder Questionnaire and Test of Gross Motor Development. A range of movement difficulties were frequently identified in developmental delays (86% of time), gross motor (85%), coordination (82%), motor planning (81%), and hypotonia (80%).</p><p><strong>Conclusions: </strong>Physiotherapists in Australia use a variety of methods to examine movement difficulties in young autistic children, suggesting that this frequently occurs prior to autism diagnosis.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"595-611"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671690","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}
Esra Kınacı-Biber, Bilge N Yardımcı-Lokmanoğlu, Akmer Mutlu
{"title":"Early Motor Repertoire and Developmental Functioning at Later Age of Children Who Were Diagnosed with Autism Spectrum Disorder: A Pilot Study.","authors":"Esra Kınacı-Biber, Bilge N Yardımcı-Lokmanoğlu, Akmer Mutlu","doi":"10.1080/01942638.2024.2447020","DOIUrl":"10.1080/01942638.2024.2447020","url":null,"abstract":"<p><strong>Aims: </strong>Autism Spectrum Disorder (ASD) may exhibit early motor delay, and long-term motor impairments in addition to social and communicative problems. This pilot study aimed to describe (i) the early motor repertoire using General Movements Assessment (GMA) of infants later diagnosed with ASD, (ii) the developmental outcomes in these children between 24- and 42-months, and (iii) the relationship between GMA and developmental outcomes.</p><p><strong>Methods: </strong>Ten children diagnosed with ASD were included. All infants were assessed using Motor Optimality Score for 3- to 5-month-old Infants-Revised score sheet for GMA, and the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) for developmental functioning aged between 24- and 42-months.</p><p><strong>Results: </strong>The median Motor Optimality Score-Revised (MOS-R) was 10 (range: 6-28), considered reduced optimal, and 80% of children had less than optimal MOS-R. 60% of the children had aberrant fidgety movements and abnormal postural patterns, and 80% had abnormal but not cramped-synchronized movement character. The mean composite scores of all subdomains in Bayley-III were below 69 (extremely low) in all children.</p><p><strong>Conclusions: </strong>This study highlighted the importance of early motor repertoire and longitudinal developmental assessments in children with ASD. Further research is needed to explore the potential of this assessment as a screening tool.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"287-301"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933052","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}