{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:03:58Z","timestamp":1793754238807,"version":"4.6.1"},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>People with stroke generally experience abnormal muscle activity and develop balance disorder. Based on the important role of the proximal joints of the lower extremity in balance maintenance, hip joint mobilization with movement technique can be applied to enhance normal joint arthrokinematics. Therefore, the present study aimed to investigate the effectiveness of hip joint mobilization with movement technique on stroke patients\u2019 muscle activity and balance.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Twenty patients aged between 35 and 65 years old with chronic stroke were randomly assigned either to an experimental group (n\u2009=\u200910) or to a control group (n\u2009=\u200910). Both groups participated in a 30-minute conventional physiotherapy session 3 times per week for 4 weeks. The experimental group received an additional 30-minute\u2019s session of hip joint mobilization with movement technique on the affected limb. The muscle activity, berg balance scale, time up and go, and postural stability were measured at baseline, 1-day and 2-week follow-up by a blinded assessor.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The experimental group showed a significant improvement in berg balance scale, time up and go, and postural stability (p\u2009\u2264\u20090.05). The rectus femoris, tibialis anterior, biceps femoris, and medial gastrocnemius muscles\u2019 activations of the affected limb during static balance test markedly changed along with the biceps femoris, erector spine, rectus femoris, and tibialis anterior muscles during dynamic balance test after hip joint mobilization with movement technique. The mean onset time of rectus abdominus, erector Spine, rectus femoris, and tibialis anterior muscles activity significantly decreased in the affected limb after hip joint mobilization with movement technique compared to the control group (p\u2009\u2264\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The results of the present study suggest that a combination of hip joint mobilization with movement technique and conventional physiotherapy could improve muscle activity and balance among chronic stroke patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration number<\/jats:title>\n                <jats:p>The study was registered in the Iranian Registry of Clinical Trials (No; IRCT20200613047759N1). Registration date: 2\/08\/2020.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12883-023-03315-2","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T07:02:17Z","timestamp":1689058937000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The hip joint mobilization with movement technique improves muscle activity, postural stability, functional and dynamic balance in hemiplegia secondary to chronic stroke: a blinded randomized controlled trial"],"prefix":"10.1186","volume":"23","author":[{"given":"Soudeh","family":"Arabzadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahimeh","family":"Kamali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soha","family":"Bervis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Razeghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"issue":"4\u20135","key":"3315_CR1","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/S0167-9457(01)00073-2","volume":"20","author":"KM Newell","year":"2001","unstructured":"Newell KM, Vaillancourt DE. Dimensional change in motor learning. Hum mov sci. 2001;20(4\u20135):695\u2013715.","journal-title":"Hum mov sci"},{"key":"3315_CR2","volume-title":"Motor Control: theory and practical applications","author":"A Shumway-Cook","year":"2000","unstructured":"Shumway-Cook A, Woollacott MH. Motor Control: theory and practical applications. 2nd ed. Baltimore, MD: Lippincot Williams and Wilkens; 2000.","edition":"2"},{"issue":"3","key":"3315_CR3","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1016\/S0003-9993(00)90085-6","volume":"81","author":"R Dickstein","year":"2000","unstructured":"Dickstein R, Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Arch Phys Med Rehabil. 2000;81(3):364\u20137.","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"3315_CR4","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1161\/STROKEAHA.107.493478","volume":"39","author":"N Genthon","year":"2008","unstructured":"Genthon N, Gissot A-S, Froger J, Rougier P, P\u00e9rennou D. Posturography in patients with stroke: estimating the percentage of body weight on each foot from a single force platform. Stroke. 2008;39(2):489.","journal-title":"Stroke"},{"issue":"2","key":"3315_CR5","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1097\/00042752-200004000-00002","volume":"10","author":"SF Nadler","year":"2000","unstructured":"Nadler SF, Malanga GA, DePrince M, Stitik TP, Feinberg JH. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med. 2000;10(2):89\u201397.","journal-title":"Clin J Sport Med"},{"issue":"7","key":"3315_CR6","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1016\/j.apmr.2006.03.003","volume":"87","author":"SE Lord","year":"2006","unstructured":"Lord SE, Rochester L, Weatherall M, McPherson KM, McNaughton HK. The effect of environment and task on gait parameters after stroke: a randomized comparison of measurement conditions. Arch Phys Med Rehabil. 2006;87(7):967\u201373.","journal-title":"Arch Phys Med Rehabil"},{"issue":"6","key":"3315_CR7","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1191\/0269215504cr779oa","volume":"18","author":"H Eich","year":"2004","unstructured":"Eich H, Mach H, Werner C, Hesse S. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: a randomized controlled trial. Clin rehabil. 2004;18(6):640\u201351.","journal-title":"Clin rehabil"},{"issue":"2","key":"3315_CR8","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/S0966-6362(03)00062-6","volume":"19","author":"RR Neptune","year":"2004","unstructured":"Neptune RR, Zajac FE, Kautz SA. Muscle force redistributes segmental power for body progression during walking. Gait Posture. 2004;19(2):194\u2013205.","journal-title":"Gait Posture"},{"issue":"10","key":"3315_CR9","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1016\/j.jbiomech.2005.05.032","volume":"39","author":"JS Higginson","year":"2006","unstructured":"Higginson JS, Zajac FE, Neptune RR, Kautz SA, Delp SL. Muscle contributions to support during gait in an individual with post- stroke hemiparesis. J Biomech. 2006;39(10):1769\u201377.","journal-title":"J Biomech"},{"issue":"8","key":"3315_CR10","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1053\/apmr.2002.33644","volume":"83","author":"JJ Eng","year":"2002","unstructured":"Eng JJ, Chu KS. Reliability and comparison of weight bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138\u201344.","journal-title":"Arch Phys Med Rehabil"},{"issue":"3","key":"3315_CR11","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1177\/0363546506297909","volume":"35","author":"BT Zazulak","year":"2007","unstructured":"Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. The effects of core proprioception on knee injury: a prospective biomechanical-epidemiological study. Am J sports med. 2007;35(3):368\u201373.","journal-title":"Am J sports med"},{"issue":"5","key":"3315_CR12","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.math.2008.09.001","volume":"14","author":"JE Bialosky","year":"2009","unstructured":"Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man ther. 2009;14(5):531\u20138.","journal-title":"Man ther"},{"key":"3315_CR13","volume-title":"Musculoskeletal physiotherapy: clinical science and evidence-based practice","author":"KM Refshauge","year":"2004","unstructured":"Refshauge KM, Gass EM, Twomey LT. Musculoskeletal physiotherapy: clinical science and evidence-based practice. 2nd ed. Oxford, United Kingdom: Butterworth Heinemann Medical; 2004.","edition":"2"},{"issue":"5","key":"3315_CR14","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/S1297-319X(03)00074-5","volume":"70","author":"J-Y Maigne","year":"2003","unstructured":"Maigne J-Y, Vautravers P. Mechanism of action of spinal manipulative therapy. Joint bone spine. 2003;70(5):336\u201341.","journal-title":"Joint bone spine"},{"key":"3315_CR15","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.math.2015.10.007","volume":"22","author":"C Beselga","year":"2016","unstructured":"Beselga C, Neto F, Alburquerque-Send\u00edn F, Hall T, Oliveira-Campelo N. Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: a randomised controlled trial. Man ther. 2016;22:80\u20135.","journal-title":"Man ther"},{"issue":"1","key":"3315_CR16","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1179\/108331904225003973","volume":"9","author":"M Zusman","year":"2004","unstructured":"Zusman M. Mechanisms of musculoskeletal physiotherapy. Phys Ther Rev. 2004;9(1):39\u201349.","journal-title":"Phys Ther Rev"},{"key":"3315_CR17","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.msksp.2018.12.001","volume":"39","author":"K Westad","year":"2019","unstructured":"Westad K, Tjoestolvsen F, Hebron C. The effectiveness of Mulligan\u2019s mobilisation with movement (MWM) on peripheral joints in musculoskeletal (MSK) conditions: a systematic review. Musculoskelet Sci Pract. 2019;39:157\u201363.","journal-title":"Musculoskelet Sci Pract"},{"issue":"3","key":"3315_CR18","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1080\/09084282.2010.499773","volume":"17","author":"NN Ansari","year":"2010","unstructured":"Ansari NN, Naghdi S, Hasson S, Valizadeh L, Jalaie S. Validation of a Mini-Mental State Examination (MMSE) for the persian population: a pilot study. Appl neuropsychol. 2010;17(3):190\u20135.","journal-title":"Appl neuropsychol"},{"issue":"4","key":"3315_CR19","first-page":"323","volume":"33","author":"BL Arnold","year":"1998","unstructured":"Arnold BL, Schmitz RJ. Examination of balance measures produced by the biodex stability system. J Athl Train. 1998;33(4):323\u20137.","journal-title":"J Athl Train"},{"issue":"4","key":"3315_CR20","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1080\/10749357.2019.1690831","volume":"27","author":"D Park","year":"2020","unstructured":"Park D, Cynn HS, Yi C, Choi WJ, Shim JH, e Oh DW. (Four-week training involving self-ankle mobilization with movement versus calf muscle stretching in patients with chronic stroke: a randomized controlled study. Top Stroke Rehabil. 2020;27(4):296\u2013304.","journal-title":"Top Stroke Rehabil"},{"key":"3315_CR21","unstructured":"Hashemi Javaheri AA, Zandi M, Khanzadeh R, Khodabakhshi M. The effect of combined isometric and isotonic exercises on brain stroke patients\u2019 static balance. Quarterly journal of evidence-based care. 2(2): 55\u201363."},{"key":"3315_CR22","doi-asserted-by":"crossref","unstructured":"Salavati M, Negahban H, Mazaheri M, Soleimanifar M, Hadadi M, Sefiddashti L, et al. The Persian version of the Berg Balance Scale: inter and intra-rater reliability and construct validity in elderly adults. Disabil rehabil. 2012;34(20):1695-8.","DOI":"10.3109\/09638288.2012.660604"},{"key":"3315_CR23","doi-asserted-by":"crossref","unstructured":"Lee J, Kim J-O, Lee B-H. The effects of posterior talar glide with dorsiflexion of the ankle on mobility, muscle strength and balance in stroke patients: a randomised controll trial. J phys ther sci. 2017;29(3):452-6.","DOI":"10.1589\/jpts.29.452"},{"key":"3315_CR24","doi-asserted-by":"crossref","unstructured":"Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower limb impairments and locomotor capacities in people with chronic stroke. Archphys med rehabil. 2005;86(8):1641-7.","DOI":"10.1016\/j.apmr.2005.01.011"},{"key":"3315_CR25","unstructured":"Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, et al. European recommendations for surface electromyography. Roessingh research and development.1999;8(2):13\u201354."},{"key":"3315_CR26","unstructured":"Criswell E. Cram\u2019s introduction to surface electromyography. London: Jones Bartlett Publishers; 2nd ed, 2010."},{"key":"3315_CR27","doi-asserted-by":"crossref","unstructured":"Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361 \u2013 74.","DOI":"10.1016\/S1050-6411(00)00027-4"},{"key":"3315_CR28","unstructured":"Hing W, Hall T, Rivett D, Vicenzino B, Mulligan B. The Mulligan Concept of Manual Therapy-eBook: Textbook of Techniques. Sydney: Elsevier, 2014."},{"key":"3315_CR29","doi-asserted-by":"crossref","unstructured":"Chen CL, Chen HC, Tang SFT, Wu CY, Cheng PT, Hong WH. Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil. 2003;82(12):925 \u2013 35.","DOI":"10.1097\/01.PHM.0000098040.13355.B5"},{"key":"3315_CR30","doi-asserted-by":"crossref","unstructured":"Lee J, Kim JO, Lee BH. The effects of posterior talar glide with dorsiflexion of the ankle on mobility, muscle strength and balance in stroke patients: a randomised controlled trial. J phys ther sci. 2017;29(3):452-6.","DOI":"10.1589\/jpts.29.452"},{"key":"3315_CR31","doi-asserted-by":"crossref","unstructured":"Kim SL, Lee BH. The effects of posterior talar glide and dorsiflexion of the ankle plus mobilization with movement on balance and gait function in patient with chronic stroke: a randomized controlled trial. J neurosci rural pract. 2018;9(1):61 \u2013 7.","DOI":"10.4103\/jnrp.jnrp_382_17"},{"key":"3315_CR32","doi-asserted-by":"crossref","unstructured":"Park D, Cynn HS, Yi C, Choi WJ, Shim JH, Oh DW. Four-week training involving self-ankle mobilization with movement versus calf muscle stretching in patients with chronic stroke: a randomized controlled study. Top Stroke Rehabil. 2020;27(4):296\u2013304.","DOI":"10.1080\/10749357.2019.1690831"},{"key":"3315_CR33","unstructured":"Kaltenborn FM. Manual mobilization of the joints; The Kaltenborn method of joint examination and treatment. Volume I: The extremities. (5th ed.), Olaf Norlis Bokhandel, Oslo.1999:153."},{"key":"3315_CR34","doi-asserted-by":"crossref","unstructured":"Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Ortho Res. 2011;29(3):326 \u2013 32.","DOI":"10.1002\/jor.21256"},{"key":"3315_CR35","doi-asserted-by":"crossref","unstructured":"Kluding PM, Santos M. Effects of ankle joint mobilizations in adults poststroke: a pilot study. Arch phys med rehabil. 2008;89(3):449 \u2013 56.","DOI":"10.1016\/j.apmr.2007.12.005"},{"key":"3315_CR36","doi-asserted-by":"crossref","unstructured":"An CM, Jo SO. Effects of talocrural mobilization with movement on ankle strength,mobility, and weight-bearing ability in hemiplegic patients with chronic stroke: a randomized controlled trial. J Stroke Cerebro vasc Dis. 2017; 26(1):169\u2013176.","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.09.005"},{"key":"3315_CR37","doi-asserted-by":"crossref","unstructured":"Paungmali A, O\u2019Leary S, Souvlis T, Vicenzino B. Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys ther. 2003;83(4):374 \u2013 83.","DOI":"10.1093\/ptj\/83.4.374"},{"key":"3315_CR38","doi-asserted-by":"crossref","unstructured":"Paungmali A, O\u2019Leary S, Souvlis T, Vicenzino B. Naloxone fails to antagonize initial hypoalgesic effect of a manual therapy treatment for lateral epicondylalgia. J Manipulative Physiol Ther. 2004;27(3):180-5.","DOI":"10.1016\/j.jmpt.2003.12.022"},{"key":"3315_CR39","doi-asserted-by":"crossref","unstructured":"Vicenzino B, Paungmali A, Teys P. Mulligan\u2019s mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature.Man ther. 2007;12(2):98\u2013108.","DOI":"10.1016\/j.math.2006.07.012"},{"key":"3315_CR40","unstructured":"Mulligan BR: Manual therapy: \u201cNAGS\u201d, \u201cSNAGS\u201d, \u201cMWMS\u201d etc; Wellington: OPTP. 5th ed. 2004:1\u20134."},{"key":"3315_CR41","doi-asserted-by":"crossref","unstructured":"Chen C, Lu Y, Kallakuri S, Patwardhan A, Cavanaugh JM. Distribution of A-\u03b4 and C-fiber receptors in the cervical facet joint capsule and their response to stretch.JBJS. 2006;88(8):1807-16.","DOI":"10.2106\/JBJS.E.00880"},{"key":"3315_CR42","doi-asserted-by":"crossref","unstructured":"Chen C, Lu Y, Cavanaugh JM, Kallakuri S, Patwardhan A. Recording of neural activity from goat cervical facet joint capsule using custom-designed miniature electrodes.Spine. 2005;30(12):1367-72.","DOI":"10.1097\/01.brs.0000166193.39389.21"},{"key":"3315_CR43","doi-asserted-by":"crossref","unstructured":"Pickar JG, McLain RF. Responses of mechanosensitive afferents to manipulation of the lumbar facet in the cat. Spine. 1995;20(22):2379-85.","DOI":"10.1097\/00007632-199511001-00002"},{"key":"3315_CR44","unstructured":"Cavanaugh J, Yamashita T, Ozaktay A, King A. An inflammation model of low back pain. In: Proceedings of the International Society for the Study of the Lumbar Spine.Boston, Mass: International Society for the Study of the Lumbar Spine; 1990:46."},{"key":"3315_CR45","doi-asserted-by":"crossref","unstructured":"Hearn A, Rivett D. Cervical SNAGs: a biomechanical analysis. Man ther. 2002;7(2):71 \u2013 9.","DOI":"10.1054\/math.2002.0440"},{"key":"3315_CR46","doi-asserted-by":"crossref","unstructured":"Kim SJ, Son HH. Effects of Combined Functional Electrical Stimulation and Joint Mobilization on Muscle Activation and Mobility of Ankle Joints and Modified Functional Reach Test in Stroke Patients. J Korean Soc Phys Med. 2019;14(2):41\u201351.","DOI":"10.13066\/kspm.2019.14.2.41"},{"key":"3315_CR47","doi-asserted-by":"crossref","unstructured":"Kluding P, Zipp GP. Effect of ankle joint mobilization on ankle mobility and sit-to-stand in subjects with hemiplegia. J Neurol Phys Ther. 2004;28(2):72\u201383.","DOI":"10.1097\/01.NPT.0000281187.94382.d9"},{"key":"3315_CR48","doi-asserted-by":"crossref","unstructured":"Diener HC, Bacher M, Guschlbauer B, Thomas C, Dichgans J. The coordination of posture and voluntary movement in patients with hemiparesis. J neurol. 1993;240(3):161-7.","DOI":"10.1007\/BF00857522"},{"key":"3315_CR49","doi-asserted-by":"crossref","unstructured":"Kirker S, Simpson D, Jenner J, Wing A. Stepping before standing: hip muscle function in stepping and standing balance after stroke. J Neurol Neurosurg Psychiatry. 2000;68(4):458 \u2013 64.","DOI":"10.1136\/jnnp.68.4.458"},{"key":"3315_CR50","doi-asserted-by":"crossref","unstructured":"Karatas M, Cetin N, Bayramoglu M, Dilek A. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil.2004; 83: 81\u20137.","DOI":"10.1097\/01.PHM.0000107486.99756.C7"},{"key":"3315_CR51","doi-asserted-by":"crossref","unstructured":"Dickstein R, Shefi S, Marcovitz E, Villa Y. Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clin Neurophysiol 2004; 115: 790\u20136.","DOI":"10.1016\/j.clinph.2003.11.018"},{"key":"3315_CR52","doi-asserted-by":"crossref","unstructured":"Tanaka S, Hachisuka K, Ogata H. Muscle strength of trunk flexion extension in post-stroke hemiplegic patients. AmJ Phys Med Rehabil. 1998; 77:288\u201390.","DOI":"10.1097\/00002060-199807000-00005"},{"key":"3315_CR53","doi-asserted-by":"crossref","unstructured":"Di Fabio RP, Badke MB, Duncan PW. Adapting human postural reflexes following localized cerebrovascular lesion: analysis of bilateral long latency responses. Brain research. 1986;363(2):257\u201364.","DOI":"10.1016\/0006-8993(86)91010-3"}],"container-title":["BMC Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-023-03315-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12883-023-03315-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-023-03315-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T07:04:07Z","timestamp":1689059047000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcneurol.biomedcentral.com\/articles\/10.1186\/s12883-023-03315-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,11]]},"references-count":53,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3315"],"URL":"https:\/\/doi.org\/10.1186\/s12883-023-03315-2","relation":{},"ISSN":["1471-2377"],"issn-type":[{"value":"1471-2377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,11]]},"assertion":[{"value":"19 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The approval of the Ethics Committee of Shiraz University of Medical Sciences, Shiraz, Iran (No: 98-01-06-21446) was concurrently obtained. All methods were performed in accordance with the Declaration of Helsinki. A written and oral explanation about the study was given to all eligible participants. All participants voluntarily signed a written informed consent form before enrollment. Also, all participants signed the right to withdraw from the study at any time.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"262"}}