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The Effect of Postural Balance and Fall Efficacy on Bilateral Visual Feedback Training with Visual Targets in Stroke Patients 体位平衡和跌倒效果对脑卒中患者双侧视觉反馈训练的影响
Pub Date : 2022-04-30 DOI: 10.18857/jkpt.2022.34.2.57
Seung-Min No, Yoon-Tae Hwang, S. Son
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引用次数: 0
A Survey on Sexual Harassment and Countermeasures of Physical Therapists in the Workplace 工作场所物理治疗师性骚扰调查及对策
Pub Date : 2022-04-30 DOI: 10.18857/jkpt.2022.34.2.73
Hye-Jeong Jeon, Joon-hee Lee
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引用次数: 0
The Institutionalization Process of the Visiting Rehabilitation System in Japan and the Challenges Faced in the Process 日本探视康复制度的制度化进程及其面临的挑战
Pub Date : 2022-04-30 DOI: 10.18857/jkpt.2022.34.2.80
Minyoung Lee
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引用次数: 0
A Literature Review of Issues and Tasks by Period of Revision of Regulations Related to Convalescent Rehabilitation Wards in Japan: Focusing on Quality Evaluation 日本各时期疗养病房条例修订问题与任务的文献回顾:以质量评价为重点
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.26
Minyoung Lee, Boyoung Jeon
Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000–2006); (2) quality evaluation introduction stage (2008–2014); and (3) quality evaluation maturity stage (2016– 2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.
目的:日本于2000年建立了与韩国的康复医疗机构相对应的康复康复病房,并经过不断的修改发展成为现在的制度。本研究试图通过文献综述,分析日本在康复康复病区相关医疗收费条例修订期间所面临的问题和任务,并进一步探讨国内康复医疗机构的发展方向。方法:根据质量评价,将10次医疗收费条例修订分为3个阶段:(1)数量拓展阶段(2000-2006年);(2)质量评价引入阶段(2008-2014年);(3)质量评价成熟度阶段(2016 - 2020年)。结果:出现了以下问题和任务:(1)定量拓展阶段;病房内康复不足,小时后康复不足,与急症期医院和维修设施的联系不足,专科医生的比例低。(2)质量评价导入阶段;机构之间的人力差距、365天康复制度的必要性、对危重患者的回避、康复量的增加并没有带来质的改善等问题。3)质量评价成熟度阶段;患者选择中的撇脂问题,康复效果评估不恰当,出院后随访措施的必要性。结论:日本康复医疗机构的相关规定值得借鉴,同时在开展和评价韩国康复医疗机构的过程中,有必要加强对机构、流程和结果的评估,并考虑到日本可能发现的副作用。
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引用次数: 0
The Effects of the FIFA 11+ and Self-Myofascial Release Complex Training on Injury, Flexibility and Muscle Stiffness of High School Football Players fifa11 +和自我肌筋膜释放复合训练对高中足球运动员损伤、柔韧性和肌肉僵硬的影响
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.38
Y. Choi, Houng-sik Choi, Tack-Hoon Kim, K. Choi, Gyoung‐mo Kim, Jungsuk Roh
Purpose: The purpose of this study was to investigate the effects of complex training on injury, flexibility, and muscle stiffness in high school male football players. Methods: A total of 60 football players were included in the study and were divided into three groups viz. the complex training group (CTG), 11+ training group (11+TG), and traditional training group (TTG). Injuries were recorded based on the prospective investigation method after starting the study, and the flexibility and muscle stiffness of the subjects were evaluated. Results: The research results showed that the injury rate per match was significantly lower in the CTG and 11+TG than the TTG. In the CTG, the flexibility of the hamstrings significantly increased and the stiffness of the rectus femoris (RF), biceps femoris (BF), and tensor fascia latae (TFL) muscles significantly decreased (p<0.05). In the 11+TG, the stiffness of the RF significantly decreased (p<0.05). In the TTG, the flexibility of the hamstrings significantly increased (p<0.05). Hamstring flexibility showed a significantly higher increase in the CTG and TTG compared to the 11+TG (p<0.05). Also, the stiffness of the RF and TFL muscles showed a significantly higher decrease in the CTG compared to the 11+TG and TTG (p<0.05). The stiffness of the BF muscles too showed a more significant decrease in the CTG compared to the TTG (p<0.05). Conclusion: The complex training method of the Fédération International de Football Association (FIFA) 11+ and self-myofascial release (SMFR) as a warm-up program, prevent injuries, enhance flexibility, and lower muscle stiffness of football players in high school. Thus, it is necessary to ensure the widespread use of the complex training program by instructors and players under the supervision of the Korea Football Association (KFA), given its reliability in preventing injuries and improving the performance of football players.
摘要目的:本研究旨在探讨复杂训练对高中男足球运动员损伤、柔韧性及肌肉僵硬的影响。方法:将60名足球运动员分为综合训练组(CTG)、11+训练组(11+TG)和传统训练组(TTG)。研究开始后,采用前瞻性调查法记录损伤情况,并评估受试者的柔韧性和肌肉僵硬度。结果:研究结果显示,CTG组和11+TG组的场均损伤率明显低于TTG组。CTG组腘绳肌的柔韧性显著增加,股直肌(RF)、股二头肌(BF)和阔筋膜张肌(TFL)的僵硬度显著降低(p<0.05)。在11+TG组,射频刚度显著降低(p<0.05)。TTG组腘绳肌柔韧性明显增强(p<0.05)。与11+TG相比,CTG和TTG组腘绳肌柔韧性明显增加(p<0.05)。此外,与11+TG和TTG相比,CTG组RF和TFL肌肉僵硬度的下降幅度显著高于TTG组(p<0.05)。与TTG组相比,CTG组的BF肌肉僵硬度也有更显著的下降(p<0.05)。结论:将国际足联(FIFA) 11+的复合训练方法和自我肌筋膜松解(SMFR)作为热身方案,可以预防高中足球运动员受伤,增强柔韧性,降低肌肉僵硬度。因此,在韩国足球协会的监督下,有必要确保教练和球员广泛使用在防止受伤和提高球员成绩方面的可靠性。
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引用次数: 0
The Influence of COVID-19 on Physical Activity, Sleep Quality, and the Quality of Life in Adults by Age Group COVID-19对不同年龄组成人身体活动、睡眠质量和生活质量的影响
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.18
Tae-yeon Kim, Sil-ah Choi
Purpose: The purpose of this study was to identify changes in physical activity, sleep quality, and quality of life (QOL) during COVID-19 in adults by age group. Methods: An online survey was conducted on a total of 160 participants who were divided into three groups by age; young adults, middle-aged adults, and old adults. The participants responded to the self-reported assessment of the impact of social distancing during COVID-19, International Physical Activity Questionnaire (IPAQ), Pittsburgh Sleep Quality Index (PSQI), and Short Form-36 Health Survey (SF36). Descriptive statistics, analysis of variance, and Pearson’s correlation were used for data analysis. Results: There were significant differences between the three age groups in physical activity (p<0.05) and PSQI (p<0.01) and a post hoc analysis showed that the young adults’ group had significantly higher physical activity than the old adults’ group, while the old adults’ group had significantly lower scores of PSQI (better sleep quality) than the others. The young adults’ group showed a significant negative correlation between the stress from social distancing and QOL (r=-0.27, p<0.05) and between PSQI and QOL (r=-0.48, p<0.05). For the middle-aged adults’ group, there was a significant negative correlation between PSQI and QOL (r=-0.53, p<0.05). The old adults’ group showed a significant negative correlation between the stress from social distancing and physical activity (r=-0.35, p<0.05) and PSQI (r=-0.50, p<0.05), while there was a significant positive correlation between physical activity and PSQI (r=0.30, p<0.05) and QOL (r=0.30, p<0.05). Conclusion: The results of this study could be used as basic data for the promotion of physical and mental health in the post-COVID-19 era.
目的:本研究的目的是确定按年龄组划分的成人在COVID-19期间身体活动、睡眠质量和生活质量(QOL)的变化。方法:对160名参与者进行在线调查,按年龄分为三组;年轻人、中年人和老年人。参与者对COVID-19期间社交距离影响的自我报告评估、国际体育活动问卷(IPAQ)、匹兹堡睡眠质量指数(PSQI)和短表36健康调查(SF36)做出了回应。数据分析采用描述性统计、方差分析和Pearson相关分析。结果:三个年龄组在体力活动和PSQI方面有显著性差异(p<0.05),事后分析显示,青壮年组的体力活动显著高于老年人组,而老年人组的PSQI(睡眠质量较好)得分显著低于其他年龄组。青年组社交距离压力与生活质量呈显著负相关(r=-0.27, p<0.05), PSQI与生活质量呈显著负相关(r=-0.48, p<0.05)。中年组PSQI与生活质量呈显著负相关(r=-0.53, p<0.05)。老年人组社交距离压力与体力活动(r=-0.35, p<0.05)、PSQI (r=-0.50, p<0.05)呈显著负相关,体力活动与PSQI (r=0.30, p<0.05)、生活质量(r=0.30, p<0.05)呈显著正相关。结论:本研究结果可作为后新冠肺炎时代促进身心健康的基础数据。
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引用次数: 0
Comparison of the Lower Trapezius Muscle Activity during Three Different Shoulder Flexion Exercises in Healthy Subjects 三种不同的屈肩运动对健康人下斜方肌活动的影响
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.6
Byeong-Hun Hwang, Tae-Jin Jang, In-cheol Jeon
Purpose: This study investigated the muscle activity of the lower trapezius (LT) during three different shoulder flexion exercises. Methods: Twenty-three subjects between 20 and 25 years of age were enrolled. The subjects were asked to perform three different shoulder flexion exercises: 1) shoulder flexion in prone (SFP), 2) shoulder flexion in push-up with a swiss ball (SFPUS) and 3) shoulder flexion in a quadruped position with a swiss ball (SFQPS) in random order. The muscle activity of LT during each shoulder flexion exercise was measured by using surface electromyography. The muscle activity of LT was compared using one-way analysis of variance (ANOVA) and Bonferroni post hoc test among three different shoulder flexion exercises. The statistical significance level was set at α =0.01. Results: The muscle activity of LT was significantly different among three different shoulder flexion exercises (SFP, SFPUS, and SFQPS). The LT muscle activity with SFQPS exercise was greater than SFP and SFPUS exercises (p<0.01). There was no significant difference in LT muscle activity between SFP and SFPUS exercises (p>0.01). Conclusion: The LT muscle activity was greater during SFQPS than SFP and SFPUS. Therefore, SFQPS exercise can be recommended for selectively activation of LT muscle.
目的:本研究探讨了下斜方肌(LT)在三种不同的肩部屈曲运动中的肌肉活动。方法:选取年龄在20 ~ 25岁之间的23例受试者。受试者被要求进行三种不同的肩部屈曲练习:1)俯卧时的肩部屈曲(SFP), 2)带瑞士球俯卧撑时的肩部屈曲(sffpus)和3)四足位带瑞士球(SFQPS)的肩部屈曲(随机顺序)。采用表面肌电图测量每次屈肩运动中左腰肌的肌肉活动。采用单因素方差分析(ANOVA)和Bonferroni事后检验对三种不同的屈肩运动进行腰屈肌活动的比较。统计学显著性水平设为α =0.01。结果:三种不同的屈肩运动(SFP、sffpus和SFQPS)中,LT的肌肉活动有显著差异。SFQPS组大鼠LT肌活动明显高于SFP和SFPUS组(p0.01)。结论:SFQPS时大鼠LT肌活动明显高于SFP和SFPUS。因此,SFQPS运动可推荐用于选择性激活左左肌。
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引用次数: 0
Comparison of Tibialis Anterior Muscle Thickness with 4 Different Toe and Ankle Postures: Ultrasonographic Study 4种不同趾踝关节姿势胫骨前肌厚度的超声研究
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.12
Tae-Jin Jang, Byeong-Hun Hwang, In-cheol Jeon
Purpose: Ankle dorsiflexion is an essential element of normal functions, including walking, activities of daily living and sport activities. The tibialis anterior (TA) muscle functioned as a dorsiflexor and as a dynamic stabilizer of the ankle joint during walking and jumping. This study aimed to compare TA muscle thickness using ultrasonography according to the four different toe and ankle postures for the selective TA strengthening exercise. Methods: This study were recruited 26 (males: 15, females: 11) aged 20-30 years, with no injury ankle and calf in the medical history, had normal dorsiflexion and inversion range of motion (ROM). The thickness of the TA muscle was measured by ultrasonography in the four different toe and ankle postures: 1. Ankle dorsiflexion with all toe extension and ankle inversion (ITEDF); 2. Ankle dorsiflexion with all toe flexion and ankle inversion (ITFDF); 3. Ankle dorsiflexion with all toe extension and neutral position (NTEDF); 4. Ankle dorsiflexion with all toe flexion and neutral position (NTFDF). One-way repeated analysis of variance (ANOVA) and Bonferroni correction were used to confirm the significant difference among conditions. The level of statistical significance was set at α =0.01. Results: TA muscle thickness with ITFDF was significantly greater than in any other ankle positions, including ITEDF, NTFDF, and NTEDF (p<0.01). Conclusion: Among the four toe and ankle postures, isometric contraction in ITFDF postures showed the greatest increase in thickness of TA rather than ITEDF, NTEDF, and NTFDF postures. Based on these results, ITFDF can be recommended in an efficient way to selectively strengthen TA muscle.
目的:踝关节背屈是正常功能的重要组成部分,包括行走、日常生活活动和体育活动。胫骨前肌(TA)在行走和跳跃时作为背屈肌和踝关节的动态稳定器。本研究的目的是比较四种不同脚趾和踝关节姿势的TA肌肉厚度,以进行选择性TA强化训练。方法:本研究招募年龄在20-30岁之间,既往无踝关节和小腿损伤,背屈和内翻活动度(ROM)正常的26例患者(男15例,女11例)。采用超声测量四种不同脚趾和踝关节姿势下TA肌的厚度:1。踝关节背屈,所有脚趾伸展和踝关节内翻(ITEDF);2. 踝关节背屈伴全趾屈和踝关节内翻(ITFDF);3.踝关节背屈,所有脚趾伸展和中立位置(NTEDF);4. 踝关节背屈,全趾屈,中立位(NTFDF)。采用单因素重复方差分析(ANOVA)和Bonferroni校正证实各条件间存在显著性差异。统计学显著性水平设为α =0.01。结果:ITFDF组TA肌厚度显著大于ITEDF、NTFDF、NTEDF组(p<0.01)。结论:在四种趾踝关节体位中,ITFDF体位的TA厚度增加幅度最大,而ITEDF、NTEDF和NTFDF体位的TA厚度增加幅度最大。基于这些结果,可以推荐ITFDF作为一种有效的方法来选择性地增强TA肌。
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引用次数: 0
Differences in the Gait Pattern and Muscle Activity of the Lower Extremities during Forward and Backward Walking on Sand 沙地上向前和向后行走时步态模式和下肢肌肉活动的差异
Pub Date : 2022-02-28 DOI: 10.18857/jkpt.2022.34.1.45
Chae-Won Kwon, S. Yun, J. Kwon
Purpose: The purpose of this study was to compare the spatiotemporal and kinematic gait parameters and muscle activity of the lower extremities between forward walking on sand (FWS) and backward walking on sand (BWS) in normal adults. Methods: This study was conducted on 13 healthy adults. Subjects performed FWS and BWS and the spatiotemporal and kinematic gait parameters of stride time, stride length, velocity, cadence, step length, stance, swing, double support, and hip range of motion (ROM), knee ROM were measured by a wearable inertial measurement unit system. In addition, the muscle activity of the rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius (GA) was measured. Results: The stride length, stride velocity, cadence, and step length in the BWS were significantly lower than FWS (p<0.05), and stride time was significantly greater (p<0.05). However, there was no significant difference in the ratio of stance, swing, and double support between the two (p>0.05). The kinematic gait parameters, including hip and knee joint range of motion in BWS, were significantly lower than FWS (p<0.05). The muscle activity of the RF in BWS was significantly higher than FWS (p<0.05), but the muscle activity of the BF, TA, GA did not show any significant differences between the two movements (p>0.05). Conclusion: A strategy to increase stability by changing the gait parameters is used in BWS, and this study confirmed that BWS was a safe and effective movement to increase RF muscle activity without straining the joints. Therefore, BWS can be recommended for effective activation of the RF.
目的:比较正常成人在沙地上向前行走(FWS)和向后行走(BWS)时的时空、运动学步态参数和下肢肌肉活动。方法:本研究以13名健康成人为研究对象。受试者分别进行FWS和BWS,通过可穿戴式惯性测量单元系统测量步幅时间、步幅、速度、节奏、步长、站立、摆动、双支撑、髋关节运动范围(ROM)、膝关节ROM等时空和运动学步态参数。此外,还测量了股直肌(RF)、股二头肌(BF)、胫前肌(TA)和腓肠肌(GA)的肌肉活动。结果:BWS患者步长、步速、步速、步长均显著低于FWS患者(p0.05)。运动学步态参数,包括髋关节和膝关节活动范围,BWS组明显低于FWS组(p0.05)。结论:BWS采用通过改变步态参数来增加稳定性的策略,本研究证实BWS是一种安全有效的运动,可以在不扭伤关节的情况下增加RF肌肉活动。因此,BWS可以被推荐用于有效激活RF。
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引用次数: 0
Mild Bradykinesia Due to an Injury of Corticofugal-Tract from Secondary Motor Area in a Patient with Traumatic Brain Injury 外伤性脑损伤继发运动区皮质束损伤致轻度运动迟缓1例
Pub Date : 2021-12-31 DOI: 10.18857/jkpt.2021.33.6.304
H. Lee, J. Seo
Objectives: We report on a patient who showed mild bradykinesia due to injury of the corticofugal tract (CFT) from the secondary motor area following direct head trauma, which was demonstrated on diffusion tensor tractography (DTT). Case summary: A 58-year-old male patient underwent conservative management for subarachnoid hemorrhages caused by direct head trauma resulting from a fall from six-meter height at the department of neurosurgery of a local hospital. His Glasgow Coma Scale score was 3. He developed mildly slow movements following the head trauma and visited the rehabilitation department of a university hospital at ten weeks after the fall. The patient exhibited mild bradykinesia during walking and arm movements with mild weakness in all four extremities (G/G - ). Results: On ten-week DTT, narrowing of the right CFT from the supplementary motor area (SMA-CFT), and partial tearing of the left SMA-CFT, left CFTs from the dorsal premotor cortex (dPMC-CFT) and both corticospinal tracts (CSTs) at the subcortical white matter were observed. Conclusion: This case demonstrated abnormalities in both CSTs (partial tearing at the subcortical white matter and narrowing), both SMA-CFTs (narrowing and partial tearing) and left dPMC-CFT. We believe our findings suggest the necessity of assessment of the CFTs from the secondary motor area for patients with unexplained bradykinesia following direct head trauma. tensor imaging (DTI) acquired at ten after onset with single-shot echo-planar 70 contiguous slices (acquisition matrix: to matrix: 192 field view: 240×240 mm 2 , TR: 10,398 ms, TE: 72 ms, parallel imaging reduction factor: 2, echo-planar imaging factor: 59 and b: 1,000 sec/mm 2 , NEX: 1, and a slice thickness: 2.5 mm) were acquired parallel to the anterior commissure-posterior commissure line. To analyze the corticospinal tract (CST), fiber tracking was performed using the fiber assign-ment continuous tracking algorithm implemented within the DTI task card software (Philips MR Work 2.6.). The seed region of interest (ROI) was placed on the lower pons, and the target ROI was placed on the upper pons on the color map. Termination criteria used for fiber tracking were FA<0.15, angle<27°. For analysis of the CFTs from the dorsal premotor cortex (dPMC-CFT) and supplementary motor area (SMA-CFT), the Oxford Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB) Software Library fsl) was used for analysis of DTI data. For CFTs, the seed ROI was placed on the cerebral peduncle of the midbrain. The target ROI was defined as the dPMC and SMA area. of 5,000 samples generated from each voxel, results for each were visualized threshold and weightings
目的:我们报告了一例由于直接头部创伤后继发运动区皮质束(CFT)损伤而出现轻度运动迟缓的患者,这是通过扩散张量束造影(DTT)证实的。病例总结:一名58岁男性患者,因从6米高处坠落导致头部直接创伤,在当地医院神经外科接受了保守治疗。格拉斯哥昏迷评分为3分。头部外伤后,他出现了轻微的动作迟缓,跌倒后十周,他去了一所大学医院的康复科。患者在行走和手臂运动时表现出轻度运动迟缓,四肢轻度无力(G/G -)。结果:DTT第10周,观察到右侧辅助运动区CFT (SMA-CFT)变窄,左侧SMA-CFT、左侧背侧运动前皮层CFT (dPMC-CFT)和皮质下白质皮质脊髓束(CSTs)部分撕裂。结论:本病例在cst(皮层下白质部分撕裂和狭窄)、SMA-CFTs(狭窄和部分撕裂)和左dPMC-CFT均表现异常。我们认为,我们的研究结果表明,对于直接头部创伤后不明原因的运动迟缓患者,有必要对继发运动区进行CFTs评估。在发病后10点,用单次回波平面连续70片(采集矩阵:到矩阵:192视场:240×240 mm 2, TR: 10,398 ms, TE: 72 ms,平行成像减少因子:2,回波平面成像因子:59和b: 1,000 sec/mm 2, NEX: 1,切片厚度:2.5 mm)平行于前-后联合线获得张量成像(DTI)。为了分析皮质脊髓束(CST),使用DTI任务卡软件(Philips MR Work 2.6.)中实现的纤维分配连续跟踪算法进行纤维跟踪。在彩色地图上,将感兴趣的种子区域(ROI)放置在下方的脑桥上,目标ROI放置在上方的脑桥上。光纤跟踪的终止标准为FA<0.15,角度<27°。为了分析背侧运动前皮层(dPMC-CFT)和辅助运动区(SMA-CFT)的CFTs,使用牛津脑功能磁共振成像中心(FMRIB)软件库fsl分析DTI数据。对于CFTs, ROI种子被放置在中脑脑蒂。目标ROI被定义为dPMC和SMA区域。从每个体素生成的5000个样本中,每个样本的结果都是可视化的阈值和权重
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引用次数: 1
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The Journal of Korean Physical Therapy
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