{"title":"RARE CASE OF HIP PAIN DUE TO ILIOPSOAS TENDON RUPTURE; A CASE REPORT AND REVIEW OF THE LITERATURE.","authors":"Alpha Anders, Kenneth Vitale","doi":"10.2340/jrmcc.v5.2541","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.2541","url":null,"abstract":"<p><strong>Objective: </strong>Hip pain is common in patients of advanced age and has a very broad differential. Of the potential aetiologies, iliopsoas tendon ruptures are rare. Consequently, there is a paucity of literature on iliopsoas rupture in the older adult population, and its rarity can lead to a delay in its diagnosis. When iliopsoas ruptures do occur, they are typically secondary to trauma; however, they can occur spontaneously. Iliopsoas injuries can be disabling, but they respond well to conservative management. We report here a case of a 70-year-old woman who presented to an unaffiliated emergency department with left anterior hip pain 2 weeks after a fall from standing height.</p><p><strong>Results: </strong>Initial X-ray and computed tomography were negative for fracture, and the patient was discharged with home health physical therapy. Her symptoms persisted. At a subsequent emergency department visit several weeks later, magnetic resonance imaging revealed a complete left iliopsoas tendon rupture with retraction. She was treated conservatively and made a complete recovery after physical therapy.</p><p><strong>Discussion: </strong>This paper reviews the literature related to iliopsoas injuries, highlights the importance of iliopsoas tendon injuries among the differential for acute hip pain, and provides management recommendations for this rare, but probably underdiagnosed, injury. This treatable condition warrants further attention, as delay in diagnosis can prolong morbidity.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"2541"},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/83/JRMCC-5-2541.PMC9422879.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40349071","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}
Tim Dries, Jan Willem VAN DER Windt, Wouter Akkerman, Mari Kluijtmans, Rob P A Janssen
{"title":"EFFECTS OF A SEMI-RIGID KNEE BRACE ON MOBILITY AND PAIN IN PEOPLE WITH KNEE OSTEOARTHRITIS.","authors":"Tim Dries, Jan Willem VAN DER Windt, Wouter Akkerman, Mari Kluijtmans, Rob P A Janssen","doi":"10.2340/jrmcc.v5.2483","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.2483","url":null,"abstract":"<p><strong>Objective: </strong>Osteoarthritis is one of the most common chronic conditions leading to disability among older people (age 60+ years). Knee osteoarthritis has a significant impact on daily functioning. Pain, stiffness, reduced strength, changes in posture, and reduced knee stability may result in reduced mobility. The aim of this study is to evaluate the short- and long-term effects of conservative therapeutic use of a semi-rigid knee brace for management of patients with knee osteoarthritis, using patient-reported outcomes.</p><p><strong>Design: </strong>Patients with osteoarthritis using a semi-rigid knee brace were asked to complete a questionnaire about the effectiveness of the brace after wearing it for 3 weeks. The primary outcome measure was mobility, assessed using an ordinal scale with and without use of the knee brace. Secondary outcome measures were pain symptoms and overall daily functioning.</p><p><strong>Results: </strong>A total of 381 patients completed the questionnaire. The results show considerably improved mobility while using a knee brace in different mobility groups. In the group of respondents who were limited to their home environment mobility decreased by 74% while using a knee brace. In the group of respondents who were able to walk to a nearby shop mobility increased by 50%, and the group experiencing no mobility restrictions increased from 3% without using a knee brace to 13% while using a knee brace. In addition, 54% of respondents reported a reduction in pain symptoms and 62% of respondents reported an improvement in overall daily functioning while using a knee brace.</p><p><strong>Conclusion: </strong>The results of this large-scale patient-reported outcome measure (PROM) study show that the use of a semi-rigid knee brace appears to provide suitable joint support, offering pain relief and freedom of movement and should be considered a useful non-surgical treatment method for use in patients with knee osteoarthritis.</p><p><strong>Clinical trial: </strong>This study does not include a clinical trial.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"2483"},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/08/JRMCC-5-2483.PMC9274778.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610948","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":"IMPACT OF STATIC PROGRESSIVE STRETCH ON RANGE OF MOTION AFTER TOTAL KNEE REPLACEMENT IN PATIENTS WITH HAEMOPHILIA.","authors":"Borut Pompe, Simona Filipidis, Petra Dovč","doi":"10.2340/jrmcc.v5.2285","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.2285","url":null,"abstract":"<p><strong>Background: </strong>Haemophilic arthropathy is often associated with a loss of range of motion. Total knee arthroplasty is an effective treatment option for patients with end-stage haemophilic arthropathy of the knee. However, even after arthroplasty, the range of motion sometimes remains insufficient.</p><p><strong>Objective: </strong>To evaluate static progressive stretch as a treatment method for haemophilic patients with decreased range of motion after total knee arthroplasty.</p><p><strong>Methods: </strong>Static progressive stretch was used to improve range of motion in patients with a postoperative extension lag of more than 10° and flexion of less than 80°. A total of 7 knees were treated for a mean of 21.7 weeks.</p><p><strong>Results: </strong>Statistically significant increases in range of motion and in Knee Society Score were observed when comparing pre-treatment and post-treatment values.</p><p><strong>Conclusions: </strong>Static progressive stretch using an orthotic device could be a successful adjuvant method for treating joint stiffness in patients with haemophilia after total knee arthroplasty.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"2285"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/6c/JRMCC-5-2285.PMC9252095.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40592932","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}
Grégoire Prum, Rémi Mallart, Margaux Beatrix, Eric Verin
{"title":"SWALLOWING ACTIVATION USING SENSORY STIMULATION IN PATIENTS WITH SEVERE DISORDERS OF CONSCIOUSNESS.","authors":"Grégoire Prum, Rémi Mallart, Margaux Beatrix, Eric Verin","doi":"10.2340/jrmcc.v5.2448","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.2448","url":null,"abstract":"<p><strong>Objective: </strong>Swallowing disorders are systematically present in patients with severe brain injury, disorders of consciousness, and subsequently poor quality of life. The study hypothesis was that taste and smell could improve swallowing function and quality of life in such patients, who are fed by gastrostomy tube.</p><p><strong>Methods: </strong>Eight patients with unresponsive wakefulness syndrome were included in this study. All patients had been in a stable state for at least 2 years, and the delay between the neurological event and the study was always more than 2 years. Strong tastes and smells were selected using the Pfister olfactory classification. Taste and smell stimulations were performed every weekday, Monday to Friday, for 1 week (5 sessions) by a speech and language therapist. Evaluation of swallowing was performed before the first session and after the fifth session, and included the number of spontaneous swallows during 10 min, the presence of drooling, and spontaneous tongue and velum mobility.</p><p><strong>Results: </strong>The number of spontaneous swallows at the initial evaluation was 6.8 ± 5.1 <i>n</i>/min. At the final evaluation there was a significant increase in the number of spontaneous swallows (9.1 ± 4.1 <i>n</i>/min, <i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>This clinical observation has shown that taste and smell stimulations are relevant in clinical practice to improve spontaneous swallowing.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"2448"},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/a2/JRMCC-5-2448.PMC9326895.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573966","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}
Tom C. A. Derikx, I. Brands, Arne T. Goedhart, Wouter H. Hoens, M. Heijenbrok-Kal, R. van den Berg-Emons
{"title":"HIGH-VOLUME AND HIGH-INTENSITY FUNCTIONAL TRAINING IN PATIENTS WITH MULTIPLE SCLEROSIS: A PILOT STUDY ON FEASIBILITY AND FUNCTIONAL CAPACITY","authors":"Tom C. A. Derikx, I. Brands, Arne T. Goedhart, Wouter H. Hoens, M. Heijenbrok-Kal, R. van den Berg-Emons","doi":"10.2340/jrmcc.v5.2047","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.2047","url":null,"abstract":"Objective To evaluate the feasibility of a high-volume and high-intensity functional training programme in patients with multiple sclerosis (MS), and to explore whether functional capacity improves. A further objective was to explore changes in muscle strength and aerobic capacity. Methods This pilot study comprised a 12-week intervention, with an 8-week follow-up period. The intervention consisted of 3 weekly 3-h training sessions, comprising functional resistance-, endurance-, and skills training. Feasibility (questionnaire), functional capacity (Timed Up and Go Test, 10-Meter Walk Test, and 6-Minute Walk Test), aerobic capacity (cardiopulmonary exercise test) and muscle strength (1 repetition maximum (RM) leg press) were evaluated. Results Seven patients completed the study. Patients attended a mean of 93% of the training sessions. One adverse event was reported, which was not related to the training programme. Patients scored positive or very positive on 86% of the feasibility aspects and scored an overall grade of 8.9 on a scale of 1–10 regarding satisfaction with the training programme. Functional capacity, aerobic capacity, and muscle strength seemed to be improved after the training programme, but the improvements were not always sustained. Conclusion This new high-volume and high-intensity functional training programme appeared to be feasible in patients with MS, and may improve their functional capacity, aerobic capacity and muscle strength. A large-scale controlled trial over a longer period of time is required to evaluate the added value of the training programme. LAY ABSTRACT Multiple Sclerosis (MS) is an autoimmune disorder which affects 2.3 million people worldwide. People with MS often have impaired physical fitness, which may induce fatigue. In this pilot study we evaluated a new and high-intensive training program. Patients trained for 12 weeks, three days a week, three hours a day. We explored whether the training program is feasible in MS, and whether patients improve their physical fitness. Seven patients completed the study, and attended on average 93% of the training sessions. Patients scored an overall grade of 8.9 on a scale of 1 to 10 regarding satisfaction with the training program. Physical fitness seemed to be improved, but improvements did not always preserve eight weeks after the training program. We concluded that the training program appears to be feasible in patients with MS, and may improve their physical fitness. However, a large controlled study is necessary to confirm these findings.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75994561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evert Christiaan Boshuis, Eva Melin, Kristian Borg
{"title":"PAIN IN POST-POLIO SYNDROME: A SEPARATE PAIN ENTITY?","authors":"Evert Christiaan Boshuis, Eva Melin, Kristian Borg","doi":"10.2340/20030711-1000077","DOIUrl":"https://doi.org/10.2340/20030711-1000077","url":null,"abstract":"Background Most patients with polio recover from the initial infection, but develop muscle weakness, pain and fatigue after 15–40 years, a condition called post-polio syndrome. Although poliovirus has been almost eliminated, 12–20 million people worldwide still have polio sequelae. The pain is described mainly as nociceptive, but some patients experience neuropathic pain. The aim of this study was to further characterize post-polio pain. Patients and methods A total of 20 patients with post-polio syndrome participated in the study. Physical examination was performed, and questionnaires containing pain drawing and visual analogue scales (VAS) for pain intensity during rest and motion and VAS for fatigue were completed. A walk test was performed to evaluate physical performance. Results Pain intensity was high (42/100 on the VAS at rest and 62/100 while moving). The pain was localized in both joints and muscles. Pain in the muscles was of “deep aching” character, included “muscle cramps” and was located mainly in polio-weakened limbs. Conclusion Muscle pain in patients with post-polio syndrome does not fulfil the criteria for either nociceptive or neuropathic pain; thus, it is suggested that the pain is termed “post-polio muscular pain”. The intensity of post-polio muscular pain is higher while moving, but does not influence physical function, and is separate from fatigue. LAY ABSTRACT Most polio patients recover from the initial infection, but develop muscle weakness, pain and fatigue after 15–40 years, a condition called Post-Polio Syndrome. Though the poliovirus has almost been eliminated, 12-20 million people worldwide still have polio-sequelae. The pain is mainly described as nociceptive, but some patients experience neuropathic pain. This study was undertaken to further characterize post-polio pain. We examined 20 Post-polio patients and found that the pain was localised in both joints and muscles. The pain in the muscles was of ‘deep aching’ character, included ‘muscle cramps’ and was mainly located in polio-weakened limbs. The intensity of the pain is higher while moving but does not influence the physical function. To know more about the characteristics of the pain perceived gives better possibilities for treatment and rehabilitation","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000077"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/8c/JRMCC-5-1000077.PMC8793922.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930753","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}
Natasha K Brusco, Helen Kugler, Fiona Dufler, Annemarie L Lee, Brianna Walpole, Meg E Morris, Keith D Hill, Christina L Ekegren, Sara L Whittaker, Nicholas F Taylor
{"title":"INCLUDING EXERCISE SELF-MANAGEMENT AS PART OF INPATIENT REHABILITATION IS FEASIBLE, SAFE AND EFFECTIVE FOR PATIENTS WITH COGNITIVE IMPAIRMENT.","authors":"Natasha K Brusco, Helen Kugler, Fiona Dufler, Annemarie L Lee, Brianna Walpole, Meg E Morris, Keith D Hill, Christina L Ekegren, Sara L Whittaker, Nicholas F Taylor","doi":"10.2340/20030711-1000076","DOIUrl":"https://doi.org/10.2340/20030711-1000076","url":null,"abstract":"<p><strong>Objective: </strong>To test the feasibility, safety and effectiveness of the My Therapy programme for inpatients with mild-moderate cognitive impairment.</p><p><strong>Design: </strong>Observational pilot study.</p><p><strong>Patients: </strong>Rehabilitation inpatients with mild-moderate cognitive impairment.</p><p><strong>Methods: </strong>During their inpatient admission, participants received My Therapy, a programme that can increase the dose of rehabilitation through independent self-practice of exercises, outside of supervised therapy. Outcomes included My Therapy participation, falls, Functional Independence Measure (FIM) and 10-m walk test. Outcomes were compared with those of participants without cognitive impairment from the original My Therapy study (<i>n</i> = 116) using <i>χ</i> <sup>2</sup> and independent <i>t</i>-tests.</p><p><strong>Results: </strong>Eight participants with mild-moderate cognitive impairment (mean (standard deviation (SD)) age 89.6 years (4.8); 3 women) were included. All participants completed the My Therapy programme on at least one day of their admission, with no associated falls. Participants had an 8.4 s (SD 5.1) reduction in their 10-m walk test and a 21.5 point (SD 11.1) improvement on FIM scores from admission to discharge. There were no significant between-group differences in feasibility, safety or effectiveness for participants with and without cognitive impairment.</p><p><strong>Conclusion: </strong>This pilot study has shown that including exercise self-management as part of inpatient rehabilitation is feasible, safe and effective for patients with cognitive impairment.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000076"},"PeriodicalIF":0.0,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/22/JRMCC-5-1000076.PMC8771766.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39611717","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":"OSTEOCHONDROSES IN CHILDREN'S SPORTS PRACTICE - A RARE CASE OF VAN NECK-ODELBERG DISEASE.","authors":"João P Fonseca, Pedro Figueiredo, João P Pinheiro","doi":"10.2340/jrmcc.v5.4593","DOIUrl":"https://doi.org/10.2340/jrmcc.v5.4593","url":null,"abstract":"<p><strong>Background: </strong>Osteochondroses are a set of conditions concerning the ossification of the developing bone. Higher intensity in sports activities can increase its occurrence in children. There is no consensus on its etiology, with multiple factors being involved. Van Neck-Odelberg disease is a rare osteochondrosis located in ischiopubic synchondrosis. Treatment is mainly conservative, with activity suspension. Addressing and correcting the predisposing factors is crucial to these injuries.</p><p><strong>Case report: </strong>We present a case of a 6-year-old futsal player who experienced mechanical inguinal moderate pain during sports practice. After performing physical examination, laboratory tests, and radiographic evaluation, the patient was diagnosed with Van Neck-Odelberg disease. Sports activities were suspended while a conservative treatment was performed, with subsequent follow-up over 3.5 years. No symptom recurrence was reported.</p><p><strong>Conclusion: </strong>Increased intensity of sports activities is associated with overuse injuries in children, especially before completing the ossification process. Preventive measures must remain the primary concern in children's sports practice.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"5 ","pages":"4593"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/5f/JRMCC-5-4593.PMC9772922.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10508687","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}
Ji-Hyun Kim, Myoung-Hwan Ko, Jin Woo Park, Ho Jun Lee, Ki Yeun Nam, Yeon-Gyo Nam, Chi-Hun Oh, Joong Hee Park, Bum Sun Kwon
{"title":"Efficacy of Electromechanically-Assisted Rehabilitation of Upper Limb Function in Post-Stroke Patients: A Randomized Controlled Study.","authors":"Ji-Hyun Kim, Myoung-Hwan Ko, Jin Woo Park, Ho Jun Lee, Ki Yeun Nam, Yeon-Gyo Nam, Chi-Hun Oh, Joong Hee Park, Bum Sun Kwon","doi":"10.2340/20030711-1000074","DOIUrl":"https://doi.org/10.2340/20030711-1000074","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the efficacy of electromechanically-assisted rehabilitation of upper limb function in post-stroke patients.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Subjects: </strong>Forty-eight stroke patients.</p><p><strong>Methods: </strong>Patients were randomly assigned to control and experimental groups. The control group underwent occupational therapy training with conventional methods. The experimental group underwent electromechanically-assisted training using an end effector robot (Camillo®). Interventions were provided for 30 min per day, 5 days a week, for 4 weeks. Primary outcome was change in Fugl-Meyer Assessment (FMA) before and after training. Secondary outcomes were changes in hand function, upper limb strength, spasticity, mental status and quality of life.</p><p><strong>Results: </strong>Mean improvement in FMA was 1.17 (standard deviation (SD) 4.18) in the control group and 2.52 (SD 5.48) in the experimental group. Although FMA in the experimental group improved significantly after training, the improvement in FMA did not differ significantly between groups. Among the secondary outcomes, the Motricity Index (MI) improved significantly after training in the experimental group, and the change in MI between groups was statistically significant.</p><p><strong>Conclusion: </strong>Electromechanically-assisted rehabilitation using Camillo® was not more effective than conventional occupation therapy for upper arm function.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000074"},"PeriodicalIF":0.0,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/ec/JRMCC-4-1000074.PMC8628063.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687439","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}