{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T08:02:57Z","timestamp":1764057777991,"version":"3.45.0"},"reference-count":59,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Hum. Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Upper limb motor impairment after stroke is a major cause of limitations in daily activities and reduced quality of life. Although traditional rehabilitation is effective, it is often insufficiently intensive and lacks focus on fine motor activation. Portable soft exoskeletons offer a promising approach to intensify recovery. This trial aimed to evaluate the effectiveness of the ReHand robotic system in subacute stroke rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This Randomized Controlled Trial (RCT) included 120 patients in the subacute period of stroke. Participants were stratified by age and motor deficit severity and randomized into the intervention group (robotic therapy + standard therapy) or control group (standard therapy only). The intervention was delivered 5 times per week over 8\u202fweeks. The primary outcome was change in Fugl-Meyer Assessment for Upper Extremity (FMA-UE); secondary outcomes included Barthel Index (BI), Functional Independence Measure (FIM), National Institutes of Health Stroke Scale (NIHSS), modified Wolf Motor Function Test (mWMFT), Frenchay Arm Test (FAT), Disabilities of the Arm, Shoulder and Hand (DASH), and Hospital Anxiety and Depression Scale (HADS). Statistical analysis was performed in Python (v3.11). Normality was assessed with the Shapiro\u2013Wilk test; the Mann\u2013Whitney test was used for intergroup comparisons; Pearson\u2019s \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test with Yates\u2019 correction was used for categorical variables. Effect size was calculated using Cliff\u2019s delta; rank-ANCOVA was performed via the Quade method. Significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group demonstrated significantly greater improvements in upper limb motor impairment compared to the control group, as reflected by larger gains in FMA-UE scores. Clinically meaningful improvements (\u22655.25 points) were observed in 91.7% of patients in the intervention group versus 43.3% in the control group. All secondary outcomes also showed significant improvements in the intervention group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). No adverse events were reported in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When combined with standard therapy, the ReHand robotic system may enhance upper limb recovery after stroke and appears to be a safe and feasible adjunct to multidisciplinary rehabilitation programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>ClinicalTrials.gov<\/jats:ext-link>\n                      , identifier (NCT06937346).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnhum.2025.1690643","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T07:58:43Z","timestamp":1764057523000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rehabilitation of patients in the subacute phase of stroke using the ReHand robotic system: a randomized controlled trial"],"prefix":"10.3389","volume":"19","author":[{"given":"Mariyam","family":"Amirbekova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tokzhan","family":"Kispayeva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akmaral","family":"Izbassarova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ausra","family":"Adomaviciene","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Sorokina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomiris","family":"Zhunussova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.1080\/01616412.2024.2381385","article-title":"Exoskeleton-assisted upper limb rehabilitation after stroke: a randomized controlled trial","volume":"46","author":"Akg\u00fcn","year":"2024","journal-title":"Neurol. Res."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"14125","DOI":"10.3390\/ijerph192114125","article-title":"The effect of task-oriented activities training on upper-limb function, daily activities, and quality of life in chronic stroke patients: a randomized controlled trial","volume":"19","author":"Alsubiheen","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"29","DOI":"10.54500\/2790-1203-2024-2-121-29-34","article-title":"Restoration of fine motor skills using an exoskeleton of the hand in patients with cerebral stroke","volume":"2","author":"Amirbekova","year":"2024","journal-title":"Astana Med. J."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1622661","DOI":"10.3389\/fnhum.2025.1622661","article-title":"Systematic review and meta-analysis of effectiveness of robotic therapy in the recovery of motor functions after stroke","volume":"19","author":"Amirbekova","year":"2025","journal-title":"Front. Hum. Neurosci."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1007\/s10072-017-2995-5","article-title":"Effects of robot-assisted upper limb rehabilitation in stroke patients: a systematic review with meta-analysis","volume":"38","author":"Bertani","year":"2017","journal-title":"Neurol. Sci."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"971","DOI":"10.2340\/16501977-0402","article-title":"Robot therapy for functional recovery of the upper limbs: a pilot study on patients after stroke","volume":"41","author":"Bovolenta","year":"2009","journal-title":"J. Rehabil. Med."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1186\/s12891-024-07371-8","article-title":"Psychometric properties of the disability of arm shoulder and hand (DASH) in subjects with frozen shoulder: a reliability and validity study","volume":"25","author":"Brindisino","year":"2024","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"656975","DOI":"10.3389\/fnhum.2021.656975","article-title":"Brain\u2013computer interface coupled to a robotic hand orthosis for stroke patients\u2019 neurorehabilitation: a crossover feasibility study","volume":"15","author":"Cantillo-Negrete","year":"2021","journal-title":"Front. Hum. Neurosci."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1579988","DOI":"10.3389\/fnins.2025.1579988","article-title":"The rehand-BCI trial: a randomized controlled trial of a brain\u2013computer interface for upper extremity stroke neurorehabilitation","volume":"19","author":"Cantillo-Negrete","year":"2025","journal-title":"Front. Neurosci."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1464","DOI":"10.1161\/STROKEAHA.122.041480","article-title":"Exoskeleton-assisted anthropomorphic movement training for the upper limb after stroke: the EAMT randomized trial","volume":"54","author":"Chen","year":"2023","journal-title":"Stroke"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2613","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.05.038","article-title":"Comprehensive rehabilitation training decreases cognitive impairment, anxiety, and depression in poststroke patients: a randomized, controlled study","volume":"27","author":"Cheng","year":"2018","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e01742","DOI":"10.1002\/brb3.1742","article-title":"Robot-assisted therapy for upper-limb rehabilitation in subacute stroke patients: a systematic review and meta-analysis","volume":"10","author":"Chien","year":"2020","journal-title":"Brain Behav."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1111\/ane.13672","article-title":"Effects of robotic rehabilitation on recovery of hand functions in acute stroke: a preliminary randomized controlled study","volume":"146","author":"Coskunsu","year":"2022","journal-title":"Acta Neurol. Scand."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"e37595","DOI":"10.7759\/cureus.37595","article-title":"Reliability of the National Institutes of Health (NIH) stroke scale between emergency room and neurology physicians for initial stroke severity scoring","volume":"15","author":"Cummock","year":"2023","journal-title":"Cureus."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1177\/02692155231152567","article-title":"Effect of robot-assisted gait training on quality of life and depression in neurological impairment: a systematic review and meta-analysis","volume":"37","author":"den Brave","year":"2023","journal-title":"Clin. Rehabil."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"5299","DOI":"10.3390\/app15105299","article-title":"Integration and validation of soft wearable robotic gloves for sensorimotor rehabilitation of human hand function","volume":"15","author":"Fiska","year":"2025","journal-title":"Appl. Sci."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"CD006073","DOI":"10.1002\/14651858.CD006073.pub3","article-title":"Repetitive task training for improving functional ability after stroke","volume":"11","author":"French","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the global burden of disease study 2019","volume":"20","year":"2021","journal-title":"Lancet Neurol."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"S43","DOI":"10.1097\/PHM.0000000000002125","article-title":"Baseline function and rehabilitation are as important as stroke severity as long-term predictors of cognitive performance post-stroke","volume":"102","author":"Girgenti","year":"2023","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1273","DOI":"10.33425\/2639-944X.1273","article-title":"Validity and reliability evidence of the functional independence measurement (FIM) for individuals with neurological disorders in Greece","volume":"6","author":"Gkouma","year":"2022","journal-title":"J. Med."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"100758","DOI":"10.1016\/j.rh.2022.08.001","article-title":"Dispositivos rob\u00f3ticos de mano en neurorrehabilitaci\u00f3n: revisi\u00f3n sistem\u00e1tica sobre viabilidad y efectividad en la rehabilitaci\u00f3n del ictus","volume":"57","author":"Hern\u00e1ndez Echarren","year":"2023","journal-title":"Rehabilitaci\u00f3n."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"652","DOI":"10.2340\/16501977-2590","article-title":"Intra- and inter-rater reliability of Fugl-Meyer assessment of upper extremity in stroke","volume":"51","author":"Hern\u00e1ndez","year":"2019","journal-title":"J. Rehabil. Med."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1589\/jpts.31.917","article-title":"Minimal clinically important difference for the Fugl-Meyer assessment of the upper extremity in convalescent stroke patients with moderate to severe hemiparesis","volume":"31","author":"Hiragami","year":"2019","journal-title":"J. Phys. Ther. Sci."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1038\/s41591-025-03635-5","article-title":"CONSORT 2025 statement: updated guideline for reporting randomized trials","volume":"31","author":"Hopewell","year":"2025","journal-title":"Nat. Med."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s12984-023-01298-2","article-title":"Effects of an assist-as-needed equipped exoskeleton robot on upper limb function in chronic stroke patients: a randomized controlled trial","volume":"21","author":"Hsu","year":"2024","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1177\/15459683231186985","article-title":"Sensitivity to change and responsiveness of the upper extremity Fugl-Meyer assessment in individuals with moderate to severe acute stroke","volume":"37","author":"Huynh","year":"2023","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e0306754","DOI":"10.1371\/journal.pone.0306754","article-title":"Psychometric characteristics of the hospital anxiety and depression scale in stroke survivors of working age before and after inpatient rehabilitation","volume":"19","author":"Karlsson","year":"2024","journal-title":"PLoS One"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"98","DOI":"10.59598\/ME-2305-6053-2025-115-2-98-103","article-title":"Methods of fine motor skills restoring in patients with cerebral stroke","volume":"2","author":"Kispaeva","year":"2025","journal-title":"Med. Ecol."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"95","DOI":"10.26212\/2227-1937.2025.22.94.009","article-title":"Modern rehabilitation methods for patients with motor impairments after stroke: systematic review","volume":"2","author":"Kispayeva","year":"2025","journal-title":"Phthisiopulm."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"950","DOI":"10.3390\/brainsci13060950","article-title":"Combining soft robotic glove and virtual reality for upper-limb rehabilitation in stroke patients: a randomized controlled trial","volume":"13","author":"Ko","year":"","journal-title":"Brain Sci."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"900","DOI":"10.3390\/brainsci13060900","article-title":"The application of soft robotic gloves in stroke patients: a systematic review and meta-analysis of randomized controlled trials","volume":"13","author":"Ko","year":"","journal-title":"Brain Sci."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"20220039","DOI":"10.2490\/prm.20220039","article-title":"Functional recovery after rehabilitation in patients with post-stroke severe hemiplegia","volume":"7","author":"Kurosaki","year":"2022","journal-title":"Prog Rehabil Med."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1596","DOI":"10.1016\/j.apmr.2023.04.003","article-title":"Reliability of the modified Frenchay scale for the assessment of upper limb function in adults with hemiparesis","volume":"104","author":"Laclergue","year":"2023","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s12984-023-01250-4","article-title":"A bidirectional fabric-based soft robotic glove for hand function assistance in patients with chronic stroke","volume":"20","author":"Lim","year":"2023","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"934","DOI":"10.3109\/09638288.2016.1163422","article-title":"The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and validity of the Danish version","volume":"39","author":"Lundquist","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"884261","DOI":"10.3389\/fneur.2022.884261","article-title":"Robot-assisted bimanual training improves hand function in patients with subacute stroke: a randomized controlled pilot study","volume":"13","author":"Ma","year":"2022","journal-title":"Front. Neurol."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1080\/14737175.2021.1968299","article-title":"Determining minimally clinically important differences for outcome measures in patients with chronic motor deficits secondary to traumatic brain injury","volume":"21","author":"McCrea","year":"2021","journal-title":"Expert. Rev. Neurother."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2265","DOI":"10.1109\/TNSRE.2020.3021691","article-title":"User-driven functional movement training with a wearable hand robot after stroke","volume":"28","author":"Park","year":"2020","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1109\/ICORR55369.2022.9896605","article-title":"Effect on hand function after six-week use of a wearable soft-robotic glove assisting ADL: interim results of an ongoing clinical study","author":"Prange-Lasonder","year":"2022","journal-title":"Proc IEEE Int Conf Rehabil Robot (ICORR)"},{"key":"ref40","author":"Prange-Lasonder","year":"2017"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"101","DOI":"10.17116\/jnevro201611671101-107","article-title":"Methods of assessment of movement functions in the upper limb","volume":"116","author":"Prokopenko","year":"2016","journal-title":"S S Korsakov J Neurol Psychiatry."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"2055668320918130","DOI":"10.1177\/2055668320918130","article-title":"Review of the effects of soft robotic gloves for activity-based rehabilitation in individuals with reduced hand function and manual dexterity following a neurological event","volume":"7","author":"Proulx","year":"2020","journal-title":"J Rehabil Assist Technol Eng."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"3435","DOI":"10.1007\/s10571-023-01396-8","article-title":"The role of progranulin (PGRN) in the pathogenesis of ischemic stroke","volume":"43","author":"Purrahman","year":"2023","journal-title":"Cell. Mol. Neurobiol."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"e0220544","DOI":"10.1371\/journal.pone.0220544","article-title":"Home rehabilitation supported by a wearable soft-robotic device for improving hand function in older adults: a pilot randomized controlled trial","volume":"14","author":"Radder","year":"2019","journal-title":"PLoS One"},{"key":"ref45","first-page":"15","article-title":"Prevention of ischemic stroke: the potential of implantable heart rate monitors to detect atrial fibrillation","volume":"1","author":"Rakhimova","year":"2021","journal-title":"Med. Ecol."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"105812","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105812","article-title":"Effects of a soft robotic hand for hand rehabilitation in chronic stroke survivors","volume":"30","author":"Shi","year":"2021","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s12984-021-00867-7","article-title":"Evidence of neuroplasticity with robotic hand exoskeleton for post-stroke rehabilitation: a randomized controlled trial","volume":"18","author":"Singh","year":"2021","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1186\/s40001-023-01565-x","article-title":"Bilateral upper limb robot-assisted rehabilitation improves upper limb motor function in stroke patients: a study based on quantitative EEG","volume":"28","author":"Tang","year":"2023","journal-title":"Eur. J. Med. Res."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"2337735","DOI":"10.1080\/07853890.2024.2337735","article-title":"Portable robots for upper-limb rehabilitation after stroke: a systematic review and meta-analysis","volume":"56","author":"Tseng","year":"2024","journal-title":"Ann. Med."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1177\/0308022620902697","article-title":"The reliability of the graded Wolf Motor function test for stroke","volume":"83","author":"Turtle","year":"2020","journal-title":"Br. J. Occup. Ther."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1177\/1545968316666957","article-title":"Effects of robot-assisted therapy for the upper limb after stroke","volume":"31","author":"Veerbeek","year":"2017","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1177\/1558944717692096","article-title":"Efficacy of short-term robot-assisted rehabilitation in patients with hand paralysis after stroke: a randomized clinical trial","volume":"13","author":"Villafa\u00f1e","year":"2018","journal-title":"Hand"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"887205","DOI":"10.3389\/fneur.2022.887205","article-title":"Effectiveness of soft robotic glove versus repetitive transcranial magnetic stimulation in post-stroke patients with severe upper limb dysfunction: a randomised controlled trial","volume":"13","author":"Wang","year":"2022","journal-title":"Front. Neurol."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"100387","DOI":"10.1016\/j.arrct.2024.100387","article-title":"Efficacy of robot-assisted training on upper limb motor function after stroke: a systematic review and network meta-analysis","volume":"7","author":"Wang","year":"2024","journal-title":"Arch. Rehabil. Res. Clin. Transl."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"e72665","DOI":"10.7759\/cureus.72665","article-title":"Reliability of a self-administered performance evaluation tool based on the modified Barthel index","volume":"16","author":"Watanabe","year":"2024","journal-title":"Cureus."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1186\/s13063-016-1592-x","article-title":"How to design clinical rehabilitation trials for the upper paretic limb early post stroke?","volume":"17","author":"Winters","year":"2016","journal-title":"Trials"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1498","DOI":"10.1016\/j.apmr.2023.02.004","article-title":"Efficacy of robot-assisted training on rehabilitation of upper limb function in patients with stroke: a systematic review and meta-analysis","volume":"104","author":"Yang","year":"2023","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.robot.2016.10.010","article-title":"A soft exoskeleton for hand assistive and rehabilitation application using pneumatic actuators with variable stiffness","volume":"88","author":"Yap","year":"2017","journal-title":"Robot. Auton. Syst."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s12984-022-01058-8","article-title":"Short and long-term effects of robot-assisted therapy on upper limb motor function and activity of daily living in patients post-stroke: a meta-analysis of randomized controlled trials","volume":"19","author":"Zhang","year":"2022","journal-title":"J. Neuroeng. Rehabil."}],"container-title":["Frontiers in Human Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnhum.2025.1690643\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T07:58:44Z","timestamp":1764057524000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnhum.2025.1690643\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":59,"alternative-id":["10.3389\/fnhum.2025.1690643"],"URL":"https:\/\/doi.org\/10.3389\/fnhum.2025.1690643","relation":{},"ISSN":["1662-5161"],"issn-type":[{"value":"1662-5161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]},"article-number":"1690643"}}