{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:42:37Z","timestamp":1785526957635,"version":"3.56.0"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Ultrasonics"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1007\/s10396-026-01617-9","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T15:37:35Z","timestamp":1769269055000},"page":"329-337","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantitative dynamic evaluation of the talus\u2013lateral malleolus distance during forward single-leg drop landing in individuals with chronic ankle instability: a cross-sectional study"],"prefix":"10.1007","volume":"53","author":[{"given":"Ayano","family":"Ishida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Onoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunari","family":"Ikuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8339-3652","authenticated-orcid":false,"given":"Tsubasa","family":"Tashiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Arima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Komiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Mizuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honoka","family":"Ishihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiki","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Brand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,24]]},"reference":[{"key":"1617_CR1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1177\/0363546516660980","volume":"45","author":"KG Roos","year":"2017","unstructured":"Roos KG, Kerr ZY, Mauntel TC, et al. The epidemiology of lateral ligament complex ankle sprains in national collegiate athletic association sports. Am J Sports Med. 2017;45:201\u20139.","journal-title":"Am J Sports Med"},{"key":"1617_CR2","doi-asserted-by":"publisher","first-page":"603","DOI":"10.4085\/1062-6050-447-17","volume":"54","author":"MM Herzog","year":"2019","unstructured":"Herzog MM, Kerr ZY, Marshall SW, et al. Epidemiology of ankle sprains and chronic ankle instability. J Athl Train. 2019;54:603\u201310.","journal-title":"J Athl Train"},{"key":"1617_CR3","doi-asserted-by":"publisher","first-page":"1493","DOI":"10.1136\/bjsports-2016-096188","volume":"50","author":"PA Gribble","year":"2016","unstructured":"Gribble PA, Bleakley CM, Caulfield BM, et al. 2016 consensus statement of the International Ankle Consortium: prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;50:1493\u20135.","journal-title":"Br J Sports Med"},{"key":"1617_CR4","doi-asserted-by":"publisher","first-page":"572","DOI":"10.4085\/1062-6050-344-18","volume":"54","author":"J Hertel","year":"2019","unstructured":"Hertel J, Corbett RO. An updated model of chronic ankle instability. J Athl Train. 2019;54:572\u201388.","journal-title":"J Athl Train"},{"key":"1617_CR5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.gaitpost.2021.04.037","volume":"87","author":"A Stotz","year":"2021","unstructured":"Stotz A, John C, Gmachowski J, et al. Effects of elastic ankle support on running ankle kinematics in individuals with chronic ankle instability and healthy controls. Gait Posture. 2021;87:149\u201355.","journal-title":"Gait Posture"},{"key":"1617_CR6","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1007\/s00167-015-3745-y","volume":"24","author":"Y Koshino","year":"2016","unstructured":"Koshino Y, Ishida T, Yamanaka M, et al. Kinematics and muscle activities of the lower limb during a side-cutting task in subjects with chronic ankle instability. Knee Surg Sports Traumatol Arthrosc. 2016;24:1071\u201380.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"1617_CR7","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1111\/sms.12282","volume":"25","author":"C Doherty","year":"2015","unstructured":"Doherty C, Bleakley C, Hertel J, et al. Single-leg drop landing motor control strategies following acute ankle sprain injury. Scand J Med Sci Sports. 2015;25:525\u201333.","journal-title":"Scand J Med Sci Sports"},{"key":"1617_CR8","first-page":"364","volume":"37","author":"J Hertel","year":"2002","unstructured":"Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37:364\u201375.","journal-title":"J Athl Train"},{"key":"1617_CR9","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231207688","volume":"11","author":"JS Kim","year":"2023","unstructured":"Kim JS, Kim MS, Kim DK, et al. Magnetic resonance imaging characteristics of a lateral ligament injury in acute ankle sprains among athletes. Orthop J Sports Med. 2023;11:23259671231207688.","journal-title":"Orthop J Sports Med"},{"key":"1617_CR10","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1002\/jum.14770","volume":"38","author":"R Abdeen","year":"2019","unstructured":"Abdeen R, Comfort P, Starbuck C, et al. Ultrasound characteristics of foot and ankle structures in healthy, coper, and chronically unstable ankles. J Ultrasound Med. 2019;38:917\u201326.","journal-title":"J Ultrasound Med"},{"key":"1617_CR11","doi-asserted-by":"publisher","first-page":"3228","DOI":"10.1016\/j.ultrasmedbio.2020.08.018","volume":"46","author":"S Rein","year":"2020","unstructured":"Rein S, Houschyar KS, Sterling-Hauf T. Ultrasound analysis of lateral ankle ligaments in functional ankle instability. Ultrasound Med Biol. 2020;46:3228\u201338.","journal-title":"Ultrasound Med Biol"},{"key":"1617_CR12","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/s40634-019-0199-z","volume":"6","author":"KH Kristen","year":"2019","unstructured":"Kristen KH, Seilern Und Aspang J, et al. Reliability of ultrasonography measurement of the anterior talofibular ligament (ATFL) length in healthy subjects (in vivo), based on examiner experience and patient positioning. J Exp Orthop. 2019;6:30.","journal-title":"J Exp Orthop."},{"key":"1617_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-019-0337-y","volume":"12","author":"T Kikumoto","year":"2019","unstructured":"Kikumoto T, Akatsuka K, Nakamura E, et al. Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study. J Foot Ankle Res. 2019;12:27.","journal-title":"J Foot Ankle Res"},{"key":"1617_CR14","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1758-z","volume":"18","author":"W Liu","year":"2017","unstructured":"Liu W, Li H, Hua Y. Quantitative magnetic resonance imaging (MRI) analysis of anterior talofibular ligament in lateral chronic ankle instability ankles pre- and postoperatively. BMC Musculoskelet Disord. 2017;18:397.","journal-title":"BMC Musculoskelet Disord"},{"key":"1617_CR15","doi-asserted-by":"publisher","first-page":"1572","DOI":"10.1177\/03635465241241760","volume":"52","author":"T Bagehorn","year":"2024","unstructured":"Bagehorn T, de Zee M, Fong DTP, et al. Lateral ankle joint injuries in indoor and court sports: a systematic video analysis of 445 nonconsecutive case series. Am J Sports Med. 2024;52:1572\u201384.","journal-title":"Am J Sports Med"},{"key":"1617_CR16","first-page":"178","volume":"100","author":"LYT Chan","year":"2022","unstructured":"Chan LYT, et al. Effect of chronic ankle instability on lower extremity joint angles, dynamic postural stability, and lower limb muscle activity. Gait Posture. 2022;100:178\u201384.","journal-title":"Gait Posture"},{"key":"1617_CR17","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1123\/jsr.2016-0004","volume":"26","author":"Y Koshino","year":"2017","unstructured":"Koshino Y, Ishida T, Yamanaka M, et al. Toe-in landing increases the ankle inversion angle and moment during single-leg landing: implications in the prevention of lateral ankle sprains. J Sport Rehabil. 2017;26:530\u20135.","journal-title":"J Sport Rehabil"},{"key":"1617_CR18","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1136\/bjsports-2013-092626","volume":"48","author":"D Gehring","year":"2014","unstructured":"Gehring D, Faschian K, Lauber B, et al. Mechanical instability destabilises the ankle joint directly in the ankle-sprain mechanism. Br J Sports Med. 2014;48:377\u201382.","journal-title":"Br J Sports Med"},{"key":"1617_CR19","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-78682-y","volume":"14","author":"S Onoue","year":"2024","unstructured":"Onoue S, Maeda N, Ikuta Y, et al. Comparison of the distance between the talus and lateral malleolus during the stance phase with and without chronic ankle instability. Sci Rep. 2024;14:27055.","journal-title":"Sci Rep"},{"key":"1617_CR20","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-13425-5","volume":"12","author":"N Maeda","year":"2022","unstructured":"Maeda N, Ikuta Y, Tashiro T, et al. Quantitative evaluation of the vertical mobility of the first tarsometatarsal joint during stance phase of gait. Sci Rep. 2022;12:9246.","journal-title":"Sci Rep"},{"key":"1617_CR21","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-64304-0","volume":"14","author":"H Ishihara","year":"2024","unstructured":"Ishihara H, Maeda N, Komiya M, et al. The vertical mobility of the first tarsometatarsal joint during demi-pli\u00e9 with forced turnout in ballet dancers. Sci Rep. 2024;14:15321.","journal-title":"Sci Rep"},{"key":"1617_CR22","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1007\/s10396-024-01414-2","volume":"51","author":"T Tashiro","year":"2024","unstructured":"Tashiro T, Ikuta Y, Maeda N, et al. First tarsometatarsal joint mobility in hallux valgus during gait: A synchronized ultrasound and three-dimensional motion capture analysis. J Med Ultrason. 2024;51:331\u20139.","journal-title":"J Med Ultrason"},{"issue":"1","key":"1617_CR23","doi-asserted-by":"publisher","first-page":"121","DOI":"10.4085\/1062-6050-49.1.14","volume":"49","author":"PA Gribble","year":"2014","unstructured":"Gribble PA, Delahunt E, Bleakley CM, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Athl Train. 2014;49(1):121\u20137.","journal-title":"J Athl Train"},{"key":"1617_CR24","doi-asserted-by":"publisher","first-page":"2106","DOI":"10.1249\/MSS.0b013e3181de7a8a","volume":"42","author":"E Delahunt","year":"2010","unstructured":"Delahunt E, Coughlan GF, Caulfield B, et al. Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc. 2010;42:2106\u201321.","journal-title":"Med Sci Sports Exerc"},{"key":"1617_CR25","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.clinbiomech.2005.08.002","volume":"21","author":"AC Redmond","year":"2006","unstructured":"Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the foot posture index. Clin Biomech. 2006;21:89\u201398.","journal-title":"Clin Biomech"},{"key":"1617_CR26","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s40477-022-00699-8","volume":"26","author":"B \u00d6zg\u00fcl","year":"2023","unstructured":"\u00d6zg\u00fcl B, Starbuck C, Polat MG, et al. Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles. J Ultrasound. 2023;26:137\u201346.","journal-title":"J Ultrasound"},{"key":"1617_CR27","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1016\/j.jsams.2021.02.004","volume":"24","author":"J Han","year":"2021","unstructured":"Han J, Yang Z, Adams R, et al. Ankle inversion proprioception measured during landing in individuals with and without chronic ankle instability. J Sci Med Sport. 2021;24:665\u20139.","journal-title":"J Sci Med Sport"},{"key":"1617_CR28","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.ptsp.2022.07.011","volume":"57","author":"D Kawahara","year":"2022","unstructured":"Kawahara D, Koshino Y, Watanabe K, et al. Lower limb kinematics during single leg landing in three directions in individuals with chronic ankle instability. Phys Ther Sport. 2022;57:71\u20137.","journal-title":"Phys Ther Sport"},{"key":"1617_CR29","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1007\/s00167-015-3852-9","volume":"24","author":"C Doherty","year":"2016","unstructured":"Doherty C, Bleakley C, Hertel J, et al. Single-leg drop landing movement strategies in participants with chronic ankle instability compared with lateral ankle sprain \u201ccopers.\u201d Knee Surg Sports Traumatol Arthrosc. 2016;24:1049\u201359.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"1617_CR30","doi-asserted-by":"publisher","first-page":"6474","DOI":"10.3390\/s25206474","volume":"25","author":"EF de Borba","year":"2025","unstructured":"de Borba EF, Storniolo JL, Cerfoglio S, et al. Effect of walking speed on the reliability of a smartphone-based markerless gait analysis system. Sensors (Basel). 2025;25:6474.","journal-title":"Sensors (Basel)"},{"key":"1617_CR31","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","volume":"15","author":"TK Koo","year":"2016","unstructured":"Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155\u201363.","journal-title":"J Chiropr Med"},{"key":"1617_CR32","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.jisako.2024.02.001","volume":"9","author":"S Hattori","year":"2024","unstructured":"Hattori S, Onishi K, Chan CK, et al. Optimal assessment for anterior talofibular ligament injury utilizing stress ultrasound entails internal rotation during plantarflexion. Journal of ISAKOS. 2024;9:302\u20138.","journal-title":"Journal of ISAKOS"},{"key":"1617_CR33","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3109\/17453678909150088","volume":"60","author":"R L\u00f6fvenberg","year":"1989","unstructured":"L\u00f6fvenberg R, K\u00e4rrholm J, Selvik G, Hansson L-I, Ahlgren O. Chronic lateral instability of the ankle. Roentgen stereophotogrammetry of talar position. Acta Orthop Scand. 1989;60:34\u20139.","journal-title":"Acta Orthop Scand"},{"key":"1617_CR34","first-page":"911","volume":"24","author":"V Valderrabano","year":"2003","unstructured":"Valderrabano V, Reinisch G, Leumann A, Koch PP. Kinematic changes after fusion and total replacement of the ankle. Foot Ankle Int. 2003;24:911\u20139.","journal-title":"Foot Ankle Int"},{"key":"1617_CR35","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1002\/ca.20703","volume":"21","author":"MPJ Van Den Bekerom","year":"2008","unstructured":"Van Den Bekerom MPJ, Oostra RJ, Golan\u00f3 P, van Dijk CN. The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat. 2008;21:619\u201326.","journal-title":"Clin Anat"},{"key":"1617_CR36","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211023447","volume":"9","author":"HY Li","year":"2021","unstructured":"Li HY, Cao L, Li H, et al. Decreasing the abnormal internally rotated talus after lateral ankle stabilization surgery. Orthop J Sports Med. 2021;9:23259671211023447.","journal-title":"Orthop J Sports Med"},{"key":"1617_CR37","doi-asserted-by":"publisher","first-page":"257","DOI":"10.7600\/jpfsm.6.257","volume":"6","author":"S Kunugi","year":"2017","unstructured":"Kunugi S, Masunari A, Yoshida N, et al. Postural stability and lower leg muscle activity during a diagonal single-leg landing differs in male collegiate soccer players with and without functional ankle instability. J Phys Fitness Sports Med. 2017;6:257\u201365.","journal-title":"J Phys Fitness Sports Med"},{"key":"1617_CR38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jshs.2025.101035","author":"X Zhu","year":"2025","unstructured":"Zhu X, Wei F, Li S, et al. Toe-out landing reduces anterior talofibular ligament strain while maintains calcaneofibular ligament strain in people with chronic ankle instability. J Sport Health Sci. 2025. https:\/\/doi.org\/10.1016\/j.jshs.2025.101035.","journal-title":"J Sport Health Sci"},{"key":"1617_CR39","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.jshs.2021.03.007","volume":"12","author":"DTP Fong","year":"2023","unstructured":"Fong DTP, Mok KM, Thompson IM, Wang Y, Shan W, King MA. A lateral ankle sprain during a lateral backward step in badminton: a case report of a televised injury incident. J Sport Health Sci. 2023;12:139\u201344.","journal-title":"J Sport Health Sci"},{"key":"1617_CR40","doi-asserted-by":"publisher","first-page":"698","DOI":"10.4085\/1062-6050-480-17","volume":"54","author":"JT Hopkins","year":"2019","unstructured":"Hopkins JT, Son SJ, Kim H, et al. Characterization of multiple movement strategies in participants with chronic ankle instability. J Athl Train. 2019;54:698\u2013707.","journal-title":"J Athl Train"},{"key":"1617_CR41","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2024.106237","volume":"114","author":"K Watanabe","year":"2024","unstructured":"Watanabe K, Koshino Y, Nakagawa K, et al. The relationship between joint kinematic patterns during single-leg drop landing and perceived instability in individuals with chronic ankle instability. Clin Biomech. 2024;114:106237.","journal-title":"Clin Biomech"},{"key":"1617_CR42","volume":"110","author":"T Zhang","year":"2024","unstructured":"Zhang T, et al. Different strategies for landing from different heights among people with chronic ankle instability. Gait Posture. 2024;110:104003.","journal-title":"Gait Posture"},{"key":"1617_CR43","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/j.clinbiomech.2015.04.001","volume":"30","author":"R De Ridder","year":"2015","unstructured":"De Ridder R, Willems T, Vanrenterghem J, et al. Multi-segment foot landing kinematics in subjects with chronic ankle instability. Clin Biomech. 2015;30:585\u201392.","journal-title":"Clin Biomech"},{"key":"1617_CR44","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.ptsp.2011.01.003","volume":"12","author":"EY Suda","year":"2011","unstructured":"Suda EY, Sacco IC. Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Phys Ther Sport. 2011;12:164\u201370.","journal-title":"Phys Ther Sport"},{"key":"1617_CR45","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1016\/j.jshs.2023.03.005","volume":"12","author":"J Zhang","year":"2023","unstructured":"Zhang J, Yang K, Wang C, et al. Risk factors for chronic ankle instability after first episode of lateral ankle sprain: a retrospective analysis of 362 cases. J Sport Health Sci. 2023;12:606\u201312.","journal-title":"J Sport Health Sci"},{"key":"1617_CR46","doi-asserted-by":"publisher","first-page":"610","DOI":"10.2174\/1874325001711010610","volume":"31","author":"Y Cai","year":"2017","unstructured":"Cai Y, Li S, Chen S, et al. An ultrasound classification of anterior talofibular Ligament (ATFL) injury. Open Orthop J. 2017;31:610\u20136.","journal-title":"Open Orthop J"}],"container-title":["Journal of Medical Ultrasonics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10396-026-01617-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10396-026-01617-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10396-026-01617-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:06:44Z","timestamp":1785521204000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10396-026-01617-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,24]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["1617"],"URL":"https:\/\/doi.org\/10.1007\/s10396-026-01617-9","relation":{},"ISSN":["1346-4523","1613-2254"],"issn-type":[{"value":"1346-4523","type":"print"},{"value":"1613-2254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,24]]},"assertion":[{"value":"29 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no conflicts of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted with approval from the Ethical Committee for Epidemiology of Hiroshima University (Approval Number: E-2187) in accordance with the principles of the Declaration of Helsinki. Informed consent was obtained from all the participants prior to participation in the study.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}