Journal of Rehabilitation Medicine最新文献

{"title":"Clinical factors associated with motor imagery ability in individuals with subacute stroke.","authors":"Yuki Fukumoto, Tsubasa Kawasaki, Takanao Shirai, Tomomi Hase, Hinata Chiyo, Hiroyuki Hamada, Katsuya Sakai, Junpei Tanabe, Kota Sawa, Toshiaki Suzuki","doi":"10.2340/jrm.v58.46042","DOIUrl":"10.2340/jrm.v58.46042","url":null,"abstract":"<p><strong>Objective: </strong>To examine the associations of motor recovery stage, proprioceptive function, and working memory with motor imagery ability in patients with subacute stroke.</p><p><strong>Design: </strong>Multicentre cross-sectional study.</p><p><strong>Subjects/patients: </strong>Forty patients with subacute stroke who had complete data.</p><p><strong>Methods: </strong>Motor imagery ability was assessed using mental chronometry during a Purdue Pegboard task. Associations with motor recovery stage, proprioceptive function, and working memory were examined using correlation and multiple regression analyses. An exploratory linear support vector machine analysis was performed to classify participants into groups with higher and lower motor imagery ability using these variables.</p><p><strong>Results: </strong>Motor imagery ability was significantly associated with motor recovery stage and proprioceptive function in the correlation analyses. However, these associations were no longer independently significant after adjustment in the multiple regression analysis. A linear support vector machine achieved an area under the curve of 0.716, with an accuracy of 0.700, sensitivity of 0.800, and specificity of 0.600. Permutation testing confirmed that the classification performance was above chance.</p><p><strong>Conclusion: </strong>Motor imagery ability may be related to a combination of motor, sensory, and cognitive functions rather than any single functional domain.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46042"},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765199","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":"Survey on stroke rehabilitation in Europe (SUSTAIN-EU) to evaluate European stroke rehabilitation services.","authors":"Guna Bērziņa, Katharina S Sunnerhagen, Ayse A Küçükdeveci, Mauro Zampolini, Volodymyr Golyk, Yvona Angerova, Marco Franceschini, Daiana Popa, Catarina Aguiar Branco, Markos Sgantzos, Paolo Boldrini, Dominic Perennou, Thierry Lejeune, Xiaolei Hu","doi":"10.2340/jrm.v58.44888","DOIUrl":"10.2340/jrm.v58.44888","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the organization and delivery of post-stroke rehabilitation services across Europe, focusing on the role of Physical and Rehabilitation Medicine physicians.</p><p><strong>Design and methods: </strong>A cross-sectional online survey was conducted by the ESPRM Working Group of Stroke Rehabilitation from 30 European countries. The survey followed the International Classification of Service Organization in Rehabilitation framework and covered stroke care levels, rehabilitation services, registries, and quality control. Descriptive statistics were used for analysis.</p><p><strong>Results: </strong>With an 81% response rate, the study revealed both commonalities and disparities in service provision in 30 European countries. Stroke unit rehabilitation was available in 90% of countries, and inpatient services in 100%. However, early supported discharge (53%), community-based rehabilitation (63%), and telerehabilitation (57%) were less common. Countries joining ESPRM after 1991 had significantly lower rates of early supported discharge (-48%, p=0.01) and community-based care (-55%, p=0.02).</p><p><strong>Conclusion: </strong>Despite widespread inpatient services, major gaps remain in community- and technology-supported rehabilitation. Addressing these disparities requires targeted policy changes, altered resource allocation, and enhanced training to ensure equitable and effective stroke recovery across Europe.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44888"},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763362","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: \"Mapping the commonalities of rehabilitation: using GUIDE-rehab to open the black box of programmes across diverse health conditions\".","authors":"Paolo Boldrini, Mauro Zampolini","doi":"10.2340/jrm.v58.46449","DOIUrl":"10.2340/jrm.v58.46449","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46449"},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766071","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":"Mapping the commonalities of rehabilitation: using GUIDE-rehab to open the black box of programmes across diverse health conditions.","authors":"Stefano Negrini, Helena Burger, Paolo Capodaglio, Maria Gabriella Ceravolo, Lisa Hoogendam, Esther Janssen, Greta Jurenaite, Calogero Malfitano, Federico Pennestri, Ruud Selles, Gianluca Martino Tartaglia, Carlotte Kiekens","doi":"10.2340/jrm.v58.46211","DOIUrl":"10.2340/jrm.v58.46211","url":null,"abstract":"<p><strong>Objective: </strong>Rehabilitation is a health strategy implemented with specific programmes across multiple health conditions. This study aimed to identify rehabilitation programmes' commonalities among health conditions and partners, as required by the PREPARE (Personalised REhabilitation via Novel AI PAtient StRatification StratEgies) project.</p><p><strong>Design: </strong>Qualitative study.</p><p><strong>Subjects/patients: </strong>Seven rehabilitation programmes in Europe covering diverse health conditions were chosen according to PREPARE research needs for their availability of large clinical databases.</p><p><strong>Methods: </strong>The Guideline for Interventions Description in Rehabilitation (GUIDE-Rehab) was used to describe targets, components, and ingredients of rehabilitation programmes. These elements were mapped to the International Classification of Functioning, Disability, and Health (ICF) domains.</p><p><strong>Results: </strong>The programmes' interventions covered all ICF domains collectively, but not individually. Body functions and structures were the most frequent domains, whereas participation and contextual factors were underrepresented. Similar components (e.g., exercise, orthoses) were applied to different objectives depending on the underlying intervention theory. Pharmacological and surgical elements were also integral parts of rehabilitation programmes.</p><p><strong>Conclusion: </strong>We found differences and incomplete coverage of ICF domains in highly specialized programmes, incorporating organ-based and functioning-based approaches. Future studies should check (i) the generalizability and (ii) if results are justified by differences among health conditions or due to incomplete rehabilitation programmes/description.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46211"},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762231","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":"Effect of kinesiology taping on limb oedema in patients with severe hyper-dependency using shear-wave elastography: a randomized clinical trial.","authors":"Qiumei Li, Shaofeng Zhao, Liping Lin, Chuyao Jian, Mengying Fang, Xiaodong Tang","doi":"10.2340/jrm.v58.44783","DOIUrl":"10.2340/jrm.v58.44783","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effects of kinesiology taping on reduced limb oedema using shear-wave elastography.</p><p><strong>Methods: </strong>A randomized trial with concealed allocation and intention-to-treat analysis. Fifty patients with limb oedema were randomly allocated to 2 groups: kinesiology taping at 25% tension applied to the oedematous tissue (25% kinesiology taping), and kinesiology taping at 0% tension applied to the oedematous tissue (0% kinesiology taping). The primary outcome was the elastic coefficient of shear-wave elastography (dermis and adipose layers), and the secondary outcome was limb circumference, which were assessed at days 0, 9, and 16.</p><p><strong>Results: </strong>Compared with the 0% kinesiology taping at day 9, the 25% kinesiology taping significantly reduced the elastic coefficient of the dermis layer (12.57 kPa, 95% CI 4.97 to 20.16, p = 0.001) and adipose layer (5.29 kPa, 95% CI 2.20 to 8.38, p < 0.001), and the length of limb circumference (2.18 cm, 95% CI 0.79 to 3.56, p < 0.001). The benefits of the dermis layer (p = 0.002) and adipose layer (p = 0.005), and the limb circumference (p < 0.001) were maintained at day 16. These findings demonstrate the sustained biomechanical improvements of oedematous tissues induced by 25% kinesiology taping, providing objective clinical evidence supporting the application of kinesiology taping for limb oedema management.</p><p><strong>Conclusion: </strong>Kinesiology taping at 25% tension reduces the elastic coefficient and limb circumference of limb oedema. We recommend kinesiology taping as a complementary, synergistic adjunct to limb oedema in patients with severe hyper-dependency.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44783"},"PeriodicalIF":2.3,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724291","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 short-term efficacy of heat therapy for osteoarthritis of the hands: a systematic review and meta-analysis.","authors":"Kai Cheng, Zhongyi Zhang, Jiaju Zhou, Yi Tang, Wen Zhang, Xinyu Hu, Fangjie Guo, Peijian Tong, Shuaijie Lv","doi":"10.2340/jrm.v58.45883","DOIUrl":"10.2340/jrm.v58.45883","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate the clinical efficacy of heat therapy for hand osteoarthritis.</p><p><strong>Design: </strong>Systematic review and meta-analysis of randomized controlled trials (RCTs).</p><p><strong>Subjects/patients: </strong>9 RCTs (n = 627) from 13 identified studies included in meta-analysis.</p><p><strong>Methods: </strong>Databases were searched up to 19 December 2025. Risk of bias was assessed via RoB 2.0. Standardized mean differences (SMD) and meta-regression were calculated using Stata 17.0.</p><p><strong>Results: </strong>Heat therapy significantly reduced Visual Analog Scale (SMD = -0.60, p = 0.01), Australian/Canadian Osteoarthritis Hand Index - Pain Score and Health Assessment Questionnaire (p < 0.05), and improved grip strength (SMD = 0.43, p = 0.01). No significant changes were observed for other outcome indicators. Subgroup analysis showed multimodal therapy (paraffin: heat + mechanical compression; mud: heat + chemical/mechanical stimulation) outperformed monotherapy (-heated gloves: pure thermal) for pain (SMD = -0.85) and grip strength (SMD = 0.55). Additionally, meta--regression analysis found that longer single -treatment duration (p = 0.03) and higher weekly t-reatment frequency (p = 0.04) were key moderators for better grip strength recovery.</p><p><strong>Conclusion: </strong>Heat therapy, especially multimodal approaches, effectively alleviates short-term pain and improves grip strength in hand osteoarthritis. Clinicians may ensure adequate treatment frequency and duration to optimize outcomes.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45883"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702883","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":"Prehabilitation for patients undergoing metabolic/bariatric surgery: a retrospective cohort study using propensity score matching.","authors":"Yiling Yan, Shengdi Lu, Heming Wang, Jiayuan Peng, Lihua Huang, Yun Shen, Feng Liu","doi":"10.2340/jrm.v58.45736","DOIUrl":"10.2340/jrm.v58.45736","url":null,"abstract":"<p><strong>Importance: </strong>Multimodal prehabilitation improves outcomes in colorectal surgery, but its effectiveness and cost-effectiveness before metabolic and bariatric surgery are unknown.</p><p><strong>Objective: </strong>To evaluate the effectiveness and cost-effectiveness of a 6-week multimodal prehabilitation programme compared with standard preintervention education in patients undergoing bariatric surgery.</p><p><strong>Design, setting, and participants: </strong>Propensity score matched cohort observational study at Shanghai Tenth People's Hospital, China, January 2022 to January 2025. Sixty prehabilitation patients were matched 1:1 to 60 controls from 254 standard care candidates using nearest-neighbour matching on the logit of the propensity score. Follow-up was 12 months.</p><p><strong>Interventions: </strong>A 6-week programme of supervised exercise, nutritional counselling, and psychological support vs 2 standard preoperative counselling sessions. All patients underwent Roux-en-Y gastric bypass or sleeve gastrectomy.</p><p><strong>Main outcomes and measures: </strong>Total weight loss at 12 months. Secondary outcomes included body composition, metabolic parameters, functional capacity, patient-reported outcomes, safety, and healthcare costs.</p><p><strong>Results: </strong>Among 120 matched patients (mean [SD] age, 32.6 [5.2] years; 65.8% male; mean body mass index [BMI], 38.2 [3.2] kg/m2), total weight loss at 12 months did not differ between groups (23.7 [5.1] vs 23.4 [2.7] kg; difference, 0.3 kg; 95% CI, -1.3 to 1.8; p = 0.75). At 3 months, prehabilitation showed significantly greater weight loss (adjusted β = 2.85 kg; 95% CI, 1.77 to 3.93; p < 0.001), lower body fat, lower diastolic blood pressure, and higher Short Form-36 (SF-36) mental scores. All differences were attenuated by 6 months. No serious adverse events occurred. Total costs were modestly higher in the prehabilitation group (mean, ¥84 843 vs ¥78 051), a difference attributable almost entirely to the prehabilitation programme itself; because the incremental effect on weight loss at 12 months was not statistically significant, a meaningful incremental cost-effectiveness ratio could not be estimated.</p><p><strong>Conclusions and relevance: </strong>A 6-week multimodal prehabilitation programme accelerated early postoperative weight loss and improved short-term functional outcomes but did not improve total weight loss at 12 months. Because prehabilitation added cost without a demonstrable difference in 12-month weight loss, a cost-effectiveness advantage could not be established. The dominant metabolic effects of bariatric surgery appear to override the incremental gains of preoperative conditioning over time.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45736"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702873","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":"Psychometric properties of loaded and unloaded timed stair tests in assessing people with knee osteoarthritis.","authors":"Shamay S M Ng, Siyue Li, Peiming Chen, Eve Li, Carey K L Li, Hoi-Ying Lo, Mimi M Y Tse, Cynthia Y Y Lai","doi":"10.2340/jrm.v58.46246","DOIUrl":"10.2340/jrm.v58.46246","url":null,"abstract":"<p><strong>Objective: </strong>To compare timed stair test performance between individuals with knee osteoarthritis and healthy older adults, examine reliability under loaded and unloaded conditions, explore correlations with functional measures, and identify optimal cut-off times.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Subjects/patients: </strong>Sixty individuals with knee osteoarthritis and 30 healthy older adults.</p><p><strong>Methods: </strong>Participants completed unloaded and loaded timed stair test trials 7 days apart. Knee strength, balance, mobility, and self-reported outcomes were assessed.</p><p><strong>Results: </strong>Mean completion times for osteoarthritis participants were 23.91 s (unloaded) and 25.40 s (loaded). Intra-rater (ICC3,1 = 0.951-0.990 across raters and assessment days) and inter-rater (ICC3,2 = 0.999 [unloaded] to 1.000 [loaded]) reliabilities were excellent. Test-retest reliability was good for loaded (0.835) and excellent for unloaded (0.918) conditions. Times correlated negatively with affected side knee strength, balance, and confidence, and positively with pain severity, mobility tests, and daily activity difficulty. Optimal cut-offs were 18.67 s (unloaded) and 19.94 s (loaded), demonstrating sensitivities of 70.0% (unloaded) and 68.3% (loaded), a specificity of 86.7%, and area under the curve values of 0.78 (unloaded) and 0.77 (loaded).</p><p><strong>Conclusion: </strong>The timed stair test is a reliable, valid, and practical measure of functional performance in knee osteoarthritis, effectively distinguishing movement capability under loaded and unloaded conditions.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46246"},"PeriodicalIF":2.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671258","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":"Restoring physical function through intensive visual simulation in a ballet dancer with complex regional pain syndrome.","authors":"Lisa Stahlhofen, Rob De Bie, Davy Luneau, Jens Bansi","doi":"10.2340/jrm.v58.46105","DOIUrl":"10.2340/jrm.v58.46105","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46105"},"PeriodicalIF":2.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671286","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":"Neuropsychological consequences three years post-covid-19 are persistent and have great impact on everyday activities.","authors":"Ann Björkdahl, Jerry Larsson","doi":"10.2340/jrm.v58.45473","DOIUrl":"10.2340/jrm.v58.45473","url":null,"abstract":"<p><strong>Objective: </strong>Post-COVID-19 condition (PCC) is associated with persistent cognitive dysfunction and fatigue, but limited evidence is available regarding long-term outcomes beyond one year.</p><p><strong>Design: </strong>Longitudinal follow-up assessment.</p><p><strong>Patients: </strong>Patients who had been previously hospitalized or treated in primary care after COVID-19 infection.</p><p><strong>Methods: </strong>Cognitive performance (WAIS-III subtests, Rey Complex Figure, RAVLT, and D2 Test of Attention) and fatigue (MFI-20 and MFS) were examined in 82 participants at 18 months post-infection; 59 of these participants were reassessed at 36 months. Activity limitations were evaluated using structured interviews.</p><p><strong>Results: </strong>At 18 months, the scores on most cognitive tests were significantly below expected premorbid levels (mean differences: 7-17 T-points). At 36 months, deficits persisted in most domains, with only WAIS Matrices and D2 KL showing modest improvement (Cohen's d: ~0.4). Fatigue remained high across all dimensions of MFI-20, and 75-78% of patients exceeding the mental fatigue cut-off of MFS. Self-reported cognitive impact and activity limitations showed minimal change over time.</p><p><strong>Conclusions: </strong>Post-COVID-19 cognitive dysfunction and fatigue remain prevalent for up to three years post-infection, particularly affecting attention, processing speed, and working memory. These deficits pose substantial barriers to daily functioning and return to work, highlighting the need for targeted rehabilitation strategies.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45473"},"PeriodicalIF":2.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671276","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}