Ursina Arnet , Dirkjan (H. E. J.) Veeger , Wiebe H.K. de Vries
{"title":"Shoulder load during wheelchair-related activities of daily life","authors":"Ursina Arnet , Dirkjan (H. E. J.) Veeger , Wiebe H.K. de Vries","doi":"10.1016/j.jelekin.2025.103027","DOIUrl":"10.1016/j.jelekin.2025.103027","url":null,"abstract":"<div><div>Manual wheelchair users experience significant upper extremity strain, leading to a high prevalence of shoulder pain. Identifying modifiable risk factors for shoulder complaints is crucial for developing effective interventions. Consequently, it’s important to quantify shoulder load (magnitude, frequency and duration) experienced by manual wheelchair users throughout the day.</div><div>This study aims to quantify the magnitude of shoulder load during various daily activities, including wheelchair propulsion at different speeds and inclines, ascending and descending ramps, weight relief lift, material handling and desk work. Ten able-bodied participants performed these activities while their upper extremity kinematics and exerted forces were measured. The analysis focused on glenohumeral contact force and rotator cuff muscle forces using the Delft Shoulder and Elbow Model.</div><div>Highest mean glenohumeral contact forces were found during weight relief lift (1363 ± 1204 N), followed by descending a ramp (997 ± 1043 N) and fast propulsion (802 ± 742 N). The supraspinatus muscle generated the greatest force during weight relief lift (327 ± 490 N) and fast propulsion (184 ± 205 N). These findings provide a first reference for estimating joint load in daily activities. By combining these data with the individual activity frequency and duration, personalized shoulder load exposure can be assessed, informing the development of targeted interventions to reduce shoulder pain in manual wheelchair users.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"84 ","pages":"Article 103027"},"PeriodicalIF":2.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517828","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}
Silvia Recalde-Villamayor , Javier Navallas , Cristina Mariscal , Armando Malanda , Javier Rodriguez-Falces
{"title":"The Probability Density Function (PDF) of surface EMG with increasing force: a comparison between the tibialis anterior and the vastus lateralis","authors":"Silvia Recalde-Villamayor , Javier Navallas , Cristina Mariscal , Armando Malanda , Javier Rodriguez-Falces","doi":"10.1016/j.jelekin.2025.103029","DOIUrl":"10.1016/j.jelekin.2025.103029","url":null,"abstract":"<div><h3>Objectives</h3><div>The process by which the surface EMG signal is progressively filled up with motor unit potentials has so far been investigated only in the quadriceps muscles. However, the sEMG filling process is influenced by anatomical, physiological, and neural factors, and thus may be different for each muscle. Here, we sought to characterize the sEMG filling process of the <em>tibialis anterior</em> (TA) and compare it to that of the <em>vastus lateralis</em> (VL).</div></div><div><h3>Methods</h3><div>Surface EMG signals were recorded from the TA and VL muscles of healthy subjects as force was gradually increased from 0 to 80% MVC. The sEMG filling process was analyzed by measuring the EMG filling factor (FF), an index determined by the shape of the probability density function (PDF) of the sEMG signal.</div></div><div><h3>Results</h3><div>(1) The sEMG filling process showed significant differences between the TA and VL muscles (p < 0.05).</div><div>(2) In the TA, the degree of sEMG filling at the onset of the contraction was low (FF < 0.45) for 72 % of male subjects and 53 % of female subjects, whereas, in the VL, the degree of initial sEMG filling was low for 89 % of male subjects, but only in 12 % of female subjects.</div><div>(3) In the TA, the sEMG at high forces (>40 % MVC) contained spikes with largely different amplitudes (FF ∼ 0.5), whereas, in the VL, the sEMG contained spikes with comparable amplitudes (FF ∼ 0.63).</div></div><div><h3>Conclusions</h3><div>(1) At high forces, the TA PDF was close to Laplacian, whilst the VL PDF was nearly Gaussian; (2) The sEMG filling curves are more informative in the TA than in the VL; (3) The sEMG filling process is muscle and gender specific.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"84 ","pages":"Article 103029"},"PeriodicalIF":2.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144548708","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}
Luca Petrigna , Alessandra Amato , Giorgia Longo , Alessandro Castorina , Simona Pajaujiene , Giuseppe Musumeci
{"title":"A standard operating procedure for the evaluation of vertical jumps performance through surface electromyography assessment: A scoping review","authors":"Luca Petrigna , Alessandra Amato , Giorgia Longo , Alessandro Castorina , Simona Pajaujiene , Giuseppe Musumeci","doi":"10.1016/j.jelekin.2025.103028","DOIUrl":"10.1016/j.jelekin.2025.103028","url":null,"abstract":"<div><h3>Introduction</h3><div>The Countermovement Jump (CMJ) and the Squat Jump (SJ) are widely adopted tests to assess muscle strength and power. Neuromuscular data of the jump performance could be provided by surface Electromyography (EMG). While from a biomechanical and technical point of view, there are articles that support the two vertical jumps, less is published regarding surface EMG and the jumps. The objective of the present study was to review the literature to better understand the protocols adopted for a surface EMG evaluation during the CMJ and the SJ and eventually to propose a Standard Operating Procedure (SOP). A SOP could be a useful tool to better understand, compare, and interpret the findings.</div></div><div><h3>Methods</h3><div>A scoping review was performed. Data were collected on PubMed, Web of Science, and Scopus till 20<sup>th</sup> December 2024. The articles were screened against the eligibility criteria and narratively discussed.</div></div><div><h3>Results</h3><div>A total of 54 articles met the eligibility criteria. The articles present important differences in the methodology and the procedures followed. Differences were also detected in the hardware and the data analysis. From the common information of the articles, a SOP was proposed.</div></div><div><h3>Conclusions</h3><div>Different methodologies were adopted to evaluate neuromuscular function during the CMJ and the SJ tests. This makes difficult to compare the data. A SOP was proposed with information and guidelines related to muscles, hardware, and data processing. In this way, future studies could follow similar protocols increasing the possibility to compare the findings.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103028"},"PeriodicalIF":2.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366253","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}
Madison J. Fry, William S. Zoughaib, Richard L. Hoffman, Andrew R. Coggan
{"title":"The relationship between voluntary and electrically evoked muscle contractile properties in young women","authors":"Madison J. Fry, William S. Zoughaib, Richard L. Hoffman, Andrew R. Coggan","doi":"10.1016/j.jelekin.2025.103024","DOIUrl":"10.1016/j.jelekin.2025.103024","url":null,"abstract":"<div><div>Isokinetic dynamometry and neuromuscular electrical stimulation [NMES] are commonly used to assess muscle contractile function, but few studies have investigated the relationship between the two, particularly in women. Thirty young women (age 23 ± 5 y) therefore performed maximal knee extensions on an isokinetic dynamometer at angular velocities of 0.00–6.28 rad/s, after which NMES of the quadriceps was used to determine unpotentiated and potentiated twitch contractile properties as well as the torque-frequency relationship. Voluntary isometric peak torque was correlated with peak torque, absolute rate of torque development, and the absolute rate of relaxation during potentiated twitches (ie, r = 0.557, 0.585, and −0.650, P = 0.00786, 0.00411, and 0.000779, respectively). Voluntary isokinetic peak torques at 1.57 and 3.14 rad/s were also correlated with the potentiated absolute rate of torque development (ie, r = 0.597, P = 0.00309 and r = 0.551, P = 0.00849, respectively). No other significant correlations were found between voluntary and electrically evoked muscle contractile properties, including various measures of the torque-frequency relationship. Although there is some relationship between voluntary and NMES indices of muscle contractility, such results are only moderately well-correlated at best. The two techniques should therefore be considered complementary rather than interchangeable.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103024"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289131","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}
Jane E. Butler , Simon C. Gandevia , Anna L. Hudson
{"title":"Neural control of human inspiratory muscles. What have we learnt from the study of single motor units?","authors":"Jane E. Butler , Simon C. Gandevia , Anna L. Hudson","doi":"10.1016/j.jelekin.2025.103026","DOIUrl":"10.1016/j.jelekin.2025.103026","url":null,"abstract":"<div><div>This review covers the knowledge gains made about human respiratory neural drive resulting from ∼30 years of single motor unit recordings from human inspiratory muscles. Section 2 illustrates the non-uniformity of output across the various inspiratory motoneurone pools innervating diaphragm, scalene, intercostal, and genioglossus muscle activity during quiet breathing and during voluntary breathing. Section 3 describes the rostrocaudal graded timing and magnitude of respiratory neural drive across the parasternal intercostal and external intercostal muscles, which identified a principle of motoneurone recruitment termed the principle of neuromechanical matching that has been since identified as a principle of motor control more generally. Section 4 focuses on the changes in diaphragm motor unit discharge and morphology in ageing, chronic obstructive pulmonary disease and cervical spinal cord injury, linking increased drive to breathe to the changes in respiratory mechanics, with the intriguing findings that this is not always associated with a cortical contribution to breathing (i.e. change in the central control of breathing). Our studies have revealed an elaborate organisation of respiratory neural drive to the motoneurones to match the anatomical and functional complexity of the muscles themselves.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103026"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144472106","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}
Josef Fischer , Christian Burger , Josefina Manieu Seguel , Coşkun Rodoplu , Florian Kurt Paternoster , Markus Tilp , Andreas Konrad
{"title":"Impact of different ranges of motion in the prone barbell row on muscle excitation","authors":"Josef Fischer , Christian Burger , Josefina Manieu Seguel , Coşkun Rodoplu , Florian Kurt Paternoster , Markus Tilp , Andreas Konrad","doi":"10.1016/j.jelekin.2025.103025","DOIUrl":"10.1016/j.jelekin.2025.103025","url":null,"abstract":"<div><div>This study investigated muscle excitation via surface electromyography (sEMG) during different ranges of motion (ROMs) in the prone barbell row. Sixteen resistance-trained males performed a 10-repetition maximum (10RM) across three ROMs: full, upper half, and lower half. Time under tension was standardized at 2 s for both the concentric and eccentric phases. SEMG measurements were taken for the trapezius transversus (TT), rear deltoid (RD), latissimus dorsi (LD) and biceps brachii (BB). Mean sEMG amplitude and peak sEMG amplitude were analyzed. The LD showed significantly higher mean muscle excitation in the upper-half ROM compared to both the lower-half ROM (<em>p</em> < 0.001, <em>d</em> = − 0.59) and full ROM (<em>p</em> < 0.001, <em>d</em> = − 0.58). The TT exhibited significantly lower peak excitation in the upper-half ROM compared to the lower-half ROM (<em>p</em> = 0.042, <em>d</em> = 0.42) and full ROM (<em>p</em> = 0.013, <em>d</em> = 0.54). For the other muscles, no significant difference between the ROMs was found. The effect of ROM during the prone barbell row exercise on muscle excitation was of a medium magnitude only, as well as inconsistent, suggesting that ROM adjustments with standardized time under tension have limited impact on overall muscle activation.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103025"},"PeriodicalIF":2.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271364","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}
Jun Hee Yoon , Iseul Jo , Yoon Hyung Cho , Kyeongtak Song , Hae-Dong Lee
{"title":"Hamstring muscle shortens actively during the late swing phase of high-speed running","authors":"Jun Hee Yoon , Iseul Jo , Yoon Hyung Cho , Kyeongtak Song , Hae-Dong Lee","doi":"10.1016/j.jelekin.2025.103022","DOIUrl":"10.1016/j.jelekin.2025.103022","url":null,"abstract":"<div><div>The purpose of this study was to investigate the muscle–tendon unit (MTU) and fascicle behavior of the biceps femoris long head (BFlh) along with the activation during the swing phase of high-speed running. Nine active males ran on a treadmill at 70, 80, and 90 % of their maximum running speed. Kinematics of the hip and knee joints were collected during running. The fascicle length of the BFlh was monitored using a B-mode real-time ultrasound imaging system. Muscle activation of the BFlh was simultaneously recorded using surface electromyography. During the swing phase of running, the changes in the MTU length for 80 % and 90 % of the maximum running speed was greater than 70 % (<em>p</em> < 0.05). The fascicle was actively lengthened with weak activation during the early to the middle swing phase but actively shortened with strong activation during the late swing phase. Despite the different changes in the MTU length with increasing running speeds (<em>p</em> < 0.05), the fascicle length change was not different. During the late swing phase of high-speed running, the BFlh fascicle was actively shortened, suggesting further investigation explaining the cause of high-speed running-related muscle strain injury while considering the functional characteristics of the muscle–tendon interaction.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103022"},"PeriodicalIF":2.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204992","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}
Avery Hinks , Pardeep Khangura , Elira Leake , Taylor Beedie , Muhammad M. Kathia , Sergiu-Gabriel Duplea , Leslie A. Witton , Barbara S. Connolly , Jamie F. Burr , Philip J. Millar , Geoffrey A. Power
{"title":"Performance fatigability on a constant-load dynamic task is greater in females with moderate-severity Parkinson’s disease than healthy-aging controls","authors":"Avery Hinks , Pardeep Khangura , Elira Leake , Taylor Beedie , Muhammad M. Kathia , Sergiu-Gabriel Duplea , Leslie A. Witton , Barbara S. Connolly , Jamie F. Burr , Philip J. Millar , Geoffrey A. Power","doi":"10.1016/j.jelekin.2025.103023","DOIUrl":"10.1016/j.jelekin.2025.103023","url":null,"abstract":"<div><div>Parkinson’s disease (PD) is a neurodegenerative disorder associated with self-reported fatigue. While fatigue is a disabling symptom, performance fatigability, a decline in strength or power during sustained tasks, remains poorly understood, particularly during isotonic (constant-load) contractions, which are encountered in everyday activities. We assessed performance fatigability and recovery in people with PD compared to healthy-aging controls. Fifteen females with PD and 14 healthy-aging controls underwent neuromuscular testing of knee extensors using dynamometry. Participants then performed repeated maximal-effort isotonic knee extensions at a 20 % maximum voluntary contraction (MVC) load until peak power declined 40 %. Performance fatigability was assessed by repetitions to task failure, with recovery tracked for 10 min afterwards. Despite no baseline differences in neuromuscular performance, PD achieved ∼58 % fewer repetitions to failure. Immediately post-task failure, compared to controls, PD exhibited less fatigue-induced impairments in MVC torque, voluntary activation, and quadriceps electromyographic (EMG) activity, but similar impairment of twitch torque. For power and twitch torque, PD and controls recovered similarly, whereas PD recovered sooner for MVC torque and quadriceps EMG. Isotonic performance fatigability differs subtly between PD and healthy controls, providing novel insights into the physical manifestations of fatigue in PD and potential implications for understanding disease progression and management.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103023"},"PeriodicalIF":2.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189972","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}
Declan Price , Karen A. Ginn , Mark Halaki , Victor Kwasi , Darren Reed
{"title":"The validity of surface electrodes to record latissimus dorsi activity during submaximal trunk movement and stability tasks","authors":"Declan Price , Karen A. Ginn , Mark Halaki , Victor Kwasi , Darren Reed","doi":"10.1016/j.jelekin.2025.103013","DOIUrl":"10.1016/j.jelekin.2025.103013","url":null,"abstract":"<div><h3>Introduction</h3><div>The latissimus dorsi, a large superficial muscle connecting the pelvis, trunk and humerus, has the potential to contribute to trunk movement and stability. Surface electrodes are most typically used to record latissimus dorsi muscle activity during trunk tasks. However, there is the risk of crosstalk from nearby muscles, potentially leading to inaccurate muscle activity estimations. Therefore, this study aimed to determine the validity of using surface electrodes to record latissimus dorsi activity levels during submaximal trunk tasks by comparing the readings to indwelling electrodes simultaneously recorded at the same location.</div></div><div><h3>Methods</h3><div>Thirteen asymptomatic participants had indwelling electrodes inserted below the inferior angle of the scapula and surface electrodes placed over the same location. The participants completed submaximal trunk movements and stability tasks in various positions.</div></div><div><h3>Results</h3><div>There were no significant differences in latissimus dorsi activity recorded between surface and indwelling electrodes in all submaximal trunk movement tasks. However, during the trunk stability tasks the surface electrodes recorded significantly higher activity than the indwelling electrodes.</div></div><div><h3>Conclusion</h3><div>Surface electrodes are recommended as a valid option to record latissimus dorsi activity during submaximal trunk movement tasks. For tasks that challenge trunk stability, indwelling electrodes are recommended to avoid crosstalk from underlying muscles.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"83 ","pages":"Article 103013"},"PeriodicalIF":2.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143946575","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}
Tom Donnelly , Nathan Routledge , Elena Seminati , Benjamin Metcalfe
{"title":"A method for locating surface electromyography electrodes on the flexor carpi ulnaris","authors":"Tom Donnelly , Nathan Routledge , Elena Seminati , Benjamin Metcalfe","doi":"10.1016/j.jelekin.2025.103010","DOIUrl":"10.1016/j.jelekin.2025.103010","url":null,"abstract":"<div><div>The flexor carpi ulnaris (FCU), a superficial forearm muscle which provides wrist flexion and ulnar deviation, is used in surface electromyography (sEMG) applications for clinical assessments, rehabilitation, and human-machine interfaces. Proper electrode location on the forearm muscles is imperative due to small signal amplitudes and susceptibility to interference and crosstalk, where poor placement can give ambiguous or erroneous results. Currently, no formal method exists for locating sEMG electrodes over the FCU muscle. General advice is to palpate and observe muscle movements, however, this depends on the practitioner’s experience-level, so can be subjective and inconsistent.</div><div>This paper presents a systematic method for locating sEMG electrodes on the FCU muscle using palpation of the pisiform bone and humeral medial epicondyle, and establishing the muscle line between. The technique’s efficacy was assessed using sEMG from three sites on the muscle belly, testing both arms of 10 participants, and analysing the resulting SNR, mean absolute value (MAV), and frequency spectrum. An electrode location at 80% of the distance from the pisiform is recommended to provide the highest median SNR and MAV across participants. These results provide guidance for locating a suitable and consistent sEMG site on the FCU that is less reliant on practitioner experience, which may benefit both clinical and biomedical engineering applications.</div></div>","PeriodicalId":56123,"journal":{"name":"Journal of Electromyography and Kinesiology","volume":"82 ","pages":"Article 103010"},"PeriodicalIF":2.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927655","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}