Frontiers in rehabilitation sciences最新文献

{"title":"Editorial: Vestibular rehabilitation, neuromodulation and balance in clinical applications of neurology and otoneurology: what is the recent evidence from basic and clinical research?","authors":"Michael C Schubert, Catarina Costa Boffino","doi":"10.3389/fresc.2025.1602044","DOIUrl":"https://doi.org/10.3389/fresc.2025.1602044","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1602044"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responsiveness and minimal important differences of common disability measures in people with depression and anxiety disorders.","authors":"Edimansyah Abdin, Vanessa Seet, Anitha Jeyagurunathan, Sing Chik Tan, Muhammad Iskandar Shah Mohmad Khalid, Yee Ming Mok, Swapna Kamal Verma, Mythily Subramaniam","doi":"10.3389/fresc.2025.1556390","DOIUrl":"https://doi.org/10.3389/fresc.2025.1556390","url":null,"abstract":"<p><strong>Background: </strong>The Sheehan Disability Scale (SDS), World Health Organization Disability Assessment Schedule 2.0 12-item version (WHODAS 2.0), and Social and Occupational Functioning Assessment Scale (SOFAS) are commonly used disability measures in patients with depression and anxiety disorders. The current study aimed to compare the responsiveness of these three disability measures and establish their minimal important differences (MID) in the same population.</p><p><strong>Methods: </strong>A total of 308 patients (M = 36.1, SD = 12.7) who were recruited from outpatient clinics and completed all measures at the two assessment points were included in the current study. The MID was estimated using a triangulation approach while the internal and external responsiveness was evaluated using standardized response mean and receiver operating characteristic curves, respectively.</p><p><strong>Results: </strong>The best MID estimates for the WHODAS, SDS, and SOFAS were three, four, and six points, respectively. The internal responsiveness analysis showed that all three disability measures were well responsive in patients with improved or stable Patient Health Questionnaire-8 and Generalized Anxiety Disorder-7 scores at the 6-month follow-up. Meanwhile, the external responsiveness analysis demonstrated that all three disability measures showed adequate responsiveness to improvement, with AUC values of at least 0.7. However, when improvement criteria incorporated MID, only WHODAS was found to be adequately responsive.</p><p><strong>Conclusion: </strong>The results of this study will be a helpful guide for clinicians to track and detect meaningful improvements in patient functioning, ensuring continued high-quality clinical care and management.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1556390"},"PeriodicalIF":1.3,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, Urdu translation, and validation of a lifestyle modification manual for patients post-total knee replacement.","authors":"Samreen Sadiq, Rabiya Noor, Hafiz Muhammad Asim","doi":"10.3389/fresc.2025.1565544","DOIUrl":"10.3389/fresc.2025.1565544","url":null,"abstract":"<p><strong>Objective: </strong>Development, Urdu translation, and content validation of a manual on lifestyle modifications for individuals post-total knee replacement.</p><p><strong>Methods: </strong>A methodological study design was utilized in which a thorough literature review and a group interview with eight subjects were conducted, which led to the identification of domains and generation of items. The group consisted of 10 patients who had undergone total knee arthroplasty and five caregivers. A focal group discussion was conducted to evaluate the overlay and repetition among variable items. Two series of content validation were conducted by four content experts and four untrained individuals in English and Urdu. A revision was conducted for items with scores between 0.70 and 0.79 and retention was conducted for items that scored more than 0.79. Items with a content validity index score of less than 0.70 were omitted from the final set of items.</p><p><strong>Results: </strong>The initial review and focus group interview finalized 53 items in the exercise, education, and diet sections. After the discussion phase, the manual was tailored to 34 items. Content validation reported that the English version of the manual received validation scores of 0.864 and 0.858 for relevance and clarity, respectively. Likewise, the Urdu version of the manual attained Scale-Content Validity Index/Average scores of 0.864 and 0.900, respectively, for these metrics.</p><p><strong>Conclusion: </strong>A 34-item lifestyle modification manual was generated and its content was thoroughly validated to provide detailed guidance and instructions, enabling patients to continue their rehabilitation exercises and lifestyle modifications in the comfort of their own homes. The manual shows strong content validity, particularly for our target population in Pakistan.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1565544"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term effects of percutaneous electrical nerve stimulation on pain and muscle function in patients undergoing anterior cruciate ligament surgery: a randomized clinical trial.","authors":"Julio Caballero-López, Marcos Navarro-Santana, Jaime Almazán-Polo, Fernando García-Sanz, María José Díaz-Arribas, Francisco Minaya-Muñoz, Carlos Romero-Morales","doi":"10.3389/fresc.2025.1501703","DOIUrl":"10.3389/fresc.2025.1501703","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior cruciate ligament (ACL) reconstruction surgery is associated with the presence of anterior knee pain and knee extension weakness. Percutaneous electrical nerve stimulation (PENS) is a minimally invasive technique with the objective of neuromodulating the symptoms derived from the intervention. The objective of the study is to analyze the short-term effect of the use of the PENS technique in patients undergoing ACL surgery.</p><p><strong>Materials and methods: </strong>A randomized clinical trial was carried out at the CEMTRO clinic in Madrid with 70 participants (<i>N</i> = 70) where the effect of the PES intervention in combination with a rehabilitation program (<i>n</i> = 35) was compared against a control group of rehabilitation (<i>n</i> = 35). The study analyzed changes in pain intensity, pressure pain threshold (PPT) of the vastus medialis, vastus lateralis, quadriceps and patellar tendons, isometric knee extension strength and range of motion of the knee.</p><p><strong>Results: </strong>Differences were determined in the PENS group compared to the rehabilitation group immediately after the first intervention in the reduction of pain intensity through the VAS scale and in knee extension isometric strength (<i>p</i> < 0.05). Both groups showed differences after 12 weeks in the range of motion of the knee in knee flexion and extension, as well as in the PPT of the patellar tendon.</p><p><strong>Conclusion: </strong>The PENS intervention combined with a rehabilitation program compared to an isolated rehabilitation program showed a short-term reduction in pain intensity and an increase in isometric strength in knee extension in patients undergoing ACL surgery.</p><p><strong>Clinical trial registration: </strong>[ClinicalTrials.gov], identifier [NCT05606250].</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1501703"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The symbolic intersecting ableism and racism scale.","authors":"Carli Friedman","doi":"10.3389/fresc.2025.1576357","DOIUrl":"https://doi.org/10.3389/fresc.2025.1576357","url":null,"abstract":"<p><strong>Introduction: </strong>Intersectionality recognizes and maps the ways oppressions interact and intersect for multiply marginalized people. This framework is a pushing back against the historical approach to discrimination that has taken a \"single-axis\" view of discrimination, focusing on one single type of oppression, even for people with multiple identities. Little attention has been drawn to intersectionality when it comes to disability, especially related to disability and race.</p><p><strong>Objective: </strong>In recognition of the intersectional nature of ableism and racism, the aim of this study was to develop and validate the Symbolic Intersecting Ableism and Racism Scale (SIARS).</p><p><strong>Materials and methods: </strong>We piloted the SIARS with 512 people (July-October 2024) and conducted an exploratory factor analysis to examine the underlying structure of the SIARS.</p><p><strong>Results: </strong>The SIARS has adequate validity and reliability. Our findings suggest the SIARS is comprised of a complex combination of a denial of continuing discrimination, individualism, and empathy. The findings also indicated many points of contention with the single-axis symbolic ableism scale measure, which examines disability only, further reinforcing the need to measure and attend to intersectionality.</p><p><strong>Conclusion: </strong>Without doing so, we will never truly be able to dismantle oppression and discrimination, including the ableism disabled people face.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1576357"},"PeriodicalIF":1.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the disability employment gap and Its determinants: findings from a population-based cohort study in spinal cord injury.","authors":"Mahesh Sarki, Urban Schwegler, George Austin-Cliff, Mayra Galvis Aparicio, Christine Reuse, Martin W G Brinkhof","doi":"10.3389/fresc.2025.1572158","DOIUrl":"https://doi.org/10.3389/fresc.2025.1572158","url":null,"abstract":"<p><strong>Introduction: </strong>The disability employment gap (DEG) is instrumental in monitoring social progress and employment inequalities. This study evaluated the DEG and its determinants among people with spinal cord injury (SCI) in Switzerland.</p><p><strong>Methods: </strong>Employment data from three consecutive population-based surveys were analyzed and compared with the general Swiss population, matched according to sex, age, year, and region of residence. Mixed-effects Poisson regression modelling was applied to evaluate the determinants of labor market participation (LMP) and derive marginal predictions for the DEG.</p><p><strong>Results: </strong>DEGs decreased over calendar time, with individuals with complete tetraplegia exhibiting the most substantial reduction (2012: -37%, 2022: -25%); however, their probability of LMP in 2022 remained 25% lower than those with incomplete paraplegia. The DEG marginally increased among those with the fewest years of education (0-9) (2012: -48.1%, 2022: -49.2%). Regional disparities were also observed.</p><p><strong>Conclusions: </strong>Our findings indicate improved LMP opportunities in the Swiss SCI population, but also highlight the need to promote access to quality employment opportunities, vocational education, and training programs for severely injured individuals with low education. Additionally, efforts should be made to ensure equal LMP prospects across Switzerland.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1572158"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of blood pressure submission between mobilec app users and non-users in Romania: a pilot cohort study.","authors":"Liviu Ionut Serbanoiu, Stefan Sebastian Busnatu, Andreea Elena Lacraru, Maria Alexandra Pana, Suzana Guberna, Dragos Trache, Plesu Elena, Catalina Liliana Andrei, Crina Sinescu","doi":"10.3389/fresc.2025.1580991","DOIUrl":"https://doi.org/10.3389/fresc.2025.1580991","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases (CVD) represent a major public health concern in Romania. Despite the importance of home blood pressure (BP) monitoring, adherence to this practice remains limited. With the growing availability of eHealth solutions, this study aimed to evaluate the user experience and engagement of individuals with and without CVD in using telemonitoring technology.</p><p><strong>Methods: </strong>A prospective cohort study was conducted involving 24 participants who used a smartwatch application for telemonitoring. In addition, 176 participants who did not use the application were surveyed through an online questionnaire to serve as a comparison group. Participants were included regardless of CVD status. Data collected included blood pressure submission frequency, app usage metrics, and daily step counts. The cohort using the smartwatch app was observed over a 60-day period.</p><p><strong>Results: </strong>Among the participants, 58.3% were male and 41.7% were female, with a mean age of 50.57 years. The average number of active app usage days was 47.5 out of 60, and blood pressure was submitted on average 31.79 days. The average daily step count was 4,624 steps. In comparison, the reference group (non-app users) submitted BP data on average 7.41 days out of 60. A positive correlation was observed between active usage and BP submissions in the app group, indicating higher engagement with the telemonitoring intervention. Variability in user involvement was noted, with moderate but periodic participation.</p><p><strong>Discussion: </strong>This pilot study suggests that Romanian patients are more likely to engage with mobile health technologies for hypertension management compared to traditional care approaches. The use of telemonitoring devices was associated with greater adherence to vital sign reporting. However, limitations such as small sample size, potential self-selection bias, and lack of randomization must be considered. Further research with larger, randomized control trials and extended follow-up is necessary to validate these findings. Empowering patients through eHealth solutions, alongside clinician support, may help mitigate the burden of cardiovascular diseases in Romania.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1580991"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global availability of guidelines related to assistive technology: a scoping review.","authors":"Wei Zhang, Johan Borg","doi":"10.3389/fresc.2025.1581104","DOIUrl":"https://doi.org/10.3389/fresc.2025.1581104","url":null,"abstract":"<p><strong>Background: </strong>Given the rising global demand for assistive technology, predicted to encompass 3.5 billion people by 2050, understanding the availability of guidelines governing its use and identifying potential gaps is paramount.</p><p><strong>Objective: </strong>This scoping review mapped existing guidelines related to assistive technology. The review aimed to inform future research and guideline development to accelerate access to assistive technology within universal health coverage.</p><p><strong>Methods: </strong>Following the JBI methodology, a systematic search of guidelines published between January 2008 and March 2024 was conducted across CINAHL, Google Scholar, PubMed, TRIP and WHO IRIS. Included guidelines related to specific assistive technology, including product types and services for users and their caregivers. Guidelines targeting system-level interventions were excluded.</p><p><strong>Results: </strong>The search identified 291 records, of which 24 guidelines were included. They focus on improving health outcomes for diverse populations across different healthcare settings. Most guidelines originated from high-income countries and predominantly addressed commonly known assistive products for mobility, hearing, vision, and self-care. There is a gap in guidelines for assistive products for cognition and communication. The identified guidelines primarily followed evidence-based methodologies and involved assistive technology users in their development.</p><p><strong>Conclusions: </strong>This review provides a crucial overview of the existing landscape of assistive technology guidelines. It calls for further action to harmonize standards, leverage innovation in evidence generation, and enhance guideline development to better serve the global population in need of assistive technology.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1581104"},"PeriodicalIF":1.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraindications to Whole-Body Cryostimulation (WBC). A position paper from the WBC Working Group of the International Institute of Refrigeration and the multidisciplinary expert panel.","authors":"Paolo Capodaglio, Angelo Alito, Benoit Michel Duguè, Romain Bouzigon, Giovanni Lombardi, Elzbieta Dorota Miller, Federica Verme, Giuseppe Modaffari, Paolo Piterà, Ewa Ziemann, Jacopo Maria Fontana","doi":"10.3389/fresc.2025.1567402","DOIUrl":"https://doi.org/10.3389/fresc.2025.1567402","url":null,"abstract":"<p><strong>Background: </strong>Whole-Body Cryostimulation (WBC) is a treatment that involves short exposures of the entire body to very cold and dry air in specially adapted cryochambers. A growing body of literature suggests the safe application of this technique in medical settings.</p><p><strong>Aim: </strong>The primary purpose of this study was to generate an international consensus on the updated contraindications for WBC through an interactive process of questionnaire interspersed with controlled feedback from a steering committee.</p><p><strong>Design: </strong>The study design was based on a systematic review of the literature and Delphi methodology.</p><p><strong>Setting: </strong>Administration of electronic online questionnaires concerning contraindications to WBC.</p><p><strong>Population: </strong>A multidisciplinary panel of 48 experts in the fields of rehabilitation, cardiology, neurology, endocrinology, oncology, clinical nutrition or in the clinical application of WBC was invited to participate in this consensus study.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus and Embase databases was carried out to identify possible items for inclusion in a form. A two-round Delphi survey was then conducted according to international guidelines, consisting of an electronic online questionnaire. The experts had to rate their agreement with each item in the questionnaires on a 5-point Likert scale. Expert consensus was assessed.</p><p><strong>Results: </strong>A total of 28 European experts participated in the Delphi survey. The first round consisted of 59 items, 3 of which were discarded after data analysis. The second round was rearranged according to the previous suggestions of the panellists. All 28 experts completed the two rounds. At the end of the survey, consensus was reached and a final list of temporal and absolute contraindications to WBC was identified.</p><p><strong>Conclusions: </strong>This process resulted in multidisciplinary expert consensus statements on contraindications to WBC. The European experts agreed on most of the decisions and produced a list of contraindications.</p><p><strong>Clinical rehabilitation impact: </strong>The results provide a robust evidence framework to help clinicians improve clinical practice and patient safety.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1567402"},"PeriodicalIF":1.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization and associated factors of traditional bone setting service among patients with musculoskeletal injuries in Northeast Ethiopia.","authors":"Mengesha Alemu Seid, Betelhem Walelgn, Ashenafi Kibret Sendekie, Getachew Tesfaw Walle, Melkamu Adamu Geremew, Mikiyas Haylu Sahlu, Simachew Asress Mekonen, Biruk Beletew Abate","doi":"10.3389/fresc.2025.1484403","DOIUrl":"https://doi.org/10.3389/fresc.2025.1484403","url":null,"abstract":"<p><strong>Background: </strong>Traditional bone setting is widely practiced in Ethiopia, despite the lack of standardized training and associated risks. This study aimed to assess the prevalence of traditional bone setting service utilization and associated factors among trauma patients at Woldia Comprehensive Specialized Hospital.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted between April 9 and May 18, 2024. A total of 420 participants were selected using a consecutive sampling technique. Binary and multiple logistic regressions were used to assess the association between the independent variables and traditional bone setting service utilization.</p><p><strong>Results: </strong>A total of 420 patients with orthopedic injuries participated in the study. The prevalence of traditional bone setting utilization was 55.2% (95% CI: 50.44, 59.95). In a multivariable regression model, rural residency (AOR = 1.56, 95% CI: 1.02, 2.39), low annual income (<21,000 Birr) (AOR = 4.06, 95% CI: 1.97, 8.37), use of health insurance (AOR = 0.63, 95% CI: 0.41, 0.95), and extremity trauma (AOR = 1.82, 95% CI: 1.11, 2.99) were significantly associated with traditional bone setting utilization.</p><p><strong>Conclusion: </strong>Traditional bone setting utilization is common among rural, poor, and uninsured patients. Further research may be important to ensure its appropriate utilization.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1484403"},"PeriodicalIF":1.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}