Journal of Orthopaedic & Sports Physical Therapy最新文献

{"title":"Reexamining the Evidence and Clinical Relevance of HVLAT for Radiculopathy.","authors":"Davide Marotta","doi":"10.2519/jospt.2026.0202","DOIUrl":"https://doi.org/10.2519/jospt.2026.0202","url":null,"abstract":"<p><p>Letter to the Editor-in-Chief in response to <i>JOSPT</i> article \"Efficacy of Spine High Velocity Low-Amplitude Thrust Manipulations in Patients With Radiculopathy: A Systematic Review With Meta-Analysis\" by Giovannico G, Cioeta M, Giannotta G, et al. <i>J Orthop Sports Phys Ther 2026;56(5):321-322. doi:10.2519/jospt.2026.0202</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"321-322"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Warning Signs From Increasing Wait Times for Total Hip and Knee Joint Replacement-Opportunities to Stay Ahead of the Wave and Improve Care.","authors":"Simon Lafrance, Ilana N Ackerman, Marc-Olivier Dubé","doi":"10.2519/jospt.2026.13577","DOIUrl":"https://doi.org/10.2519/jospt.2026.13577","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> Access to timely care for hip and knee osteoarthritis (OA) is a growing issue. In Canada and Australia, wait times for total hip and knee joint replacements have risen steadily over the past decade, leaving many patients experiencing increased frailty, and reduced function and quality of life while waiting for surgery. These issues are often framed as problems of surgical capacity. We argue they are warning signs of health care systems failing to deliver effective nonsurgical care earlier in the OA disease continuum. OA is a complex chronic condition that requires ongoing care. Unfortunately, many patients are passively placed on waiting lists without support. This Viewpoint makes the case for physical therapists taking a leading role in hip and knee OA care, from primary care management through surgical triage, to ensure patients receive the right care at the right time. <i>J Orthop Sports Phys Ther 2026;56(5):277-281. Epub 18 February 2026. doi:10.2519/jospt.2026.13577</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"277-281"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adding Self-directed Psychological Support to Usual Rehabilitation Following Anterior Cruciate Ligament Reconstruction Did Not Increase Return-to-Sport Rates at 12 Months. Results From the BAck iN the Game (BANG) Randomized Controlled Trial.","authors":"Anne Fältström, Henrik Hedevik, Clare L Ardern, Joanna Kvist","doi":"10.2519/jospt.2026.13749","DOIUrl":"https://doi.org/10.2519/jospt.2026.13749","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To evaluate the efficacy of internet-delivered psychological support-the BAck iN the Game (BANG) intervention-after anterior cruciate ligament reconstruction (ACLR) for improving return to sport (RTS). <b>DESIGN:</b> Randomized controlled trial. <b>METHODS:</b> Participants aged 15-30 years, who were playing contact or noncontact pivoting sports at least twice per week prior to anterior cruciate ligament (ACL) injury and intending to return to pivoting sports after ACLR, were included. Participants were randomized to either usual care (UC; standard postoperative treatment) plus the BANG intervention (BANG+UC group) or UC alone (UC group). The intervention was a 24-week internet-delivered psychological support program, codesigned with athletes and clinicians, and based on cognitive behavioral therapy principles. Participants reported sports participation fortnightly after ACLR, and functional and psychological outcomes at 3, 6, and 12 months. Knee function was measured at 12 months after ACLR. New injuries were registered up to 24 months after ACLR. The primary outcome was RTS at the 12-month follow-up. <b>RESULTS:</b> One hundred sixty-one participants were included: 80 in the BANG+UC group and 81 in the UC group. The RTS rate at 12 months was 36% in both groups, with no significant differences in the proportion of those who RTS (risk ratio, 1.01; 95% confidence interval, 0.59-1.73; <i>P</i> = .971) or in functional and psychological outcomes. Twelve participants sustained new ACL injuries (6 in each group), with no between-group differences. <b>CONCLUSION:</b> There was no effect of internet-delivered psychological support on the RTS rate, readiness to RTS, or subsequent knee injuries beyond usual postoperative care for people with ACLR. <i>J Orthop Sports Phys Ther 2026;56(5):310-320. Epub 2 March 2026. doi:10.2519/jospt.2026.13749</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"310-320"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Forward Together. Part 4: Advancing Physical Therapy Education for Indigenous Peoples' Musculoskeletal Health.","authors":"Robyn Fary, Blayne Arnold, Katrina Bryant, Jonathan Bullen, Allyson Jones, Curtley Nelson, Sarah Veli-Gold, Ellie White, Brooke Conley","doi":"10.2519/jospt.2025.13740","DOIUrl":"https://doi.org/10.2519/jospt.2025.13740","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> The Moving Forward Together series is a collective effort developed to inform, guide, and inspire musculoskeletal physical therapists to bring Indigenous health to the forefront of their work in clinical practice, research, and education and to strengthen their roles in allyship and advocacy for Indigenous Communities. In the fourth article of the \"<i>Moving Forward Together</i>\" series, we highlight how physical therapy education can influence, and have responsibility for, improving students' knowledge and skills to care for Indigenous Peoples who are living with musculoskeletal conditions. Through a collaborative process, our group-comprising Indigenous educators from Aotearoa/New Zealand, Australia, and Canada-has reflected on current initiatives, explored future directions, and offered suggestions on how physical therapists can contribute to positive change in Indigenous musculoskeletal education. An interconnected approach positions students to graduate as physical therapists, capable of demonstrating cultural humility to provide reflective, strengths-based, and relational, culturally safe health care to all people with musculoskeletal conditions. <i>J Orthop Sports Phys Ther 2026;56(5):272-276. Epub 3 December 2025. doi:10.2519/jospt.2025.13740</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"272-276"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Response to: \"High-Velocity Low-Amplitude Thrust Manipulations and Radiculopathy: Time for a Reality Check\".","authors":"Giuseppe Giovannico, Matteo Cioeta, Gabriele Giannotta, Silvia Bargeri, Fabrizio Brindisino, Leonardo Pellicciari","doi":"10.2519/jospt.2026.0202-R","DOIUrl":"https://doi.org/10.2519/jospt.2026.0202-R","url":null,"abstract":"<p><p>Author response to the <i>JOSPT</i> Letter to the Editor-in-Chief \"Reexamining the Evidence and Clinical Relevance of HVLAT for Radiculopathy\" <i>J Orthop Sports Phys Ther 2026;56(5):322-323. doi:10.2519/jospt.2026.202-R</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"322-323"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shockwave Therapy for Midportion and Insertional Achilles Tendinopathy: A Nail in the Coffin? A Systematic Review With Meta-Analysis.","authors":"Vasileios Korakakis, Roula Kotsifaki, Yiannis Sotiralis, Peter Malliaras","doi":"10.2519/jospt.2026.13985","DOIUrl":"https://doi.org/10.2519/jospt.2026.13985","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To evaluate the effects of shockwave therapy (SWT) for Achilles tendinopathy compared to sham-SWT as a monotherapy or co-intervention or no treatment. <b>DESIGN:</b> Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). <b>LITERATURE SEARCH:</b> AMED, CINAHL, Web of Science, MEDLINE, EMBASE, SPORTDiscus, Cochrane CENTRAL, clinical trial registries, and gray literature were searched between February 14 and February 24, 2025. <b>STUDY SELECTION CRITERIA:</b> Criteria included RCTs assessing radial or focused SWT (with or without co-interventions) in adults with Achilles tendinopathy. <b>DATA SYNTHESIS:</b> We conducted a random-effects meta-analysis. We assessed risk of bias using the Cochrane Risk of Bias 2 tool and certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework. <b>RESULTS:</b> Nine RCTs (n = 557) were included. For insertional Achilles tendinopathy, SWT showed no clinically meaningful benefit over sham (low-moderate certainty), with consistent findings across all outcomes and sensitivity/subgroup analyses. For midportion Achilles tendinopathy, all meta-analyses (very low and moderate certainty) showed no significant differences in disability or pain between SWT and control interventions at all timepoints. There was very low-certainty evidence of a clinically meaningful effect of radial SWT on short- and long-term improvements in disability and pain compared to sham or wait-and-see controls. One trial (midportion Achilles tendinopathy) showed benefit over sham-SWT but did not report success of participant blinding. Subgroup analyses revealed no clear advantage for either radial or focused SWT. Two Achilles tendon ruptures were reported following focused SWT. <b>CONCLUSION:</b> There was no clinically meaningful benefit of SWT in pain and disability for Achilles tendinopathy, with evidence ranging from very low to moderate certainty. Because most effect estimates are based on very low- and low-certainty data, the true effects may change with future high-quality trials. At present, SWT should not be considered a routine treatment for either insertional or midportion Achilles tendinopathy, and alternative treatments should be prioritized. <i>J Orthop Sports Phys Ther 2026;56(5):282-299. Epub 27 March 2026. doi:10.2519/jospt.2026.13985</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"282-299"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TENDINopathy Severity Assessment - Patellar (TENDINS-P): Development and Content Validity Assessment of a New Patient-Reported Outcome Measure for Patellar Tendinopathy.","authors":"Myles C Murphy, Vasileios Korakakis, Rodrigo Scattone Silva, Maria Luciana Perez Armendariz, Gill Cowen, Christopher Haydock, Daniel Kadlec, Nicola Maffuli, Marg Perrot, Daniel Webster, Johannes Zwerver, Ebonie K Rio","doi":"10.2519/jospt.2026.13984","DOIUrl":"https://doi.org/10.2519/jospt.2026.13984","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To (1) collate current practice, perceptions, and experience of patients and professionals to develop a patient-reported outcome measure (PROM) that assesses the severity of disability in patellar tendinopathy, and (2) evaluate the content validity (relevance, comprehensiveness, and comprehensibility) of the developed PROM. <b>DESIGN:</b> Mixed-methods PROM development and content validation study. <b>METHODS:</b> Using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology, we performed 1 round of semistructured, one-on-one interviews with professional (n = 8: health care providers and research experts) and patient participants (n = 7) for initial item generation. To assess content validity, we collected 1 round of survey responses for professional participants (n = 33) and conducted 1 round of semistructured, one-on-one interviews with patient participants. <b>RESULTS:</b> Item generation resulted in 15 items in the subdomains of pain (general), function, and pain (with loading). The 15 items were sent to professional participants, and all items reached the 0.70 item-content validity coefficient cutoff for relevance. One item was substantially lower than others and excluded. The remaining 14 items met the criteria for comprehensibility; all items had a median comprehensibility of ≥6/7 and were comprehensible. Patient participants endorsed PROM content validity. Individual completion times ranged from 4 to 9 minutes. <b>CONCLUSION:</b> We established the content validity of the Tendinopathy Severity Assessment - Patellar (TENDINS-P) as a new PROM to assess the severity of patellar tendinopathy. The TENDINS-P assesses aspects of pain (general), function, and pain (with loading). TENDINS-P can now be used in clinical and research populations. <i>J Orthop Sports Phys Ther 2026;56(5):300-309. Epub 9 April 2026. doi:10.2519/jospt.2026.13984</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 5","pages":"300-309"},"PeriodicalIF":5.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining Therapeutic Patient Education in Musculoskeletal Care: A Scoping Review of Key Themes, Delivery Methods and Intervention Parameters.","authors":"Audrey-Anne Cormier, Jean-Sébastien Roy, Frédérique Dupuis, Simon Lafrance, Hugo Massé-Alarie, François Desmeules","doi":"10.2519/jospt.2026.13784","DOIUrl":"https://doi.org/10.2519/jospt.2026.13784","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To describe the core elements of therapeutic patient education programs for adults with subacute and chronic MSK conditions. <b>DESIGN:</b> Scoping review to identify specific components of therapeutic patient education programs. <b>LITERATURE SEARCH:</b> Five databases were searched from 2005 to 2025. <b>STUDY SELECTION CRITERIA:</b> Randomized clinical trials evaluating any types of therapeutic patient education in adults with MSK conditions, compared to rehabilitation interventions. <b>DATA SYNTHESIS:</b> A descriptive synthesis was conducted based on 3 core elements of therapeutic patient education: the themes (activity modification, behavioral approaches, exercise intensity and pain response, pain biology, pain self-management, pathoanatomical/diagnosis, and posture), their delivery methods (contextual examples, education sessions, group interaction, personalized sessions, self-reflection, video, and written materials), and the intervention parameters (duration/session, number of sessions, number of sessions/week, and duration of follow-up). <b>RESULTS:</b> Seventy therapeutic patient education programs were identified across 62 randomized clinical trials. The most frequently addressed themes were pain biology and pathoanatomical/diagnostic. Education was most frequently delivered through education sessions with verbal explanation, personalized sessions, and written materials. Intervention parameters varied depending on whether the education program was implemented as a stand-alone intervention or combined with other approaches. The general trend observed was 3 to 4 sessions of 40 to 60 minutes over a period of 1 month and an average of 2.5 topics covered. <b>CONCLUSION:</b> Despite variability in program components, our review provides a foundation for clinicians and underscores the need for future research to identify key elements of therapeutic patient education. <i>J Orthop Sports Phys Ther 2026;56(4):248-260. Epub 6 March 2026. doi:10.2519/jospt.2026.13784</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 4","pages":"248-260"},"PeriodicalIF":5.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is a Neuromuscular Training Warm-up Enough for Injury and Concussion Prevention in High School Girl Rugby Players?","authors":"Isla J Shill, Carla van den Berg, Stephen W West, Jean-Michel Galarneau, Kristina Fraser, Kathryn J Schneider, Kati Pasanen, Ian Pike, Debbie Palmer, Keith A Stokes, Brent E Hagel, Carolyn A Emery","doi":"10.2519/jospt.2026.13373","DOIUrl":"https://doi.org/10.2519/jospt.2026.13373","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To evaluate the effectiveness of a rugby-specific neuromuscular training (NMT) warm-up on injury and concussion rates in Canadian high school girls' rugby. <b>DESIGN:</b> Quasi-experimental study. <b>METHODS:</b> Two high school girls' rugby cohorts (control seasons 2018, 2019; intervention seasons 2022, 2023) were compared using validated injury surveillance methodology. Coaches attended a rugby-specific NMT warm-up workshop before the intervention seasons. Outcomes of interest were injury and concussion. Multilevel Poisson regression analyses were used to estimate incidence rate ratios (IRRs) (95% confidence intervals [CIs]) comparing intervention and control cohorts, adjusted for injury history and rugby playing experience, offset by match hours and random effects (team and individual level). <b>RESULTS:</b> There were 409 player seasons (13 teams) in control seasons and 483 player seasons (17 teams) in intervention seasons. Concussions accounted for 41% (62/150) of match injuries in control seasons and 31% (70/226) in intervention seasons. Intention-to-treat (ITT) and per-protocol (PP) analyses demonstrated no differences in match injury rates (IRR_ITT: 1.06; 95% CI: 0.75, 1.50; IRR_PP: 0.91; 95% CI: 0.69, 1.21) or match concussions rates (IRR_ITT: 0.79; 95% CI: 0.52, 1.20; IRR_PP: 0.74; 95% CI: 0.47, 1.17) between intervention and control seasons. Head-match injury burden (mean difference, -194 days of time-loss per 1000 match hours; 95% CI: -349, -39) and all-training injury burden (mean difference, -17 days of time-loss per 1000 match hours; 95% CI: -27, -7) were lower in the intervention seasons. <b>CONCLUSION:</b> While no statistically significant differences were found in match injury or concussion rates in the intervention and control seasons, regardless of adherence level, there was a clinically relevant 21% lower match concussion rate and lower match-head injury and all-training injury burden with NMT warm-up use. <i>J Orthop Sports Phys Ther 2026;56(4):261-271. Epub 2 March 2026. doi:10.2519/jospt.2026.13373</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 4","pages":"261-271"},"PeriodicalIF":5.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Forward Together. Part 3: Strengthening Physical Therapy Research for Indigenous Peoples' Musculoskeletal Health.","authors":"Jane Linton, Ivan Lin, Cheryl Barnabe, Jonathan Bullen, Samantha Bunzli, Blair Dixon, Sheree Tikao-Harkess, Josifini N Tuiloma, Brooke Conley","doi":"10.2519/jospt.2026.13751","DOIUrl":"https://doi.org/10.2519/jospt.2026.13751","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> The <i>Moving Forward Together</i> series is a collective effort to inform, guide, and inspire musculoskeletal physical therapists to (1) bring Indigenous health to the forefront of their work in clinical practice, research, and education and (2) strengthen their roles in allyship and advocacy for Indigenous Communities. Here, we explore what research can contribute to improving the musculoskeletal health of Indigenous Peoples. Our group-comprising Indigenous clinicians and/or academics from Aotearoa/New Zealand, Australia, Canada, and Fiji-collaborated to reflect on current initiatives; explore future directions; and suggest ways physical therapy researchers, research organizations, and systems can contribute to positive change within Indigenous musculoskeletal research. We illustrate how strengths-based, Indigenous-led approaches that are based on sound intentions, processes, and practices can drive positive outcomes for Indigenous Peoples with musculoskeletal conditions and, potentially, the wider community. <i>J Orthop Sports Phys Ther 2026;56(4):220-226. Epub 4 February 2026. doi:10.2519/jospt.2026.13751</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"56 4","pages":"220-226"},"PeriodicalIF":5.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}