Pub Date : 2025-02-27DOI: 10.1016/j.rh.2025.100893
M.E. Fernández-Cuadros , M.J. Albaladejo-Florín , J. Baeza-Noci
{"title":"Recomendaciones para el tratamiento intervencionista de la gonartrosis: ozonoterapia, la gran desconocida aun entre expertos","authors":"M.E. Fernández-Cuadros , M.J. Albaladejo-Florín , J. Baeza-Noci","doi":"10.1016/j.rh.2025.100893","DOIUrl":"10.1016/j.rh.2025.100893","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100893"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507979","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2024.100875
N. Devan Moy , M.C. Simarro González
The systematic review synthesized the current scientific evidence on the recommendations for pelvic rehabilitation in the management of sexual dysfunctions secondary to gynecological cancer. Twelve literature reviews, systematic reviews, and meta-analyses were included, evaluating the methodological quality using the Joanna Briggs Institute Risk of Bias Assessment tool. The results highlight the efficacy of pelvic floor exercises, alone or with biofeedback, and education and information provided to patients, with a high degree of recommendation. Vaginal dilators, and manual techniques received a moderate recommendation due to inconclusive protocols and high risk of bias. Early initiation of pelvic rehabilitation is recommended, but variability was identified in the intervention protocols, which hinders the comparison of the efficacy of the treatments.
{"title":"Eficacia de la rehabilitación pélvica en el manejo de las disfunciones sexuales secundarias al cáncer ginecológico: revisión sistemática de revisiones","authors":"N. Devan Moy , M.C. Simarro González","doi":"10.1016/j.rh.2024.100875","DOIUrl":"10.1016/j.rh.2024.100875","url":null,"abstract":"<div><div>The systematic review synthesized the current scientific evidence on the recommendations for pelvic rehabilitation in the management of sexual dysfunctions secondary to gynecological cancer. Twelve literature reviews, systematic reviews, and meta-analyses were included, evaluating the methodological quality using the Joanna Briggs Institute Risk of Bias Assessment tool. The results highlight the efficacy of pelvic floor exercises, alone or with biofeedback, and education and information provided to patients, with a high degree of recommendation. Vaginal dilators, and manual techniques received a moderate recommendation due to inconclusive protocols and high risk of bias. Early initiation of pelvic rehabilitation is recommended, but variability was identified in the intervention protocols, which hinders the comparison of the efficacy of the treatments.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100875"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141714","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2024.100876
G. Çelebi , A. Ayyildiz , S. Çiftci Inceoğlu , B. Kuran
Objective
Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.
Materials and methods
The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35–80 who developed upper extremity spasticity. The study group (n = 16) received botulinum toxin-A (BT-A) injections in addition to conventional rehabilitation and stretching exercises, while the control group (n = 15) received placebo injections. Evaluations were conducted before treatment, in the second week, and three months after treatment. The study evaluated pain relief through the Visual Analog Scale (VAS), assessed spasticity with the Modified Ashworth Scale (MAS), and measured functionality using the Fugl Meyer Assessment Scale (FMAS) and the Box Block Test (BBT).
Results
The mean age of patients was 56.03 ± 11.81. The median time after stroke was 24 months. The BT-A group demonstrated significantly lower VAS and MAS scores compared to controls at both 2 weeks and 3 months after treatment. Additionally, the BT-A group showed significantly higher changes in arm, wrist, and total FMAS scores compared to the control group. However, no significant difference was found in terms of hand, coordination, and speed FMAS score changes.
Conclusions
The results of our study demonstrated that BT-A injection with ultrasonography guidance is an effective method for alleviating pain caused by passive shoulder movement, significantly reducing spasticity, and markedly improving motor functions.
目的：脑卒中患者上肢痉挛通过限制运动和引起疼痛而导致残疾。本研究探讨了注射肉毒杆菌毒素对卒中后痉挛偏瘫患者疼痛、功能、痉挛和活动范围的影响。材料和方法：本研究采用双盲、前瞻性、随机对照试验，纳入31例年龄在35-80岁之间出现上肢痉挛的中风患者。研究组（n=16）在常规康复和伸展运动的基础上接受肉毒毒素a （BT-A）注射，对照组（n=15）接受安慰剂注射。分别于治疗前、治疗后第2周和治疗后3个月进行评估。该研究通过视觉模拟量表（VAS）评估疼痛缓解程度，使用改良Ashworth量表（MAS）评估痉挛程度，并使用Fugl Meyer评估量表（FMAS）和Box Block Test （BBT）测量功能。结果：患者平均年龄56.03±11.81岁。中风后的中位时间为24个月。治疗后2周和3个月，BT-A组的VAS和MAS评分均明显低于对照组。此外，与对照组相比，BT-A组在手臂、手腕和FMAS总分方面的变化明显更高。然而，在手、协调性和速度方面，FMAS得分的变化没有显著差异。结论：超声引导下注射BT-A可有效缓解肩部被动运动引起的疼痛，明显减轻痉挛，明显改善运动功能。
{"title":"The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity","authors":"G. Çelebi , A. Ayyildiz , S. Çiftci Inceoğlu , B. Kuran","doi":"10.1016/j.rh.2024.100876","DOIUrl":"10.1016/j.rh.2024.100876","url":null,"abstract":"<div><h3>Objective</h3><div>Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.</div></div><div><h3>Materials and methods</h3><div>The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35–80 who developed upper extremity spasticity. The study group (<em>n</em> <!-->=<!--> <!-->16) received botulinum toxin-A (BT-A) injections in addition to conventional rehabilitation and stretching exercises, while the control group (<em>n</em> <!-->=<!--> <!-->15) received placebo injections. Evaluations were conducted before treatment, in the second week, and three months after treatment. The study evaluated pain relief through the Visual Analog Scale (VAS), assessed spasticity with the Modified Ashworth Scale (MAS), and measured functionality using the Fugl Meyer Assessment Scale (FMAS) and the Box Block Test (BBT).</div></div><div><h3>Results</h3><div>The mean age of patients was 56.03<!--> <!-->±<!--> <!-->11.81. The median time after stroke was 24 months. The BT-A group demonstrated significantly lower VAS and MAS scores compared to controls at both 2 weeks and 3 months after treatment. Additionally, the BT-A group showed significantly higher changes in arm, wrist, and total FMAS scores compared to the control group. However, no significant difference was found in terms of hand, coordination, and speed FMAS score changes.</div></div><div><h3>Conclusions</h3><div>The results of our study demonstrated that BT-A injection with ultrasonography guidance is an effective method for alleviating pain caused by passive shoulder movement, significantly reducing spasticity, and markedly improving motor functions.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100876"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956520","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2025.100889
R. Tedeschi
Stroke survivors often suffer from upper limb spasticity and impaired motor function. This review seeks to: (1) explore the efficacy of neural mobilization, particularly using the Upper Limb Neurodynamic Test 1 (ULNT1), in modulating electromyographic (EMG) activity of muscles; (2) examine its role in reducing spasticity and improving functional outcomes; and (3) outline the current state of knowledge, identifying existing gaps and directions for future research. A comprehensive literature review was conducted, focusing on studies that implemented ULNT1 and EMG analysis in post-stroke patients. The included studies varied in participant characteristics, methodologies, and outcome measures. The results demonstrated that neural mobilization has the potential to reduce EMG activity in spastic muscles and modify pain perceptions. However, results regarding the improvement of range of motion and functional outcomes were mixed. Neural mobilization and electromyographic analysis show promise for improving post-stroke rehabilitation. However, further research is required to confirm these benefits, with more rigorous methodologies and larger sample sizes.
{"title":"Exploring the efficacy of neural mobilization and electromyographic analysis in enhancing post-stroke rehabilitation: A scoping review","authors":"R. Tedeschi","doi":"10.1016/j.rh.2025.100889","DOIUrl":"10.1016/j.rh.2025.100889","url":null,"abstract":"<div><div>Stroke survivors often suffer from upper limb spasticity and impaired motor function. This review seeks to: (1) explore the efficacy of neural mobilization, particularly using the Upper Limb Neurodynamic Test 1 (ULNT1), in modulating electromyographic (EMG) activity of muscles; (2) examine its role in reducing spasticity and improving functional outcomes; and (3) outline the current state of knowledge, identifying existing gaps and directions for future research. A comprehensive literature review was conducted, focusing on studies that implemented ULNT1 and EMG analysis in post-stroke patients. The included studies varied in participant characteristics, methodologies, and outcome measures. The results demonstrated that neural mobilization has the potential to reduce EMG activity in spastic muscles and modify pain perceptions. However, results regarding the improvement of range of motion and functional outcomes were mixed. Neural mobilization and electromyographic analysis show promise for improving post-stroke rehabilitation. However, further research is required to confirm these benefits, with more rigorous methodologies and larger sample sizes.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100889"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081427","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2024.100878
J. Betancourt-Peña , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , V. Benavides-Córdoba
Introduction
Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.
Methods
Observational study in patients diagnosed with COVID-19 with subsequent recovery. Once the project was approved by the ethics committee and the patients signed the informed consent, a survey was carried out to collect sociodemographic and clinical data and the application of the PCFS scale, in its two forms, self-administered and by an evaluator.
Results
97 patients entered the study, 57.7% being women. The agreement analysis determined a concordance index of 0.857 95% CI (0.7-0.934) (almost perfect agreement). The agreement for women was 0.817 95% CI 0.700-0.934 and for men 0.907 95% CI (0.806-1).
Conclusion
The use of the Spanish version of the PCFS scale carried out by the health professional compared to the version self-assessed by patients, demonstrates adequate agreement.
{"title":"Escala de estado funcional post-COVID-19: concordancia entre la versión administrada por evaluador versus autoevaluada en pacientes con síndrome post-COVID-19","authors":"J. Betancourt-Peña , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , V. Benavides-Córdoba","doi":"10.1016/j.rh.2024.100878","DOIUrl":"10.1016/j.rh.2024.100878","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.</div></div><div><h3>Methods</h3><div>Observational study in patients diagnosed with COVID-19 with subsequent recovery. Once the project was approved by the ethics committee and the patients signed the informed consent, a survey was carried out to collect sociodemographic and clinical data and the application of the PCFS scale, in its two forms, self-administered and by an evaluator.</div></div><div><h3>Results</h3><div>97 patients entered the study, 57.7% being women. The agreement analysis determined a concordance index of 0.857 95% CI (0.7-0.934) (almost perfect agreement). The agreement for women was 0.817 95% CI 0.700-0.934 and for men 0.907 95% CI (0.806-1).</div></div><div><h3>Conclusion</h3><div>The use of the Spanish version of the PCFS scale carried out by the health professional compared to the version self-assessed by patients, demonstrates adequate agreement.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100878"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972583","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2024.100879
P. Hoz-San Bartolomé , C. Rodríguez-Hernández , Y.G. Curbelo , C. Ramírez-Fuentes , O. Vázquez-Ibar , D. Sanchez-Rodriguez , M. Tejero-Sánchez
Objective
The main objective was to evaluate the performance of the SARC-F questionnaire and muscle function tests used in pulmonary rehabilitation settings following the F-A-C-S (Find cases-Assess-Confirm-Severity) algorithm of the European Working Group on Sarcopenia in Older People (EWGSOP2).
Methods
Diagnostic accuracy study in consecutive patients with chronic obstructive pulmonary disease (COPD) referred to pulmonary rehabilitation.
Results
Of 205 patients (66.8 years; 74.1% men), 29 (14.1%) met the diagnostic criteria for sarcopenia according to EWGSOP2. The sensitivity and specificity of SARC-F were 13% and 92.8%, respectively. Cutoff points with the highest diagnostic accuracy were calculated, with handgrip at 30.3 kg in men and quadriceps maximal voluntary isometric contraction (Q-MVIC) at 17.3 kg in women.
Conclusions
The diagnostic accuracy of the SARC-F questionnaire as a screening tool is low and it did not identify sarcopenia in rehabilitation patients with COPD, suggesting that this population could benefit from a direct approach (A-C-S). Handgrip strength determination provided the best diagnostic accuracy in men, with a cutoff point of 30.3 kg, and in women, Q-MVIC determination showed better performance for sarcopenia diagnosis, with a cutoff point of 17.3 kg.
主要目的是根据欧洲老年人肌肉减少症工作组（EWGSOP2）的F-A-C-S（查找病例-评估-确认-严重程度）算法，评估在肺康复环境中使用的SARC-F问卷和肌肉功能测试的性能。方法对慢性阻塞性肺疾病（COPD）患者进行肺康复诊断准确性研究。结果205例患者(66.8岁；74.1%男性)，29例（14.1%）符合EWGSOP2的肌少症诊断标准。SARC-F的敏感性为13%，特异性为92.8%。计算出诊断准确度最高的截断点，男性握力为30.3 kg，女性四头肌最大自主等距收缩（Q-MVIC）为17.3 kg。结论SARC-F问卷作为筛查工具的诊断准确性较低，并且它不能识别COPD康复患者的肌肉减少症，这表明该人群可以从直接方法（a - c - s）中获益。握力测定在男性中提供了最好的诊断准确性，截断点为30.3 kg，在女性中，Q-MVIC测定在肌肉减少症诊断中表现出更好的性能，截断点为17.3 kg。
{"title":"The challenge of applying the F-A-C-S pathway from EWGSOP2 for sarcopenia diagnosis in patients with chronic obstructive pulmonary disease: A diagnostic accuracy study","authors":"P. Hoz-San Bartolomé , C. Rodríguez-Hernández , Y.G. Curbelo , C. Ramírez-Fuentes , O. Vázquez-Ibar , D. Sanchez-Rodriguez , M. Tejero-Sánchez","doi":"10.1016/j.rh.2024.100879","DOIUrl":"10.1016/j.rh.2024.100879","url":null,"abstract":"<div><h3>Objective</h3><div>The main objective was to evaluate the performance of the SARC-F questionnaire and muscle function tests used in pulmonary rehabilitation settings following the F-A-C-S (Find cases-Assess-Confirm-Severity) algorithm of the European Working Group on Sarcopenia in Older People (EWGSOP2).</div></div><div><h3>Methods</h3><div>Diagnostic accuracy study in consecutive patients with chronic obstructive pulmonary disease (COPD) referred to pulmonary rehabilitation.</div></div><div><h3>Results</h3><div>Of 205 patients (66.8 years; 74.1% men), 29 (14.1%) met the diagnostic criteria for sarcopenia according to EWGSOP2. The sensitivity and specificity of SARC-F were 13% and 92.8%, respectively. Cutoff points with the highest diagnostic accuracy were calculated, with handgrip at 30.3<!--> <!-->kg in men and quadriceps maximal voluntary isometric contraction (Q-MVIC) at 17.3<!--> <!-->kg in women.</div></div><div><h3>Conclusions</h3><div>The diagnostic accuracy of the SARC-F questionnaire as a screening tool is low and it did not identify sarcopenia in rehabilitation patients with COPD, suggesting that this population could benefit from a direct approach (A-C-S). Handgrip strength determination provided the best diagnostic accuracy in men, with a cutoff point of 30.3<!--> <!-->kg, and in women, Q-MVIC determination showed better performance for sarcopenia diagnosis, with a cutoff point of 17.3<!--> <!-->kg.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100879"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453396","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2025.100892
J.M. de la Lama Rincón , N. Verseci
{"title":"Storytelling como estrategia para optimizar los programas de rehabilitación cardíaca","authors":"J.M. de la Lama Rincón , N. Verseci","doi":"10.1016/j.rh.2025.100892","DOIUrl":"10.1016/j.rh.2025.100892","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100892"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445210","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}
Pub Date : 2025-01-01DOI: 10.1016/j.rh.2025.100888
M. Peña García, M. Pérez Cuesta Llaneras, M. Ramírez Ortega, C. Urbaneja Dorado
Radical prostatectomy is the treatment of choice in patients with localized prostate cancer. One of the surgical complications is urinary incontinence. Pelvic floor muscle exercises (PFMT) are used as the first therapeutic step.The objective of this study is to review the evidence of performing PFMT in these patients prior to surgery, for earlier recovery of continence. Four systematic reviews and meta-analyses have been carried out, as well as a prospective study, a retrospective study, a clinical trial and an observational study in favor of carrying out training before the intervention. According to the review carried out, there is a benefit from pre-surgical learning of PFMT on the recovery of continence, but only in the short term. Improves the perception of quality of life. It would be necessary to standardize training programs and conduct studies with larger samples.
{"title":"Evidencia de los programas de entrenamiento de musculatura de suelo pélvico preprostatectomía en cuanto a los resultados de continencia urinaria tras la cirugía","authors":"M. Peña García, M. Pérez Cuesta Llaneras, M. Ramírez Ortega, C. Urbaneja Dorado","doi":"10.1016/j.rh.2025.100888","DOIUrl":"10.1016/j.rh.2025.100888","url":null,"abstract":"<div><div>Radical prostatectomy is the treatment of choice in patients with localized prostate cancer. One of the surgical complications is urinary incontinence. Pelvic floor muscle exercises (PFMT) are used as the first therapeutic step.The objective of this study is to review the evidence of performing PFMT in these patients prior to surgery, for earlier recovery of continence. Four systematic reviews and meta-analyses have been carried out, as well as a prospective study, a retrospective study, a clinical trial and an observational study in favor of carrying out training before the intervention. According to the review carried out, there is a benefit from pre-surgical learning of PFMT on the recovery of continence, but only in the short term. Improves the perception of quality of life. It would be necessary to standardize training programs and conduct studies with larger samples.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100888"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075960","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}
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