Annals of Physical and Rehabilitation Medicine最新文献

{"title":"Cross-cultural adaptation and psychometric testing of the French version of the Knowledge and Attitudes of Pain (KNAP) questionnaire","authors":"Wouter Munneke , Margot De Kooning , Jo Nijs , Julie Leclercq , Clara George , Nathalie Roussel , Stephen Bornheim , Anneke Beetsma , Iris Reynebeau , Christophe Demoulin","doi":"10.1016/j.rehab.2023.101757","DOIUrl":"10.1016/j.rehab.2023.101757","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101757"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in physical activity participation during the COVID-19 pandemic in people with multiple sclerosis: An international survey study","authors":"Marietta L van der Linden, Daphne Kos, Lousin Moumdjian, Alon Kalron, Susan Coote, Tori Smedal, Ellen Christin Arntzen, Sümeyra N. Tayfur, Ludovico Pedullà, Andrea Tacchino, Johanna Jonsdottir, Carme Santoyo-Medina, Klara Novotna, Yonca Zenginler Yazgan, Una Nedeljkovic, Yvonne C. Learmonth","doi":"10.1016/j.rehab.2023.101798","DOIUrl":"10.1016/j.rehab.2023.101798","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101798"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of comorbidities on outcomes for older people with back pain: BACE-D cohort study","authors":"Yanyan Fu ,&nbsp;Alessandro Chiarotto ,&nbsp;Wendy Enthoven ,&nbsp;Søren Thorgaard Skou ,&nbsp;Bart Koes","doi":"10.1016/j.rehab.2023.101754","DOIUrl":"10.1016/j.rehab.2023.101754","url":null,"abstract":"<div><h3>Background</h3><p>Comorbidities are common in older people with back pain but little is known about the influence of comorbidities on outcomes.</p></div><div><h3>Objectives</h3><p>To explore the influence of the most prevalent comorbidities, and the number of comorbidities, on short (at 3 months) and long-term (at 12 months) outcomes of back pain in older people.</p></div><div><h3>Methods</h3><p>We analyzed data from the ‘Back Complaints in the Elders’ Dutch study cohort (BACE-D) and included participants aged &gt;55 years. We used the modified Self-Administered Comorbidities Questionnaire (SCQ), the Numeric Rating Scale (NRS) and the Roland–Morris Disability Questionnaire (RMDQ) to assess the number of comorbidities, pain intensity and back-related physical functioning, respectively. We conducted separate linear regression models to analyze the association between comorbidities and outcomes including potential confounders of age, sex, body mass index, smoking and alcoholic drinking status, back pain history, and baseline NRS and RMDQ scores.</p></div><div><h3>Results</h3><p>Our study included 669 participants with a mean age of 66.5 (SD 7.7) years of whom 394 were female. More comorbidities were positively associated with higher pain intensity (3-month regression coefficient (<em>β</em>) =0.27, 95% CI 0.14–0.39; 12-month <em>β</em> = 0.31, 95% CI 0.17–0.45) and worse physical functioning (3-month <em>β</em> = 0.54, 95% CI 0.31–0.77; 12-month <em>β</em> = 0.64, 95% CI 0.37–0.92). Four of the 5 commonest comorbidities were musculoskeletal problems. Older participants with musculoskeletal comorbidities had higher pain intensity (3-month <em>β</em> = 0.89 95% CI 0.41–1.37; 12-month <em>β</em> = 1.17, 95% CI 0.65–1.69), and worse physical functioning (3-month <em>β</em> = 1.61, 95% CI 0.71–2.52; 12-month <em>β</em> = 1.85, 95% CI 0.82–2.89, <em>P</em>-value &lt; 0.001) compared to participants without musculoskeletal comorbidities.</p></div><div><h3>Conclusions</h3><p>More comorbidities are associated with worse back pain outcomes in older adults. Participants with musculoskeletal comorbidities had worse back pain outcomes than those without.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101754"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation contributes to lower readmission rates for individuals with peripheral arterial disease: A retrospective observational study","authors":"Keisuke Suzuki ,&nbsp;Tomohiko Kamo ,&nbsp;Ryo Momosaki ,&nbsp;Akira Kimura ,&nbsp;Takayasu Koike ,&nbsp;Shinichi Watanabe ,&nbsp;Takashi Kondo","doi":"10.1016/j.rehab.2023.101768","DOIUrl":"https://doi.org/10.1016/j.rehab.2023.101768","url":null,"abstract":"<div><h3>Background</h3><p>Non-pharmacological interventions, such as rehabilitation, are crucial for the treatment of people with peripheral arterial disease (PAD). Although several studies have shown rehabilitation is effective in improving the functional prognosis of PAD, there is currently insufficient evidence regarding its effect on readmission rates.</p></div><div><h3>Objectives</h3><p>To examine the impact of rehabilitation on readmission rates for people with PAD.</p></div><div><h3>Methods</h3><p>A retrospective analysis of the JMDC hospital database was performed on data from two groups of people aged ≥20 years who were hospitalized between 2014 and 2020 with PAD, as based on a previous diagnosis. Participants were divided according to whether they did, or did not, receive any form of rehabilitation as part of their treatment in hospital. The primary outcome was readmission rates at 30, 60, 90, and 180 days after initial admission. A one-to-one propensity score matching was used to compare readmission rates between rehabilitation and non-rehabilitation groups.</p></div><div><h3>Results</h3><p>We included 13,453 people with PAD, of whom 2701 pairs (5402 subjects) were selected after being matched in the rehabilitation and non-rehabilitation groups. The rehabilitation group participants had significantly lower mortality and readmission rates at 30, 60, 90, and 180 days. The odds ratios (95% confidence interval) for both groups were 0.79 (0.69–0.91; 30 days), 0.81 (0.71–0.91; 60 days), 0.78 (0.69–0.88; 90 days), and 0.79 (0.71–0.88; 180 days).</p></div><div><h3>Conclusions</h3><p>This large, nationwide study found that rehabilitation treatment during hospitalization was associated with lower readmission rates and mortality for people following hospitalization with PAD and supports its inclusion as a standard PAD treatment.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101768"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49815734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the simplified evaluation of consciousness disorders (SECONDs) scale in Mandarin","authors":"Anqi Wang ,&nbsp;Lingxiu Sun ,&nbsp;Lijuan Cheng ,&nbsp;Nantu Hu,&nbsp;Yan Chen,&nbsp;Leandro R D Sanz,&nbsp;Aurore Thibaut,&nbsp;Olivia Gosseries,&nbsp;Steven Laureys,&nbsp;Charlotte Martial ,&nbsp;Haibo Di","doi":"10.1016/j.rehab.2023.101764","DOIUrl":"10.1016/j.rehab.2023.101764","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101764"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of lower limb resistance training on ICF components in chronic stroke: A systematic review and meta-analysis of RCTs","authors":"Tales Andrade Pereira ,&nbsp;Marcos Paulo Braz de Oliveira ,&nbsp;Paula Regina Mendes da Silva Serrão ,&nbsp;Carolina Tsen ,&nbsp;Nataly Barbieri Coutinho ,&nbsp;Rubens Vinícius Letieri ,&nbsp;Adriana Teresa Silva Santos ,&nbsp;Luciana Maria dos Reis","doi":"10.1016/j.rehab.2023.101766","DOIUrl":"https://doi.org/10.1016/j.rehab.2023.101766","url":null,"abstract":"<div><h3>Background</h3><p>Resistance training (RT) effectively promotes functional independence after stroke.</p></div><div><h3>Objectives</h3><p>To investigate the effect of lower limb RT on body structure and function (muscle strength, postural balance), activity (mobility, gait) and participation (quality of life, impact of stroke on self-perceived health) outcomes in individuals with chronic stroke.</p></div><div><h3>Methods</h3><p>Six databases were searched from inception until September 2022 for randomized controlled trials comparing lower limb RT to a control intervention. The random-effects model was used in the meta-analyses. Effect sizes were reported as standardized mean differences (SMD). Quality of evidence was assessed using the GRADE approach.</p></div><div><h3>Results</h3><p>Fourteen studies were included. Significant improvements were found in body structure and function after lower limb RT: knee extensors (paretic side – SMD: 1.27; very low evidence), knee flexors (paretic side – SMD: 0.51; very low evidence; non-paretic side – SMD: 0.52; low evidence), leg press (paretic side – SMD: 0.83; very low evidence) and global lower limb muscle strength (SMD: -1.47; low evidence). No improvement was found for knee extensors (<em>p</em> = 0.05) or leg press (<em>p</em> = 0.58) on the non-paretic side. No improvements were found in the activity domain after lower limb RT: mobility (<em>p</em> = 0.16) and gait (walking speed-usual: <em>p</em> = 0.17; walking speed-fast: <em>p</em> = 0.74). No improvements were found in the participation domain after lower limb RT: quality of life (<em>p</em> &gt; 0.05), except the bodily pain dimension (SMD: 1.02; low evidence) or the impact of stroke on self-perceived health (<em>p</em> = 0.38).</p></div><div><h3>Conclusion</h3><p>Lower limb RT led to significant improvements in the body structure and function domain (knee extensors and flexors, leg press, global lower limb muscle strength) in individuals with chronic stroke. No improvements were found in the activity (mobility, gait [walking speed]) or participation (quality of life, impact of stroke on self-perceived health) domains.</p></div><div><h3>PROSPERO registration number</h3><p>CRD42021272645.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101766"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49774544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary rehabilitation for persisting post-concussion symptoms after mTBI: N=15 single case experimental design","authors":"Jack V.K. Nguyen ,&nbsp;Adam McKay ,&nbsp;Jennie Ponsford ,&nbsp;Katie Davies ,&nbsp;Michael Makdissi ,&nbsp;Sean P.A. Drummond ,&nbsp;Jonathan Reyes ,&nbsp;Jennifer Makovec Knight ,&nbsp;Tess Peverill ,&nbsp;James H. Brennan ,&nbsp;Catherine Willmott","doi":"10.1016/j.rehab.2023.101777","DOIUrl":"10.1016/j.rehab.2023.101777","url":null,"abstract":"<div><h3>Background</h3><p>Despite clinical guidelines recommending an interdisciplinary approach to persisting post-concussion symptom (PPCS) management, evaluations of interdisciplinary interventions remain scant.</p></div><div><h3>Objectives</h3><p>This pilot study aimed to explore the feasibility and preliminary efficacy of an interdisciplinary intervention for PPCSs.</p></div><div><h3>Method</h3><p>A single-case experimental design with randomisation to multiple baselines (2, 4, or 6 weeks) was repeated across 15 participants (53% female) with mild traumatic brain injury (mean age 38.3 years, SD 15.7). The 12-week treatment incorporated psychology, physiotherapy, and medical interventions. Feasibility outcomes included recruitment and retention rates, adverse events, treatment adherence and fidelity. Patient-centred secondary outcomes included the Rivermead Post-Concussion Symptoms Questionnaire (RPQ), assessed 3 times per week during the baseline and treatment phases, and at the 1- and 3-month follow-ups. Other secondary outcomes included measures of mood, sleep and fatigue, physical functioning, health-related quality of life, illness perceptions, and goal attainment. Changes in PPCSs were evaluated using systematic visual analysis and Tau-<em>U</em>. Clinically significant changes in secondary outcomes were explored descriptively.</p></div><div><h3>Results</h3><p>16/26 individuals assessed for eligibility were enroled (61% recruitment rate); 15 completed the post-treatment follow-ups, and 13 completed the 1- and 3-month follow-up assessments (81% retention rate). High treatment adherence and competence in delivering treatments was observed. Moderate-large effect sizes for reducing PPCSs were observed in 12/15 cases, with 7/15 reaching statistical significance. Improvements were maintained at the 1- and 3-month follow-ups and were accompanied by reductions in fatigue, sleep difficulties, and mood symptoms, and changes in illness perceptions. All participants had clinically significant improvements in at least 1 outcome, with 81% of individual therapy goals achieved.</p></div><div><h3>Conclusions</h3><p>This pilot study provided preliminary support for a subsequent randomised controlled trial (RCT), with satisfactory recruitment, retention, treatment compliance, and treatment fidelity. Improvement was evident on participant outcomes including symptom reduction and goal attainment, suggesting that progressing to a phase-II RCT is worthwhile. Findings highlight the potential benefit of individualized interdisciplinary treatments.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 7","pages":"Article 101777"},"PeriodicalIF":4.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065723000489/pdfft?md5=02aa2f73c60bcbadab9bcc06153952b5&pid=1-s2.0-S1877065723000489-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61566201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating post-stroke plantar flexor spasticity does not improve spatiotemporal gait parameters: Why another negative RCT?","authors":"Maeva Cotinat ,&nbsp;Laurent Bensoussan ,&nbsp;Marjorie Kerzoncuf ,&nbsp;Guillaume Lotito ,&nbsp;Virgine Milhe de Bovis ,&nbsp;Frédéric Pellas ,&nbsp;Paul Calmels ,&nbsp;Alain Delarque ,&nbsp;Jean-Michel Viton","doi":"10.1016/j.rehab.2023.101748","DOIUrl":"10.1016/j.rehab.2023.101748","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 6","pages":"Article 101748"},"PeriodicalIF":4.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the stability of a family resilience model at 2 and 5 years after traumatic brain injury or spinal cord injury: A longitudinal study","authors":"Malcolm Ikin Anderson ,&nbsp;Bamini Gopinath ,&nbsp;Kate Fiona Jones ,&nbsp;Peter Morey ,&nbsp;Grahame Kenneth Simpson","doi":"10.1016/j.rehab.2023.101734","DOIUrl":"10.1016/j.rehab.2023.101734","url":null,"abstract":"<div><h3>Background</h3><p>Recent studies have tested models of resilience and caregiver adjustment in individuals with traumatic brain injury (TBI) or spinal cord injury (SCI). Few studies have examined the role of adaptive variables over time.</p></div><div><h3>Objective</h3><p>Conduct a longitudinal study to test a model of caregiver resilience with caregiver outcomes at 2- and 5-years post-injury.</p></div><div><h3>Method</h3><p>Caregivers of relatives with TBI or SCI were surveyed at 2 years (Time 1) and 5 years (Time 2) post-injury. Stability of the resilience model across the 2 time-points was tested using structural equation modeling with multi-group analysis. Measures included resilience related variables (Connor-Davidson Resilience Scale, General Self-Efficacy Scale, Herth Hope Scale, Social Support Survey) and outcome variables (Caregiver Burden Scale, General Health Questionnaire-28, Medical Outcome Study Short Form -36 [SF-36] and Positive and Negative Affect Scale).</p></div><div><h3>Results</h3><p>In total, 100 caregivers were surveyed at both 2 and 5 years (TBI =77, SCI =23). Scores for resilience (Time 1, 75.9 SD 10.6; Time 2, 71.5 SD 12.6) and self-efficacy (Time 1, 32.51 SD 3.85; Time 2, 31.66 SD 4.28) showed significant minor declines, with other variables remaining stable. The resilience model for the pooled responses (Time 1+ Time 2) demonstrated a good fit (Goodness of Fit Index [GFI] = 0.971; Incremental Fit Index [IFI] = 0.986; Tucker-Lewis Index [TLI] = 0.971; Comparative Fit Index [CFI] = 0.985 and Root Mean Square Error of Approximation [RMSEA] = 0.051). Multi-group analysis then compared Time 1 to Time 2 responses and found that a variant (compared to invariant) model best fitted the data, with social support having stronger associations with mental health and positive affect at Time 2 than Time 1. Hope reduced from Time 1 to Time 2.</p></div><div><h3>Conclusions</h3><p>The model suggests that resilience-related variables can play an important role in positive caregiver adjustment over time.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 6","pages":"Article 101734"},"PeriodicalIF":4.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcopenia, malnutrition and cognition affect physiotherapy frequency during geriatric rehabilitation: RESORT cohort","authors":"Laure M.G. Verstraeten ,&nbsp;Federica Sacchi ,&nbsp;Janneke P. van Wijngaarden ,&nbsp;Carel G.M. Meskers ,&nbsp;Andrea B. Maier","doi":"10.1016/j.rehab.2023.101735","DOIUrl":"10.1016/j.rehab.2023.101735","url":null,"abstract":"<div><h3>Background</h3><p>Physiotherapy (PT) is important to optimize functional recovery in geriatric rehabilitation. The dose of PT received by inpatients during geriatric rehabilitation and the determinants of dose are unknown.</p></div><div><h3>Objectives</h3><p>Describe PT dose in terms of total number of sessions, frequency, duration and type of sessions, and inpatient characteristics determining the frequency of PT in geriatric rehabilitation.</p></div><div><h3>Methods</h3><p>The observational, longitudinal REStORing health of acutely unwell adulTs (RESORT) cohort consists of geriatric inpatients undergoing rehabilitation including PT (Melbourne, Australia). Ordinal regression was used to assess the determinants of PT frequency (total number of sessions divided by length of stay in weeks). Malnutrition, frailty and sarcopenia were diagnosed according to the Global Leadership Initiative on Malnutrition criteria, Clinical Frailty Scale and revised definition of the European Working Group on Sarcopenia in Older People respectively.</p></div><div><h3>Results</h3><p>Of the 1890 participants, 1799, median (quartile 1; quartile 3) age 83.4 (77.6; 88.4) years, 56% females received PT and were admitted for at least 5 days. Median total number of PT sessions was 15 (8; 24); median frequency was 5.2 sessions per week (3.0; 7.7); and duration was 27 (22; 34) minutes per session. Higher disease burden, cognitive impairment, delirium, higher anxiety and depression scores, malnutrition, frailty and sarcopenia were associated with a lower PT frequency. Older age, female sex, musculoskeletal reason for admission, greater independence in (instrumental) activities of daily living and handgrip strength were associated with a higher PT frequency.</p></div><div><h3>Conclusions</h3><p>PT frequency varied widely with a median of 1 session per working day. PT frequency was lowest in participants with poorest health characteristics.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"66 6","pages":"Article 101735"},"PeriodicalIF":4.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}