Brazilian Journal of Physical Therapy最新文献

{"title":"\"Go neurological physical therapy research, go”! Volume and methodological quality of neurological physical therapy: A 63-year PEDro database analyses","authors":"Julia Mafra Vasconcelos ,&nbsp;Yasmine Guimarães Viana ,&nbsp;Marina de Barros Pinheiro ,&nbsp;Larissa Tavares Aguiar ,&nbsp;Janaine Cunha Polese","doi":"10.1016/j.bjpt.2025.101208","DOIUrl":"10.1016/j.bjpt.2025.101208","url":null,"abstract":"<div><h3>Background</h3><div>Two decades ago, more than 200 randomized controlled trials (RCTs) of neurological physical therapy interventions in adults and pediatric populations were identified from 1958 to 2000, with half rated moderate to high quality on the Physiotherapy Evidence Database (PEDro) scale. Does the current panorama remain the same?</div></div><div><h3>Objective</h3><div>To investigate the changes in volume and quality of RCT of neurological physical therapy in adults and paediatrics indexed in the PEDro database between 1958 to 2021. In addition, to investigate if there is a relationship between journal impact factor and methodological quality.</div></div><div><h3>Methods</h3><div>All RCTs of neurological physical therapy in adults and pediatrics indexed in PEDro between 1958–2021 were included. Descriptive statistics described trial volume, quality, and trends over the years. Spearman's rho correlation test assessed the association between methodological quality and journal ranking (Journal Impact Factor (JIF) and Journal Citation Indication (JCI)).</div></div><div><h3>Results</h3><div>A total of 6291 RCTs of neurological physical therapy in adults and pediatrics were indexed in PEDro between 1958–2021, with a mean PEDro scale score of 5.3/10 (SD 1.6). The quality of RCTs improved over time, with a mean score of 5.7/10 (SD 1.4) for RCTs published between 2018–2021, compared to 1/10 between 1962–1965. A weak and significant relationship was found between methodological quality and JIF (r=0.153; p&lt;0.001) and JCI (r=0.146; p&lt;0.001).</div></div><div><h3>Conclusion</h3><div>There is a large and growing volume of RCTs on neurological physical therapy in adults and pediatrics indexed in PEDro, with increasing quality over time, though still moderate. Journal ranking should not be used for selecting high quality RCTs.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 4","pages":"Article 101208"},"PeriodicalIF":3.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to editor for article “Exploring knowledge, perception, and practices about exercise among women with infertility”","authors":"Hinpetch Daungsupawong ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.bjpt.2025.101210","DOIUrl":"10.1016/j.bjpt.2025.101210","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 4","pages":"Article 101210"},"PeriodicalIF":3.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of progressions of difficulty during an exercise program to improve balance and gait in older individuals: A randomized clinical trial","authors":"Marcos Paulo Gonçalves dos Santos ,&nbsp;Thiago Lemos ,&nbsp;Débora Cristina Lima da Silva ,&nbsp;Camilla Polonini Martins ,&nbsp;José Vicente Pereira Martins ,&nbsp;Laura Alice Santos de Oliveira","doi":"10.1016/j.bjpt.2025.101207","DOIUrl":"10.1016/j.bjpt.2025.101207","url":null,"abstract":"<div><h3>Background</h3><div>Little is discussed about the effectiveness and systematization of progressions of difficulty during balance exercises. Exercise progression provides continuous stimulation and assists physical therapists in offering challenges to patients.</div></div><div><h3>Objective</h3><div>To investigate the effectiveness of an exercise program with systematic progression of difficulty for older individuals.</div></div><div><h3>Methods</h3><div>Randomized clinical trial, with 22 older individuals allocated to experimental (EG, <em>N</em> = 12) or control (CG, <em>N</em> = 10) group. In EG, individuals performed an exercise program with progressions of difficulty for 12-weeks (2 days/week, 1 h/session). In the control group the participants performed the same program without progressions of difficulty. The Berg Balance Scale (BBS), Timed up and Go (TUG), and modified Dynamic Gait Index (mDGI) were assessed after and before the 24 exercise sessions. An intention-to-treat approach and multiple imputation by chained equations were utilized. Raw data were transformed into standardized individual differences (SID) and analyzed using one-way ANCOVA to test group effects, with baseline and age as covariates. A one-sample <em>t</em>-test was used to compare SIDs against zero. Effect sizes were estimated using partial eta squared (ηp²) and Cohen's d.</div></div><div><h3>Results</h3><div>ANCOVA revealed no significant group effect across any of the variables. Baseline values emerged as significant predictor of changes in BBS (<em>P</em> = 0.038, η_p²=0.219), TUG (<em>P</em> = 0.042, η_p²=0.210), and mDGI (<em>P</em> &lt; 0.001, η_p²=0.545), suggesting a substantial differences among participants with lower baseline values. Age also emerged as a significant predictor of change for mDGI (<em>P</em> = 0.002, η_p²=0.431). Comparison with zero-value produced significant differences for BBS and mDGI, indicating increases in post-intervention for both groups.</div></div><div><h3>Conclusion</h3><div>Applying progressions of difficulty to the exercises, did not lead to greater improvements than not applying them.</div></div><div><h3>Clinical trias</h3><div>https://ensaiosclinicos.gov.br/rg/RBR-8dpxgcf</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101207"},"PeriodicalIF":3.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement properties of Pain Catastrophizing Scale in individuals with chronic shoulder pain","authors":"Danilo Harudy Kamonseki ,&nbsp;Melina Nevoeiro Haik ,&nbsp;Larissa Pechincha Ribeiro ,&nbsp;Rafaela Firmino Almeida ,&nbsp;Paula Rezende Camargo","doi":"10.1016/j.bjpt.2025.101206","DOIUrl":"10.1016/j.bjpt.2025.101206","url":null,"abstract":"<div><h3>Background</h3><div>Rotator cuff-related shoulder pain (RCRSP) is a common musculoskeletal disorder. Chronic symptoms, high-level pain intensity, and disability are associated with high levels of pain catastrophizing in this condition. Although the Pain Catastrophizing Scale (PCS) is widely used to assess pain catastrophizing in individuals with chronic symptoms, its measurement properties are still unknown for assessing individuals with chronic RCRSP.</div></div><div><h3>Objectives</h3><div>To assess construct validity, reliability, and responsiveness of the PCS in individuals with chronic RCRSP.</div></div><div><h3>Methods</h3><div>Eighty-three adult individuals with chronic RCRSP were included in this study. The assessment of construct validity was based on hypothesis testing. Spearman's rank correlation coefficient was used to verify the correlation of the total score and rumination, magnification, and helplessness subscales of the PCS with pain intensity, disability, and fear of movement. Test-retest reliability was analyzed with Intraclass Correlation Coefficient (ICC)_(3,1) and internal consistency was analyzed with Cronbach's alpha. Responsiveness was analyzed by effect sizes and the area under the receiver operating characteristic curve (AUC).</div></div><div><h3>Results</h3><div>The PCS showed significant moderate correlation (rho ≥ 0.40) with fear of movement (95% confidence interval [CI]: 0.23, 0.70), pain intensity (95% CI: 0.14, 0.64), and disability (95% CI: 0.17, 0.66), except the rumination and magnification subscales, which showed significant weak correlation with pain intensity (95% CI: 0.14, 0.58) and disability (95% CI: 0.12, 0.56), respectively. PCS presented good reliability (ICC &gt; 0.7, 95% CI: 0.63, 0.88), and adequate internal consistency (Cronbach alfa &gt; 0.7) and responsiveness based on effect sizes and AUC.</div></div><div><h3>Conclusion</h3><div>The PCS is a valid, reliable, and responsive instrument for assessing individuals with chronic RCRSP.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101206"},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability study of the Turkish version of the Lower Extremity Functional Scale in elderly adults","authors":"Guzin Kara-Cakici ,&nbsp;Tuba Can-Akman ,&nbsp;Suleyman Utku Uzun ,&nbsp;Nilufer Cetisli-Korkmaz","doi":"10.1016/j.bjpt.2025.101196","DOIUrl":"10.1016/j.bjpt.2025.101196","url":null,"abstract":"<div><h3>Background</h3><div>The World Health Organization's disability and health model implicates activity limitation based on the International Classification of Functioning, Disability, and Health (ICF). The Lower Extremity Functional Scale (LEFS) was developed in the framework of the ICF to define the functional status of the lower extremities as an important indicator of the health, activity, and participation of the elderly.</div></div><div><h3>Objective</h3><div>To analyze the psychometric properties of the Turkish version of LEFS (LEFS-T) in older individuals.</div></div><div><h3>Methods</h3><div>A total of 214 older individuals were included in the study and the LEFS-T, Five-Times-Sit-to-Stand Test (FTSTS), and Falls Efficacy Scale-International (FES-I) were administered. Reliability and validity were evaluated according to Cronbach's alpha internal consistency coefficients (ICC), spearman correlation analysis, and confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>LEFS-T was feasible, had good internal consistency (0.93), good reliability (ICC = 0.98), good construct, and discriminant validity, and showed no floor or ceiling effects. The results of CFA are at excellent levels (Root Mean Square Error of Approximation = 0.004, Goodness of Fit = 0.974, Comparative Fit Index = 0.991, Non-Normed Fit Index = 0.990). For construct validity, LEFS-T showed a better correlation with FTSTS (<em>r</em> = -0.555, <em>p</em> &lt; 0.001) and FES-I (<em>r</em> = -0.756, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The Turkish version of LEFS has good psychometric properties to evaluate functional capacity in older adults without lower extremity musculoskeletal disorders. LEFS-T can be used in future studies to evaluate and follow changes in lower extremity functional capacity as well as strength problems and fall prevention interventions, as it is a valid, reliable, and easily applicable scale with self-report.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101196"},"PeriodicalIF":3.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrater reliability of a new tool to analyze sagittal parameters in camptocormic patients: The 3D morphological analysis system SAM3D®","authors":"Bertrand Glize ,&nbsp;Louca Jourda ,&nbsp;Mathieu de Sèze","doi":"10.1016/j.bjpt.2025.101194","DOIUrl":"10.1016/j.bjpt.2025.101194","url":null,"abstract":"<div><h3>Background</h3><div>Camptocormia is a trunk flexion occurring during walking that the patient can spontaneously correct in a static position. Therefore, capturing the flexed trunk posture on radiograph is difficult.</div></div><div><h3>Objective</h3><div>To analyze the interrater reliability in different positions reflecting the dynamic phenomenon of camptocormia using a non-invasive visual three-dimensional capture tool.</div></div><div><h3>Methods</h3><div>Sample size calculation was at least 31 participants. 34 patients who had camptocormia and were monitored in our clinical practice were included. Two different examiners performed measurements using SAM3D tool in the three following positions: Spontaneous Standing Position (SSP), Upright Standing Position (USP), and Walking-like Standing Position (WSP). Sagittal parameters were measured: arrow in C7, kyphosis, lordosis, and knee flexion. The interrater reliability was assessed using Lin's Concordance Correlation Coefficient (CCC).</div></div><div><h3>Results</h3><div>Regarding the arrow in C7, the Lin's CCCs were excellent, respectively 0.96 (SSP), 0.98 (USP), and 0.97 (WSP). All the CCCs for other parameters were at least fairly good (&gt;0.87). There were significant differences in arrows in C7 between USP and the two other positions (SSP and WSP).</div></div><div><h3>Conclusion</h3><div>SAM3D is a non-invasive visual three-dimensional capture tool allowing safe and automatic assessments, and repeated measurements with good interrater reliability.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101194"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unraveling the role of fear and avoidance behavior in chronic musculoskeletal pain: from theory to physical therapy clinical practice","authors":"Rafael Krasic Alaiti ,&nbsp;Felipe J.J. Reis ,&nbsp;Tiago Arruda-Sanchez ,&nbsp;JP Caneiro ,&nbsp;Ann Meulders","doi":"10.1016/j.bjpt.2025.101197","DOIUrl":"10.1016/j.bjpt.2025.101197","url":null,"abstract":"<div><h3>Background</h3><div>Protective behaviors in the context of pain fostered by fear are helpful in acute traumatic pain to enable a person to protect their body from further injury and promote healing in the short term. However, protective behavior that is ongoing in the absence of tissue damage may contribute to the persistence of disability in people with musculoskeletal pain. Current evidence highlights the importance of addressing pain-related fear, fear of movement-related pain, and avoidance behavior in the management of people with chronic musculoskeletal pain. But, physical therapists find it challenging to make sense of and implement the evidence in their clinical practice. This issue partly stems from the pervasiveness of the biomedical model, which fails to address important psychological factors such as fear of movement-related pain and avoidance behavior and their role in chronic musculoskeletal pain. Despite a wider acceptance of the biopsychosocial model of care, physical therapists lack confidence and guidance on how to implement this model into practice.</div></div><div><h3>Objective</h3><div>The aims of this masterclass are twofold: (1) to describe how the concepts/theory of fear learning can be applied in physical therapy practice for people with chronic musculoskeletal pain, (2) to illustrate the implementation of these concepts in clinical practice using an example of the management of a person with a chronic musculoskeletal pain condition.</div></div><div><h3>Discussion</h3><div>We discuss how clinicians may identify and target fear of movement-related pain and avoidance behavior in clinical practice, with examples of how to understand and manage individuals with chronic musculoskeletal pain using an associative learning and behavioral framework.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101197"},"PeriodicalIF":3.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of physical therapists applying telerehabilitation to neurological patients: A qualitative study","authors":"Birol Önal ,&nbsp;Sefa Eldemir ,&nbsp;Ali Naim Ceren ,&nbsp;Kader Eldemir","doi":"10.1016/j.bjpt.2025.101195","DOIUrl":"10.1016/j.bjpt.2025.101195","url":null,"abstract":"<div><h3>Background</h3><div>Telerehabilitation has been widely used in neurological diseases in recent years. The experiences of physical therapists and the difficulties they face are critical to the effectiveness of telerehabilitation.</div></div><div><h3>Objective</h3><div>To examine in depth the technical challenges, patient interaction strategies, and session management processes faced by physical therapists who use telerehabilitation for patients with neurological conditions and to assess the opinions of physical therapists about the advantages, disadvantages, technological infrastructure needs, and support strategies of telerehabilitation.</div></div><div><h3>Methods</h3><div>In this study, phenomenological qualitative research method was used. In-depth interviews were conducted with eight physical therapists who treated patients with neurological disorders with telerehabilitation in our country. Interview data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>The analysis revealed seven key themes and 26 sub-themes, which were categorized into two main areas: telerehabilitation session management and perceptions of telerehabilitation sessions. In the area of session management, physical therapists reported challenges related to the adaptation of traditional rehabilitation techniques to the online environment, including difficulties with assessing patients' physical conditions remotely, ensuring patient engagement, and managing technical issues such as internet connectivity and software limitations. They also highlighted the importance of clear communication, structured session planning, and the need for additional training to effectively conduct telerehabilitation sessions.</div></div><div><h3>Conclusions</h3><div>Considering the advantages and disadvantages stated by physical therapists using telerehabilitation with patients with neurological conditions, solutions should be developed to increase the efficiency of telerehabilitation. Applications with simple interfaces, a home environment suitable for exercise sessions, and strategies to support technology adaptation can significantly improve the efficiency of telerehabilitation.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101195"},"PeriodicalIF":3.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bias-free language in research as a tool to prevent ageism","authors":"Marcos Paulo Miranda de Aquino ,&nbsp;Elisângela Cristina Ramos Hernandes ,&nbsp;Maynara do Amaral Alfonsi ,&nbsp;Monica Perracini","doi":"10.1016/j.bjpt.2025.101198","DOIUrl":"10.1016/j.bjpt.2025.101198","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101198"},"PeriodicalIF":3.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Choosing Wisely campaigns in physical therapy: Are we missing an opportunity to reduce low-value care?","authors":"Liu Chiao Yi ,&nbsp;Joshua R Zadro ,&nbsp;Renato J Soares ,&nbsp;Ney Meziat-Filho ,&nbsp;Felipe.J.J. Reis","doi":"10.1016/j.bjpt.2025.101192","DOIUrl":"10.1016/j.bjpt.2025.101192","url":null,"abstract":"<div><h3>Background</h3><div>The Choosing Wisely campaign (CWC) aims to reduce low-value care by encouraging healthcare professionals and patients to discuss unnecessary tests and treatments. While this campaign has been adopted in various medical fields, its implementation in physical therapy is still emerging.</div></div><div><h3>Objectives</h3><div>To (i) identify physical therapy associations participating in the CWC and (ii) characterize the content of their recommendations.</div></div><div><h3>Methods</h3><div>We identified physical therapy associations affiliated with World Physiotherapy and conducted a search on their websites or contacted them via email to identify existing Choosing Wisely recommendations. The identified recommendations were categorized into musculoskeletal, neurology, cardiorespiratory, women's health, and mixed themes.</div></div><div><h3>Results</h3><div>Out of 127 physical therapy associations, seven (5.5 %) had Choosing Wisely recommendations, representing associations from Brazil, the USA, Norway, Italy, Australia, Spain, and Switzerland. We identified 62 recommendations, with the majority (48.4 %) related to musculoskeletal physical therapy, followed by mixed themes (27.4 %), women's health (14.5 %), cardiorespiratory (6.4 %), and neurology (3.2 %).</div></div><div><h3>Conclusion</h3><div>The adoption of the Choosing Wisely campaign among physical therapy associations appears to be limited. Most recommendations focus on musculoskeletal physical therapy, indicating an opportunity for broader engagement with the campaign. Efforts to promote awareness and adoption of this campaign is needed to support evidence-based practices and reduce low-value care in physical therapy.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101192"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}