Journal of Vestibular Research-Equilibrium & Orientation最新文献

{"title":"Cross-cultural adaptation, validity, and reliability study of shortened version of the Vestibular Activities and Participation Measure into Turkish.","authors":"Bilgehan Tekin Dal, Gurbet İpek Şahin Kamışlı","doi":"10.1177/09574271251347262","DOIUrl":"https://doi.org/10.1177/09574271251347262","url":null,"abstract":"<p><p>BackgroundVestibular disorders significantly impact daily activities and participation, leading to reduced quality of life. The Shortened Vestibular Activities and Participation Measure (VAP) is a 12-item tool designed to assess activity limitations and participation restrictions in individuals with vestibular disorders.ObjectiveIn this study, the Turkish Shortened VAP was translated and culturally adapted. Its validity and reliability were also assessed.MethodsA total of 123 participants with vestibular disorders were included. The translation and cultural adaptation followed standard guidelines. Structural validity was assessed through exploratory and confirmatory factor analyses, and convergent validity was evaluated using correlations with the Dizziness Handicap Inventory (DHI). Reliability was examined using internal consistency (Cronbach's alpha and McDonald's omega) and item analysis.ResultsFactor analyses confirmed the two-factor structure with good fit indices (GFI = 0.938). Significant correlations with the DHI supported convergent validity (r = 0.65). Internal consistency was strong for the total scale (Cronbach's α = 0.85; McDonald's ω = 0.91) and acceptable for subscales. All items demonstrated acceptable corrected item-total correlations.ConclusionsThe Turkish Shortened VAP is a valid and reliable tool for assessing activity limitations and participation restrictions in vestibular disorders, suitable for clinical and research use in Turkey.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251347262"},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175390","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":"Clinical features and outcome predictors in benign paroxysmal positional vertigo and its variant: Perspective in a primary care neurology clinic.","authors":"Min-Ku Kim, Hyo-Jung Kim, Jeong-Yoon Choi, Ji-Soo Kim","doi":"10.1177/09574271251347261","DOIUrl":"https://doi.org/10.1177/09574271251347261","url":null,"abstract":"<p><p>Background and PurposePrevious studies on benign paroxysmal positional vertigo (BPPV) have primarily been performed in referral-based clinics. This study aimed to explore the clinical characteristics of BPPV and its variant (light cupula) in a primary care setting.MethodsWe retrospectively analyzed the clinical data of 1126 patients who visited a primary care neurology clinic due to dizziness or vertigo between March 2023 and February 2024. We collected information on age, sex, affected ear, symptom duration at the first evaluation, BPPV subtypes (including the variant), duration of positional nystagmus (transient: <1 min vs persistent: ≥1 min), and the number of canalith repositioning procedures (CRPs) required for treatment.ResultsA total of 308 patients (27.4%) were diagnosed with BPPV or its variant. Subtypes included posterior canal (PC) type in 183 (59.4%), geotropic horizontal canal (HC) type in 73 (23.7%), apogeotropic HC type in 43 (14.0%), anterior canal type in 4 (1.3%), and mixed type in 5 (1.6%). The proportion of PC type increased with a longer duration of symptoms (<i>p</i> = 0.012). In multinomial regression, only the duration of positional nystagmus was significantly associated with the number of CRPs (<i>p</i> < 0.001), as patients with persistent nystagmus required more CRPs than those with transient nystagmus.ConclusionsIn primary care, the proportion of each subtype of BPPV and its variant differs according to symptom duration. Furthermore, patients with positional nystagmus lasting more than 1 minute tend to be more refractory to CRPs.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251347261"},"PeriodicalIF":2.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163467","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":"Patient-Reported Outcomes Measurement Information System (PROMIS) outcomes: Higher odds of adverse mental health when physical function is impaired.","authors":"Christopher McConnell, Paul Allen, Eric Anson","doi":"10.1177/09574271251335958","DOIUrl":"https://doi.org/10.1177/09574271251335958","url":null,"abstract":"<p><p>PurposeBalance and vestibular disorders have a profound impact on quality of life. Anxiety (ANX) and depression (DEP) are common with dizziness, vertigo, or imbalance. It is unclear whether self-reported anxiety or depression depends on perceived physical function for individuals participating in vestibular rehabilitation (VPT). We hypothesized that individuals with worse physical function would be more likely to report abnormally high anxiety and/or depression levels.Participants170 individuals referred for vestibular rehabilitation (113 female, 57 males, and age 63.7 (21)).MethodsA retrospective chart review extracted age, Patient-Reported Outcome Measurement Information System (PROMIS) scores (ANX, DEP, physical function) and primary diagnoses [benign paroxysmal positional vertigo (<i>n</i> = 42), unilateral vestibular hypofunction (<i>n</i> = 39), bilateral vestibular hypofunction (<i>n</i> = 14), concussion/head injury (<i>n</i> = 7), dizziness/vertigo (<i>n</i> = 37), and imbalance (<i>n</i> = 31)]. Average PROMIS scores and percentage of abnormal scores were calculated for physical function, ANX, and DEP scores and reported using descriptive statistics. Logistic regression was performed to separately examine the odds of abnormal ANX and DEP based on abnormal physical function while controlling for age and sex, on the entire dataset and on diagnosis subgroups.ResultsIndividuals referred to vestibular physical therapy with self-reported abnormal physical function were more likely to have abnormal ANX (OR 5.1, <i>p</i> < 0.001) or DEP (OR 3.10, <i>p</i> = 0.002). Older adults were less likely to have abnormal ANX (OR = 0.96, <i>p</i> = 0.002). For individuals experiencing BPPV (<i>n</i> = 42), those with abnormal physical function are more likely to report ANX (OR 9.9, <i>p</i> = 0.009). For individuals with UVH (<i>n</i> = 39), those with abnormal physical function were more likely to report ANX (OR 10.1, <i>p</i> = 0.008) or DEP (OR 9.9, <i>p</i> = 0.010).ConclusionSelf-reported abnormal physical function corresponds to a higher incidence of abnormal ANX and DEP for individuals referred to VPT. Individuals with benign proximal positional vertigo and unilateral vestibular hypofunction were approximately 10 times more likely to experience abnormally high ANX or DEP compared to all other primary diagnosis. Clinicians seeing patients in VPT should be screening for anxiety and depression especially for those with self-reports of impaired physical function.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251335958"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095621","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":"Sleep quality of service members and veterans with and without reports of dizziness.","authors":"Carrie W Hoppes, Isaac D Erbele, Karen H Lambert, Samrita Thapa, Erica S Rich, Tony T Yuan, Matthew S Brock, Kelly M Reavis","doi":"10.1177/09574271251338696","DOIUrl":"https://doi.org/10.1177/09574271251338696","url":null,"abstract":"<p><p>BackgroundMilitary duty may place Service members and Veterans at an increased risk of experiencing dizziness. Individuals with dizziness report poor sleep quality as well as abnormal sleep duration, which is associated with increased risk of falling and worse quality of life. The overall pooled prevalence of poor sleep quality in Service members and Veterans was 69%, but it is not known if Service members and Veterans with self-reported dizziness report poorer sleep quality than their counterparts without dizziness.ObjectiveThe purpose of this research study was to evaluate the sleep quality of Service members and Veterans with and without reports of dizziness.MethodsDescriptive statistics were used to explore the prevalence of self-reported dizziness among Service members and Veterans by demographic characteristics. Descriptive statistics were also used to describe the prevalence of participants' dizziness symptoms and the mean age participants first noticed dizziness. Models (unadjusted and adjusted) were created by regressing sleep disorders and daytime sleepiness on dizziness frequency. Potential confounders were chosen a priori through a theoretical framework. Military status (Service member vs Veteran) was explored as an interaction term. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated, with statistical significance determined by the 95% CI.ResultsDizziness was reported by 22.4% of Service members (<i>n</i> = 171 of 763) and 31.7% of Veterans (<i>n</i> = 241 of 761). Service members and Veterans with dizziness were 1.7 times more likely to have a sleep disorder than Service members and Veterans without dizziness.ConclusionsService members and Veterans with dizziness were more likely to have poor sleep quality than those without dizziness. Medical providers should screen for sleep disturbances, evaluate for obstructive sleep apnea, treat chronic insomnia disorder, and consider referral for vestibular rehabilitation in Service members and Veterans presenting with dizziness.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251338696"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095624","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":"Comparison of vHIT deficits with Ramsay Hunt syndrome with dizziness, vestibular neuritis, and idiopathic sudden sensorineural hearing loss with vertigo.","authors":"Yingzhao Liu, Xiaoye Chen, Xingqian Shen, Kaijun Xia, Qin Liu, Renhong Zhou, Yangming Leng, Hongjun Xiao, Bo Liu","doi":"10.1177/09574271251313801","DOIUrl":"10.1177/09574271251313801","url":null,"abstract":"<p><p>BackgroundRamsay Hunt syndrome with dizziness (RHSD), vestibular neuritis (VN), and idiopathic sudden sensorineural hearing loss with vertigo (SHLV) all present with acute vestibular symptoms, and no study has compared the semicircular canal (SCC) deficits among them.ObjectiveThis study aimed to use video head impulse test (vHIT) to compare the SCC injury patterns in RHSD, VN, and SHLV.MethodsTwenty-three RHSD patients, 44 VN patients, and 70 SHLV patients were enrolled. The vestibulo-ocular reflex gain and incidence of corrective saccades of anterior, horizontal, and posterior SCC (ASCC, HSCC, and PSCC) were examined using vHIT. Pathological vHIT results referred to decreased VOR gain and presence of corrective saccades.Results(1) The pathological rate of each SCC in RHSD group was the highest. (2) Impairment pattern of SCCs can be divided into 7 types based on vHIT results. The pattern of ASCC + HSCC + PSCC disability was the most common in RHSD patients (12/23, 52.2%). In the VN group, the HSCC deficit alone was the most common (16/44, 36.4%), followed by HSCC + ASCC impairment (13/44, 29.5%). In SHLV patients, the most common type was the PSCC deficit alone (26/70, 37.1%). (3) The system cluster analysis revealed that the injury of all SCCs in RHSD patients, the deficit of HSCC alone in VN patients, and the impairment of PSCC alone in SHLV patients showed the farthest distance from other injury patterns.ConclusionSCCs deficit showed more severe and extensive vestibular impairment in RHSD compared with VN and SHLV, suggesting these three peripheral acute vestibular disorders may have different pathophysiologic mechanisms.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"121-131"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460285","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":"Clinical characteristics of probable vestibular migraine.","authors":"Chisato Fujimoto, Naoko Ogata, Kento Koda, Kentaro Ichijo, Mineko Oka, Makoto Kinoshita, Kenji Kondo","doi":"10.1177/09574271251324457","DOIUrl":"10.1177/09574271251324457","url":null,"abstract":"<p><p>BackgroundThe International Classification of Vestibular Disorders defines probable vestibular migraine (PVM) as an episodic vestibular disorder with either a history of migraine (criterion B) or migraine features during vestibular episodes (criterion C).ObjectiveThe purpose of this study is to investigate the clinical characteristics of PVM, focusing on items in the diagnostic criteria.MethodsWe retrospectively reviewed the medical records of 30 consecutive PVM patients diagnosed according to the Barany classification. The PVM patients were divided into two groups: those who fulfilled the criterion B (pre-existing migraine group) and those who fulfilled the criterion C (migraine features group).ResultsTwenty-four patients (80%) were in the pre-existing migraine group and the remaining 6 patients (20%) were in the migraine features group. All patients in the migraine features group had headache episodes. There were no significant differences between the two groups with regard to prevalence of migraine features listed in the criterion C and abnormal testing results.ConclusionsThe diagnosis of PVM was based on a history of migraine in most patients and on migraine features during vestibular episodes only in a few. All patients with migraine features during vestibular episodes had also headache episodes.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"140-144"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517176","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":"Self-reported physical activity differentiates vestibular migraine from persistent postural perceptual dizziness.","authors":"L Joffily, U Mayet, D Kaski","doi":"10.1177/09574271251318971","DOIUrl":"10.1177/09574271251318971","url":null,"abstract":"<p><p>BackgroundIndividuals with dizziness often face balance issues and anxiety, which can result in reduced physical activity levels and decreased participation in their daily activities. Few studies have evaluated physical activity levels in individuals with chronic dizziness, and none have specifically focused on the two most prevalent types: vestibular migraine (VM) and persistent postural perceptual dizziness (PPPD).ObjectiveEvaluate self-reported physical activity levels in individuals diagnosed with PPPD and VM who are awaiting vestibular rehabilitation.MethodsIn a retrospective cross-sectional study, we extracted data from the electronic healthcare records involving 121 individuals presenting either VM or PPPD, referred for vestibular rehabilitation at National Hospital for Neurology and Neurosurgery, University College London. Data on IPAQ (International Physical Activity Questionnaire) and DHI (dizziness handicap inventory) questionnaires were analysed across groups.ResultsThe total sample consisted of 94 (77.7%) women and 27 (22.3%) men with a median age of 56 years old, ranging from 17 to 81 years (P25 = 41 and P75 = 64). Regarding the total sample, a minority (9.1%) of the individuals scored a high activity level on the IPAQ. We observed a significant difference between VM and PPPD in IPAQ score distribution (<i>p</i> = 0.039, Mann-Whitney). Within the category of high physical activity, a larger proportion of individuals had VM compared to PPPD. An inverse correlation was found between DHI and IPAQ (the lower IPAQ, the higher DHI) in the PPPD group (<i>p</i><0.003).ConclusionsIn a sample of individuals with PPPD and VM referred for vestibular rehabilitation, only a minority demonstrated high physical activity levels on the IPAQ, with PPPD exhibiting lower activity levels compared to those with VM.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"145-151"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460301","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 effect of camera side on the VOR gain in video head impulse test.","authors":"Mingwei Xu, Qin Zhang, Qiong Wu, Yuan Yao, Tianyu Gong, Jun Yang, Yulian Jin, Mengyun Fan, Jose A Lopez-Escamez, Qing Zhang","doi":"10.1177/09574271251323266","DOIUrl":"10.1177/09574271251323266","url":null,"abstract":"<p><p>ObjectiveThis study aims to investigate the effect of camera positioning (left-sided vs right-sided) on the vestibulo-ocular reflex (VOR) gain values of normal subjects during the video head impulse test (vHIT), thereby providing valuable reference data for otology clinical practice.MethodsThirty healthy adults (60 ears) were recruited and examined by vHIT for the three pairs of semicircular canals (SCs). During the examination, we meticulously recorded and compared the VOR gain values in the six canal planes-right lateral (RL), left lateral (LL), right anterior-left posterior (RALP), and left anterior-right posterior (LARP)-with the camera positioned on the left side first, followed by repositioning on the right side. We evaluated instantaneous gain (40 ms, 60 ms, and 80 ms), 0-100 ms median gain, and regression gain in 0-100 ms for all SCs.ResultsFor horizontal canals, higher VOR gain values were recorded when the camera was positioned on the same side as the canal being tested. The gain value in LARP was higher when the camera was on the left side than on the right side, while the gain value in RALP was higher when the camera was on the right side than on the left side.ConclusionThis study underscores the importance of camera positioning on VOR gain values for both lateral and vertical canals during vHIT. To mitigate the effects of these variables, standardization of operational procedures and equipment settings is crucial.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"132-139"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494492","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 International Classification of Vestibular Disorders: Achievements, challenges, and future directions.","authors":"Diego Kaski, Alexander A Tarnutzer, Yuri Agrawal, John Carey, Yoon-Hee Cha, Scott Dz Eggers, Joseph Furman, Hyun Ah Kim, Ji-Soo Kim, Thomas Lempert, Jose A López-Escámez, Mans Magnusson, David E Newman-Toker, Barry M Seemungal, Jeffrey P Staab, Michael Strupp, Raymond van de Berg, Michael von Brevern, Bryan K Ward, Alexandre Bisdorff","doi":"10.1177/09574271251313803","DOIUrl":"10.1177/09574271251313803","url":null,"abstract":"<p><p>In 2007, the Bárány Society embarked on a project to establish definitions of vestibular syndromes and disorders based on best available evidence, referred to as the International Classification of Vestibular Disorders (ICVD). Since then, numerous publications providing consensus-driven diagnostic criteria for vestibular symptoms, syndromes, and disorders have been published. Here, we reflect on the rationale for developing the ICVD as well as its subsequent achievements, challenges, and outlook. In this summary of the work of the ICVD to date, the authors will focus on practical aspects to help improve the utility and applicability of these diagnostic criteria moving forward.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"105-112"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460304","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":"Assessing gait variability concurrently with dynamic visual acuity on a treadmill in people with bilateral vestibulopathy.","authors":"Christopher McCrum, Meichan Zhu, Paul Willems, Ivar Visser, Melina Kastrinou, Raymond van de Berg, Kenneth Meijer, Ann Hallemans, Nolan Herssens","doi":"10.1177/09574271251313806","DOIUrl":"10.1177/09574271251313806","url":null,"abstract":"<p><p>BackgroundGait variability is increased in people with bilateral vestibulopathy (BVP). Since dedicated gait analysis can be resource-intensive, concurrent assessment with another vestibular function test, dynamic visual acuity (DVA), is worth consideration.ObjectiveTo assess comparability of results from a combined gait and DVA assessment with results from a previous dedicated gait analysis.Methods15 participants (4 women) with BVP were analysed. The DVA test assessed visual acuity during stance and during treadmill walking at 2, 4 and 6 km/h. An 8-camera motion capture system measured spatiotemporal gait parameters (step length, step time, step width and double support time; means and coefficients of variation [CoV]). The walking speed effect was assessed by mixed-effects models, and results were visually compared to previous results.ResultsWalking speed affected the means of step length, step time and double support time (<i>p</i> < .0001) but not step width (<i>p</i> = .373) and significantly affected the CoV of all parameters (<i>p</i> < .01). These values, as well as speed-related changes, were comparable between contexts.ConclusionsConcurrent DVA and gait assessment seems promising as an assessment method in people with BVP. Test-retest reliability, clinically feasible motion capture solutions and sensitivity to change following interventions should be further investigated.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"113-120"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460280","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}