{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:28:39Z","timestamp":1784766519021,"version":"3.55.0"},"reference-count":58,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005191","name":"Craig H. Neilsen Foundation","doi-asserted-by":"publisher","award":["734056"],"award-info":[{"award-number":["734056"]}],"id":[{"id":"10.13039\/100005191","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002784","name":"Canada Excellence Research Chairs, Government of Canada","doi-asserted-by":"publisher","award":["Tier 2 in Multi-morbidity and Complex Rehabilitation"],"award-info":[{"award-number":["Tier 2 in Multi-morbidity and Complex Rehabilitation"]}],"id":[{"id":"10.13039\/501100002784","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Balance rehabilitation is an important component of recovery for individuals with incomplete spinal cord injury (iSCI), who are at heightened risk of falls due to impaired postural control. Intensity of balance challenge refers to the postural control demand of a task relative to an individual\u2019s maximum capacity. Achieving adequate intensity of balance challenge is essential for appropriate prescription of balance exercises. Balance intensity is often assessed through self-report on an ordinal scale. However, there is limited understanding of how individuals with iSCI interpret the concept of balance intensity and use self-reported scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative descriptive study was conducted. Twelve individuals with iSCI (nine male, three female; mean age 67.2\u2009\u00b1\u200912.9 years) participated while undergoing Reactive Balance Training. Over six weeks, participants rated the balance challenge intensity of each exercise using an 11-point ordinal scale. Once per session, participants explained their ratings to a researcher who recorded the comments as field notes. After completing \u226510 training sessions, participants completed a semi-structured interview exploring their definitions of balance challenge, factors influencing their difficulty ratings, and their views on the Balance Intensity Scale, an alternative measure used with older adults. Interviews were audio recorded, transcribed verbatim, and analyzed alongside field notes using a conventional content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes were identified: 1) Influence of task familiarity on perceived balance challenge, 2) Influence of fear of falling on perceived balance challenge, 3) Misuse of ordinal scale, 4) Ambiguity of ordinal scale, and 5) Concern of the time demand of scales. Participants are concerned about lost training time and value clinician expertise over their self-reported rating for efficient assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants\u2019 perspectives on measuring balance intensity highlight the complexity of this concept. Future work could employ quantitative evaluations of the validity of self-reported balance intensity and consider the tools\/skills used by clinicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0352139","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T17:36:57Z","timestamp":1782409017000},"page":"e0352139","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["The perspectives of individuals with incomplete spinal cord injury on measuring the intensity of balance challenge during reactive balance training: A qualitative study"],"prefix":"10.1371","volume":"21","author":[{"given":"Matthew G.","family":"Heffernan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Ogonowska-Slodownik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Benitez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth L.","family":"Inness","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8336-8211","authenticated-orcid":true,"given":"Kristin E.","family":"Musselman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"issue":"7","key":"pone.0352139.ref001","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1038\/s41393-019-0274-4","article-title":"Falls after spinal cord injury: a systematic review and meta-analysis of incidence proportion and contributing factors","volume":"57","author":"A Khan","year":"2019","journal-title":"Spinal Cord"},{"issue":"9","key":"pone.0352139.ref002","first-page":"1503","article-title":"Factors associated with risk for subsequent injuries after traumatic spinal cord injury","volume":"85","author":"JS Krause","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"key":"pone.0352139.ref003","doi-asserted-by":"crossref","first-page":"903097","DOI":"10.3389\/fresc.2022.903097","article-title":"Impact of Falls and Fear of Falling on Participation, Autonomy and Life Satisfaction in the First Year After Spinal Cord Injury","volume":"3","author":"K Chan","year":"2022","journal-title":"Front Rehabil Sci"},{"key":"pone.0352139.ref004","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1038\/s41394-018-0072-9","article-title":"Falls, mobility, and physical activity after spinal cord injury: an exploratory study using photo-elicitation interviewing","volume":"4","author":"KE Musselman","year":"2018","journal-title":"Spinal Cord Ser Cases"},{"issue":"8","key":"pone.0352139.ref005","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-039763","article-title":"Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study","volume":"10","author":"H Singh","year":"2020","journal-title":"BMJ Open"},{"key":"pone.0352139.ref006","author":"World Health Organization","year":"2021"},{"key":"pone.0352139.ref007","first-page":"237","article-title":"Balance and falls in multiple sclerosis.","author":"MH Cameron","year":"2018","journal-title":"Handbook of Clinical Neurology. Elsevier"},{"issue":"1","key":"pone.0352139.ref008","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s40141-021-00308-5","article-title":"Dizziness and balance disorders in a traumatic brain injury population: current clinical approaches","volume":"9","author":"RG Harrell","year":"2021","journal-title":"Curr Phys Med Rehabil Rep"},{"key":"pone.0352139.ref009","doi-asserted-by":"crossref","first-page":"434683","DOI":"10.1155\/2015\/434683","article-title":"Balance dysfunction in Parkinson\u2019s disease","volume":"2015","author":"S Rinalduzzi","year":"2015","journal-title":"Biomed Res Int"},{"issue":"8","key":"pone.0352139.ref010","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1682\/JRRD.2007.09.0145","article-title":"Falls in individuals with stroke","volume":"45","author":"V Weerdesteyn","year":"2008","journal-title":"J Rehabil Res Dev"},{"key":"pone.0352139.ref011","doi-asserted-by":"crossref","first-page":"620367","DOI":"10.3389\/fneur.2021.620367","article-title":"The Effect of Perturbation-Based Balance Training and Conventional Intensive Balance Training on Reactive Stepping Ability in Individuals With Incomplete Spinal Cord Injury or Disease: A Randomized Clinical Trial","volume":"12","author":"J Unger","year":"2021","journal-title":"Front Neurol"},{"issue":"5","key":"pone.0352139.ref012","doi-asserted-by":"crossref","first-page":"700","DOI":"10.2522\/ptj.20140090","article-title":"Does perturbation-based balance training prevent falls? Systematic review and meta-analysis of preliminary randomized controlled trials","volume":"95","author":"A Mansfield","year":"2015","journal-title":"Phys Ther"},{"issue":"6","key":"pone.0352139.ref013","doi-asserted-by":"crossref","first-page":"958","DOI":"10.2522\/ptj.20100212","article-title":"Training rapid stepping responses in an individual with stroke","volume":"91","author":"A Mansfield","year":"2011","journal-title":"Phys Ther"},{"issue":"8","key":"pone.0352139.ref014","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-021510","article-title":"Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial","volume":"8","author":"A Mansfield","year":"2018","journal-title":"BMJ Open"},{"issue":"10","key":"pone.0352139.ref015","doi-asserted-by":"crossref","first-page":"2174","DOI":"10.1016\/j.jstrokecerebrovasdis.2017.04.041","article-title":"Does Perturbation Training Prevent Falls after Discharge from Stroke Rehabilitation? A Prospective Cohort Study with Historical Control","volume":"26","author":"A Mansfield","year":"2017","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"9","key":"pone.0352139.ref016","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1177\/1545968310376057","article-title":"Effect of balance training on postural instability in patients with idiopathic Parkinson\u2019s disease","volume":"24","author":"N Smania","year":"2010","journal-title":"Neurorehabil Neural Repair"},{"issue":"2","key":"pone.0352139.ref017","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/1545968314537559","article-title":"Technology-assisted balance and gait training reduces falls in patients with Parkinson\u2019s disease: a randomized controlled trial with 12-month follow-up","volume":"29","author":"X Shen","year":"2015","journal-title":"Neurorehabil Neural Repair"},{"issue":"12","key":"pone.0352139.ref018","doi-asserted-by":"crossref","first-page":"2294","DOI":"10.1111\/ggi.13082","article-title":"Perturbation-based balance training for falls reduction among older adults: Current evidence and implications for clinical practice","volume":"17","author":"MHG Gerards","year":"2017","journal-title":"Geriatr Gerontol Int"},{"issue":"8","key":"pone.0352139.ref019","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/1545968320929681","article-title":"Reactive Balance Adaptability and Retention in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis","volume":"34","author":"MSB Mohamed Suhaimy","year":"2020","journal-title":"Neurorehabil Neural Repair"},{"key":"pone.0352139.ref020","volume-title":"ACSM\u2019s Guidelines for Exercise Testing and Prescription","author":"American College of Sports Medicine","year":"2025","edition":"12"},{"issue":"4","key":"pone.0352139.ref021","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/j.gaitpost.2013.05.016","article-title":"Clinical assessment of reactive postural control among physiotherapists in Ontario, Canada","volume":"38","author":"KM Sibley","year":"2013","journal-title":"Gait Posture"},{"issue":"4","key":"pone.0352139.ref022","doi-asserted-by":"crossref","first-page":"358","DOI":"10.3138\/physio.60.4.358","article-title":"Exercise for fall risk reduction in community-dwelling older adults: a systematic review","volume":"60","author":"CM Arnold","year":"2008","journal-title":"Physiother Can"},{"issue":"2","key":"pone.0352139.ref023","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s11556-012-0108-2","article-title":"Characteristics of optimum falls prevention exercise programmes for community-dwelling older adults using the FITT principle","volume":"10","author":"V Power","year":"2013","journal-title":"Eur Rev Aging Phys Act"},{"issue":"16","key":"pone.0352139.ref024","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1136\/bjsports-2016-096874","article-title":"Programme frequency, type, time and duration do not explain the effects of balance exercise in older adults: a systematic review with a meta-regression analysis","volume":"53","author":"MK Farlie","year":"2019","journal-title":"Br J Sports Med"},{"issue":"3","key":"pone.0352139.ref025","doi-asserted-by":"crossref","first-page":"313","DOI":"10.2522\/ptj.20140524","article-title":"Clinical Markers of the Intensity of Balance Challenge: Observational Study of Older Adult Responses to Balance Tasks","volume":"96","author":"MK Farlie","year":"2016","journal-title":"Phys Ther"},{"issue":"2","key":"pone.0352139.ref026","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jsams.2024.09.003","article-title":"Exercise and Sports Science Australia updated position statement on exercise for preventing falls in older people living in the community","volume":"28","author":"A Tiedemann","year":"2025","journal-title":"J Sci Med Sport"},{"key":"pone.0352139.ref027","doi-asserted-by":"crossref","first-page":"104412","DOI":"10.1016\/j.msard.2022.104412","article-title":"Unwrapping the \u201cblack box\u201d of balance training in people with multiple sclerosis - A descriptive systematic review of intervention components, progression, and intensity","volume":"69","author":"J Brincks","year":"2023","journal-title":"Mult Scler Relat Disord"},{"issue":"3","key":"pone.0352139.ref028","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.apmr.2024.07.013","article-title":"Balance Interventions to Improve Upright Balance Control and Balance Confidence in People With Motor-Incomplete Spinal Cord Injury or Disease: A Systematic Review and Meta-analysis","volume":"106","author":"NL Benn","year":"2025","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"pone.0352139.ref029","doi-asserted-by":"crossref","first-page":"56","DOI":"10.46292\/sci21-00065","article-title":"Interventions to Improve Standing Balance in Individuals With Incomplete Spinal Cord Injury: A Systematic Review and Meta-Analysis","volume":"29","author":"S Walia","year":"2023","journal-title":"Top Spinal Cord Inj Rehabil"},{"issue":"4","key":"pone.0352139.ref030","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/S1836-9553(13)70199-1","article-title":"Intensity of challenge to the balance system is not reported in the prescription of balance exercises in randomised trials: a systematic review","volume":"59","author":"MK Farlie","year":"2013","journal-title":"J Physiother"},{"issue":"3","key":"pone.0352139.ref031","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2522\/ptj.20080131","article-title":"Factors that influence the clinical decision making of physical therapists in choosing a balance assessment approach","volume":"89","author":"PQ McGinnis","year":"2009","journal-title":"Phys Ther"},{"issue":"1","key":"pone.0352139.ref032","doi-asserted-by":"crossref","first-page":"87","DOI":"10.2522\/ptj.20100161","article-title":"Factors that influence the clinical decision making of novice and experienced physical therapists","volume":"91","author":"SF Wainwright","year":"2011","journal-title":"Phys Ther"},{"key":"pone.0352139.ref033","doi-asserted-by":"crossref","first-page":"343","DOI":"10.4172\/2165-7025.1000343","article-title":"Intensity of balance task intensity, as measured by the rate of perceived stability, is independent of physical exertion as measured by heart rate","volume":"7","author":"D Espy","year":"2017","journal-title":"J Nov Physiother"},{"issue":"26","key":"pone.0352139.ref034","doi-asserted-by":"crossref","first-page":"8480","DOI":"10.1080\/09638288.2021.2022777","article-title":"Rate of perceived stability as a measure of balance exercise intensity in people post-stroke","volume":"44","author":"A Shenoy","year":"2022","journal-title":"Disabil Rehabil"},{"issue":"9","key":"pone.0352139.ref035","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1080\/09638288.2024.2395455","article-title":"Reliability and validity of the ratings of perceived stability scale as a measure of balance exercise intensity in persons with multiple sclerosis","volume":"47","author":"M Bae","year":"2025","journal-title":"Disabil Rehabil"},{"key":"pone.0352139.ref036","first-page":"531","article-title":"Are Subjective Reports of Exercise Intensity Accurate in Recreational Athletes?","volume":"41","author":"J Lewis","year":"2025","journal-title":"Can J Cardiol"},{"key":"pone.0352139.ref037","doi-asserted-by":"crossref","first-page":"1096171","DOI":"10.3389\/fresc.2023.1096171","article-title":"Differences between physical therapist ratings, self-ratings, and posturographic measures when assessing static balance exercise intensity","volume":"4","author":"J Ferris","year":"2023","journal-title":"Front Rehabil Sci"},{"issue":"6","key":"pone.0352139.ref038","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1007\/s11136-021-03003-z","article-title":"Perceived benefits and limitations of using patient-reported outcome measures in clinical practice with individual patients: a systematic review of qualitative studies","volume":"31","author":"R Campbell","year":"2022","journal-title":"Qual Life Res"},{"issue":"10","key":"pone.0352139.ref039","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1093\/ptj\/pzz092","article-title":"The Balance Intensity Scales for Therapists and Exercisers Measure Balance Exercise Intensity in Older Adults: Initial Validation Using Rasch Analysis","volume":"99","author":"MK Farlie","year":"2019","journal-title":"Phys Ther"},{"issue":"1","key":"pone.0352139.ref040","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1002\/nur.20362","article-title":"What\u2019s in a name? Qualitative description revisited","volume":"33","author":"M Sandelowski","year":"2010","journal-title":"Res Nurs Health"},{"issue":"4","key":"pone.0352139.ref041","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G","article-title":"Whatever happened to qualitative description?","volume":"23","author":"M Sandelowski","year":"2000","journal-title":"Res Nurs Health"},{"key":"pone.0352139.ref042","article-title":"Functional electrical stimulation combined with reactive balance training for people with incomplete spinal cord injury: A randomized clinical trial","author":"MG Heffernan","year":"2026","journal-title":"Neurorehabil Neural Repair"},{"issue":"9","key":"pone.0352139.ref043","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research: a synthesis of recommendations","volume":"89","author":"BC O\u2019Brien","year":"2014","journal-title":"Acad Med"},{"key":"pone.0352139.ref044","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1038\/sj.sc.3101223","article-title":"Walking index for spinal cord injury (WISCI II): scale revision","volume":"39","author":"PL Ditunno","year":"2001","journal-title":"Spinal Cord"},{"issue":"1","key":"pone.0352139.ref045","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1177\/1545968309341059","article-title":"Falls in persons with spinal cord injury: validity and reliability of the Berg Balance Scale","volume":"24","author":"M Wirz","year":"2010","journal-title":"Neurorehabil Neural Repair"},{"key":"pone.0352139.ref046","doi-asserted-by":"crossref","DOI":"10.1080\/10790268.2021.1970898","article-title":"Central Recruitment: A process for engaging and recruiting individuals with spinal cord injury\/disease in research at Toronto Rehabilitation Institute","volume":"44","author":"BC Craven","year":"2021","journal-title":"J Spinal Cord Med"},{"issue":"4","key":"pone.0352139.ref047","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1093\/ptj\/pzy153","article-title":"Intensive Balance Training for Adults With Incomplete Spinal Cord Injuries: Protocol for an Assessor-Blinded Randomized Clinical Trial","volume":"99","author":"J Unger","year":"2019","journal-title":"Phys Ther"},{"issue":"3","key":"pone.0352139.ref048","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1177\/1049732317697102","article-title":"A Guide to Field Notes for Qualitative Research: Context and Conversation","volume":"28","author":"J Phillippi","year":"2018","journal-title":"Qual Health Res"},{"key":"pone.0352139.ref049","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"HF Hsieh","year":"2005","journal-title":"Qual Health Res"},{"key":"pone.0352139.ref050","article-title":"Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?","author":"FB Horak","year":"2006","journal-title":"Age Ageing"},{"issue":"1","key":"pone.0352139.ref051","doi-asserted-by":"crossref","DOI":"10.1016\/j.apmr.2014.06.021","article-title":"Using the systems framework for postural control to analyze the components of balance evaluated in standardized balance measures: a scoping review","volume":"96","author":"KM Sibley","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"pone.0352139.ref052","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/ejn.14935","article-title":"Neural correlates of the Dunning-Kruger effect","volume":"53","author":"A Muller","year":"2021","journal-title":"Eur J Neurosci"},{"issue":"6","key":"pone.0352139.ref053","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1037\/0022-3514.77.6.1121","article-title":"Unskilled and unaware of it: how difficulties in recognizing one\u2019s own incompetence lead to inflated self-assessments","volume":"77","author":"J Kruger","year":"1999","journal-title":"J Pers Soc Psychol"},{"key":"pone.0352139.ref054","doi-asserted-by":"crossref","DOI":"10.1080\/10790268.2021.1943251","article-title":"The impact of falls and fear of falling on participation, autonomy, and life satisfaction among individuals with spinal cord injury: A brief report","volume":"44","author":"H Singh","year":"2021","journal-title":"J Spinal Cord Med"},{"issue":"3","key":"pone.0352139.ref055","doi-asserted-by":"crossref","first-page":"214","DOI":"10.3109\/09638288.2014.914584","article-title":"Gender perspective on fear of falling using the classification of functioning as the model","volume":"37","author":"P Pohl","year":"2015","journal-title":"Disabil Rehabil"},{"issue":"13","key":"pone.0352139.ref056","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample Size in Qualitative Interview Studies: Guided by Information Power","volume":"26","author":"K Malterud","year":"2016","journal-title":"Qual Health Res"},{"issue":"5","key":"pone.0352139.ref057","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1177\/1049732319889354","article-title":"\u201cEverything Is Perfect, and We Have No Problems\u201d: Detecting and Limiting Social Desirability Bias in Qualitative Research","volume":"30","author":"N Bergen","year":"2020","journal-title":"Qual Health Res"},{"issue":"2","key":"pone.0352139.ref058","first-page":"121","article-title":"From strangers to acquaintances? Interviewer continuity and socially desirable responses in panel surveys","volume":"12","author":"S K\u00fchne","year":"2018","journal-title":"Surv Res Methods"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0352139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T17:37:04Z","timestamp":1782409024000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0352139"}},"subtitle":[],"editor":[{"given":"Rodrigo Rodrigues","family":"Gomes Costa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":58,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,25]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0352139","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]}}}