JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"A surge in queries: Analyzing the increased public interest in dry needling using Google trends – A cross-sectional observational study","authors":"Mustafa Hüseyin Temel ,&nbsp;Yakup Erden ,&nbsp;Fatih Bağcıer","doi":"10.1016/j.jbmt.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><p>To monitor public interest (PI) in information related to Dry needling (DN) therapy and examine potential temporal, seasonal, and income-related trends that may impact PI by using the relative search volume (RSV) from the Google Trends tool for the keyword \"Dry Needling.\"</p></div><div><h3>Methods</h3><p>For this cross-sectional observational study, a dataset was created using the Google Trends tool from 2004 to the present in the United States (US). To examine potential income-related disparities in PI in DN across the US, RSV values were recorded in the five states with the highest and the lowest median income (Maryland, New Hampshire, New Jersey, Utah, and Washington and Mississippi, West Virginia, Arkansas, New Mexico, Kentucky, respectively).</p></div><div><h3>Results</h3><p>A linear regression model showed that the PI in DN increased significantly (R² = 0,902, p &lt; 0.001). There were no significant differences between the RSV values between the month of the year and the season of the year (p = 1.000 and p = 0.997, respectively). RSV values of the five highest-income and low-income states showed significant increases (R2 = 0,624, p &lt; 0.001, and R2 = 0,477, p &lt; 0.001, respectively). More rapid growth in interest in DN in states with high income compared to those with low income (p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>PI in DN treatment is increasing in both high and low-income states. States with higher incomes are more interested. DN treatment is expected to become more popular, which will lead to a rising demand for comprehensive education in medical schools and clinician training programs. In addition, there will also be a need for easily accessible, high-quality information resources.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlated variables and changes in fascial stiffness and pelvic mobility following the myofascial induction method utilizing the crossed hands technique","authors":"Maria Alejandra Sánchez Vera ,&nbsp;Margareth Lorena Alfonso-Mora ,&nbsp;Luis Mauricio Agudelo Otálora ,&nbsp;Luis Alfredo Paipa Galeano ,&nbsp;Miguel Angel Uribe-Laverde ,&nbsp;Erika Juliana Latorre Quimbayo ,&nbsp;Adriana Lucía Castellanos Garrido ,&nbsp;Robert Schleip ,&nbsp;Andrzej Pilat","doi":"10.1016/j.jbmt.2024.06.009","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.06.009","url":null,"abstract":"<div><h3>Background</h3><p>Myofascial Induction Therapy (MIT) is a physiotherapeutic (PT) intervention addressing musculoskeletal disorders. Standardizing MIT as a manual PT intervention ensures consistency and replicability.</p></div><div><h3>Aim</h3><p>To describe correlated variables and changes in fascial stiffness and pelvic mobility after applying the Crossed Hands Technique based on MIT.</p></div><div><h3>Methods</h3><p>A quasi-experimental study involved 15 PTs trained in myofascial induction and 15 healthy individuals. Environmental (ambient temperature, stretcher height, width), patient (subscapular fatty fold, BMI, height, chest length, lumbopelvic mobility, fascial stiffness), and PT variables (pressure, traction, hand temperature, kinematic changes) were assessed during lumbodorsal hands-cross at 1-min intervals for 5 min. Pelvic mobility was measured using kinovea photogrammetry and dorsolumbar stiffness using a durometer. Descriptive analysis and correlations were applied.</p></div><div><h3>Results</h3><p>PTs had a mean 5.3 years of MIT experience. The average force was 5.5 N, traction force 0.39 N. Post-technique, individuals showed 4° increased pelvic mobility, minimal stiffness changes at T7 and L4 levels. Kinematic variables for the PTs revealed an average shoulder flexion of 40° and bilateral elbow flexion of 18°. Following the application of the technique, individuals who received MIT experienced a 4° increase in pelvic mobility, with only minor changes in stiffness observed at both the T7 and L4 levels.</p></div><div><h3>Conclusions</h3><p>The Crossed Hands Technique involves key variables like force and traction, varying over time. Clinical outcomes are influenced by patient and environmental factors. Notably, the physiotherapist's hand temperature, right shoulder internal rotation, right foot abduction, and fourth finger opening show significant correlations with tissue stiffness changes.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1360859224003322/pdfft?md5=a81e1edf79329575b9f82a20ff469f8b&pid=1-s2.0-S1360859224003322-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of myofascial release at the cervicothoracic region in patients with rotator cuff repairs: A randomized controlled pilot study","authors":"Sumeyye Cildan Uysal ,&nbsp;Ali Cagdas Yorukoglu ,&nbsp;Ali Kitis ,&nbsp;Nihal Buker","doi":"10.1016/j.jbmt.2024.06.006","DOIUrl":"10.1016/j.jbmt.2024.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Coactivation between tonic and phasic muscles is essential for correct posture and movement. Impaired movement patterns and postural changes facilitate the flexor response to protect painful tissue in the injured area. Tone changes between tonic and phasic muscles lead to an imbalance in the rotator cuff (RC) muscles.</p></div><div><h3>Design</h3><p>A randomized controlled pilot study.</p></div><div><h3>Purpose</h3><p>The purpose of this study is to determine the effects of applying myofascial release (MFR) to the muscles in the cervicothoracic region for the treatment of fascia limitations in patients with postoperative RC tear.</p></div><div><h3>Materials and methods</h3><p>A total of 20 patients were randomly divided into 2 groups. The patients in the control group performed exercises, whereas those in the MFR group performed exercises in addition to MFR. Pain intensity, grip strength, pectoralis minor flexibility, Constant Murley Score (CMS), and Short Form-36 (SF-36) score were evaluated. Pain intensity was recorded before and after the MFR sessions.</p></div><div><h3>Results</h3><p>There were no significant differences between the groups regarding pain, grip strength, pectoralis minor flexibility, CMS values, or SF-36 score (p &gt; 0.05). There were significant differences in pain levels measured before and after all MFR sessions. Moreover, a significant decrease is shown between the first and last sessions in the MFR group (p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>MFR can be useful, especially in postoperative RC patients who have pain in the early period. Significant reductions in pain intensity after MFR can help prepare patients for exercise and reduce pain-related medication use.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-rater reliability of rehabilitative ultrasound imaging of erector spinae and gluteus medius muscles in patients with low back pain","authors":"Jedidiah R. Farley ,&nbsp;Shane L. Koppenhaver ,&nbsp;Julie M. Fritz","doi":"10.1016/j.jbmt.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.06.002","url":null,"abstract":"<div><h3>Background</h3><p>Low back pain (LBP) is one of the most common conditions in the United States. Dysfunctional patterns of the erector spinae (ES) and gluteus medius (GM) muscles often accompany episodes of LBP.</p></div><div><h3>Objectives</h3><p>To evaluate the intra-rater reliability of rehabilitative ultrasound imaging (RUSI) in obtaining thickness measurements of the ES and GM muscles at rest and during submaximal contraction.</p></div><div><h3>Design</h3><p>Single-group repeated-measures reliability study.</p></div><div><h3>Methods</h3><p>A volunteer sample of 30 adults with current LBP was examined. Thickness measurements of the ES and GM at rest and during contraction were obtained by using RUSI during a single session. Intraclass correlation coefficients (ICC) were used to estimate reliability. Reliability was further assessed by calculating standard error of measurement (SEM) and minimal detectable change (MDC).</p></div><div><h3>Results</h3><p>By using a mean of 3 measures, intra-rater reliability estimates ranged from 0.999 to 0.999 for ES, and 0.998 to 0.999 for GM. Reliability estimates for single thickness measures ranged from 0.997 to 0.998 for ES, and 0.995 to 0.997 for GM. Reliability estimates were lower for percent thickness change measures than the corresponding single thickness measures for all conditions.</p></div><div><h3>Conclusions</h3><p>RUSI thickness measurements of the ES and GM muscles in patients with LBP, when based on the mean of 3 measures, are highly reliable when taken by a single examiner in a single session.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of restricted visual input on lower limb joint works of female children during sit-to-stand","authors":"","doi":"10.1016/j.jbmt.2024.03.019","DOIUrl":"10.1016/j.jbmt.2024.03.019","url":null,"abstract":"<div><h3>Background</h3><p>The ankle-knee-hip joint systems have structures that can produce mechanical work through elastic, viscoelastic mechanisms or muscle activity. This study aimed to compute sit-to-stand (STS) joint works in lower limbs between blind and sighted children to find the relationship between visual memory and STS joint work variables.</p></div><div><h3>Methods</h3><p>This study included fifteen female children with congenitally blind (CB) and 30 healthy girls without visual impairments. The children with no visual impairments were randomly divided into two condition groups with 15 each, the eyes open (EO) and the eyes closed (EC). Inverse dynamics calculated joint works by integrating multiple the moment and angular velocity (F1) and force and velocity (F2). They were normalized to body mass and body height.</p></div><div><h3>Results</h3><p>Generally, the sensitivity of F1 (on both sides in the sagittal and frontal planes) was more than F2 (on the non-dominant side in the mediolateral and vertical axes). In the ML axis, the EC group had insufficient maximal non-dominant hip work relative to the EO group (p = 0.002). In addition, the CB group suffered from low hip efficiency (p = 0.003) and high knee (p &lt; 0.001) mechanical work.</p></div><div><h3>Conclusions</h3><p>Numerous differences between CB and EC groups (on knee and hip works) showed that the time of visual input deprivation could change the type of human body's strategies to reach the consolidation process and keep adequate balance during STS. Therefore, rehabilitation programs should be aimed at addressing the impairments in the management of restricted visual input during STS performance.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersession reliability of center of pressure measurement during bipedal standing with different count-back orders","authors":"Shirin Saberi ,&nbsp;Mahshid Mosharaf ,&nbsp;Gillian Yeowell ,&nbsp;Ebrahim Sadeghi-Demneh","doi":"10.1016/j.jbmt.2024.05.026","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.05.026","url":null,"abstract":"<div><h3>Introduction</h3><p>Dual-task assessments can identify changes in postural control during balance assessments. Static standing with backward counting is frequently used to evaluate postural control while dual-tasking. The most reliable countdown method for standing postural stability has not yet been defined.</p></div><div><h3>Research objective</h3><p>to investigate postural stability's intra- and inter-day reliability while backward counting in different steps.</p></div><div><h3>Method</h3><p>Thirty-nine healthy adults (20 females, 26.94 ± 7.55 years) completed 70 s trials of stability tests with no dual-task, counting backward under five conditions (in ones, tows, threes, fours, and fives) while standing on a force-plate in three sessions: two sessions were on the same day, and the third session was one-week apart. The repeatability of measurements was tested using repeated-measure analysis of variance, interclass correlation, and standard error of measurements.</p></div><div><h3>Results</h3><p>The interclass correlation scores ranged from 0.67 to 0.92, and the standard error of measurements ranged from 2.9% to 13.4%. No significant systematic changes (p &lt; 0.05) occurred between the testing sessions for any backward counting.</p></div><div><h3>Discussion</h3><p>The backward counting showed higher reliability when performed in condition 5 (counting backward in five's). The inter-day reliability scores were greater than intera-day reliability.</p></div><div><h3>Conclusions</h3><p>Dual-tasking with most backward counting (in ones to fives) is reliable, and a quantitative assessment of the center of pressure could be used to monitor the changes in postural stability between sessions.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated physiotherapy approach for susac syndrome: A comprehensive case study","authors":"Darko Bilić ,&nbsp;Antonija Hrkać ,&nbsp;Franjo Keškić","doi":"10.1016/j.jbmt.2024.06.003","DOIUrl":"10.1016/j.jbmt.2024.06.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Susac's syndrome is a rare autoimmune disorder characterised by a triad of encephalopathy (brain dysfunction), branch retinal artery occlusion (loss of vision) and sensorineural hearing loss. This study presents the case of a patient undergoing intensive physiotherapy intervention following an injury, focusing on assessments such as volume and range of motion measurements, manual muscle tests, and pain intensity evaluations using various scales.</p></div><div><h3>Case description</h3><p>The patient, aged 17, initially presented with severe limitations in mobility, diagnosed with Susac syndrome. Requiring assistance to walk even short distances due to fear and insecurity. Through a structured physiotherapy program spanning several months, various assessments were conducted, including manual muscle tests and circumference measurements. Significant improvements were observed for muscle function, upper and lower limb circumferences, and performance in mobility tests.</p></div><div><h3>Outcome</h3><p>After 12 weeks of intensive therapy with a follow up for 4 months, progress was observed. Measurements of volume and range of motion, manual muscle test (MMT), Timed Up and Go test (TUG) and VAS scale were used as outcome variables. The patient transitioned from relying heavily on assistance for mobility to walking independently for 100 m. Muscle strength and endurance significantly improved, as evidenced by higher grades in manual muscle tests and reduced completion times in mobility assessments.</p></div><div><h3>Discussion</h3><p>The presented case exemplifies the effectiveness of intensive physiotherapy intervention in improving mobility and functional outcomes in a patient with Susac Syndrome, a rare autoimmune disorder characterized by neurological manifestations. Despite the non-traumatic nature of the condition, Susac Syndrome poses significant challenges to mobility and quality of life due to its impact on the microvasculature of the brain, retina, and inner ear. The structured rehabilitation program, supported by comprehensive assessments including manual muscle tests and circumference evaluations, facilitated targeted interventions.</p></div><div><h3>Conclusion</h3><p>The observed improvements underscore the importance of tailored rehabilitation approaches in promoting recovery and independence in individuals with complex neurological conditions like Susac Syndrome. Further research is warranted to explore optimal rehabilitation strategies and long-term outcomes in this patient population.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review","authors":"Christoph Habscheid,&nbsp;Tibor M. Szikszay,&nbsp;Kerstin Luedtke Ph","doi":"10.1016/j.jbmt.2024.05.027","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.05.027","url":null,"abstract":"<div><h3>Introduction</h3><p>The self-treatment with a foam roller is a popular form of myofascial release, although the underlying mechanisms, particularly on pain sensitivity, remain unclear. It is hypothesized that the hypoalgesic local effects are probably due to changes in fascial and muscle tissue, whereas remote effects may be influenced by central endogenous pain modulation. This systematic review aimed to quantify the difference between local and remote hypoalgesic effects of the foam rolling intervention.</p></div><div><h3>Method</h3><p>A systematic search was conducted in the databases Pubmed, Cochrane Library, Web of Science, and CINAHL. Published randomized controlled trials and non-randomized controlled trials investigating the effects of foam rolling on Pressure Pain Thresholds (PPTs) in healthy individuals and patients with musculoskeletal pain were included. Quality assessment and evidence synthesis were performed according to Cochrane Handbook recommendations. A meta-analysis was performed using standardized mean differences and 95% CIs.</p></div><div><h3>Results</h3><p>Local PPTs changed after rolling in a pre-post comparison with a small effect size: SMD = −0.42 (95 % CI = −0.57 to −0.26); I2 = 1 %. Remote PPTs also changed after rolling in a pre-post comparison with a small effect size: SMD = −0.47 (95 % CI = −0.80 to −0.14); I2 = 0 %. Foam rolling showed no effect on local PPTs when compared with a control group: SMD = 0.10 (95 % CI = −0.19 to 0.39); I2 = 0 %.</p></div><div><h3>Conclusion</h3><p>No consistent effects of foam rolling on PPTs were demonstrated in healthy individuals.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1360859224003073/pdfft?md5=4753259881ca8c521bf69ecaf7614ead&pid=1-s2.0-S1360859224003073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between single leg balance and proprioception of the knee joint in individuals with non-specific chronic back pain","authors":"Betul Yuce, Damla Karaman, Edanur Dallı, Gizem Gumussu, Rumeysa Yener, Ayca Evkaya-Acar, Filiz Yagci, Esra Pehlivan","doi":"10.1016/j.jbmt.2024.06.004","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.06.004","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Task-oriented for upper limb rehabilitation in people with multiple sclerosis: A systematic review of randomized trials","authors":"A. Alashram","doi":"10.1016/j.jbmt.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.06.001","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141277244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}