Journal of Applied Biomechanics最新文献_第3页

Tapping Into Skeletal Muscle Biomechanics for Design and Control of Lower Limb Exoskeletons: A Narrative Review. 利用骨骼肌生物力学设计和控制下肢外骨骼：叙述性综述。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-09-26 Print Date: 2023-10-01 DOI: 10.1123/jab.2023-0046

Zahra S Mahdian, Huawei Wang, Mohamed Irfan Mohamed Refai, Guillaume Durandau, Massimo Sartori, Mhairi K MacLean

{"title":"Tapping Into Skeletal Muscle Biomechanics for Design and Control of Lower Limb Exoskeletons: A Narrative Review.","authors":"Zahra S Mahdian, Huawei Wang, Mohamed Irfan Mohamed Refai, Guillaume Durandau, Massimo Sartori, Mhairi K MacLean","doi":"10.1123/jab.2023-0046","DOIUrl":"https://doi.org/10.1123/jab.2023-0046","url":null,"abstract":"Lower limb exoskeletons and exosuits (\"exos\") are traditionally designed with a strong focus on mechatronics and actuation, whereas the \"human side\" is often disregarded or minimally modeled. Muscle biomechanics principles and skeletal muscle response to robot-delivered loads should be incorporated in design/control of exos. In this narrative review, we summarize the advances in literature with respect to the fusion of muscle biomechanics and lower limb exoskeletons. We report methods to measure muscle biomechanics directly and indirectly and summarize the studies that have incorporated muscle measures for improved design and control of intuitive lower limb exos. Finally, we delve into articles that have studied how the human-exo interaction influences muscle biomechanics during locomotion. To support neurorehabilitation and facilitate everyday use of wearable assistive technologies, we believe that future studies should investigate and predict how exoskeleton assistance strategies would structurally remodel skeletal muscle over time. Real-time mapping of the neuromechanical origin and generation of muscle force resulting in joint torques should be combined with musculoskeletal models to address time-varying parameters such as adaptation to exos and fatigue. Development of smarter predictive controllers that steer rather than assist biological components could result in a synchronized human-machine system that optimizes the biological and electromechanical performance of the combined system.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 5","pages":"318-333"},"PeriodicalIF":1.4,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41120981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Narrative Review of Personalized Musculoskeletal Modeling Using the Physiome and Musculoskeletal Atlas Projects. 使用生理学和肌肉骨骼图谱项目进行个性化肌肉骨骼建模的叙述性综述。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-22 Print Date: 2023-10-01 DOI: 10.1123/jab.2023-0079

Justin Fernandez, Vickie Shim, Marco Schneider, Julie Choisne, Geoff Handsfield, Ted Yeung, Ju Zhang, Peter Hunter, Thor Besier

引用次数: 1

Modeling Human Suboptimal Control: A Review. 人类次优控制建模：综述。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-16 Print Date: 2023-10-01 DOI: 10.1123/jab.2023-0015

Alex Bersani, Giorgio Davico, Marco Viceconti

{"title":"Modeling Human Suboptimal Control: A Review.","authors":"Alex Bersani, Giorgio Davico, Marco Viceconti","doi":"10.1123/jab.2023-0015","DOIUrl":"10.1123/jab.2023-0015","url":null,"abstract":"This review paper provides an overview of the approaches to model neuromuscular control, focusing on methods to identify nonoptimal control strategies typical of populations with neuromuscular disorders or children. Where possible, the authors tightened the description of the methods to the mechanisms behind the underlying biomechanical and physiological rationale. They start by describing the first and most simplified approach, the reductionist approach, which splits the role of the nervous and musculoskeletal systems. Static optimization and dynamic optimization methods and electromyography-based approaches are summarized to highlight their limitations and understand (the need for) their developments over time. Then, the authors look at the more recent stochastic approach, introduced to explore the space of plausible neural solutions, thus implementing the uncontrolled manifold theory, according to which the central nervous system only controls specific motions and tasks to limit energy consumption while allowing for some degree of adaptability to perturbations. Finally, they explore the literature covering the explicit modeling of the coupling between the nervous system (acting as controller) and the musculoskeletal system (the actuator), which may be employed to overcome the split characterizing the reductionist approach.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":" ","pages":"294-303"},"PeriodicalIF":1.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Digital Twin Framework for Precision Neuromusculoskeletal Health Care: Extension Upon Industrial Standards. 精确神经肌肉骨骼健康护理的数字双框架：工业标准的扩展。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-11 Print Date: 2023-10-01 DOI: 10.1123/jab.2023-0114

David J Saxby, Claudio Pizzolato, Laura E Diamond

{"title":"A Digital Twin Framework for Precision Neuromusculoskeletal Health Care: Extension Upon Industrial Standards.","authors":"David J Saxby, Claudio Pizzolato, Laura E Diamond","doi":"10.1123/jab.2023-0114","DOIUrl":"10.1123/jab.2023-0114","url":null,"abstract":"There is a powerful global trend toward deeper integration of digital twins into modern life driven by Industry 4.0 and 5.0. Defense, agriculture, engineering, manufacturing, and urban planning sectors have thoroughly incorporated digital twins to great benefit across their respective product lifecycles. Despite clear benefits, a digital twin framework for health and medical sectors is yet to emerge. This paper proposes a digital twin framework for precision neuromusculoskeletal health care. We build upon the International Standards Organization framework for digital twins for manufacturing by presenting best available computational models within a digital twin framework for clinical application. We map a use case for modeling Achilles tendon mechanobiology, highlighting how current modeling practices align with our proposed digital twin framework. Similarly, we map a use case for advanced neurorehabilitation technology, highlighting the role of a digital twin in control of systems where human and machine are interfaced. Future work must now focus on creating an informatic representation to govern how digital data are passed to, from, and within the digital twin, as well as specific standards to declare which measurement systems and modeling methods are acceptable to move toward widespread use of the digital twin framework for precision neuromusculoskeletal health care.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":" ","pages":"347-354"},"PeriodicalIF":1.4,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10332740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Predicting Gait Patterns of Children With Spasticity by Simulating Hyperreflexia. 模拟反射亢进预测痉挛儿童步态模式。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-02 Print Date: 2023-10-01 DOI: 10.1123/jab.2023-0022

Kirsten Veerkamp, Christopher P Carty, Niels F J Waterval, Thomas Geijtenbeek, Annemieke I Buizer, David G Lloyd, Jaap Harlaar, Marjolein M van der Krogt

{"title":"Predicting Gait Patterns of Children With Spasticity by Simulating Hyperreflexia.","authors":"Kirsten Veerkamp, Christopher P Carty, Niels F J Waterval, Thomas Geijtenbeek, Annemieke I Buizer, David G Lloyd, Jaap Harlaar, Marjolein M van der Krogt","doi":"10.1123/jab.2023-0022","DOIUrl":"10.1123/jab.2023-0022","url":null,"abstract":"Spasticity is a common impairment within pediatric neuromusculoskeletal disorders. How spasticity contributes to gait deviations is important for treatment selection. Our aim was to evaluate the pathophysiological mechanisms underlying gait deviations seen in children with spasticity, using predictive simulations. A cluster analysis was performed to extract distinct gait patterns from experimental gait data of 17 children with spasticity to be used as comparative validation data. A forward dynamic simulation framework was employed to predict gait with either velocity- or force-based hyperreflexia. This framework entailed a generic musculoskeletal model controlled by reflexes and supraspinal drive, governed by a multiobjective cost function. Hyperreflexia values were optimized to enable the simulated gait to best match experimental gait patterns. Three experimental gait patterns were extracted: (1) increased knee flexion, (2) increased ankle plantar flexion, and (3) increased knee flexion and ankle plantar flexion when compared with typical gait. Overall, velocity-based hyperreflexia outperformed force-based hyperreflexia. The first gait pattern could mostly be explained by rectus femoris and hamstrings velocity-based hyperreflexia, the second by gastrocnemius velocity-based hyperreflexia, and the third by gastrocnemius, soleus, and hamstrings velocity-based hyperreflexia. This study shows how velocity-based hyperreflexia from specific muscles contributes to different spastic gait patterns, which may help in providing targeted treatment.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":" ","pages":"334-346"},"PeriodicalIF":1.4,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Influence of Surface Geometry on Palm and Fist Contact Pressure Distribution During Strikes With the Hand in Automotive Assembly. 汽车装配手击过程中表面几何形状对手掌和拳头接触压力分布的影响

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-01 DOI: 10.1123/jab.2022-0127

Lukas Hausmanninger, Igor Komnik, Mario Fleiter, Wolfgang Potthast

{"title":"Influence of Surface Geometry on Palm and Fist Contact Pressure Distribution During Strikes With the Hand in Automotive Assembly.","authors":"Lukas Hausmanninger, Igor Komnik, Mario Fleiter, Wolfgang Potthast","doi":"10.1123/jab.2022-0127","DOIUrl":"https://doi.org/10.1123/jab.2022-0127","url":null,"abstract":"The increase in repetitive strain injuries to the hand underscores the need for assessing and preventing musculoskeletal overuse associated with hand-intensive tasks. This study investigates the risk of overload injuries in soft tissue structures of the hand by analyzing the pressure distribution and location of peak pressure in the hand during snap-fit connection assembly in the automotive industry. The influence of the surface geometry of automotive trim components the pressure distribution and force imparted during strikes with the palm and the fist are investigated in a cohort of 30 subjects with extensive experience installing trim parts with snap-fit connections. Using the palm or fist (ulnar hand side) of the dominant hand, the subjects struck a simulation device with a flat, rounded, or edged surface geometry. The average peak force applied was 600 N (±122 N), nearly 3 times the force required to overcome the technical resistance of the snap-fit connector (220 N). Fist strikes exerted a 40% higher mean peak pressure and 18% higher mean pressure than did palm strikes. The pressure distribution in the region of the thenar eminence and soft tissue of the ulnar side of the hand did not differ between fist strikes on flat and edged surfaces. Considering the delicate anatomy of the hand, especially the hypothenar muscles on the ulnar side, assembling connection claps using the fist instead of the palm may prevent repetitive blunt trauma to the sensitive blood vessels and nerves in the palm.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 4","pages":"246-253"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9927193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Standing Pelvic Tilt Is Associated With Dynamic Pelvic Tilt During Running When Measured by 3-Dimensional Motion Capture. 站立骨盆倾斜与跑步时的动态骨盆倾斜有关，这是通过三维运动捕捉来测量的。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-01 DOI: 10.1123/jab.2022-0226

Madison S Mach, Kyle T Ebersole, Hayley E Ericksen, Anh-Dung Nguyen, Jennifer E Earl-Boehm

{"title":"Standing Pelvic Tilt Is Associated With Dynamic Pelvic Tilt During Running When Measured by 3-Dimensional Motion Capture.","authors":"Madison S Mach, Kyle T Ebersole, Hayley E Ericksen, Anh-Dung Nguyen, Jennifer E Earl-Boehm","doi":"10.1123/jab.2022-0226","DOIUrl":"https://doi.org/10.1123/jab.2022-0226","url":null,"abstract":"Standing pelvic tilt (PT) is related to biomechanics linked with increased risk of injury such as dynamic knee valgus. However, there is limited evidence on how standing PT relates to dynamic PT and whether the palpation meter (PALM), a tool to measure standing PT, is valid against 3-dimensional (3D) motion analysis. The purposes of this study were to (1) determine the criterion validity of the PALM for measuring standing PT and (2) identify the relationship between standing PT and dynamic PT during running. Participants (n = 25; 10 males and 15 females) had their standing PT measured by the PALM and 3D motion analysis. Dynamic PT variables were defined at initial contact and toe off. No relationship between the 2 tools was found. Significant large positive relationships between standing PT and PT at initial contact (r = .751, N = 25, P < .001) and PT at toe off (r = .761, N = 25, P < .001) were found. Since no relationship was found between standing PT measured by the PALM and 3D motion analysis, the PALM is not a valid alternative to 3D motion analysis. Clinicians may be able to measure standing PT and gain valuable information on dynamic PT, allowing clinicians to quickly assess whether further biomechanical testing is needed.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 4","pages":"230-236"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Resistance Training of Upper Limb and Trunk Muscles on Soccer Instep Kick Kinematics. 上肢和躯干肌肉阻力训练对足球脚背踢运动学的影响。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-01 DOI: 10.1123/jab.2022-0323

Miguel Arcanjo de Assis, Thiago Ribeiro Teles Santos, Sergio Teixeira Fonseca, André Gustavo Pereira de Andrade, Priscila Albuquerque Araújo, Thales Rezende de Souza, Renan Alves Resende, Juliana Melo Ocarino

{"title":"Effects of Resistance Training of Upper Limb and Trunk Muscles on Soccer Instep Kick Kinematics.","authors":"Miguel Arcanjo de Assis, Thiago Ribeiro Teles Santos, Sergio Teixeira Fonseca, André Gustavo Pereira de Andrade, Priscila Albuquerque Araújo, Thales Rezende de Souza, Renan Alves Resende, Juliana Melo Ocarino","doi":"10.1123/jab.2022-0323","DOIUrl":"https://doi.org/10.1123/jab.2022-0323","url":null,"abstract":"The upper body and trunk muscles are crucial to perform soccer kicks. Resistance training targeting these muscles may modify the pattern adopted during kicking. This study aimed to investigate the effect of resistance training of the arm and anterior trunk muscles on instep kicking kinematics. Twenty-six male participants were randomly allocated into a training group or control group. The training group underwent resistance training of arm and trunk muscles and practiced the instep kick for 8 weeks. The control group only practiced kicking during the same period. The trunk, hip, and knee kinematics were assessed during the instep kick before and after the intervention. Kinematics were analyzed according to their data distribution with statistical parametric or nonparametric mapping. The effect of the training on the 1-repetition maximum test was analyzed using a repeated-measures multivariate analysis of variance. The training group showed greater hip extension after the training during the backswing phase (Hedge g effect size of 0.316-0.321) and increased 1-repetition maximum for all exercises. There were no other differences. The present study documented the nonlocal effect of strengthening training in which arm and trunk muscle training resulted in changes in hip kinematics during the backswing phase of the instep kick.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 4","pages":"254-263"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9927196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the Effect of Time-From-Treatment on Activities of Daily Living Kinematics in Breast Cancer Survivors. 检查治疗间隔时间对乳腺癌幸存者日常生活运动学活动的影响。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-01 DOI: 10.1123/jab.2022-0245

Rebecca A M Wills, Jacquelyn M Maciukiewicz, Marina Mourtzakis, Clark R Dickerson

{"title":"Examining the Effect of Time-From-Treatment on Activities of Daily Living Kinematics in Breast Cancer Survivors.","authors":"Rebecca A M Wills, Jacquelyn M Maciukiewicz, Marina Mourtzakis, Clark R Dickerson","doi":"10.1123/jab.2022-0245","DOIUrl":"https://doi.org/10.1123/jab.2022-0245","url":null,"abstract":"Breast cancer affects one in 8 females with a 5-year survival rate of 89%. Up to 72% of breast cancer survivors have trouble with activities of daily living (ADL) following treatment. Increased time-from-treatment improves some measures of function, yet ADL limitations persist. Therefore, this study assessed the effect of time-from-treatment on upper extremity kinematics during ADLs in breast cancer survivors. Twenty-nine female breast cancer survivors were divided into 2 groups: <1 year (n = 12) and 1-2 years (n = 17) from treatment. Kinematics were collected during 6 ADL tasks, and humerothoracic joint angles were quantified. A 2-way mixed analysis of variance assessed the effects of time-from-treatment and arm on maximum angles for each ADL. Decreased maximum angle existed for breast cancer survivors with increased time-from-treatment during all ADLs. Breast cancer survivors in the 1-2 years group used ∼28° to 32° lower elevation, ∼14° to 28° lower axial rotation, and ∼10° to 14° lower plane of elevation range across tasks. Decreased ranges of arm movement during ADLs with increased time-from-treatment may reflect compensatory movement strategies. Recognizing this shift in strategies and accompanying underlying disease progression can help inform responses to functional performance limitations in breast cancer survivors as delayed effects are present posttreatment.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 4","pages":"217-222"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Subsequent Jumping Increases the Knee and Hip Abduction Moment, Trunk Lateral Tilt, and Trunk Rotation Motion During Single-Leg Landing in Female Individuals. 随后的跳跃增加了女性单腿着地时膝盖和臀部外展力矩、躯干侧向倾斜和躯干旋转运动。

IF 1.4 4区医学

Journal of Applied Biomechanics Pub Date : 2023-08-01 DOI: 10.1123/jab.2022-0305

Masato Chijimatsu, Tomoya Ishida, Masanori Yamanaka, Shohei Taniguchi, Ryo Ueno, Ryohei Ikuta, Mina Samukawa, Takumi Ino, Satoshi Kasahara, Harukazu Tohyama

{"title":"Subsequent Jumping Increases the Knee and Hip Abduction Moment, Trunk Lateral Tilt, and Trunk Rotation Motion During Single-Leg Landing in Female Individuals.","authors":"Masato Chijimatsu, Tomoya Ishida, Masanori Yamanaka, Shohei Taniguchi, Ryo Ueno, Ryohei Ikuta, Mina Samukawa, Takumi Ino, Satoshi Kasahara, Harukazu Tohyama","doi":"10.1123/jab.2022-0305","DOIUrl":"https://doi.org/10.1123/jab.2022-0305","url":null,"abstract":"Single-leg landings with or without subsequent jumping are frequently used to evaluate landing biomechanics. The purpose of this study was to investigate the effects of subsequent jumping on the external knee abduction moment and trunk and hip biomechanics during single-leg landing. Thirty young adult female participants performed a single-leg drop vertical jumping (SDVJ; landing with subsequent jumping) and single-leg drop landing (SDL; landing without subsequent jumping). Trunk, hip, and knee biomechanics were evaluated using a 3-dimensional motion analysis system. The peak knee abduction moment was significantly larger during SDVJ than during SDL (SDVJ 0.08 [0.10] N·m·kg-1·m-1, SDL 0.05 [0.10] N·m·kg-1·m-1, P = .002). The trunk lateral tilt and rotation angles toward the support-leg side and external hip abduction moment were significantly larger during SDVJ than during SDL (P < .05). The difference in the peak hip abduction moment between SDVJ and SDL predicted the difference in the peak knee abduction moment (P = .003, R2 = .252). Landing tasks with subsequent jumping would have advantages for evaluating trunk and hip control as well as knee abduction moment. In particular, evaluating hip abduction moment may be important because of its association with the knee abduction moment.","PeriodicalId":54883,"journal":{"name":"Journal of Applied Biomechanics","volume":"39 4","pages":"223-229"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2