Ann Björkdahl, Annika Khalif, Marie Gustafsson, Ann-Charlotte Lindström, Filip Bergquist
{"title":"Outcomes of rehabilitation following device-aided therapy start in parkinson's disease: a randomized controlled trial.","authors":"Ann Björkdahl, Annika Khalif, Marie Gustafsson, Ann-Charlotte Lindström, Filip Bergquist","doi":"10.2340/jrm.v58.46068","DOIUrl":"10.2340/jrm.v58.46068","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding tailored primary care rehabilitation to Device-Aided Therapy in Parkinson's disease improves outcomes more than Device-Aided Therapy alone.</p><p><strong>Design: </strong>Open randomized controlled intervention trial.</p><p><strong>Subjects/patients: </strong>Parkinson's patients initiating Device-Aided Therapy.</p><p><strong>Methods: </strong>Participants were randomized to receive standard care either with or without 3 months of tailored primary care rehabilitation. The primary outcome was Assessment of Motor and Process Skills, while secondary outcomes included cognitive measures and overall treatment efficacy.</p><p><strong>Results: </strong>The study was completed by 45 of 54 included patients. The primary outcome variable indicated that rehabilitation resulted in better maintenance of patient motor skills at 6 and 12 months. However, among several secondary measures, only perceived health improved more in the intervention group. Motor fluctuations improved in both groups and several other disease-specific scales demonstrated non-significant improvements. The rehabilitation group showed better cognitive performance at 12 months.</p><p><strong>Conclusion: </strong>Motor skills and perceived health were improved by a 3-month rehabilitation period after the start of Device-Aided Therapy for advanced Parkinson's disease. An observed positive effect of rehabilitation on cognition in the first year after the therapy requires further confirmation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46068"},"PeriodicalIF":2.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671249","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":"Bone health after lung transplantation: a case report.","authors":"Vanessa Lee, Paula Bermel, James Foster","doi":"10.2340/jrm.v58.46110","DOIUrl":"10.2340/jrm.v58.46110","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46110"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563733","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}
Andrea Calderone, Carmela Rifici, Donatella Bonaiuti, Alfredo Manuli, Daniele Bruschetta, Marco Piccione, Tina Balletta, Angelo Quartarone, Rocco Salvatore Calabrò
{"title":"Long-term medical and psychosocial vulnerability after home return following severe traumatic brain injury.","authors":"Andrea Calderone, Carmela Rifici, Donatella Bonaiuti, Alfredo Manuli, Daniele Bruschetta, Marco Piccione, Tina Balletta, Angelo Quartarone, Rocco Salvatore Calabrò","doi":"10.2340/jrm.v58.46093","DOIUrl":"10.2340/jrm.v58.46093","url":null,"abstract":"<p><strong>Objective: </strong>To identify a 5-year medical and psychosocial vulnerability profile among adults living at home 1 year after severe TBI and examine associated early characteristics.</p><p><strong>Design: </strong>Retrospective secondary analysis of a multicentre longitudinal cohort.</p><p><strong>Subjects/patients: </strong>Adults aged 16 years or older with operationally defined severe traumatic brain injury, private residence at 1 year, linked 5-year follow-up, and complete data for 4 profile indicators.</p><p><strong>Methods: </strong>Latent class analysis used 5-year rehospitalization, PHQ-9, GAD-7, and Satisfaction With Life Scale scores dichotomized with prespecified clinically interpretable thresholds. External rehabilitation outcomes and early associated factors were examined descriptively and with multivariable logistic regression.</p><p><strong>Results: </strong>Among 2,835 participants, a 2-class solution identified a lower-vulnerability profile (n = 2,361) and a multidomain vulnerability profile (n = 474). The latter showed more depressive symptoms, anxiety symptoms, low life satisfaction, and rehospitalization, with poorer 5-year functioning, participation, health, productive status, and higher frequency of non-private residence. Better 1-year global outcome was protective; female sex, preinjury illicit drug use, and living alone at 1 year were associated with assignment to this profile.</p><p><strong>Conclusion: </strong>Home return after severe traumatic brain injury should be treated as a transition point for longitudinal rehabilitation surveillance.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46093"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563780","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}
Yue Yang, Lianchi Li, Jing Ye, Hongxia Pan, Jianmei Zhang, Li Zeng, Yuyang Long, Xinling Gan
{"title":"Autonomous bladder training for neurogenic bladder: a randomized controlled trial.","authors":"Yue Yang, Lianchi Li, Jing Ye, Hongxia Pan, Jianmei Zhang, Li Zeng, Yuyang Long, Xinling Gan","doi":"10.2340/jrm.v58.45818","DOIUrl":"10.2340/jrm.v58.45818","url":null,"abstract":"<p><strong>Background: </strong>Neurogenic bladder causes impaired bladder emptying, urinary complications, and reduced quality of life. This trial evaluated whether structured multimodal autonomous bladder training improves bladder function in patients with neurogenic bladder.</p><p><strong>Methods: </strong>In this single-centre randomized controlled trial, 168 adults were assigned 1:1 to autonomous bladder training plus routine rehabilitation care or routine care alone. The 4-week intervention included induced voiding, sensory awareness training, pelvic floor muscle training, bladder-sphincter coordination exercises, and bladder desensitization. The primary outcome was change in post-void residual urine volume (RUV) at 4 weeks. Secondary outcomes included urodynamic parameters, Neurogenic Bladder Symptom Score (NBSS), symptomatic urinary tract infection (UTI) requiring antibiotics, and adverse events.</p><p><strong>Results: </strong>At 4 weeks, RUV improved more with autonomous bladder training than with routine care (adjusted mean difference in change, -55.8 mL; 95% CI, -64.7 to -46.9). Maximum urinary flow rate, maximum detrusor pressure, and NBSS also favoured the intervention. RUV reduction ≥50 mL occurred in 79.8% versus 42.9% of participants. Symptomatic UTI requiring antibiotics occurred in 9.5% versus 27.4%, although urine culture confirmation was incomplete. Exploratory 12-week follow-up suggested partial maintenance of benefit. Adverse events were uncommon, and no serious adverse events occurred.</p><p><strong>Conclusions: </strong>Autonomous bladder training improved short-term urodynamic and patient-reported outcomes, with exploratory evidence of partial benefit maintenance at 12 weeks. Infection-related findings require cautious interpretation because culture confirmation was incomplete. Longer multicentre trials are warranted.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45818"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563740","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}
Eivind Lundgaard, Hanna Kraggerud, Charlotta Hamre, Matthijs Wouda
{"title":"Lung function and ventilatory response during high-intensity treadmill walking in adults with cerebral palsy: a cross-sectional study.","authors":"Eivind Lundgaard, Hanna Kraggerud, Charlotta Hamre, Matthijs Wouda","doi":"10.2340/jrm.v58.44817","DOIUrl":"10.2340/jrm.v58.44817","url":null,"abstract":"<p><strong>Objective: </strong>To investigate lung function and ventilatory response during cardiopulmonary exercise testing in adults with cerebral palsy and assess the relationship between perceived breathlessness and breathing reserve at maximal exertion.</p><p><strong>Design: </strong>Prospective, cross-sectional study. Inclusion period October 2023-June 2024.</p><p><strong>Subjects: </strong>Adults with spastic cerebral palsy, Gross Motor Function Classification Score (GMFCS) I-III (n = 100).</p><p><strong>Methods: </strong>Spirometry and cardiopulmonary exercise testing were conducted. Ventilatory response during exercise was assessed via tidal volume and respiratory rate. Perceived breathlessness was compared with breathing reserve at maximal exertion.</p><p><strong>Results: </strong>89 participants completed all tests (GMFCS I = 62, GMFCS II = 20, GMFCS III = 7); 90% had lung function within normal limits. Age- and sex-adjusted maximal oxygen uptake was lowest in group III (p < 0.01). At maximal exertion, 70% had breathing reserve < 20%, indicating ventilatory limitation. Breathing reserve did not significantly differ between those who did and did not report breathlessness as the limiting factor at maximal exertion. Tidal volume and respiratory rate showed expected values at maximal exertion.</p><p><strong>Conclusion: </strong>Lung function was normal in most participants, yet ventilatory limitations were common during maximal exercise. Perceived breathlessness was not related to breathing reserve at maximal exertion.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44817"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13410302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563726","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}
Samuel David Williamson, Magnus Møller Andersen, Anders Orup Aaby, Marianne Rahbek Vestergaard, Sophie Lykkegaard Ravn
{"title":"The Combined Use of Non-Invasive Neurostimulation with Interactive Digital Technologies in Spinal Cord Injury Rehabilitation: A Scoping Review.","authors":"Samuel David Williamson, Magnus Møller Andersen, Anders Orup Aaby, Marianne Rahbek Vestergaard, Sophie Lykkegaard Ravn","doi":"10.2340/jrm.v58.45747","DOIUrl":"10.2340/jrm.v58.45747","url":null,"abstract":"<p><strong>Objective: </strong>To map the empirical evidence regarding the combined use of non-invasive neurostimulation with interactive digital technologies in spinal cord injury rehabilitation.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Methods: </strong>Seven databases facilitated a systematic, 3-block search. Additional searches were performed in Google Scholar, PEDro, and via forward and backward snowballing. Studies were required to report original, clinical data from individuals with spinal cord injury participating in interventions that combine non-invasive neurostimulation with interactive digital technologies. Screening and data extraction were performed by 2 independent reviewers according to pre-specified criteria.</p><p><strong>Results: </strong>A total of 494 unique records were identified via the database searches, in addition to the 34 unique records identified via additional searches. Twelve studies met the eligibility criteria. Eleven studies delivered peripheral neurostimulation (i.e., neuromuscular/functional electrical stimulation), and 1 study delivered spinal-directed neurostimulation (i.e., transcutaneous spinal cord stimulation). Interactive digital technologies ranged from manual interfaces controlling 2D avatars to immersive, autonomous closed-loop feedback systems.</p><p><strong>Conclusion: </strong>The accumulated evidence suggests that combining non-invasive neurostimulation with interactive digital technologies may enhance task-specific motor recovery and engagement in spinal cord injury rehabilitation. However, the research area is characterized by a low evidentiary standard, prompting a need for higher-quality studies to establish long-term clinical viability.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45747"},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537648","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}
Ann Karin Margareta Sörbo, Ragnhild Ingeborg Björklund
{"title":"Outpatient rehabilitation can prevent suicide after acquired brain injury.","authors":"Ann Karin Margareta Sörbo, Ragnhild Ingeborg Björklund","doi":"10.2340/jrm.v58.45256","DOIUrl":"10.2340/jrm.v58.45256","url":null,"abstract":"<p><strong>Objective: </strong>The frequency of suicide after stroke and traumatic brain injury has been found to be higher than in the general population. This article presents an outpatient rehabilitation programme for adults with acquired brain injuries and compares the frequency of suicides among treated patients with that in a matched control group.</p><p><strong>Methods: </strong>A registry study was supplemented with reviews of medical records. Data were obtained from the Swedish Cause of Death Register, and 5 controls for each patient treated by the Outpatient Brain Injury Team were identified in the Swedish National Patient Register. Controls were matched by ICD-9 or ICD-10 diagnosis codes, age, gender, and date of first delivery of care.</p><p><strong>Results: </strong>A total of 591 patients were included in the treated group, and 2,932 individuals were included in the control group. No suicides were identified in the treated group, whereas 26 cases classified as intentional self-harm and a total of 40 suicides, including 14 probable suicides coded as events of undetermined intent, were identified among the controls.</p><p><strong>Conclusion: </strong>Treatment by a specialized outpatient rehabilitation team may help reduce suicide risk. A follow-up rehabilitation programme should be considered for patients who have sustained a brain injury.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45256"},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537556","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":"Efficacy of kinesiotaping during rehabilitation following total knee arthroplasty: a prospective randomised controlled trial.","authors":"Ahmed Al-Saadi, Bernd Wegener, Andreas Veihelmann","doi":"10.2340/jrm.v58.44964","DOIUrl":"10.2340/jrm.v58.44964","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding kinesiotaping to standard inpatient rehabilitation reduces early postoperative swelling and improves function after total knee arthroplasty.</p><p><strong>Design: </strong>Prospective, randomized, controlled clinical trial.</p><p><strong>Patients: </strong>136 randomized post-total knee arthroplasty inpatients; 102 completed (kinesiotaping n = 51; control n = 51).</p><p><strong>Methods: </strong>Both groups received a standardized 3-week programme. Kinesiotaping was applied by a trained physician following K-Active protocols from postoperative day 10 to day 25. The primary outcome was change in knee circumference (cm) from day 10 to day 25. Secondary outcomes were numeric rating scale pain, passive range of motion, and functional tests (Timed Up and Go, chair stand, 10-m walk).</p><p><strong>Results: </strong>Swelling reduction was greater with kinesiotaping: mean change 2.1 (SD 1.7) cm vs 0.9 (1.4) cm; mean difference 1.2 cm (95% CI 0.7-1.7), p < 0.001. Flexion gain was larger with kinesiotaping: 18.3° (7.7°) vs 14.4° (10.0°); mean difference 3.9° (95% CI 0.4-7.4), p = 0.03. Pain reduction and other secondary outcomes did not differ significantly. No kinesiotaping-related adverse events occurred.</p><p><strong>Conclusion: </strong>Kinesiotaping added to standard rehabilitation reduced early postoperative knee swelling and produced a small improvement in flexion after total knee arthroplasty. Further work should examine durability and patient-centred outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT06831682. Registration date: February 8, 2025.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44964"},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474368","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 scoping review of outcome and outcome measure sets for adults with spinal cord injury, stroke, and traumatic brain injury.","authors":"Snigdha Widge, Ahlam Zidan, Alyson Kwok, Mahtab Azhdar, Sarah Kalis, Liz Dennett, Erin McCabe","doi":"10.2340/jrm.v58.45634","DOIUrl":"10.2340/jrm.v58.45634","url":null,"abstract":"<p><strong>Background: </strong>Standardized outcome measurement is essential for embedding neurorehabilitation within learning health systems. However, existing core outcome sets and standard outcome measure sets for stroke, traumatic brain injury, and spinal cord injury have not been synthesized across conditions.</p><p><strong>Objective: </strong>To synthesize outcome domains and measures included in core outcome sets and standard outcome measure sets for stroke, traumatic brain injury, and spinal cord injury, and examine involvement of persons with lived experience in their development.</p><p><strong>Methods: </strong>A scoping review was conducted following JBI methodology and PRISMA-ScR guidelines. MEDLINE, Embase, CINAHL, and PsycINFO were searched (May 2025). Studies describing development or evaluation of core outcome sets or standard outcome measure sets for adults with stroke, traumatic brain injury, or spinal cord injury were included. Outcomes and measures were mapped to the International Classification of Functioning, Disability and to \"meaningful outcomes\".</p><p><strong>Results: </strong>Forty-eight studies were included. Over half (54%) of meaningful outcomes were shared across all 3 conditions; however, only 3% of outcome measures were recommended across conditions. Measures were absent for some patient-prioritized domains, including accessible environments and attitudes of others. Persons with lived experience were involved in 35% of studies.</p><p><strong>Conclusion: </strong>While rehabilitation priorities are conceptually aligned across conditions, measurement remains fragmented and patient engagement is limited. Harmonized, patient-informed, and implementable outcome strategies are needed to support learning health systems-driven neurorehabilitation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45634"},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474277","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":"Theories, models, and frameworks in implementation science in the context of rehabilitation research: a scoping review.","authors":"Maarit Karhula, Hennariikka Heinijoki, Riitta Seppänen-Järvelä","doi":"10.2340/jrm.v58.46016","DOIUrl":"10.2340/jrm.v58.46016","url":null,"abstract":"<p><strong>Objective: </strong>This review explores the use of implementation science theories, models, and frameworks in rehabilitation research by describing study characteristics and assessing how the applied theories, models, and frameworks align with study purposes.</p><p><strong>Methods: </strong>In the scoping review, peer-reviewed articles published in English between January 2010 and October 2023 were identified from 5 datbases. Eligible studies applied or were informed by implementation science theories, models, and frameworks in any rehabilitation cotext. Data extraction covered publication characteristics, target populations, setings, study designs, used theories, models, and frameworks, and study purposes. Descriptive statistics and deductive analysis were used to synthesize findings.</p><p><strong>Results: </strong>Of 2,277 citations, 121 articles met the inclusion criteria. Most of the articles focused on neurological and paediatric rehabilitation, with qualitative and mixed-methods designs predominating. A total of 34 theories, models, and frameworks were identified, mainly determinant frameworks and process models. Theories, models, and frameworks were primarily used to identify barriers and facilitators, evaluate implementation outcomes, and describe implementation processes. However, theories, models, and frameworks selection did not always align with the study purpose.</p><p><strong>Conclusion: </strong>The use of theories, models, and frameworks in rehabilitation research is increasing but remains limited. Their systematic and purposeful application is needed to enhance the usability and transferability of research findings, thereby bridging the research-practice gap, sustaining evidence-based interventions, and informing policy.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46016"},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474408","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}