Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults
Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a gre...
Gespeichert in:
Veröffentlicht in: | International journal of environmental research and public health 2020-08, Vol.17 (16), p.5859 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 16 |
container_start_page | 5859 |
container_title | International journal of environmental research and public health |
container_volume | 17 |
creator | Nunes, João Pedro Jacinto, Jeferson L Ribeiro, Alex S Mayhew, Jerry L Nakamura, Masatoshi Capel, Danila M G Santos, Leidiane R Santos, Leandro Cyrino, Edilson S Aguiar, Andreo F |
description | Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%;
= 0.046), 60° (CAB: 27%; BAR = 32%;
= 0.874), and 100° (CAB: 17%; BAR = 19%;
= 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%;
= 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults. |
doi_str_mv | 10.3390/ijerph17165859 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7460162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2436395036</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</originalsourceid><addsrcrecordid>eNpdkkFvFCEUx4nR2Lp69WhIvHjZFQaGGS6auqmtyRqbdD14mgADO7OZhfHBNNnv4weVaWvTeoEH7_f-wJ-H0FtKVoxJ8rHfWxg7WlFR1qV8hk6pEGTJBaHPH8Un6FWMe0JYzYV8iU5YUReMS3KK_lwNyvR-hy_AqmQBbwP8nixWCV93AeadAHgT_C5H36doBos31u9SFz_jc-esSREHh9dK58xNXOEvCrQdBnyVBU2Xq9YTDHgLqvfzOcHfykyDAnyd4FYKK9_iy-NoIUEYuyPuPf4VpkyftdOQ4mv0wqkh2jf38wL9_Hq-XV8uNz8uvq3PNkvDa56WjGhaUMaElG2lC8dawbnOC0HbbI6gqhJCS6Ur7VRVl1xSWnPjrGNKmMKwBfp0pztO-mBbY30CNTQj9AcFxyaovnma8X3X7MJNU80miyILfLgXgJBdjKk59NFkN5S3YYpNwZlgsiR5XKD3_6H7MIHPz5spXle8rstMre4oAyFGsO7hMpQ0cwM0TxsgF7x7_IQH_N-Ps7-8Kq9I</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2434874885</pqid></control><display><type>article</type><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>PubMed Central Open Access</source><creator>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</creator><creatorcontrib>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</creatorcontrib><description>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%;
= 0.046), 60° (CAB: 27%; BAR = 32%;
= 0.874), and 100° (CAB: 17%; BAR = 19%;
= 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%;
= 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17165859</identifier><identifier>PMID: 32823490</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Adults ; Elbow ; Exercise ; Female ; Humans ; Hypertrophy ; Investigations ; Laboratories ; Male ; Muscle Strength ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiology ; Muscles ; Physical fitness ; Physical training ; Range of motion ; Range of Motion, Articular ; Resistance Training ; Strength training ; Thickness ; Torque ; Ultrasonic imaging ; Ultrasound ; Young Adult ; Young adults</subject><ispartof>International journal of environmental research and public health, 2020-08, Vol.17 (16), p.5859</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</citedby><cites>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</cites><orcidid>0000-0002-8184-1121</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460162/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460162/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32823490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nunes, João Pedro</creatorcontrib><creatorcontrib>Jacinto, Jeferson L</creatorcontrib><creatorcontrib>Ribeiro, Alex S</creatorcontrib><creatorcontrib>Mayhew, Jerry L</creatorcontrib><creatorcontrib>Nakamura, Masatoshi</creatorcontrib><creatorcontrib>Capel, Danila M G</creatorcontrib><creatorcontrib>Santos, Leidiane R</creatorcontrib><creatorcontrib>Santos, Leandro</creatorcontrib><creatorcontrib>Cyrino, Edilson S</creatorcontrib><creatorcontrib>Aguiar, Andreo F</creatorcontrib><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%;
= 0.046), 60° (CAB: 27%; BAR = 32%;
= 0.874), and 100° (CAB: 17%; BAR = 19%;
= 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%;
= 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</description><subject>Adult</subject><subject>Adults</subject><subject>Elbow</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Investigations</subject><subject>Laboratories</subject><subject>Male</subject><subject>Muscle Strength</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - physiology</subject><subject>Muscles</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Resistance Training</subject><subject>Strength training</subject><subject>Thickness</subject><subject>Torque</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkkFvFCEUx4nR2Lp69WhIvHjZFQaGGS6auqmtyRqbdD14mgADO7OZhfHBNNnv4weVaWvTeoEH7_f-wJ-H0FtKVoxJ8rHfWxg7WlFR1qV8hk6pEGTJBaHPH8Un6FWMe0JYzYV8iU5YUReMS3KK_lwNyvR-hy_AqmQBbwP8nixWCV93AeadAHgT_C5H36doBos31u9SFz_jc-esSREHh9dK58xNXOEvCrQdBnyVBU2Xq9YTDHgLqvfzOcHfykyDAnyd4FYKK9_iy-NoIUEYuyPuPf4VpkyftdOQ4mv0wqkh2jf38wL9_Hq-XV8uNz8uvq3PNkvDa56WjGhaUMaElG2lC8dawbnOC0HbbI6gqhJCS6Ur7VRVl1xSWnPjrGNKmMKwBfp0pztO-mBbY30CNTQj9AcFxyaovnma8X3X7MJNU80miyILfLgXgJBdjKk59NFkN5S3YYpNwZlgsiR5XKD3_6H7MIHPz5spXle8rstMre4oAyFGsO7hMpQ0cwM0TxsgF7x7_IQH_N-Ps7-8Kq9I</recordid><startdate>20200813</startdate><enddate>20200813</enddate><creator>Nunes, João Pedro</creator><creator>Jacinto, Jeferson L</creator><creator>Ribeiro, Alex S</creator><creator>Mayhew, Jerry L</creator><creator>Nakamura, Masatoshi</creator><creator>Capel, Danila M G</creator><creator>Santos, Leidiane R</creator><creator>Santos, Leandro</creator><creator>Cyrino, Edilson S</creator><creator>Aguiar, Andreo F</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8184-1121</orcidid></search><sort><creationdate>20200813</creationdate><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><author>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Elbow</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Investigations</topic><topic>Laboratories</topic><topic>Male</topic><topic>Muscle Strength</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - physiology</topic><topic>Muscles</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Resistance Training</topic><topic>Strength training</topic><topic>Thickness</topic><topic>Torque</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nunes, João Pedro</creatorcontrib><creatorcontrib>Jacinto, Jeferson L</creatorcontrib><creatorcontrib>Ribeiro, Alex S</creatorcontrib><creatorcontrib>Mayhew, Jerry L</creatorcontrib><creatorcontrib>Nakamura, Masatoshi</creatorcontrib><creatorcontrib>Capel, Danila M G</creatorcontrib><creatorcontrib>Santos, Leidiane R</creatorcontrib><creatorcontrib>Santos, Leandro</creatorcontrib><creatorcontrib>Cyrino, Edilson S</creatorcontrib><creatorcontrib>Aguiar, Andreo F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nunes, João Pedro</au><au>Jacinto, Jeferson L</au><au>Ribeiro, Alex S</au><au>Mayhew, Jerry L</au><au>Nakamura, Masatoshi</au><au>Capel, Danila M G</au><au>Santos, Leidiane R</au><au>Santos, Leandro</au><au>Cyrino, Edilson S</au><au>Aguiar, Andreo F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-08-13</date><risdate>2020</risdate><volume>17</volume><issue>16</issue><spage>5859</spage><pages>5859-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%;
= 0.046), 60° (CAB: 27%; BAR = 32%;
= 0.874), and 100° (CAB: 17%; BAR = 19%;
= 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%;
= 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32823490</pmid><doi>10.3390/ijerph17165859</doi><orcidid>https://orcid.org/0000-0002-8184-1121</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2020-08, Vol.17 (16), p.5859 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7460162 |
source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
subjects | Adult Adults Elbow Exercise Female Humans Hypertrophy Investigations Laboratories Male Muscle Strength Muscle, Skeletal - pathology Muscle, Skeletal - physiology Muscles Physical fitness Physical training Range of motion Range of Motion, Articular Resistance Training Strength training Thickness Torque Ultrasonic imaging Ultrasound Young Adult Young adults |
title | Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T03%3A40%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Placing%20Greater%20Torque%20at%20Shorter%20or%20Longer%20Muscle%20Lengths?%20Effects%20of%20Cable%20vs.%20Barbell%20Preacher%20Curl%20Training%20on%20Muscular%20Strength%20and%20Hypertrophy%20in%20Young%20Adults&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Nunes,%20Jo%C3%A3o%20Pedro&rft.date=2020-08-13&rft.volume=17&rft.issue=16&rft.spage=5859&rft.pages=5859-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph17165859&rft_dat=%3Cproquest_pubme%3E2436395036%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2434874885&rft_id=info:pmid/32823490&rfr_iscdi=true |