Seda Bicici Ulusahin , Irem Duzgun , Mustafa Ugurlu , Levent Ozcakar
{"title":"Effects of the stretching program in male volleyball players with posterior shoulder tightness","authors":"Seda Bicici Ulusahin , Irem Duzgun , Mustafa Ugurlu , Levent Ozcakar","doi":"10.1016/j.msksp.2024.103148","DOIUrl":"10.1016/j.msksp.2024.103148","url":null,"abstract":"<div><h3>Background</h3><p>Stretching programs are often used to improve muscle stiffness and thereby posterior shoulder tightness (PST); however, knowledge about their effects on the viscoelastic properties of muscles and performance is limited.</p></div><div><h3>Objective</h3><p>The aim of this study was to investigate the effects of a six-week stretching program on the viscoelastic properties of posterior shoulder muscles, shoulder functional performance and range of motion in volleyball players with PST.</p></div><div><h3>Study design</h3><p>A Randomized Controlled Trial.</p></div><div><h3>Level of evidence</h3><p>Level II.</p></div><div><h3>Methods</h3><p>The study was conducted in 34 male (aged 19–26) professional volleyball players with PST. They were randomly assigned to stretching and control groups. A stretching routine (combining sleeper stretch and cross body stretch exercises) was performed in the stretching group for six weeks. Measurements were taken during the first assessment and six weeks after the initiation of stretching for the following: shoulder external/internal rotation range of motion, spike velocity, single arm seated shot-put test, and infraspinatus– posterior deltoid muscle stiffness (by shear wave elastography).</p></div><div><h3>Results</h3><p>While the stretching group had statistically better results regarding increased shoulder internal rotation (p < 0.01), spike velocity (p = 0.02) and seated single arm shot put distance (p < 0.01), stretching did not have any effect on tissue stiffness.</p></div><div><h3>Conclusions</h3><p>A 6-week program of sleeper stretch, and cross body stretch exercises improved shoulder internal rotation and functional performance. A clinically meaningful change in muscle mechanical properties cannot be detected after a 6-week stretching program.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103148"},"PeriodicalIF":2.2,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762949","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}
Albert Pérez-Bellmunt , Carlos López-de-Celis , Elena Estébanez-de-Miguel , Jorge Pérez-Rey , Michael Shacklock , Sara Ortiz-Miguel , Elena Bueno-Gracia
{"title":"Effect of cervical contralateral lateral flexion on the median nerve and fascia at the wrist – Cadaveric study","authors":"Albert Pérez-Bellmunt , Carlos López-de-Celis , Elena Estébanez-de-Miguel , Jorge Pérez-Rey , Michael Shacklock , Sara Ortiz-Miguel , Elena Bueno-Gracia","doi":"10.1016/j.msksp.2024.103146","DOIUrl":"10.1016/j.msksp.2024.103146","url":null,"abstract":"<div><h3>Background</h3><p>Neurodynamic tests are an essential aspect of the physical examination of the patient when suspicion of neural involvement exists. A manoeuvre that is hypothesised to move nerves differentially relative to other structures (structural differentiation) has been proposed as a necessary part of neurodynamic testing for differential diagnosis. However, although the specificity of structural differentiation for peripheral nerve over muscle has been demonstrated in some body regions, no study has tested specificity of nerve movement relative to fascia.</p></div><div><h3>Objectives</h3><p>The aim of this study was to measure the effect of the cervical contralateral lateral flexion (CCLF) as an structural differentiation manoeuvre for the median nerve compared to fascia (superficial and deep) at the wrist during the upper limb neurodynamic test 1 (ULNT1).</p></div><div><h3>Design</h3><p>A cross-sectional study was performed in 5 fresh frozen cadavers.</p></div><div><h3>Methods</h3><p>Excursion and strain in the fascia (superficial and deep) and the median nerve were measured at the wrist with structural differentiation during the ULNT1. KINOVEA software was used to measure kinematic parameters.</p></div><div><h3>Results</h3><p>CCLF resulted in significant proximal excursion in the median nerve (p < 0.001*) but not in the strain. CCLF neither produced changes in strain nor excursion in the superficial and deep fascia (p > 0.05).</p></div><div><h3>Conclusion</h3><p>This study showed that CCLF produced significant differential excursion in the median nerve at the wrist compared to the local superficial and deep fascia during the ULNT1. The data support CCLF in mechanical differentiation between nerve and fascia in this area in diagnosis of local sources of wrist pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103146"},"PeriodicalIF":2.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002418/pdfft?md5=f727ee385bd5a84c71e05cad1b45b22a&pid=1-s2.0-S2468781224002418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713962","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":"Central sensitization-related symptoms and their relationship to disability in prevalent chronic musculoskeletal pain: A cross-sectional study","authors":"Feyza Nur Yücel , Canan Sanal-Toprak","doi":"10.1016/j.msksp.2024.103147","DOIUrl":"10.1016/j.msksp.2024.103147","url":null,"abstract":"<div><h3>Background</h3><p>Central sensitization (CS) has an important role in chronic musculoskeletal (MSK) pain, which is one of the leading causes of disability worldwide.</p></div><div><h3>Objectives</h3><p>To investigate the relationship between CS-related symptoms and disability in chronic MSK pain.</p></div><div><h3>Design</h3><p>Multi-center cross-sectional survey.</p></div><div><h3>Methods</h3><p>Demographic and clinical variables including location, duration, and severity of pain were recorded. In the examination of disability, Istanbul Low Back Pain Disability Index for low back pain, Neck Pain and Disability Scale for neck pain, Quick Disability of the Arm, Shoulder, and Hand for shoulder/upper extremity pain, and Knee Injury and Osteoarthritis Outcome Score for knee pain were used. CS-related symptoms were investigated via the central sensitization inventory (CSI). Based on CSI scores, patient data were compared using the T test and an ANOVA. The association between CSI and selected variables was investigated using Pearson correlation and multivariate regression analysis.</p></div><div><h3>Results</h3><p>The mean CSI score of five hundred participants was 40.46 (SD: 15.87). Patients with CSI≥40 were found to have higher levels of pain and disability and a poorer quality of life (p < 0.05). In ANOVA, significant differences between groups were observed in CS severity levels for VAS, symptom duration, and all clinical scores (p < 0.01). In the multivariate regression analysis, CSI and VAS scores were found to be related to disability in all pain groups, while pain duration was effective only in the change of knee disability.</p></div><div><h3>Conclusion</h3><p>CS-related symptoms, which are related to increased pain and disability, should be closely monitored in patients with chronic MSK pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103147"},"PeriodicalIF":2.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709837","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 quality of reporting in randomized controlled trials investigating exercise for individuals with whiplash-associated disorders; a systematic review","authors":"Andrea Colombi , Silvia Vedani , Antonello Viceconti , Claire Stapleton","doi":"10.1016/j.msksp.2024.103145","DOIUrl":"10.1016/j.msksp.2024.103145","url":null,"abstract":"<div><h3>Background</h3><p>Whiplash-associated disorders are a common sequela of road traffic accidents. Exercise therapy is considered an effective intervention, and it is recommended for the management of such condition. However, the application of research findings to everyday clinical practice is dependent on sufficient details being reported.</p></div><div><h3>Objectives</h3><p>To explore the quality of reporting in studies investigating the effectiveness of exercise for whiplash-associated disorders.</p></div><div><h3>Methods</h3><p>A literature search was conducted to identify studies testing the effectiveness of exercise for whiplash-associated disorders. Two reporting checklists were used to evaluate reporting completeness. The median positive scores for each study and overall percentage of positive scores for each item were calculated. Percentage agreement and the Cohen's Kappa coefficient were calculated.</p></div><div><h3>Results</h3><p>Twenty-one studies were included. According to the Template for Intervention Description and Replication checklist, items were reported appropriately with a median of 29% (range 0–95%, IQR 40.5). The median number of adequately reported items per study was 5 (range 1–10, IQR 3). For the Consensus on Exercise Reporting Template checklist, items were reported appropriately with a median of 29% (range 0–57%, IQR 29). The median number of adequately reported items per study was 4 (range 0–16, IQR 8). Percentage agreement ranged from 57% to 100% while Cohen's Kappa from −0.17 to 1.00.</p></div><div><h3>Conclusions</h3><p>The study reveals significant gaps in the quality of reporting in studies investigating exercise for whiplash-associated disorders as both checklists showed a median reporting adequacy of only 29%. Overall, the inter-rater agreement for both checklists was acceptable.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103145"},"PeriodicalIF":2.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623222","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}
A Khoshal Khorami , Alessandro Chiarotto , Alice Kongsted , Jan Hartvigsen , Bart W. Koes
{"title":"Characteristics and outcomes of patients with low back pain with and without radiating leg pain following the GLA:D back program","authors":"A Khoshal Khorami , Alessandro Chiarotto , Alice Kongsted , Jan Hartvigsen , Bart W. Koes","doi":"10.1016/j.msksp.2024.103144","DOIUrl":"10.1016/j.msksp.2024.103144","url":null,"abstract":"<div><h3>Background</h3><p>Some patients with low back pain (LBP) also report radiating leg pain which is a prognostic factor for poorer clinical outcomes. We aimed: 1) to compare the baseline characteristics of patients with LBP with - (LBP + leg pain) and without radiating leg pain (LBP - alone); 2) to investigate whether patients with LBP + leg pain show similar post-treatment outcomes as compared to LBP – alone, after participation in an exercise and patient education program, i.e. the GLA:D Back program.</p></div><div><h3>Methods</h3><p>The patient sample included 3508 patients in the GLA:D Back program between March 2018 and August 2022. The outcomes were mean changes in LBP intensity, back-related activity limitation, self-efficacy and fear of movement measured from baseline to 3, 6 and 12 months. Baseline characteristics were compared with descriptive statistics, and linear mixed models were used to estimate group differences in changes from baseline to 3-, 6- and 12 months.</p></div><div><h3>Results</h3><p>1915 (55%) of the patients were in the group LBP- alone and 1593 (45%) in the LBP + leg pain. The LBP + leg pain group displayed higher STarT back classification (greater risk of chronicity) compared to the LBP–alone. The LBP + leg pain group showed almost similar improvements in all outcomes compared to LBP – alone after the GLA:D Back program.</p></div><div><h3>Conclusion</h3><p>In long-lasting (chronic) LBP patients, the LBP + leg pain group improved to the same extent as LBP - alone regarding LBP intensity, disability, and fear of movement following an exercise and patient education program, GLA:D Back.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103144"},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246878122400239X/pdfft?md5=9e7596a30db8c7333123062bb85784be&pid=1-s2.0-S246878122400239X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736415","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}
Gisela Sole , Anlo van Deventer , Leon Harris , Craig Wassinger , Margie Olds
{"title":"The “glass shoulder”: Patients’ lived experiences of a traumatic shoulder dislocation – A qualitative study","authors":"Gisela Sole , Anlo van Deventer , Leon Harris , Craig Wassinger , Margie Olds","doi":"10.1016/j.msksp.2024.103143","DOIUrl":"10.1016/j.msksp.2024.103143","url":null,"abstract":"<div><h3>Background</h3><p>Anterior shoulder dislocations have a high recurrence rate, often necessitating stabilizing surgery, with residual long-term fear of reinjury.</p></div><div><h3>Objectives</h3><p>To explore patients’ experiences of anterior shoulder dislocations in relation to their lives, well-being, fear of reinjury, and future perspectives.</p></div><div><h3>Design</h3><p>Qualitative study.</p></div><div><h3>Methods</h3><p>We interviewed fourteen individuals (median age 27.5 yrs, range 21–40; two women) with traumatic anterior glenohumeral dislocation within 5 years, with or without past stabilizing surgery. We analysed data using Interpretive Description.</p></div><div><h3>Results</h3><p>We constructed three main themes. (1) Downward wellness spiral: The injury shattered their lives, influencing their self-identity and -confidence. Sleep disturbances added to stress levels, loss, depression and grief. The re-injury risk could lead to social isolation. (2) Out of arm's reach: Recurrences led to frustration as the prior surgery and rehabilitation appeared to have been unsuccessful, having to start again. Support from healthcare providers and whānau/family was crucial to regain trust in the body. (3) Obligatory compromise: Over time, some individuals accepted the re-injury risk, learnt to heed warning signals, or compromised by avoiding specific social and recreational activities, changing their sports or to other roles in their preferred sport, and adapting work-related and daily tasks.</p></div><div><h3>Conclusion</h3><p>Participants described in-depth socio-emotional responses following shoulder dislocations. Most participants described an ongoing interplay between fear and confidence in their shoulder. Healthcare provider support and professional relationship, on-going shoulder-related strengthening, and risk mitigation strategies were important to facilitate and maintain confidence and self-efficacy, and to re-consider and adjust the participant's goals when needed.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103143"},"PeriodicalIF":2.2,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002388/pdfft?md5=7e2a84fe7c6bc6aa7d82ee0b39320c5d&pid=1-s2.0-S2468781224002388-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693588","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}
Nicholas Mullen , Samantha Ashby , Robin Haskins , Peter Osmotherly
{"title":"The perceptions and knowledge of prognosis of physiotherapists in musculoskeletal practice: An exploratory qualitative study","authors":"Nicholas Mullen , Samantha Ashby , Robin Haskins , Peter Osmotherly","doi":"10.1016/j.msksp.2024.103142","DOIUrl":"10.1016/j.msksp.2024.103142","url":null,"abstract":"<div><h3>Question(s)</h3><p>What are the perceptions and knowledge of physiotherapists who treat musculoskeletal disorders towards prognosis?</p></div><div><h3>Design</h3><p>Exploratory phenomenological study.</p></div><div><h3>Participants</h3><p>15 physiotherapists involved in the treatment of musculoskeletal disorders.</p></div><div><h3>Data analysis</h3><p>Data were collected through semi-structured interviews and analysed using inductive coding and thematic analysis.</p></div><div><h3>Results</h3><p>Four themes were identified. First, participants perception of prognosis was influenced by how they defined prognosis. Participants often perceived that prognosis was the timeline to recovery related to function, tissue health, or pain. Second, some participants could not recall foundational knowledge about prognosis being taught during their entry-level physiotherapy program. Others recalled it being taught in relation to the tissue healing model. Third, participants described learning about prognosis through experience, professional development, or from peers. Finally, participants identified that a potential learning opportunity is to conceptualise prognosis as separate outcomes associated with function, tissue health, and pain. Each can impact upon prognosis, have a prognosis of their own, and can occur simultaneously.</p></div><div><h3>Conclusion</h3><p>How physiotherapists perceive and understand the concept of prognosis is influenced by their foundational knowledge. It appears for physiotherapists, prognosis may be conceptualised within the biomedical model of health. Indeed, physiotherapists may perceive that prognosis is the timeline for recovery determined by the tissue model of healing. Physiotherapists also rely on experiential knowledge gained from clinical practice, professional development, and their peers to enhance learning about prognosis. The understanding of prognosis may be enhanced if physiotherapists conceptualise prognosis in terms of the multifactorial outcomes associated with function, tissue health, and pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103142"},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002376/pdfft?md5=a8af827c42e6c086d7df6cca898316cf&pid=1-s2.0-S2468781224002376-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141587719","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}
Érika P. Rampazo PT, PhD , Patrícia Rehder-Santos PT, PhD , Ana Laura M. de Andrade PT, PhD , Aparecida M. Catai PT, PhD , Richard E. Liebano PT, PhD
{"title":"Cardiac autonomic response to acute painful stimulus in individuals with chronic neck pain: A case-control study","authors":"Érika P. Rampazo PT, PhD , Patrícia Rehder-Santos PT, PhD , Ana Laura M. de Andrade PT, PhD , Aparecida M. Catai PT, PhD , Richard E. Liebano PT, PhD","doi":"10.1016/j.msksp.2024.103141","DOIUrl":"10.1016/j.msksp.2024.103141","url":null,"abstract":"<div><h3>Purpose</h3><p>Characterize heart rate and cardiac autonomic response to painful stimulus on neck pain.</p></div><div><h3>Methods</h3><p>Twenty-five individuals with neck pain and 25 healthy subjects were included. Heart rate variability and heart rate were assessed in the conditioned pain modulation test at pretest rest, during testing and in recovery. Heart rate variability indices were obtained using linear and nonlinear methods.</p></div><div><h3>Results</h3><p>No significant differences were observed between groups regarding heart rate and the linear methods (p > 0.05). However, significant difference was observed between groups regarding nonlinear methods (standard deviation of the instantaneous variability of beat-to-beat interval variability, p = 0.005)</p></div><div><h3>Conclusions</h3><p>Individuals with chronic neck pain showed autonomic responses similar to those of their healthy counterparts during the conditioning stimulus.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103141"},"PeriodicalIF":2.2,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630669","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":"Normative values and the influence of sex, hand dominance, and direction of movement on active wrist joint position sense in young healthy adults","authors":"Saidan Shetty , Y.V. Raghava Neelapala , Kavitha Vishal","doi":"10.1016/j.msksp.2024.103140","DOIUrl":"10.1016/j.msksp.2024.103140","url":null,"abstract":"<div><h3>Background</h3><p>Active wrist joint position sense (JPS) is a feasible method for determining wrist proprioception. However, the normative values and factors affecting wrist JPS are not known.</p></div><div><h3>Objectives</h3><p>To identify normative values of active wrist JPS in young healthy adults and explore the influence of sex, hand dominance and direction of wrist movement.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Method</h3><p>JPS of 100 individuals aged 18–40 years, (male: female = 51:49) were measured at two wrist positions (20° flexion/extension) using the active wrist JPS test. Absolute error (in degrees) was calculated and summarized using descriptive measures. Kruskal-Wallis analysis of variance was performed to determine the differences in JPS error based on sex, dominance and direction of wrist movement.</p></div><div><h3>Results</h3><p>Mean absolute JPS flexion error on the dominant side was 3.47°(SD = 3.91°), and non-dominant side was 3.26°(SD = 3.23°). Mean absolute JPS extension error on the dominant side was 3.35°(SD = 3.43°), and non-dominant side was 4.59°(SD = 4.82°). Compared to males, females had more absolute error for flexion and extension on the dominant side. No significant difference was found in the absolute error between the dominant and non-dominant sides or between flexion and extension.</p></div><div><h3>Conclusion</h3><p>These normative values of active JPS in young healthy adults can help clinicians while assessing proprioceptive impairments of the wrist. Differences in JPS errors due to sex were found, but not due to dominance or direction of movement. These findings can guide future research on mechanisms involved in wrist JPS.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103140"},"PeriodicalIF":2.2,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638767","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}