Journal of Rehabilitation Medicine最新文献

{"title":"Efficacy of a single session of anticipatory postural adjustments training to support people with Parkinson's overcoming freezing of gait: a multi-methods approach.","authors":"Yuri Russo, Zijing Wang, Jiaxi Ye, Phaedra Leveridge, Alice Nieuwboer, Mark Wilson, Meriel Norris, Elmar Kal, Sarah E Lamb, William R Young","doi":"10.2340/jrm.v57.42491","DOIUrl":"10.2340/jrm.v57.42491","url":null,"abstract":"<p><strong>Objective: </strong>To assess the efficacy of anticipatory postural adjustments training on the ability to successfully step from freezing of gait, and to evaluate the contribution of attentional processes to potential benefits using an additional attentional-control training intervention.</p><p><strong>Design: </strong>Crossover-design.</p><p><strong>Subjects/patients: </strong>Nineteen people with Parkinson's and freezing (females: 10; age:75.5 ± 7.5 years) tested while ON medication.</p><p><strong>Methods: </strong>Participants navigated a cluttered virtual domestic environment with freeze-provoking tasks. Assessments occurred in the laboratory at baseline, post-anticipatory postural adjustments training, and post-attentional-control training, with randomized training order. All training was video-based. Video annotation was used to identify freezing events. Participants' immediately recollected thoughts they had during the tasks were analysed with content analysis. Perceived safety and effectiveness of the strategies were reported in follow-up calls held 4 weeks post-assessment.</p><p><strong>Results: </strong>Successful step initiations increased from 57% at baseline to 77% post-anticipatory postural adjustments training (p = 0.034). Participants rated the interventions as safe and effective, reporting increased balance confidence (70% to 90%), and reduced fear (p = 0.01), after the anticipatory postural training. Attentional-control training alone was perceived as less effective compared with more goal-directed anticipatory postural adjustments training.</p><p><strong>Conclusion: </strong>Video-based anticipatory postural adjustments training significantly improved step initiation from freezing when used during challenging tasks and in complex environments. Anticipatory postural adjustments training shows promise as an effective \"rescue strategy\" that could be learned remotely/at home.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42491"},"PeriodicalIF":2.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082093","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":"Self-perceived barriers to returning to work among employees with a low educational level on long-term sick leave: the \"NOW WHAT\" large-scale interview study.","authors":"Linn V Lervik, Elisabeth Frostestad, Kine Strømstad, Ida G Gulliksen, Monica Lillefjell, Jens C Skogen, Elin Ekbladh, Randi W Aas","doi":"10.2340/jrm.v57.40604","DOIUrl":"10.2340/jrm.v57.40604","url":null,"abstract":"<p><strong>Objective: </strong>Because employees with low educational levels have the highest rates of sick leave, this study aimed to identify the self-perceived return-to-work barriers of employees with low educational levels on long-term sick leave.</p><p><strong>Methods: </strong>Employees on long-term sick leave with primary/secondary educational attainment were included from the NOW WHAT large-scale interview study (n = 122). The World Health Organization's system of classifying functioning, disability, and health guided the deductive content analysis.</p><p><strong>Results: </strong>1,942 meaning units describing return-to-work barriers across all classifications were identified. The most frequent components were body functions (n = 552, 28%, mean = 4.5), with mental functions (e.g., sleep, tiredness, emotional and cognitive functioning) the most frequent barriers; environmental factors (n = 414, 21%, mean = 3.4), with services, systems ,and policies (e.g., social security, healthcare system) the most prevalent barriers; activity limitations (n = 352, 18%, mean = 2.9); and personal factors (n = 323, 17%, mean = 2.6).</p><p><strong>Conclusion: </strong>Employees with low educational levels on long-term sick leave described a wide range of return-to-work barriers and combinations thereof. In addition to health-related functional barriers, identifying environmental, activity-limitation, and personal barriers is important to enhance understanding of this group's potential determinants of absence from work.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40604"},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082096","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":"Cognitive reserve and disparities in healthcare usage after traumatic brain injury and stroke: an observational cohort study.","authors":"Natascha Ekdahl, Marianne Lannsjö, Britt-Marie Stålnacke, Marika Möller","doi":"10.2340/jrm.v57.42400","DOIUrl":"10.2340/jrm.v57.42400","url":null,"abstract":"<p><strong>Background: </strong>Individuals with more education commonly have better outcome after brain injury, often attributed to cognitive reserve. However, evidence suggests that individuals with more education have better access to specialized care, potentially affecting outcomes.</p><p><strong>Objective: </strong>To investigate differences in healthcare usage based on cognitive reserve and examine the relationship between healthcare usage and outcomes after stroke and traumatic brain injury.</p><p><strong>Design: </strong>An observational cohort study with healthcare usage data from 3 years before to 4 years after injury, interviewing patients 5-15 years after injury.</p><p><strong>Patients: </strong>A total of 83 participants suffering a stroke or traumatic brain injury.</p><p><strong>Results: </strong>Healthcare usage over time varied based on educational level (repeated measures ANOVA, F(2, 227) = 4.17, p = 0.008). The differences in healthcare usage between educational levels was significant during the injury year (F(81) = -5.47, p = 0.022). Higher education implied more healthcare usage. Linear regression, controlling for possible confounders, confirmed the relationship between education and healthcare usage, (β = 4.3, p = 0.022). Healthcare usage was significantly related to long-term life satisfaction, but not to return to work.</p><p><strong>Conclusion: </strong>Individuals with more education received more healthcare in the year after traumatic brain injury or stroke. However, this was not related to long-term outcome regarding return to work, but we found a relationship between healthcare usage and life satisfaction.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42400"},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058634","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":"Tele-rehabilitation using transcranial direct current stimulation combined with exercise in people with spinal cord injury: a randomized controlled trial.","authors":"Thanwarat Chantanachai, Irin Apiworajirawit, Pipat Klamruen, Benchaporn Aneksan, Paradee Auvichayapat, Alexandra Lackmy-Vallée, Wanalee Klomjai","doi":"10.2340/jrm.v57.42353","DOIUrl":"https://doi.org/10.2340/jrm.v57.42353","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the effects of home-based transcranial direct current stimulation combined with exercise on motor and sensory function, spasticity, functional and transfer performance, and quality of life.</p><p><strong>Design: </strong>A prospective, double-blind, randomized, sham-controlled trial.</p><p><strong>Subjects and methods: </strong>Thirty individuals with SCI were allocated to receive either active transcranial direct current stimulation or sham transcranial direct current stimulation, followed by the same tele-rehabilitation programme, for 12 sessions over 4 weeks (3 sessions/week). Each session included 20 min of transcranial direct current stimulation followed by 1 h of tele-supervised exercise. Primary outcome was the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Secondary outcomes included (i) the upper limb muscle strength evaluated by hand-held dynamometer, (ii) spasticity evaluated by H reflex and modified-Modified Ashworth Scale, (iii) functional performance assessed by the spinal cord independence measure III, (iv) transfer performance assessed by the transfer assessment instrument, and (v) quality of life assessed by WHOQOL-BREF. Outcomes were assessed at baseline, post-intervention, and 1-month follow-up.</p><p><strong>Results: </strong>Two-way mixed ANOVA revealed an interaction effects between group and time (F(1,18)=4.49, p=0.043) and main effects of time (F(1,18)=7.82, p=0.009). Bonferroni post-hoc analysis showed a significant improvement only within the active group at 1-month follow-up (p=0.002) for the upper extremity motor scores (UEMS). No significant differences were observed for any of the secondary outcomes.</p><p><strong>Conclusion: </strong>The effect of 12 sessions of home-based transcranial direct current stimulation combined with exercise was limited to improved upper limb motor recovery, with after-effect at 1-month post-intervention as compared with exercise alone. No improvements were found in sensory function, spasticity, functional and transfer performance, and quality of life. However, this intervention appeared to be feasible, safe, and well-adhered to and provides insight into the use of transcranial direct current stimulation as a tool for tele-rehabilitation in a spinal cord injury outpatient population.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42353"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058602","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 Czech Fugl-Meyer assessment for post-stroke sensorimotor function: translation and cross-cultural adaptation and validation.","authors":"Barbora Kolářová, Petra Gaul-Aláčová, Nicole Musilová, Anna Majerová, Margit Alt Murphy","doi":"10.2340/jrm.v57.43010","DOIUrl":"10.2340/jrm.v57.43010","url":null,"abstract":"<p><strong>Objective: </strong>To ensure wider use of the internationally recommended Fugl-Meyer Assessment (FMA) of sensorimotor function for people with stroke, official translations of the scale are needed. This study aimed to perform a translation and cross-cultural adaptation/validation of the FMA into the Czech language.</p><p><strong>Design: </strong>Translation and cross-cultural adaptation/validation.</p><p><strong>Subjects/patients: </strong>Five clinical experts and 1 external expert participated as reviewers; 11 individuals with stroke in the early subacute phase were included in the pilot testing.</p><p><strong>Methods: </strong>A standardized process using forward-backward translations, expert panel reviews, and pilot testing between and within the raters (inter- and intra-rater reliability) were employed to ensure conceptual, semantic, and operational validity of the new Czech FMA. Agreement between raters was assessed in 11 individuals with stroke on 2 consecutive days at University Hospital Olomouc by using Svensson's rank-based statistics.</p><p><strong>Results: </strong>Percentage of agreement between and within raters ranged between 70-100% and 55-100%, respectively. Systematic disagreements, found in 7 out of 96 FMA items, were discussed and revised in the final version.</p><p><strong>Conclusion: </strong>The Czech FMA offers a more unified and standardized assessment of sensorimotor impairment in clinical and research settings. This will improve stroke rehabilitation care and allow for wider international collaboration.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43010"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048508","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":"Global research trends in aquatic exercise therapy for musculoskeletal disorders: a bibliometric analysis.","authors":"Wei Guo, Xiaowei Feng, Weiping Du","doi":"10.2340/jrm.v57.42473","DOIUrl":"https://doi.org/10.2340/jrm.v57.42473","url":null,"abstract":"<p><strong>Objective: </strong>Aquatic exercise therapy has gained recognition as a valuable non-pharmacological intervention for managing musculoskeletal disorders. Despite the growing body of evidence supporting its efficacy, research on aquatic exercise therapy remains fragmented, with limited understanding of key trends, influential studies, and evolving themes within the field. This study aims to conduct a comprehensive bibliometric analysis to identify publication trends, key authors, and the evolution of research themes in aquatic exercise therapy for musculoskeletal disorders.</p><p><strong>Methods: </strong>A total of 117 articles were selected based on predefined search terms and inclusion criteria, resulting in 3,985 citations, with an average of 35.9 citations per article and an H-index of 37.</p><p><strong>Results: </strong>Publications surged between 2013 and 2024, accounting for 88.3% of total output. Peaks occurred in 2019 (n = 14) and 2022 (n = 368 citations). Key contributors include Mariana Arias Avila and Basia Belza, with journals such as BMC Musculoskeletal Disorders and Arthritis & Rheumatism-Arthritis Care & Research playing pivotal roles. Research trends shifted from disease-specific studies to broader quality-of-life outcomes, with keywords such as \"rheumatoid arthritis\", \"balneotherapy\", and \"quality of life\" emerging as focal points.</p><p><strong>Conclusion: </strong>The findings underscore the growing importance of aquatic exercise therapy in clinical rehabilitation and suggest that future research should focus on long-term outcomes, underrepresented populations, and the integration of aquatic exercise therapy with emerging rehabilitation technologies.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42473"},"PeriodicalIF":2.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006402","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":"Cost-effectiveness of cognitive behavioural therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury.","authors":"Duncan Mortimer, Lucy Ymer, Adam McKay, Dana Wong, Kate Frencham, Natalie Grima, Monique Roper, Sylvia Nguyen, Jade Murray, Gershon Spitz, Jennie Ponsford","doi":"10.2340/jrm.v57.42770","DOIUrl":"10.2340/jrm.v57.42770","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate cost, effectiveness and cost-effectiveness of cognitive behavioural therapy for sleep and fatigue (CBT-SF) vs health education (HE) and of CBT-SF vs treatment as usual (TAU) for sleep disturbance and fatigue in acquired brain injury.</p><p><strong>Design: </strong>Economic evaluation from Australian health system and societal perspectives based on data from a June 2017 to October 2023 randomized controlled trial.</p><p><strong>Subjects: </strong>Community-dwelling Australian adults with sleep disturbance and fatigue following acquired brain injury (n = 126).</p><p><strong>Methods: </strong>Incremental health system costs based on cost of delivery and health service utilization since last follow-up. Incremental effectiveness based on participant-reported sleep quality, fatigue, and quality of life at each timepoint. Productivity gains/losses based on a 1-week activity diary at each timepoint.</p><p><strong>Results: </strong>Reductions in health service utilization from CBT-SF (-A$777, 95% CI: -A$4,232, A$2,678) offset higher delivery costs (A$333, 95% CI: A$109, A$556) relative to HE, with improvements in quality of life at 2 months post-treatment (0.02, 95% CI: -0.01, 0.05) and an additional 3.37 quality-adjusted life days per participant (95% CI: -4.18, 10.92). CBT-SF dominates HE (less costly and more effective) and is likely more cost-effective than HE (66-76%). CBT-SF is cost-effective relative to TAU under realistic assumptions.</p><p><strong>Conclusions: </strong>CBT-SF after acquired brain injury improved clinical and economic outcomes and was more likely to be cost-effective than HE. Further research is required to precisely estimate the cost-effectiveness of CBT-SF vs TAU and to demonstrate generalizability to routine practice and other settings. ANZCTR Trial registration numbers: 1261700087830; 12617000879369.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42770"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057856","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 of changes in subjective symptoms among Japanese polio survivors over 10 years.","authors":"Fumi Toda, Koshiro Sawada, Daisuke Imoto, Kazuya Hayashi, Shun Fujii, Eiichi Saitoh, Yohei Otaka","doi":"10.2340/jrm.v57.42213","DOIUrl":"https://doi.org/10.2340/jrm.v57.42213","url":null,"abstract":"<p><strong>Objective: </strong>To define long-term changes in subjective symptoms among polio survivors in Japan.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Patients: </strong>Sixty-five polio survivors.</p><p><strong>Methods: </strong>Surveys were conducted on subjective symptoms including muscle weakness and limb atrophy during 2007 and 2021. The results of manual muscle tests of the upper and lower limbs on both sides during 2007 were summed and scored, and the side with lower scores was defined as the poor side. The participants were classified as younger or older groups based on the median age at the first survey (i.e., 58 years old) and the subjective symptoms were compared between the two groups.</p><p><strong>Results: </strong>As a whole, muscle atrophy and weakness progressed in the lower and upper limbs while fatigue was reduced. Muscle weakness progressed especially in the lower limbs on the poor side in the younger group, and in the older group it progressed in the lower limbs on the good side and the upper limbs on the poor side.</p><p><strong>Conclusion: </strong>The timing of progressive muscle weakness differed between the upper and lower limbs of younger and older polio survivors.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42213"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057869","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":"Experiences of participation in cardiorespiratory training among people with post-stroke fatigue: a qualitative study.","authors":"Maria Svedjebrant, Anna Bråndal, Ylva Nilsagård","doi":"10.2340/jrm.v57.42282","DOIUrl":"https://doi.org/10.2340/jrm.v57.42282","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experiences of 8-week thrice-weekly supervised intense cardiorespiratory interval training at home in people with post-stroke fatigue.</p><p><strong>Design: </strong>Qualitative, using semi-structured individual interviews.</p><p><strong>Methods: </strong>Eleven people with post-stroke fatigue were recruited from a study investigating the effects of supervised intense cardiorespiratory interval training. The interviews were conducted 1-2 weeks after the intervention period and analysed inductively with qualitative content analysis.</p><p><strong>Results: </strong>The theme \"Supervised cardiorespiratory interval training at home was perceived as feasible and safe, reducing fatigue and contributing to enhanced self-efficacy in both exercise and everyday life\" was based on 4 main categories: \"Experiences of performing the intervention and testing, \"Perceived impact of the intervention on fatigue\", \"Perceived impact of the intervention on self-efficacy\", and \"The reinforcing experiences of exercise transfer to everyday life\". The informants reported that participating in the intervention made them feel physically and mentally stronger and no longer restricted by a lack of confidence in performing activities that increased their heart rate.</p><p><strong>Conclusions: </strong>Participating in supervised intense cardiorespiratory interval training provided a model on how to train, which was transferable to other contexts in everyday life. The training improved exercise self-efficacy and gave the informants the confidence to challenge themselves in everyday life.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42282"},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053179","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 \"Effect of baseline values on inpatient rehabilitation outcomes after total knee arthroplasty: a retrospective observational study\".","authors":"Ahmad Furqan Anjum","doi":"10.2340/jrm.v57.43092","DOIUrl":"10.2340/jrm.v57.43092","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43092"},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804880","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}