American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Physical Activity Is Associated With Better Cognitive Measures of Verbal Fluency, Immediate Recall, Delayed Recall, and Numeracy in Older People With Osteoarthritis and Moderate-Severe Pain.","authors":"Daniel C Ogrezeanu, Rodrigo Núñez-Cortés, Lars Louis Andersen, Rubén López-Bueno, Luis Suso-Martí, Joaquín Salazar-Méndez, Carlos Cruz-Montecinos, Joaquín Calatayud","doi":"10.1097/PHM.0000000000002711","DOIUrl":"10.1097/PHM.0000000000002711","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study assesses the relationship between physical activity and crucial indicators of cognitive function in older adults with osteoarthritis and moderate-severe pain.</p><p><strong>Design: </strong>Data were derived from the 9th wave of the Survey of Health, Aging and Retirement in Europe, conducted among older people in 27 European countries and Israel. Cognitive measures of verbal fluency, immediate recall, delayed recall, and numeracy were included, as well as self-reports of physical activity level. Multivariable linear regression analysis was applied to test associations, adjusted for various demographic and lifestyle factors.</p><p><strong>Results: </strong>A total of 7429 participants were included. A positive association was found between performing moderate physical activity more than once a week and better verbal fluency (β = 2.16; 95% confidence interval [CI]: 1.75-2.58), immediate recall (β = 0.51; 95% CI: 0.41-0.60), delayed recall (β = 0.45; 95% CI: 0.34-0.57), and numeracy (β = 0.43; 95% CI: 0.34-0.52) compared to hardly ever or never performing physical activity. Additionally, a positive but weaker association was found between performing vigorous physical activity once a week and better verbal fluency (β = 1.52, 95% CI: 1.02-2.02), immediate recall (β = 0.29, 95% CI: 0.18-0.41), delayed recall (β = 0.41, 95% CI: 0.27-0.54), and numeracy (β = 0.33, 95% CI: 0.23-0.44).</p><p><strong>Conclusions: </strong>Regular physical activity, particularly moderate intensity, is positively associated with better cognitive measures of verbal fluency, immediate recall, delayed recall, and numeracy, with the strongest benefits observed for verbal fluency.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"780-784"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405050","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}

{"title":"Effects of Neuromuscular Electrical Stimulation Adjunct to Lumbar Stabilization Exercises on Multifidus Muscle Thickness, Pain, Disability, and Psychosocial Status in Patients With Chronic Low Back Pain.","authors":"Serenay Vardar, Gokcenur Yalcin, Selin Aksungur, Muhammet Ali Yavuzdemir, Tugba Ozsoy Unubol, Emre Ata","doi":"10.1097/PHM.0000000000002715","DOIUrl":"10.1097/PHM.0000000000002715","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of the study were to assess the effects of neuromuscular electrical stimulation combined with lumbar stabilization exercises on lumbar multifidus muscle thickness, disability, pain, depression, anxiety, and fear-avoidance beliefs in patients with chronic low back pain and to examine the correlation between ultrasound and magnetic resonance imaging of the lumbar multifidus.</p><p><strong>Design: </strong>Forty patients aged 18-65 yrs were randomized into two groups: group 1: exercise and group 2: exercise + neuromuscular electrical stimulation. The participants underwent 15-session electrical stimulation and/or exercise (3 d/wk). All outcome measures assessed at baseline, posttreatment, and 3 mos after. Multifidus cross-sectional area on magnetic resonance imaging was measured only at baseline.</p><p><strong>Results: </strong>Multifidus thickness increased, and pain decreased significantly in both groups, more prominent in group 2. Disability, depression, and fear-avoidance beliefs scores significantly decreased in both groups, while anxiety decreased only in group 1. Both magnetic resonance and ultrasound measurements demonstrated excellent interrater reliability and statistically significant correlations.</p><p><strong>Conclusions: </strong>Both groups improved in terms of pain, disability, psychological status, and muscle thickness. Neuromuscular electrical stimulation adjunct to lumbar stabilization exercises demonstrated enhanced effectiveness in increasing lumbar multifidus thickness.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"800-808"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405040","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}

{"title":"Inpatient Rehabilitation Outcomes of Cancer Patients After Chimeric Antigen Receptor T-Cell Therapy.","authors":"Eric W Villanueva, Christopher W Lewis, Kathryn Abplanalp, Samman Shahpar, Priya V Mhatre, Reem Karmali, Ishan Roy","doi":"10.1097/PHM.0000000000002774","DOIUrl":"10.1097/PHM.0000000000002774","url":null,"abstract":"<p><strong>Abstract: </strong>While patients receiving chimeric antigen receptor T-cell therapy frequently experience functional decline that would benefit from inpatient rehabilitation facility, no currently published studies describe rehabilitation outcomes for this population. Thus, this study tested the hypothesis that chimeric antigen receptor T-cell therapy patients have similar functional outcomes to other cancer patients in rehabilitation, when matched for disease and demographic variables. This retrospective cohort study identified 84 patients with hematologic malignancies who presented to inpatient rehabilitation facility between January 2017 and December 2022. Nineteen chimeric antigen receptor T-cell therapy patients were identified and matched by propensity scoring of disease and demographic variables to 19 patients without chimeric antigen receptor T-cell therapy. Between the matched populations, changes in section GG/Functional Independence Measure ratios for self-care and transfers were not statistically different ( P = 0.643 and 0.930, respectively). However, change in overall mobility ratio trended toward being significantly different between these two groups ( P = 0.081), with chimeric antigen receptor T-cell patients having a potentially higher gain (median = 0.333) compared to non-chimeric antigen receptor T-cell patients (median = 0.133). Compared to hematologic malignancy patients matched for demographic and cancer variables, chimeric antigen receptor T-cell patients had similar, and possibly superior, functional outcomes during inpatient rehabilitation. While further study of a larger sample size is needed, these data suggest the chimeric antigen receptor T-cell population have the potential to achieve functional gains at a similar level to other hematologic cancer populations at inpatient rehabilitation facility.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"821-825"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109332","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}

{"title":"Rare Ganglionic Cyst of Medial Collateral Ligament of Knee: A Visual Vignette.","authors":"Poulami Ghosh, Raktim Swarnakar, Soumyadipta Ghosh, Pankaj Kumar Mandal","doi":"10.1097/PHM.0000000000002734","DOIUrl":"10.1097/PHM.0000000000002734","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e131"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555564","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}

{"title":"Effect of transcranial direct current stimulation at the left dorsolateral prefrontal cortex combined with quadriceps strengthening exercise in chronic knee osteoarthritis: A double-blind, randomized, sham-controlled trial.","authors":"Kanlayanee Boonprasit, Chernkhuan Stonsaovapak, Krisna Piravej","doi":"10.1097/PHM.0000000000002852","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002852","url":null,"abstract":"<p><strong>Objective: </strong>To study the effect of transcranial direct current stimulation (tDCS) on the left dorsolateral prefrontal cortex (DLPFC) plus exercise on pain, function, and quality of life in chronic knee osteoarthritis.</p><p><strong>Design: </strong>Thirty-two participants with chronic knee osteoarthritis were randomly assigned to real tDCS (anode: left DLPFC, cathode: right supraorbital, 2 mA for 20 minutes) or sham treatment, with quadriceps exercises three times weekly for four weeks. Visual Analog Scale (VAS), pressure pain threshold (PPT), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Short Form Health Survey-36 (SF-36), were assessed at baseline, post-treatment, and four weeks later.</p><p><strong>Results: </strong>No significant differences were found between groups in any outcome after completing 12 sessions [mean difference (95% CI): VAS -0.30 (-9.49, 8.89); PPT 0.033 (-0.039, 0.105); WOMAC 4.22 (-3.35, 11.79); SF-36 - 0.44 (-6.23, 5.35)] or at follow-up [VAS 0.01 (-15.69, 15.71); PPT 0.008 (-0.113, 0.130); WOMAC 4.91 (-7.56, 17.37); SF-36 - 2.96 (-12.11, 6.20)].</p><p><strong>Conclusions: </strong>The findings showed that tDCS over the left DLPFC provided no significant additional benefit to quadriceps exercise compared to sham stimulation in improving pain, function, or quality of life in individuals with chronic knee osteoarthritis.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999393","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}

{"title":"Evaluating the Effectiveness of Transforaminal Epidural Steroid Injections for Lumbar Radiculopathy Due to a Herniated Nucleus Pulpous Utilizing PROMIS as an Outcome Measure.","authors":"Andrew R Stephens, Gregory J Shinaman, Chelsie L Jacques, Ramzi El-Hassan, Rajeev K Patel","doi":"10.1097/PHM.0000000000002853","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002853","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate the effect of transforaminal epidural steroid injection (TFESIs) for patients with lumbosacral radiculopathy secondary to a lumbosacral herniated nucleus pulposus (HNP).</p><p><strong>Design: </strong>A retrospective review of adult patients who received a fluoroscopically guided TSNRI for a HNP was performed. Patient Reported Outcome Measurement Information System (PROMIS) domains of Physical Function (PF), Pain Interference (PI), and Depression (D) were collected at baseline and post-procedure short-term (1-3 months post-procedure) and long-term follow-up (6-12 months post-procedure).</p><p><strong>Results: </strong>PROMIS PF at short- and long-term follow-up statistically improved by 1.9 (p = 0.02) and 4.6 (p = 0.01) points respectively. PROMIS PI at short- and long-term follow-up statistically improved by 3.7 (p < 0.001) and 5.9 (p - 0.002) points respectively. Depression scores improved by 2.7 (p = 0.04) at short-term follow-up but long-term follow-up scores did not significantly differ from baseline scores. 91 (85%) of patients did not elect for spine surgical consultation.</p><p><strong>Conclusions: </strong>Our study demonstrated that lumbosacral TFESI was associated with a long-term improvement in function and pain for patients with lumbosacral radiculopathy due to a HNP as measured by PROMIS PF and PI survey and obviated the need for spine surgery at long-term follow-up.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999463","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}

{"title":"Convergence of Infection, Chimeric Antigen Receptor T-Cell Therapy, and Neuralgic Amyotrophy: A Case Report.","authors":"Kirk A Dettloff, Cody C Andrews, Sandra L Hearn","doi":"10.1097/PHM.0000000000002736","DOIUrl":"10.1097/PHM.0000000000002736","url":null,"abstract":"<p><strong>Abstract: </strong>Neuralgic amyotrophy is a multifocal, immune-mediated inflammatory disorder of peripheral nerves and/or portions of the brachial plexus, typically presenting as regional pain followed by weakness. Awareness and recognition of this entity in the cancer population is important and relevant to physiatrists, given the frequency of immune system activation in this population, whether mediated by cancer, its treatments, or infections associated with an immunocompromised status. We present a case of neuralgic amyotrophy presenting primarily as bilateral anterior interosseous mononeuropathies of onset following influenza infection (about 1 mo prior) and chimeric antigen receptor T-cell therapy (2-4 days prior). We discuss diagnostic challenges in neuralgic amyotrophy and highlight key features of the history, physical examination, and electrodiagnostic findings that can yield clues to an underlying multifocal or immunologic process masquerading as a focal injury. Finally, we discuss the uncertain but plausible role of chimeric antigen receptor T-cell therapy as a potential immunologic trigger for neuralgic amyotrophy and invite further exploration.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e133-e135"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810382","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}

{"title":"Move Better, Live Better: A Novel Supervised Combined Training for Peripheral Arterial Disease: A Quasi-experimental Approach.","authors":"Saúl Peñín-Grandes, Susana López-Ortiz, Montserrat de la Fuente Gómez, José Pinto-Fraga, Simone Lista, Sergio Maroto-Izquierdo, Alejandro Lucia, Mª Lourdes Del Río Solá, Juan Martín-Hernández, Alejandro Santos-Lozano","doi":"10.1097/PHM.0000000000002706","DOIUrl":"10.1097/PHM.0000000000002706","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the effect of a novel supervised exercise therapy program based on intermittent treadmill walking and circuit-based moderate-intensity functional training on walking performance and health-related quality of life in peripheral arterial disease patients.</p><p><strong>Design: </strong>All participants underwent a 12-wk supervised exercise therapy that involved 15-30 mins of treadmill walking followed by a 15-min moderate-intensity functional training continued by 12-wk follow-up. Maximum walking distance, pain-free walking distance, gait speed, and estimated peak oxygen uptake (peak VO 2 ) were calculated through the 6-min walk test and health-related quality of life through the Short-Form 36 and the Vascular Quality of Life Questionnaire 6.</p><p><strong>Results: </strong>There were statistically significant differences ( P < 0.05) between baseline and postintervention for walking performance outcomes (maximum walking distance [mean difference: 88.53 m], pain-free walking distance [mean difference: 62.89 m], gait speed [mean difference: 0.24 m·sec -1 ], and peak VO2 [mean difference: 2.04 ml·kg -1 ·min -1 ]) and for health-related quality of life (physical functioning in Short-Form 36 [mean difference: 6.93 points] and Vascular Quality of Life Questionnaire 6 [mean difference: 1.46 points]), while no differences were found between baseline and 12-wk follow-up.</p><p><strong>Conclusions: </strong>Results seem to show that 12-wk novel supervised exercise therapy based on intermittent walking and moderate-intensity functional training induced significant clinical improvements in key functional variables of peripheral arterial disease while cessation of exercise leads to significant negative clinical changes in subsequent weeks of follow-up.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"771-779"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942855","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}

{"title":"Effects of Social Determinants of Health on Stroke Survivor Discharge Location From an Acute Comprehensive Stroke Center.","authors":"Sara Migliarese, Tiffany Adams, Kiran McCloskey, David Henao, Chere Gregory","doi":"10.1097/PHM.0000000000002720","DOIUrl":"10.1097/PHM.0000000000002720","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the influence of social determinants of health on discharge location after an acute care hospital admission due to stroke.</p><p><strong>Design: </strong>Retrospective analyses assessed electronic medical records from an acute facility in North Carolina dating from November 20, 2014, to December 29, 2019 ( N = 4603). All subjects were diagnosed with stroke and received at least one physical therapy session. Multinomial stepwise logistic regression assessed the clinical and demographic factors associated with being discharged to each home care with services, skilled nursing facilities, or inpatient rehabilitation in comparison to home with self-care.</p><p><strong>Results: </strong>After accounting for clinical variables, being younger, having a significant other, holding private insurance, being female, and being of Hispanic ethnicity were associated with a greater probability of being discharged to home with self-care. Compared to White patients, Black patients were more likely to be discharged to home care with services than home with self-care. Intraclass correlations indicated that zip code of residence may influence likelihood of being discharged to a skilled nursing facility.</p><p><strong>Conclusions: </strong>This analysis demonstrates that social determinants of health are associated with discharge location.</p><p><strong>To claim cme credits: </strong>Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.</p><p><strong>Cme objectives: </strong>Upon completion of this article, the reader should be able to: • Describe key demographic factors and social determinants of health that are associated with discharge disposition for patients leaving an acute facility after stroke; • Discuss potential mechanisms by which demographic factors and social determinants of health are associated with discharge disposition for patients leaving an acute facility after stroke; and • Identify areas where future research is needed to further understand mechanisms by which disparities in discharge disposition occur, or to reconcile disparate results.</p><p><strong>Level: </strong>Advanced.</p><p><strong>Accreditation: </strong>The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"814-820"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405441","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}

{"title":"Ultrasound Imaging and Guidance for Bell's Palsy: EURO-MUSCULUS/USPRM Approach.","authors":"Murat Kara, Ahmad J Abdulsalam, Mahmud Fazıl Aksakal, Kübranur Demirel, Vincenzo Ricci, Levent Özçakar","doi":"10.1097/PHM.0000000000002729","DOIUrl":"10.1097/PHM.0000000000002729","url":null,"abstract":"<p><strong>Abstract: </strong>Bell's palsy, or idiopathic peripheral facial nerve palsy, is characterized by the sudden onset of facial muscle paralysis resulting from damage to the facial nerve fibers. The diagnosis is typically established through clinical evaluation, although in cases with atypical features, imaging modalities like magnetic resonance imaging or computed tomography are indicated to rule out underlying lesions or temporal bone abnormalities compressing the facial nerve. High-resolution ultrasound has emerged as a promising modality for evaluating peripheral neuropathies, including cranial nerve disorders. Recent studies have highlighted its potential in measuring facial nerve diameter, detecting nerve edema, and predicting clinical prognosis in Bell's palsy. Beyond its diagnostic role, ultrasound also facilitates precise perineural corticosteroid injections, offering an alternative to systemic corticosteroid therapy, which is commonly associated with adverse effects such as hyperglycemia and hypertension. ultrasound also plays a crucial role in guiding botulinum toxin injections, which are used to manage synkinesis and facial asymmetry in chronic Bell's palsy cases.This review discusses the role of ultrasound in the diagnosis and management of Bell's palsy, emphasizing its advantages in visualizing facial nerve edema and guiding perineural corticosteroid and intramuscular botulinum toxin injections.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"827-830"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655872","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}