Journal of Rehabilitation Medicine最新文献

{"title":"Interdisciplinary pain rehabilitation for patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders.","authors":"Peter Molander, Mehmed Novo, Åsa Ringqvist, Andrea Hållstam, Hugo Hesser, Monika Löfgren, Britt-Marie Stålnacke, Björn Gerdle","doi":"10.2340/jrm.v56.12431","DOIUrl":"10.2340/jrm.v56.12431","url":null,"abstract":"<p><strong>Objective: </strong>Chronic pain is a common manifestation of Ehlers-Danlos syndrome and hypermobility spectrum disorders; thus it is often suggested that patients undergo generic interdisciplinary pain rehabilitation, despite there being little evidence to support this decision. The aim of this study is to examine the effectiveness of standard rehabilitation programmes for chronic pain on patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders, compared with patients with other chronic pain disorders.</p><p><strong>Subjects: </strong>Data, collected between 2008 and 2016, were extracted from a Swedish national registry. The patient data comprised of 406 cases with Ehlers-Danlos syndrome or hypermobility spectrum disorders, 784 cases with a whiplash-related diagnosis, 3713 cases with diagnoses relating to spinal pain, and 2880 cases of fibromyalgia.</p><p><strong>Methods: </strong>The differences between groups on key outcome measures from pre- to 1-year follow-up after interdisciplinary pain rehabilitation were analysed using linear mixed effects models. Sensitivity analysis in the form of pattern-mixture modelling was conducted to discern the impact of missing data.</p><p><strong>Results: </strong>No significant differences were found in improvements from pre- to 1-year follow-up for patients with Ehlers-Danlos syndrome or hypermobility spectrum disorder compared with other diagnostic groups regarding measures of health-related quality of life, mental health, or fatigue. At follow-up, differences in pain interference (d = -0.34 (95% confidence interval [95% CI] -0.5 to -0.18)), average pain (d = 0.22 (95% CI 0.11-0.62)) and physical functioning (d = 2.19 (95% CI 1.61-2.77)) were detected for the group with spinal-related diagnoses in relation to those with EDS/HSD, largely due to pre-treatment group differences. Sensitivity analysis found little evidence for missing data influencing the results.</p><p><strong>Conclusion: </strong>This study suggests that patients with Ehlers-Danlos syndrome/hypermobility spectrum disorders may benefit from inclusion in an interdisciplinary pain rehabilitation programme.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698859","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":"Repetitive peripheral magnetic stimulation combined with transcranial magnetic stimulation in rehabilitation of upper extremity hemiparesis following stroke: a pilot study.","authors":"Sijie Liang, Weining Wang, Fengyun Yu, Li Pan, Dongyan Xu, Ruiping Hu, Shan Tian, Jie Xiang, Yulian Zhu","doi":"10.2340/jrm.v56.19449","DOIUrl":"10.2340/jrm.v56.19449","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of combined repetitive peripheral magnetic stimulation and transcranial magnetic stimulation on upper extremity function in subacute stroke patients.</p><p><strong>Design: </strong>Pilot study.</p><p><strong>Subjects: </strong>Subacute stroke patients.</p><p><strong>Methods: </strong>Included patients were randomized into 3 groups: a central-associated peripheral stimulation (CPS) group, a central-stimulation-only (CS) group, and a control (C) group. The CPS group underwent a new paired associative stimulation (combined repetitive peripheral magnetic stimulation and transcranial magnetic stimulation), the CS group underwent repetitive transcranial magnetic stimulation, and the C group underwent sham stimulation. All 3 groups received physiotherapy after the stimulation or sham stimulation. The treatment comprised 20 once-daily sessions. Primary outcome was the Fugl-Meyer Assessment Upper Extremity (FMA-UE) score, and secondary outcomes were the Barthel Index and Comprehensive Functional Assessment scores, and neurophysiological assessments were mainly short-interval intracortical inhibition. A 3-group (CPS, CS, C) × 2-time (before, after intervention) repeated measures analysis of variance was conducted to determine whether changes in scores were significantly different between the 3 groups.</p><p><strong>Results: </strong>A total of 45 patients were included in the analysis. Between-group comparisons on the FMA-UE demonstrated a significant improvement (group × time interaction, F2,42 = 4.86; p = 0.013; C vs CS, p = 0.020; C vs CPS, p = 0.016; CS vs CPS, p = 0.955). Correlation analysis did not find any substantial positive correlation between changes in FMA-UE and short-interval intracortical inhibition variables (C, r = -0.196, p = 0.483; CS, r = -0.169, p = 0.546; CPS, r = -0.424, p = 0.115).</p><p><strong>Conclusion: </strong>This study suggests that the real-stimulus (CS and CPS) groups had better outcomes than the control (C) group. In addition, the CPS group showed a better trend in clinical and neurophysiological assessments compared with the CS group.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652234","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 physical exercise interventions on balance, postural stability and general mobility in Parkinson's disease: a network meta-analysis.","authors":"Patricia Lorenzo-García, Iván Cavero-Redondo, Sergio Núñez de Arenas-Arroyo, María José Guzmán-Pavón, Susana Priego-Jiménez, Celia Álvarez-Bueno","doi":"10.2340/jrm.v56.10329","DOIUrl":"10.2340/jrm.v56.10329","url":null,"abstract":"<p><strong>Objective: </strong>To assess which type of physical exercise intervention has the most beneficial effects on balance, postural stability and general mobility in patients with Parkinson's disease. These parameters were assessed using the Activities-specific Balance Confidence (ABC) scale, Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (MiniBESTest) and Timed Up and Go Test (TUG).</p><p><strong>Design: </strong>Network meta-analysis.</p><p><strong>Methods: </strong>The PubMed, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched up to August 2022 to identify randomized controlled trials on the effects of physical exercise interventions on balance, postural stability, and general mobility. The network meta-analysis included pairwise and indirect comparisons of results on the ABC scale, BBS, MiniBESTest, and TUG across 8 categories of physical exercise.</p><p><strong>Results: </strong>Eighty-six studies with a total of 4,693 patients were included. For the ABC scale, the indirect comparison showed that the highest effect size was observed for balance vs sensorimotor training without including endurance interventions (0.62; 95% confidence interval (95% CI) 0.06, 1.17). The highest effect sizes for BBS were observed for alternative exercises (1.21; 95% CI 0.62, 1.81), body-weight supported (BWS) interventions (1.31; 95% CI 0.57, 2.05), dance (1.18; 95% CI 0.33, 2.03) and sensorimotor training, including endurance interventions (1.10; 95% CI 0.46, 1.75) vs control groups. Indirect comparisons showed that the highest effect size for the MiniBESTest were observed for balance (0.75; 95% CI 0.46, 1.04) and resistance (0.58; 95% CI 0.10, 1.07) vs control groups. For the TUG, comparisons showed a significant effect size for alternative exercises (-0.54; 95% CI -0.82, -0.26), balance (-0.42; 95% CI -0.75, -0.08), resistance (-0.60; 95% CI -0.89, -0.31), and sensorimotor training including endurance interventions (-0.61; 95% CI -0.95, -0.27) vs control comparisons.</p><p><strong>Conclusion: </strong>Balance interventions improve balance, postural stability, and general mobility in people with Parkinson's disease. Moreover, alternative exercises, dance, BWS interventions, resistance, and sensorimotor training, including and not including endurance interventions, are also effective.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652233","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: Electromagnetic induction for treatment of unspecific back pain: a prospective randomized sham-controlled clinical trial.","authors":"Muhammad Uzair Khan, Atta Muhammad, Felicianus Anthony Pereira, Hafsa Paracha","doi":"10.2340/jrm.v56.18379","DOIUrl":"10.2340/jrm.v56.18379","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514267","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":"Writing in international journals is getting easier.","authors":"Henk Stam, Kristian Borg","doi":"10.2340/jrm.v56.39905","DOIUrl":"10.2340/jrm.v56.39905","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514268","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":"Profiles of executive functioning following traumatic brain injury and stroke using the assessment of participation and executive functions: combined cross-sectional and longitudinal designs.","authors":"Rotem Eliav, Sivan Hason, Rachel Kizony","doi":"10.2340/jrm.v56.12427","DOIUrl":"10.2340/jrm.v56.12427","url":null,"abstract":"<p><strong>Objectives: </strong>The Assessment of Participation and Executive Functions (A-PEX) evaluates executive functioning through daily participation in complex daily activities. This study examines its ability to discriminate between executive functioning profiles post-traumatic brain injury and post-stroke and its sensitivity to changes.</p><p><strong>Design: </strong>Cross-sectional with a longitudinal component.</p><p><strong>Patients: </strong>Adults with post-traumatic brain injury (n = 28) and post-stroke (n = 26) in a rehabilitation facility.</p><p><strong>Methods: </strong>Patients were administered the A-PEX, Multiple Errands Test-Hospital version and Color Trail Test at 2 time-points 1 month apart. The Montreal Cognitive Assessment was administered at the first time-point, and Executive Functions Performance Test's Internet-based Bill Payment subtest at the second. The analysis used Mann-Whitney and Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>The stroke group's A-PEX scores were higher than the traumatic brain injury group's at the first time-point (p < 0.05). No differences were found in the other assessments. Within-group differences in both groups were significant in the A-PEX (-3.7 < r < - 2.3, p < 0.05) and Multiple Errands Test-Hospital version (-3.4 < r < -3.3, p < 0.01).</p><p><strong>Conclusion: </strong>The A-PEX may provide valuable information about the uniqueness of executive functioning profiles and patients' progress.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486743","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":"Characterization of an Italian population with neurological disorders in a rehabilitation setting using ClinFIT.","authors":"Sara Liguori, Melissa Selb, Antimo Moretti, Marco Paoletta, Marco Invernizzi, Pietro Fiore, Giovanni Iolascon, Francesca Gimigliano","doi":"10.2340/jrm.v56.18262","DOIUrl":"10.2340/jrm.v56.18262","url":null,"abstract":"<p><strong>Objective: </strong>To examine the functioning profile of people with neurological disorders who access rehabilitation services through ClinFIT Generic-30.</p><p><strong>Methods: </strong>The functioning profile of people with neurological disorders accessing rehabilitation services was examined using the ClinFIT Generic-30, and the results compared with existing core set (neurological health conditions acute and post-acute,stroke, Multiple Sclerosis, Traumatic Brain Injury,Spinal Cord Injury).</p><p><strong>Results: </strong>Data for 364 people were analysed. The 10 most commonly impaired ICF categories included 3 for Body Functions (exercise tolerance functions (b455), mobility of joint functions (b710), and muscle power functions (b730)) and 7 for Activities and Participation (carrying out daily routine (d230), handling stress and other psychological demands (d240), changing basic body position (d410), maintaining a body position (d415), transferring oneself (d420), walking (d450), and moving around (d455)), while the ICF categories that were severely impaired (ICF qualifiers 3 and 4) in more than 30% of the study cohort were: muscle power functions (b730), carrying out daily routine (d230), walking (d450), moving around (d455), doing housework (d640), and assisting others (d660).</p><p><strong>Discussion: </strong>The current study data suggests that  ClinFIT Generic-30 appears to effectively identify impairments and/or restrictions, as perceived by individuals affected by selected health conditions.</p><p><strong>Conclusion: </strong>ClinFIT Generic-30 is a tool that can be used to characterize functioning profile in people with different neurological disorders and to collect important information not addressed by the disease-specific core sets (neurological health conditions acute and post-acute,stroke, Multiple Sclerosis, Traumatic Brain Injury,Spinal Cord Injury).</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10809999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486740","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":"Individualized goals expressed by patients undergoing stroke rehabilitation: an observational study.","authors":"Janne Evensen, Helene Lundgaard Soberg, Unni Sveen, Knut A Hestad, Jennifer L Moore, Berit Arnesveen Bronken","doi":"10.2340/jrm.v56.15305","DOIUrl":"10.2340/jrm.v56.15305","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the rehabilitation goals measured with the Patient-Specific Functional Scale (PSFS) in patients undergoing acute and subacute stroke rehabilitation. In addition, to assess whether PSFS goals corresponded to impairments and activity limitations, as identified by standardized measures.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Participants: </strong>A total of 71 participants undergoing inpatient stroke rehabilitation.</p><p><strong>Methods: </strong>The PSFS goals were linked to second-level categories in the International Classification of Functioning, Disability and Health (ICF), using established linking rules. Frequencies of the linked ICF categories were calculated. Frequencies of participants with limitations in walking, activities of daily living (ADL), vision, language, and cognition, were calculated, along with goals in corresponding areas of functioning.</p><p><strong>Results: </strong>The participants' goals were linked to 50 second-level ICF categories, comprising areas such as walking and moving, ADL, language, vision, and cognition. The most frequent ICF categories were \"Moving around in different locations\" (n = 24), \"Walking\" (n = 23), \"Toileting\" (n = 16), \"Hand and arm use (n = 12) and \"Fine hand use (n = 12)\". Of participants with limitations in walking, cognition, and vision, 85%, 10%, and 16%, respectively, had goals in these areas.</p><p><strong>Conclusion: </strong>Participants' goals included walking, ADL, language, vision, and cognition. Few with impairments in cognition or vision had goals in these corresponding areas on the PSFS.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472903","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":"Association between fear of falling and falls following acute and chronic stroke: a systematic review with meta-analysis.","authors":"Tamis W Pin, Stanley J Winser, Wayne L S Chan, Bolton Chau, Shamay Ng, Thomson Wong, Margaret Mak, Marco Pang","doi":"10.2340/jrm.v56.18650","DOIUrl":"10.2340/jrm.v56.18650","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the association between falls and fear of falling in people with stroke and to evaluate the differences between patients with acute stroke and those with chronic stroke with regard to any such association.</p><p><strong>Methods: </strong>Articles were searched in Medline, CINAHL, AMED, Embase, PsycINFO, Cochrane Library of Reviews and PEDro from inception until March 2023. Experimental, observational or explorative studies investigating the association between fear of falling and falls in people with stroke were included. Articles were screened by 2 independent reviewers. Data were extracted by an independent reviewer.</p><p><strong>Results: </strong>A total of 26 reports were included in this review (n = 2863). Fear of falling, assessed by a single-question survey, was significantly associated with falls (relative risk = 1.44; 95% confidence interval (95% CI) = 1.22, 1.70; I2 = 0%) in people with acute stroke. Significant mean differences in fear of falling, based on the Falls Efficacy Scale (mean difference = 12.80; 95% CI = 1.81, 23.78; I² = 28%) and Activities-specific Balance Confidence Scale (mean difference = -9.99; 95% CI = -15.36, -4.62; I² = 57%), were also reported between fallers and non-fallers in people with chronic stroke.</p><p><strong>Conclusion: </strong>A small, but significant, association exists between falls and fear of falling in both acute and chronic stroke patients.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472841","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":"Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis.","authors":"Dries Ceulemans, Maarten Moens, Michiel Reneman, Jonas Callens, Ann De Smedt, Lode Godderis, Lisa Goudman, Olivia Lavreysen, Koen Putman, Dominique Van de Velde","doi":"10.2340/jrm.v56.13454","DOIUrl":"10.2340/jrm.v56.13454","url":null,"abstract":"<p><strong>Objective: </strong>To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population.</p><p><strong>Design: </strong>A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions.</p><p><strong>Methods: </strong>Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated.</p><p><strong>Results: </strong>Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given.</p><p><strong>Conclusion: </strong>This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472899","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}