Journal of Rehabilitation Medicine最新文献

{"title":"Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.","authors":"Shu-Mei Yang, Yen-Heng Lin, Ting-Ju Lai, You-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Chueh-Hung Wu, Kuo-Chuan Wang, Meng Ting Lin","doi":"10.2340/jrm.v57.42159","DOIUrl":"https://doi.org/10.2340/jrm.v57.42159","url":null,"abstract":"<p><strong>Objective: </strong>Intracerebral haemorrhage significantly impacts patients' functional and motor recovery. Identifying predictive factors is crucial for enhancing post-intracerebral haemorrhage rehabilitation strategies. This study explores the predictors of functional improvement and motor recovery in intracerebral haemorrhage survivors.</p><p><strong>Design: </strong>This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023.</p><p><strong>Methods: </strong>Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages.</p><p><strong>Results: </strong>Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs.</p><p><strong>Conclusion: </strong>Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42159"},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568332","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":"Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence.","authors":"Undine Lehmann, Katja Uhlmann, André Meichtry, Marc Spielmanns, Sabine Spielmanns, Ramin Khatami, Laura Marty, Susanne Rüegsegger, Reto W Kressig, Caroline M Kiss, Clare Maguire, Andrea Zurfluh, Thimo Marcin","doi":"10.2340/jrm.v57.42215","DOIUrl":"10.2340/jrm.v57.42215","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of malnutrition and sarcopenia in different disciplines of inpatient rehabilitation and the course of nutritional status parameters.</p><p><strong>Design: </strong>Multi-centre cross-sectional prevalence study and longitudinal observational study.</p><p><strong>Subjects/patients: </strong>Inpatients (> 18 years) in geriatric, pulmonary, cardiovascular, internal medicine/oncological, musculoskeletal, or neurological rehabilitation in 5 rehabilitation centres were included.</p><p><strong>Methods: </strong>Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition criteria. Sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People criteria. Bodyweight, hand grip strength (HGS), and functional independence measure (FIM) were assessed within 3 days of admission and after 21 days of rehabilitation and analysed using linear mixed models with time*diagnosis interaction.</p><p><strong>Results: </strong>The study included 558 patients (51.8% male, median age 73.0 years). The overall prevalence of malnutrition and sarcopenia was 35.5% (95% CI 31.5, 39.6%) and 32.7% (95% CI 28.8, 36.8%), respectively. Patients with risk of malnutrition lost on average 1.14 kg (95% CI -1.64, -0.63) during rehabilitation. Patients slightly increased their HGS and FIM, irrespective of risk or diagnosis of malnutrition or sarcopenia. However, at the end of the rehabilitation, malnourished or sarcopenic patients had still a significantly lower bodyweight, HGS, and FIM than patients without (p < 0.01). Some 37.3% of patients at risk of and 35.4% with diagnosed -malnutrition did not receive group or individual nutritional -counselling.</p><p><strong>Conclusion: </strong>Malnutrition and sarcopenia are highly prevalent during inpatient rehabilitation. Nevertheless, dietitians are often not involved in the therapy. While nutritional parameters and functional independence improve, patients with malnutrition and sarcopenia remain on a lower level after 3 weeks of rehabilitation. Long-term follow-up after rehabilitation is recommended to prevent nutritional and muscular decline and related negative health outcomes.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42215"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on \"The effects of moderate-intensity aerobic exercise on cognitive function in individuals with stroke-induced mild cognitive impairment: a randomized controlled pilot study\".","authors":"Simran Sunil Khutarkar, Divya Khati, Sidharth Bansal","doi":"10.2340/jrm.v57.42555","DOIUrl":"10.2340/jrm.v57.42555","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42555"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A path analysis of the healthcare utilization and services satisfaction among community-dwelling individuals with spinal cord injury in Malaysia.","authors":"Muhamad F Zainudin, Natiara M Hashim, Wan N W M Zohdi, Nazirah Hasnan, Julia P Engkasan","doi":"10.2340/jrm.v57.40621","DOIUrl":"10.2340/jrm.v57.40621","url":null,"abstract":"<p><strong>Purpose: </strong>To explore healthcare utilization patterns and healthcare services satisfaction among individuals with spinal cord injury in Malaysia.</p><p><strong>Methods: </strong>This cross-sectional study utilized the International Spinal Cord Injury (InSCI) Community Survey and involved 8 hospitals and 1 spinal cord injury organization. A total of 285 participants met the inclusion criteria. Subsequently, 6/11 sections of the InSCI questionnaire were analysed through a path analysis.</p><p><strong>Results: </strong>The 3 most utilized healthcare providers reported were physical and rehabilitation medicine specialists (76.5%), physiotherapists (36.8%), and primary care physicians (27.4%). The top 3 most severe health problems reported were sexual dysfunction, muscle spasm and spasticity, and contractures. Healthcare services satisfaction was high. Health problems predicted healthcare utilization (β = 0.443), while activity limitation and participation restriction predicted healthcare services satisfaction (β = -0.202). The activity limitation and participation restriction in male participants was moderated by the spinal cord injury severity (B = 2.330, p  <  0.001) and health problems (B = 0.550, p < 0.001).</p><p><strong>Conclusions: </strong>Individuals with spinal cord injury in Malaysia rely heavily on physical and rehabilitation medicine specialists, highlighting accessibility challenges due to the centralized specialized rehabilitation services. Sexual dysfunction remains a significant yet under-addressed health concern. Despite these issues, satisfaction with healthcare services is high.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40621"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to physical activity after transcatheter aortic valve replacement: A mixed-methods study.","authors":"Zhiyun Shen, Xiaojue Qian, Chenxu Huang, Daxin Zhou, Xiaohua Xu, Jiaying Lv, Ying Lin, Yuxia Zhang","doi":"10.2340/jrm.v57.39974","DOIUrl":"10.2340/jrm.v57.39974","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate post-transcatheter aortic valve replacement (TAVR) physical activity and explore the factors influencing participation.</p><p><strong>Design: </strong>A quantitatively driven sequential explanatory mixed-methods study was performed from October 2021 to February 2022 in Shanghai, China.</p><p><strong>Patients: </strong>The study sample comprised 195 patients who underwent TAVR (58.46% men, mean age = 74.38 years.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted to assess the extent of physical activity maintenance after TAVR via the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Preliminary factors were identified via Poisson regression. Subsequently, Fogg's behaviour model-guided targeted qualitative interviews were conducted to confirm and expand on barriers and facilitators to physical activity engagement.</p><p><strong>Results: </strong>93.33% of post-TAVR patients lacked regular physical activity. Fourteen barriers and facilitators were identified and grouped into motivation (health expectation, social belonging, feeling after physical activity, kinesiophobia), ability (complex forms of physical activity, misperceptions, scheduling conflicts, traffic and distance, self-regulation), and triggers (surroundings and environment, peer and family support, professional support, mobile health, internalization of exercise habits).</p><p><strong>Conclusion: </strong>The study findings indicate low adherence to regular physical activity among patients post-TAVR. Intervention strategies that increase patients' motivation and ability to perform physical activity and provide appropriate triggers should be further developed.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm39974"},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a stroke care pathway on self-perceived health 3 months after stroke.","authors":"Elin Bergh, Torunn Askim, Ole Morten Rønning, Stian Lydersen, Bente Thommessen","doi":"10.2340/jrm.v57.42443","DOIUrl":"10.2340/jrm.v57.42443","url":null,"abstract":"<p><strong>Background: </strong>A national stroke care pathway aiming at reducing time delays in stroke care was implemented in Norway in 2018. This study aimed to investigate the impact of goal attainment in the pre- and intrahospital care pathway on self-perceived health 3 months after stroke.</p><p><strong>Methods: </strong>Data from the Norwegian Stroke Register (NSR) from 2019 were used. Patients were classified into attainment or non-attainment groups, depending on goal achievement of the SCP. Linear regression analyses were used to assess a possible association between goal attainment and self-perceived health evaluated by EQ-5D-5L and EQ-VAS at 3 months post-stroke.</p><p><strong>Results: </strong>Among 4,133 included patients, 908 (22%) were included in the attainment group. We found no effect of goal attainment upon mean EQ-5D-5L. However, when adjusting for stroke severity, attaining the SCP was significantly associated with self-perceived health.</p><p><strong>Conclusion: </strong>In this study, with a cohort of patients with mild to moderate strokes, we found no association between attaining goals of the stroke care pathway and self-perceived health. However, stroke severity might have acted as a suppressor variable underscoring the importance of stroke severity for self-perceived health.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42443"},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury.","authors":"Sara Rubinelli, Jerome Bickenbach, James W Middleton, Ian D Cameron, Carla Sabariego, Gerold Stucki","doi":"10.2340/jrm.v57.42019","DOIUrl":"10.2340/jrm.v57.42019","url":null,"abstract":"<p><strong>Objective: </strong>This paper introduces the \"360° Model of Research\", a novel framework designed to prioritize functioning as a primary health indicator, particularly for individuals living with health conditions. The goal is to promote this model as a comprehensive, person-centred, and interdisciplinary approach to health research, moving beyond the traditional siloed and disease-based methodologies.</p><p><strong>Methods: </strong>The paper is conceptual, integrating existing scientific literature and theoretical frameworks to build the 360° Model. It draws on interdisciplinary perspectives from rehabilitation, social sciences, health services research, and ethics, among others, to create a unified health science focused on optimizing functioning.</p><p><strong>Results: </strong>The 360° Model emphasizes functioning as a key health indicator, combining biological health with lived experience. The Model provides a reference framework for data collection, but does not presume any particular explanatory theory about how lived experience is created or interpreted by the individual. It has been successfully applied in the Swiss Spinal Cord Injury Cohort Study (SwiSCI), demonstrating its value in addressing the comprehensive needs of individuals with spinal cord injury through interdisciplinary collaboration and a learning health system theory.</p><p><strong>Conclusion: </strong>The 360° Model offers a transformative approach, highlighting the importance of functioning in health research. It provides a robust foundation for a new interdisciplinary field of Human Functioning Sciences, aimed at optimizing health and well-being across diverse populations.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42019"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Game-based visual feedback-guided dynamic balance training versus conventional training in patients with hemiplegia: a pilot randomized controlled trial.","authors":"Yan Xu, Jiadong Ni, Yajing Yang, Jiajia Yao, Lianhui Fu, Cong Xu","doi":"10.2340/jrm.v57.41277","DOIUrl":"10.2340/jrm.v57.41277","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the efficacy of game-based visual feedback-guided dynamic balance training with conventional training in patients with hemiplegia.</p><p><strong>Design: </strong>Single-blind, pilot randomized controlled trial.</p><p><strong>Patients: </strong>Fifty-three patients with hemiplegia exhibiting balance dysfunction at ≥  1 month were enrolled.</p><p><strong>Methods: </strong>The experimental group (n = 25) trained with the Physio Space™ system that uses a 3-axis balancing platform and touchscreen monitor to provide visual feedback during 9 game modules at varying challenge levels for 20 min per day, 5 days per week, for 3 weeks. The control group (n = 28) received traditional training for the same duration. To evaluate the efficacy of the training, a 2-way repeated-measures analysis of variance (ANOVA) was used. The study protocol was registered on the Chinese Clinical Trial Registry (ChiCTR2300067275, https://www.chictr.org.cn).</p><p><strong>Results: </strong>Eighteen participants in each group completed the training programme, with no baseline between-group differences. The post-training assessment revealed significant improvements (Berg Balance Scale, Functional Reaching Test, Timed \"Up-and-Go\" Test scores and 10-metre fast walking speed) in outcome measures in the full sample. After training, no between-group differences were observed in the tests.</p><p><strong>Conclusion: </strong>Our results indicate that game-based visual feedback with dynamic balance training has effects comparable to those of conventional balance training in patients with hemiplegia.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41277"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle selection and dosing in patients undergoing treatment with abobotulinumtoxinA for lower limb spasticity in real-world practice.","authors":"Richard D Zorowitz, Jorge Jacinto, Stephen Ashford, Mathieu Beneteau, Pascal Maisonobe, Christian Hannes, Alberto Esquenazi","doi":"10.2340/jrm.v57.42605","DOIUrl":"10.2340/jrm.v57.42605","url":null,"abstract":"<p><strong>Objective: </strong>Describe abobotulinumtoxinA (aboBoNT-A) dosing parameters in the real-world management of lower limb spasticity (LLS).</p><p><strong>Methods: </strong>Prospective, observational study (NCT0​4050527) following ambulatory adults with unilateral LLS treated with aboBoNT-A.</p><p><strong>Results: </strong>The effectiveness population included 384 adults with LLS. Across the study, total lower limb doses were higher in patients who received only lower limb injections (n = 131, median 771U) than those who also received ≥ 1 upper limb injection (n = 253, 567U). Total doses increased over subsequent cycles in both subgroups. Six muscles (gastrocnemius medial and lateral heads, soleus muscle, tibialis posterior, flexor digitorum longus, and flexor hallucis longus) were identified as the main targets for the treatment of LLS; other lower limb muscles were injected in fewer than 15% of patients. The most frequent therapy interventions (mean ± SD of 1.8 ± 1.3h/week with a qualified therapist and 5.3 ± 5.9h/week self-rehabilitation in Cycle 1) were task-specific practice, passive stretch, strength training, and positioning.</p><p><strong>Conclusions: </strong>This study demonstrates how a diversity of muscle patterns are currently treated in routine practice where the primary goal was related to the lower limb and highlights important issues for further debate, such as potential underdosing and the need to balance upper and lower limb priorities when devising a treatment plan.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42605"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of kinesio taping in patients undergoing knee or hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials.","authors":"Ting Mei, Yuli Shuai, Dandong Wu, Heping Yu","doi":"10.2340/jrm.v57.40784","DOIUrl":"10.2340/jrm.v57.40784","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effects of kinesio taping on pain, oedema, range of motion, and joint function following knee or hip arthroplasty.</p><p><strong>Methods: </strong>Eight databases were searched up to 9 January 2024. Patients undergoing rehabilitation after knee or hip arthroplasty were included. The intervention group received kinesio taping with postoperative rehabilitation, while the control group received postoperative rehabilitation alone. Outcomes for knee arthroplasty patients, included pain, oedema, range of motion, and the Hospital for Special Surgery knee score. For hip arthroplasty, the outcome focused on pain.</p><p><strong>Results: </strong>Eleven randomized controlled trials involving 774 participants met the inclusion criteria. In knee arthroplasty patients, kinesio taping significantly reduced pain (standardized mean difference [SMD] = -0.53, 95% CI -0.91 to -0.14, p = 0.007), and relieved thigh (SMD = -0.38, 95% CI -0.65 to -0.12, p = 0.005) and ankle circumferences (SMD = -0.53, 95% CI -0.95 to -0.12, p = 0.01). It improved the total range of motion (SMD = 1.26, 95% CI 0.93 to 1.60, p < 0.00001) and Hospital for Special Surgery knee score (SMD = 2.17, 95% CI 1.70 to 2.65, p < 0.00001). No significant pain intensity reduction was observed in hip arthroplasty patients (p = 0.25).</p><p><strong>Conclusion: </strong>Kinesio taping combined with postoperative rehabilitation effectively reduces oedema and pain, and improves joint function in knee arthroplasty patients, but does not alleviate pain in patients following hip arthroplasty.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40784"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}