{"title":"Development of clinical practice guidelines for rehabilitation after diagnosis for primary bone and soft tissue tumours.","authors":"Abby McCarthy, Lucy Dean, Debbie Artis, Lynsey Green, Maali Khouri, Craig Gerrand, Sherron Furtado","doi":"10.1080/09638288.2024.2422471","DOIUrl":"10.1080/09638288.2024.2422471","url":null,"abstract":"<p><strong>Background and aims: </strong>Clinical practice guidelines for rehabilitation in musculoskeletal oncology are lacking. Guidelines should include recommendation statements aimed at optimising care to enhance recovery and quality of life. The project aim was to provide a foundation of best practice based upon expert consensus and evidence.</p><p><strong>Design: </strong>Consensus-based guidelines supported by systematic literature search.</p><p><strong>Methods: </strong>This was a consensus-based guideline developed with the support of the British Sarcoma Group (BSG). A group of national rehabilitation experts working within bone or soft tissue sarcoma centres across the UK met from December 2019. Evidence was gathered from a narrative literature review. Recommendations were developed with a variety of stakeholders to achieve consensus.</p><p><strong>Results: </strong>During the face to face consultation event and literature review seven themes were identified which should guide rehabilitation: (1) access to specialist Allied Health Professionals (AHPs) for treatment; (2) documented referral pathway for specialist AHP care; (3) assessment of individual issues, personal and multi-dimensional (holistic) needs; (4) patient centred care; (5) evidence-based rehabilitation treatment; (6) effective communication and provision of information; (7) patient support through access to other services.</p><p><strong>Conclusions: </strong>Development of consensus-based, evidence-informed rehabilitation guidelines for those treated for primary malignant musculoskeletal tumours, provides rationale and evidence-based recommendations.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"3470-3483"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677416","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":"The effectiveness of European Hip Surveillance Programmes in the identification and management of hip displacement and hip dislocation in children with cerebral palsy: a systematic review.","authors":"Elaine McConkey, Claire Kerr, Sean Paul Carroll","doi":"10.1080/09638288.2025.2512407","DOIUrl":"https://doi.org/10.1080/09638288.2025.2512407","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of European Hip Surveillance Programmes (HSPs) in the identification and surgical management of hip displacement/dislocation in children with Cerebral Palsy (CP), by systematically synthesising peer-reviewed evidence.</p><p><strong>Methods: </strong>Five databases (MEDLINE, CINAHL, Cochrane Library, Science Direct and PEDro) were systematically searched in July 2023, alongside manual searching of reference lists and key journals to identify relevant studies conducted in Europe and written in English. Data were extracted and quality appraised using Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies (JBI-CACCS) appraisal tool.</p><p><strong>Results: </strong>Six observational cross-sectional studies totalling 5069 participants met the inclusion criteria. Critical appraisal revealed good overall methodological quality. Results indicated HSPs were effective in identifying progressive hip displacement/dislocation. Five studies reported a significant decrease in prevalence of hip dislocation in children undergoing surveillance compared to controls. The need for salvage surgeries was abolished within surveillance groups across all included studies.</p><p><strong>Conclusion: </strong>This review provides evidence that European HSPs can identify children at risk of developing hip displacement/dislocation and significantly reduce prevalence of dislocation. Future research including patient-reported outcomes such as pain, quality of life and burden of care for families may be useful to further evaluate effectiveness of HSPs.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227465","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":"Cross-cultural adaptation and psychometric validation of the Greek version of Bimanual Fine Motor Function 2 for children with cerebral palsy.","authors":"Vasileios C Skoutelis, Renata Moutsiou, Melpomeni Giorgi, Eirini Moysoglou, Vasileios Fragkakis, Georgia Chlouveraki, Pavlina Psychouli, Zacharias Dimitriadis, Argyrios Dinopoulos","doi":"10.1080/09638288.2025.2511287","DOIUrl":"https://doi.org/10.1080/09638288.2025.2511287","url":null,"abstract":"<p><strong>Purpose: </strong>To translate and culturally adapt the Bimanual Fine Motor Function 2 (BFMF-2) for use in Greece and assess its psychometric properties, focusing on interrater reliability and construct validity.</p><p><strong>Methods: </strong><i>Translation and Cultural Adaptation:</i> Conducted in six stages: forward-translation, synthesis, back-translation, expert committee review, pretesting, and final submission. <i>Psychometric Validation:</i> Assessed interrater reliability among a paediatric neurologist, physiotherapist, occupational therapist, and a parent per child. Convergent construct validity was evaluated using the Greek (Mini-)Manual Ability Classification System (MACS-GR).</p><p><strong>Results: </strong><i>Translation and Cultural Adaptation:</i> The process resulted in the development of the Greek BFMF-2 (BFMF-2-GR). <i>Psychometric Validation:</i> Included 62 children with cerebral palsy (CP) aged 3-8 years (mean age 6.2). The overall interrater reliability among four raters was excellent, with an intraclass correlation coefficient up to 0.95. Pairwise interrater reliability ranged from substantial to almost perfect, with Cohen's weighted kappa coefficient from 0.74 to 0.96. Convergent construct validity showed a positive correlation between the BFMF-2-GR and the (Mini-)MACS-GR, with Spearman's ρ from 0.89 to 0.94.</p><p><strong>Conclusions: </strong>The BFMF-2-GR is a clear, practical, reliable, and valid tool for classifying the fine motor capacity of children with CP in Greece, specifically their ability to grasp, hold, and manipulate objects with each hand separately.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188435","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":"Challenges and rehabilitation needs among adults with myasthenia gravis - a Danish cross-sectional questionnaire study.","authors":"Lene Klem Olesen, Charlotte Handberg, Malene Missel, Liselotte Schierakow, Ulla Werlauff","doi":"10.1080/09638288.2025.2512408","DOIUrl":"10.1080/09638288.2025.2512408","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to examine disease-related challenges and rehabilitation needs among adults with Myasthenia Gravis (MG) to target future support initiatives.</p><p><strong>Materials and methods: </strong>The study involved a cross-sectional questionnaire based on patient-reported outcomes within 11 domains/95 items, covering potential challenges and needs in living with MG. Data were compared against the subgroups gender, age, and years with MG.</p><p><strong>Results: </strong>In total, 197 participants responded. The median number of challenges across all domains was 15 out of 95 with a higher prevalence in women than men and with no differences in relation to age or years with MG. The most prominent challenges were muscle strength, physical tiredness, and mental fatigue. The median number of total rehabilitation needs was three out of 95 with a higher prevalence in women than men, but with no differences between age and years with MG. The most prominent rehabilitation needs were physical tiredness, mental fatigue, and knowledge on existing interventions. Many participants reported unmet psychological needs, especially women, participants from 40 years of age, and participants who had lived with MG for more than five years.</p><p><strong>Conclusions: </strong>MG significantly impacts on everyday functioning and activities. Disease-related challenges and rehabilitations needs manifested differently across genders. A profound difference was found between the number of challenges and rehabilitation needs reported.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175753","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}
Claudia Ghidini, Caitlin E Edgar, Thearith Heang, Carson Harte, Emily Mayhew, Sisary Kheng, Anthony M J Bull
{"title":"Bridging the gap: retrospective clinical casefiles analysis defines the key prosthetic provision challenges for children with a major lower limb absence in Cambodia.","authors":"Claudia Ghidini, Caitlin E Edgar, Thearith Heang, Carson Harte, Emily Mayhew, Sisary Kheng, Anthony M J Bull","doi":"10.1080/09638288.2025.2509792","DOIUrl":"https://doi.org/10.1080/09638288.2025.2509792","url":null,"abstract":"<p><strong>Introduction: </strong>Paediatric limb absence results in complex rehabilitation and requires distinct prosthetic care, yet literature on paediatric prosthetic provision remains sparse, hindering improvements in care.</p><p><strong>Methods: </strong>62 clinical casefiles of children with lower limb absence from prosthetic centres in Cambodia were analysed. Problems related to growth and prosthetic component failures were analysed across limb absence levels. Prosthetic repair and replacement rates were quantified for each component. Residual limb health conditions were reviewed and the impact of socket fit on these conditions was assessed.</p><p><strong>Results: </strong>Growth posed the largest challenge, particularly for socket fit in knee disarticulation and transtibial cases. Durability issues were common for suspension systems and knees. Donated modular components were less durable than locally manufactured ones (foot: <i>p</i> < 0.001, knee: <i>p</i> = 0.008). Children with transtibial amputations reported more residual limb health issues (bone overgrowth: <i>p</i> = 0.002, wounds: <i>p</i> = 0.018, skin issues: <i>p</i> = 0.010). Poor socket fitting was associated with calluses (<i>p</i> = 0.007) and wounds (<i>p</i> = 0.005).</p><p><strong>Discussion: </strong>The impact of growth on paediatric prosthetic provision has been quantified for children with different amputation levels. Findings provide insight to manufacturers of prosthetic components on durability considerations. Results provide clarity for care providers on the residual limb conditions to consider for children with different amputation levels and the impact of socket fit on these conditions.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152723","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}
Ecran Cinkavuk, Ugur Hacı Muşabak, Sait Yesillik, Ozgur Kartal, Ebru Calik-Kutukcu
{"title":"Structuring and standardizing outcome measures using the ICF framework in adults with primary immunodeficiency.","authors":"Ecran Cinkavuk, Ugur Hacı Muşabak, Sait Yesillik, Ozgur Kartal, Ebru Calik-Kutukcu","doi":"10.1080/09638288.2025.2508940","DOIUrl":"https://doi.org/10.1080/09638288.2025.2508940","url":null,"abstract":"<p><strong>Purpose: </strong>Primary immunodeficiency (PID) is a clinically, immunologically, and genetically heterogeneous group of diseases resulting from quantitative and/or qualitative deficiencies of immune system. This study aimed to evaluate adults with primary immunodeficiency (PID) within the scope of the International Classification of Functioning, Disability, and Health (ICF).</p><p><strong>Materials and methods: </strong>We evaluated 20 adults with PID and 20 healthy adults according to the ICF items. For domain b, exercise capacity, hand-grip strength (HGS), sleep functions, fatigue perception, and body composition; for domain s, posture, and muscle mass were evaluated. Health-related quality of life, activities of daily living, and physical activity were evaluated for domain d. For domain e, supports and relationships, societal attitudes, services, and policies of health, employment, and transportation were determined as barriers.</p><p><strong>Results: </strong>Exercise capacity, HGS, sleep function, and body composition were significantly impaired, fatigue severity from domain b increased in adult patients with PID compared to healthy controls (<i>p</i> < 0.05). Daily life activities and quality of life from domain d were significantly poorer in patients with PID compared to healthy controls (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The evaluation and selecting appropriate outcomes based on ICF-framework will assist health professionals in goal-based rehabilitation plans and better improving functional capacity in adult PID.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144103","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}
Laura McCredie, Alesha Sayner, Joanne V Glinsky, Emily Harwood, Katharine Scrivener
{"title":"A tailored implementation intervention is successful in sustaining a stroke circuit class in a regional setting.","authors":"Laura McCredie, Alesha Sayner, Joanne V Glinsky, Emily Harwood, Katharine Scrivener","doi":"10.1080/09638288.2025.2508403","DOIUrl":"https://doi.org/10.1080/09638288.2025.2508403","url":null,"abstract":"<p><strong>Purpose: </strong>Guidelines recommend circuit classes to improve mobility after stroke. This study aimed to develop, deliver and evaluate an intervention to sustain a lower limb stroke circuit class in a regional setting in Australia.</p><p><strong>Methods: </strong>This implementation study was guided by the Knowledge to Action framework with four phases. Phase 1: review of current circuit class practice. Phase 2: evaluation of health professional barriers and facilitators. Phase 3: development and delivery of a tailored implementation intervention based on the needs of health professionals. Phase 4: evaluation of sustainability and class outcomes.</p><p><strong>Results: </strong>Phase 1: audit showed circuit classes had low attendance (<i>n</i> = 22/month). Phase 2: health professional participants (<i>n</i> = 21) identified key barriers and facilitators to delivering the circuit class, including a lack of training and confidence. Phase 3: the implementation intervention involved role modelling and training of health professionals conducting the class. Phase 4: average circuit class attendance increased and was maintained at follow-up (<i>n</i> = 32/month during intervention, <i>n</i> = 33/month post-intervention). Health professionals' confidence in others conducting the circuit class increased (43% pre-intervention to 92% post-intervention).</p><p><strong>Conclusion: </strong>A tailored implementation intervention for health professionals in a regional community setting improved sustainability and increased confidence in conducting circuit classes for people with stroke.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129485","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}
Kaitlyn Spalding, Louise Gustafsson, Tenelle Hodson, Camila Shirota, Rachel Brough
{"title":"Home is \"a different planet\" when transitioning from hospital after acquired brain injury: can digital technology help bridge the two worlds?","authors":"Kaitlyn Spalding, Louise Gustafsson, Tenelle Hodson, Camila Shirota, Rachel Brough","doi":"10.1080/09638288.2025.2508406","DOIUrl":"https://doi.org/10.1080/09638288.2025.2508406","url":null,"abstract":"<p><strong>Purpose: </strong>Adjusting to life following an acquired brain injury (ABI) is challenging particularly navigating the timepoint of transitioning from hospital-to-home. Digital technology has been proposed to mitigate broader transitional issues, however whilst still in its infancy more research is recommended within the ABI population. It is important to understand individual experiences in healthcare design. This study aims to identify for people with ABI [1] their unique problems experienced when transitioning hospital-to-home, and [2] how they believe digital technological solutions could solve these issues.</p><p><strong>Materials and methods: </strong>Interpretive description guided the review of experiences of four participants with ABI from a larger participatory action research project, where co-design workshops explored digital technological solutions supporting the transition home from inpatient ABI rehabilitation. Comparative analysis was used to analyse the data and develop themes.</p><p><strong>Results: </strong>Six themes emerged including \"being told I was ready is different to being ready,\" \"home is a different planet,\" digital technology can \"help connect me to the real word\" and \"ensure everyone is on the same page.\"</p><p><strong>Conclusion: </strong>Participants' desire to use tailored digital technology as a transition home strategy highlighted opportunities to manage expectations, and focus on unique preparation needs of participants, rather than organisational discharge goals.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129486","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}
Ali H Alnahdi, Mohammed S Almutairi, Mishal M Aldaihan, Abdulrahman M Alsubiheen
{"title":"Minimal important change and responsiveness of the arabic patient-specific functional Scale in patients with upper extremity musculoskeletal disorders.","authors":"Ali H Alnahdi, Mohammed S Almutairi, Mishal M Aldaihan, Abdulrahman M Alsubiheen","doi":"10.1080/09638288.2025.2507719","DOIUrl":"https://doi.org/10.1080/09638288.2025.2507719","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the responsiveness of the Arabic Patient-Specific Functional Scale (PSFS) and to determine its minimal important change (MIC) for improvement in upper extremity function.</p><p><strong>Materials and methods: </strong>A total of 115 participants with upper extremity musculoskeletal disorders were included. The PSFS, Disabilities of the Arm, Shoulder, and Hand (DASH), global assessment of function (GAF), and numeric pain rating scale (NPRS), were assessed at baseline and follow-up. Responsiveness was examined by testing seven pre-defined hypotheses and the MIC was determined using the predictive modeling method (MIC<sub>pred</sub>) and the receiver operating curve method (MIC<sub>ROC</sub>).</p><p><strong>Results: </strong>The PSFS change scores demonstrated significant correlations with the global rating of change (<i>r</i> = 0.75), with change scores in DASH (<i>r</i> = 0.76), GAF (<i>r</i> = 0.62), NPRS (<i>r</i> = 0.66), large effect size (ES = 2.34, SRM = 1.63) in improved individuals, and area under the ROC curve of 0.91. The MIC<sub>ROC</sub>, MIC<sub>pred,</sub> and adjusted MIC<sub>pred</sub> for proportion of improved participants were 1.71, 1.98, and 2.15 points, respectively, and that the value of MIC was not dependent on baseline status.</p><p><strong>Conclusion: </strong>The Arabic PSFS showed sufficient responsiveness in detecting changes in upper extremity function over time. The adjusted MIC<sub>pred</sub> is recommended to be used as the MIC value in patients with upper extremity musculoskeletal disorders.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112730","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}
Alaa M Albishi, Meznah Althubaiti, Nuha Alharbi, Futun Almutairi
{"title":"Translation, cross-cultural adaptation, and psychometric properties of the Arabic version of the assessment life habits (LIFE-H 3.1) scale for patients with stroke.","authors":"Alaa M Albishi, Meznah Althubaiti, Nuha Alharbi, Futun Almutairi","doi":"10.1080/09638288.2025.2503957","DOIUrl":"https://doi.org/10.1080/09638288.2025.2503957","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate, cross-culturally adapt, and validate the Arabic version of the Assessment Life Habits (LIFE-H 3.1) scale for patients with stroke, providing a comprehensive tool for assessing life habits and social participation in Arabic-speaking populations.</p><p><strong>Methods: </strong>The translation process followed established guidelines, including forward and backward translation, expert committee review, and pilot testing with 31 stroke patients to ensure semantic and cultural equivalence. Psychometric testing was conducted with 102 patients with stroke to evaluate the scale's reliability and validity.</p><p><strong>Results: </strong>The Arabic LIFE-H 3.1 demonstrated excellent internal consistency (Cronbach's alpha ≥ 0.97), strong test-retest reliability (ICC ≥ 0.87), and minimal measurement error. It also exhibited strong face, content, and construct validity, with significant correlations observed with established measures such as the Barthel Index, Stroke-Specific Quality of Life Scale, and Short-Form Health Survey. No significant floor or ceiling effects were observed, confirming the scale's ability to differentiate between participation levels.</p><p><strong>Conclusion: </strong>The Arabic LIFE-H 3.1 is a valid and reliable tool for evaluating daily activities and social roles in stroke rehabilitation, making it suitable for clinical and research applications in Arabic-speaking communities.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112731","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}