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Journal of novel physiotherapy and physical rehabilitation最新文献

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Effectiveness of massage chair and classic massage in recovery from physical exertion: a pilot study 按摩椅和经典按摩在体力消耗恢复中的有效性:一项试点研究
Pub Date : 2023-03-24 DOI: 10.29328/journal.jnpr.1001050
Vaher Ivi, Tamm Anna-Liisa, Salus Marit, Reisberg Kirkke, Vähi Aleksandra, Pallon Helena, Paeste Andra, Pirk Bäthel-Betty, M. Margus, Schrader Thomas
Quick and cost-effective recovery is foundational to high-quality training and good competition results in today’s sports. The aim of the research was to elucidate the effects of hand and massage chair massage on the biomechanical parameters of muscles of lower limbs and back, indicators of Pain Pressure Thresholds (PPT) and subjectively perceived fatigue. A total of 32 female recreational athletes (18 – 50 years old) were assigned to a hand massage, massage chair, or lying down the group. They were measured for muscle biomechanical properties (MyotonPro), PPT (Wagner Instruments) and subjectively perceived fatigue (VAS scale) before and after fatigue tests and treatment. The recovery procedure and subjective satisfaction with treatment were rated on a Likert scale. Changes in the median value of m. rectus femoris and m. gastrocnemius stiffness with treatment showed that hand massage could be more effective in reducing stiffness, as compared to chair massage. Hand massage may have benefits for recovery from physical exertion, but due to the individuality of subjects, detailed methodological studies are needed to evaluate the effects of massage chair vs. hand massage.
在当今的体育运动中,快速和经济的恢复是高质量训练和良好比赛结果的基础。本研究旨在探讨手部按摩和按摩椅按摩对下肢和背部肌肉生物力学参数、疼痛压力阈值(PPT)指标和主观感知疲劳的影响。共有32名女性休闲运动员(18 - 50岁)被分配到手部按摩组、按摩椅组或平躺组。在疲劳测试和治疗前后分别测量肌肉生物力学性能(MyotonPro)、PPT (Wagner Instruments)和主观感知疲劳(VAS)量表。采用李克特量表对康复过程和主观满意度进行评定。治疗后股直肌和腓肠肌僵硬中值的变化表明,与椅子按摩相比,手部按摩可以更有效地降低僵硬。手部按摩可能对体力消耗后的恢复有好处,但由于受试者的个性,需要详细的方法学研究来评估按摩椅与手部按摩的效果。
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引用次数: 0
The pathological technical and tactical movements of a soccer player during return to sport predicts a second anterior cruciate ligament injury 足球运动员在恢复运动期间的病理技术和战术动作可以预测第二次前交叉韧带损伤
Pub Date : 2023-03-03 DOI: 10.17352/2455-5487.000099
R. D’Onofrio, I. Sannicandro, V. Manzi, G. Annino, Bjelica Bojan, Aksović Nikola
Background: Return to sport after Anterior Cruciate Ligament (ACL) reconstruction remains a difficult decision-making process that is not structured on shared and homogeneous assessments. This greatly elevates the risk factors for second injuries. Objective: Highlight football-specific gestural, pathological, technical-tactical patterns that contribute to new ACL injuries (ipsilateral graft rupture or contralateral rupture of the native ACL). Material and method: For the purpose of this literature review, peer-reviewed and nonpeer-reviewed indexed journals were consulted from 1979 to the present. Studies were identified by searching them on PubMed/MEDLINE databases. The following search terms were used: “second ACL injury,” “cutting maneuver and ACL”, “sidestep cutting technique and ACL” “Valgus knee in sport” “change of direction and ACL injury” “pressing soccer” tackle in soccer”. The literature search was directed, also, to the Gray Literature. Result: An immediate pressing or re-aggression on the adversary, tackle, or cutting maneuver is clinically read as moments of risk factors, injury, or re-injury, for both the ball bearer and the defender. We found how a good deal of literature emphasizes how side-to-side gestural asymmetries, during technical and tactical movements, present during return to sport can elevate risk factors for second ACL injuries. During ball recovery, 4 main game situations have been found to elevate the risk factors of knee capsular ligament injuries: (1) during tactical moments of collective pressing or individual pressure; (2) in the postural rebalancing phase after moments of instability following the kicking of the ball; (3) dysfunctional moments from gestural instability, in landing, after a header in single-pedal support; (4) during a tackle by direct contact or indirect contact on the joint. Conclusion: Residual pathological movement’s side-to-side asymmetries and postural-dysfunctional pictures related to specific gestures after ACL reconstructive surgery are predictive factors of second ipsilateral ACL injury or injury to the contralateral limb. Given, however, the subjective interpretation of movement quality assessments, their relative reliability and validity in the diagnostic and therapeutic use of complex sports gestures, pressing, and cutting maneuvers, during the process of return to sport should be analyzed together and clinical assessments to identify other and consistent predictors of second ACL injuries.
背景:前交叉韧带(ACL)重建后恢复运动仍然是一个困难的决策过程,没有建立在共享和均匀的评估基础上。这大大增加了二次损伤的危险因素。目的:强调足球特定的姿势,病理,技术战术模式,有助于新的前交叉韧带损伤(同侧移植物破裂或对侧原前交叉韧带破裂)。材料和方法:本文献综述的目的是查阅1979年至今的同行评议和非同行评议的索引期刊。研究是通过在PubMed/MEDLINE数据库中搜索来确定的。搜索词为:“二次前交叉韧带损伤”、“切割手法与前交叉韧带”、“侧步切割技术与前交叉韧带”、“运动外翻膝”、“方向改变与前交叉韧带损伤”、“足球压迫”、“足球铲球”。文献检索也指向了灰色文献。结果:对于持球者和防守者来说,立即压迫或再次攻击对手,铲球或切割动作被临床解读为危险因素,受伤或再次受伤的时刻。我们发现大量文献强调了在技术和战术运动中出现的左右姿势不对称如何增加第二次ACL损伤的风险因素。在球恢复过程中,发现4种主要的比赛情况会增加膝关节囊韧带损伤的危险因素:(1)在集体压迫或个人压力的战术时刻;(2)在踢球后不稳定时刻后的姿势再平衡阶段;(3)在单踏板支撑中,头球着地后,在落地时姿势不稳引起的功能障碍;(4)在滑车过程中通过直接接触或间接接触在接头上。结论:前交叉韧带重建术后残留的病理性运动的左右侧不对称和与特定手势相关的姿势功能障碍图像是第二次同侧前交叉韧带损伤或对侧肢体损伤的预测因素。然而,考虑到运动质量评估的主观解释,其在复杂运动手势、按压和切割动作的诊断和治疗使用中的相对可靠性和有效性,在恢复运动的过程中,应该一起分析和临床评估,以确定第二次ACL损伤的其他一致的预测因素。
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引用次数: 0
Postpartum as the best time for physical recovery and health care 产后为身体恢复和保健的最佳时间
Pub Date : 2023-01-02 DOI: 10.29328/journal.jnpr.1001049
Torashima Shizuka, Samukawa Mina, Tsujino Kazumi, Sawada Yumi
Aim: The current paper presents a subjective symptom survey regarding postpartum discomfort (Study 1) and a case study on postpartum care using the program developed based on the survey results (Study 2). Thereafter, health care during the postpartum period is discussed. Methods: Study 1 analyzed 1638 postpartum women who completed the Subjective Fatigue Symptom Scale (SFSS) over the period from June 2012 to December 2019. Study 2 detailed the case of a 33-year-old primiparous woman who answered questions regarding the rehabilitation care program. Results: The 1638 subjects included in Study 1 had a mean age of 32.4 ± 8.2 years and a mean postpartum duration of 4.3 ± 2.3 months. Subjective symptoms included lower back pain, shoulder stiffness, sleepiness, wanting to lie down, yawing, and eye strain. The case included in Study 2 showed certain psychological and physical changes following the exercise program. The results of Study 1 showed that motor system discomfort, such as stiff shoulders and lower back pain, occurred in women across all postpartum stages. Our results demonstrated that care and exercise geared toward improving motor system function are imperative after childbirth. Meanwhile, the results of Study 2 imply that our rehabilitation program based on postpartum physical conditions had positive psychological and physical effects. Conclusion: Taken together, our results suggest that continuing rehabilitative care based on the physical condition during each postpartum stage facilitates improvement in mothers’ physical and psychological discomfort.
目的:本文对产后不适的主观症状进行调查(研究1),并对基于调查结果开发的产后护理程序进行案例研究(研究2)。随后,讨论产后保健问题。方法:研究1分析了2012年6月至2019年12月期间完成主观疲劳症状量表(SFSS)的1638名产后妇女。研究2详细介绍了一名33岁初产妇女的病例,她回答了有关康复护理计划的问题。结果:纳入研究1的1638名受试者平均年龄为32.4±8.2岁,平均产后时间为4.3±2.3个月。主观症状包括腰痛、肩僵硬、嗜睡、想躺下、偏航和眼疲劳。研究2中的病例在锻炼项目后显示出一定的心理和生理变化。研究1的结果显示,运动系统不适,如肩膀僵硬和下背部疼痛,发生在所有产后阶段的妇女。我们的研究结果表明,在分娩后,针对改善运动系统功能的护理和锻炼是必不可少的。同时,研究2的结果表明,我们基于产后身体状况的康复方案具有积极的心理和生理效果。结论:综合以上结果,我们的研究结果表明,基于产后各阶段身体状况的持续康复护理有助于改善母亲的身心不适。
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引用次数: 0
Aromatherapy in conjunction with physical/occupational therapy in an acute care setting: Early results 芳香疗法与物理/职业疗法在急性护理环境中的结合:早期结果
Pub Date : 2022-12-28 DOI: 10.17352/2455-5487.000098
Koyle A Elizabeth, Hofmeister Nicole, Reding Rebecca
Pain and nausea are common complaints by patients in acute care settings and these symptoms can prevent participation in their physical or occupational therapy sessions. Because mobilization during acute care hospitalization is important for reducing the length of stay, postoperative complications, risk for deep vein thrombosis, pneumonia, and pressure ulcers, implementing non-pharmacological solutions to engage patients in mobilization is worth investigating. It is hypothesized that the use of inhaled essential oils may improve patients’ perception of pain and their coping with nausea, enabling a patient to have active participation in physical or occupational therapy. This participation can minimize hospitalization-related risks as well as potentially reduce the length of stay in the hospital. This IRB-approved study is an early feasibility, single-site, randomized, placebo-controlled clinical trial utilizing three essential oils: lavender, mandarin, and peppermint. These oils are administered via an inhalation patch affixed to the chest region of the subject’s gown. Perceived pain or nausea levels are assessed before and after the use of aromatherapy during which the subject participates in their planned physical or occupational therapy session. While it is too early to determine the effects of aromatherapy, preliminary results suggest the use of lavender oil may have a positive effect on pain.
疼痛和恶心是急性护理机构患者的常见主诉,这些症状可能妨碍他们参加物理或职业治疗。由于急性护理住院期间的活动对于减少住院时间、术后并发症、深静脉血栓形成、肺炎和压疮的风险非常重要,因此实施非药物解决方案使患者参与活动是值得研究的。据推测,吸入精油的使用可能会改善患者对疼痛的感知和对恶心的应对,使患者积极参与物理或职业治疗。这种参与可以最大限度地减少与住院有关的风险,并可能缩短住院时间。这项经irb批准的研究是一项早期可行性、单点、随机、安慰剂对照的临床试验,使用三种精油:薰衣草、柑橘和薄荷。这些油通过贴在受试者长袍胸部区域的吸入性贴片施用。在使用芳香疗法之前和之后评估感知疼痛或恶心程度,在此期间受试者参加计划的物理或职业治疗会议。虽然现在确定芳香疗法的效果还为时过早,但初步结果表明,薰衣草油的使用可能对疼痛有积极的影响。
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引用次数: 0
Applicability of immersive virtual reality for training with the myoelectric prosthesis in upper extremity amputated patients: “A clinical case report” 沉浸式虚拟现实在上肢截肢患者肌电义肢训练中的适用性:“1例临床报告”
Pub Date : 2022-12-17 DOI: 10.17352/2455-5487.000097
Sanz Jordi Calvo, Cano Lluis Guirao, Pastor Beatriz Samitier, Díaz Vela M Angeles, Salés Vanesa Rodríguez, Cuevas Pol Monné
The integration of Virtual Reality (VR) in the rehabilitation process of the upper extremity amputee patient reinforces motor learning, facilitates the incorporation of the prosthesis in the body scheme, and normalizes global gesturing.
虚拟现实(VR)在上肢截肢患者康复过程中的整合强化了运动学习,促进了假肢融入身体方案,并规范了全局手势。
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引用次数: 0
Dynamic knee valgus in anterior cruciate ligament non-contact injury and reinjury in professional female athletes. Determinant or not? 女职业运动员前交叉韧带非接触损伤及再损伤的动态膝外翻。行列式与否?
Pub Date : 2022-11-15 DOI: 10.29328/journal.jnpr.1001048
Marian Melinte Razvan, Gabriella Koszorús, Andrei Melinte Marian, Eniko Papp, Mircea Tăbăcar, Dan Zolog-Shiopea
Dynamic Knee Valgus (DKV) is correlated with both, Anterior Cruciate Ligament (ACL) injury and hip and ankle disorders in female athletes and has a more significant prevalence compared with male athletes because of numerous factors. The aim of this study is to determine if the connexion between DKV, landing errors, and non-contact ACL injury and re-injury in high-performance, adult, female team sport athletes can be eliminated by changing the frontal plane movement pattern and the landing errors during the rehabilitation process (RHB), a process which was focussed on dynamic knee stability with multidimensional single-leg jump landing training, on 3D knee balance improvement and multistimulus perturbation challenges and tasks,+ eccentric & concentric exercise, strength & conditioning, aerobic training that lasted from 26 - 44 weeks. Assessing and eliminating-reducing DKV during the RHB is mandatory in lowering the re-rupture rates in female professional athletes after ACL surgery and in preventing opposite knee trauma.
动态膝外翻(DKV)与女性运动员前交叉韧带(ACL)损伤和髋关节、踝关节疾病相关,由于多种因素的影响,与男性运动员相比,动态膝外翻的发生率更高。本研究的目的是确定在康复过程(RHB)中,是否可以通过改变前平面运动模式和着陆错误来消除高性能、成年、女性团体运动运动员的DKV、着陆错误和非接触性前交叉韧带损伤和再损伤之间的联系,该过程以多维单腿跳着地训练的动态膝关节稳定性为重点。关于3D膝关节平衡改善和多刺激扰动挑战和任务,+偏心和同心运动,力量和调节,有氧训练,持续26 - 44周。在RHB期间评估和消除DKV对于降低女性职业运动员前交叉韧带手术后的再破裂率和预防对侧膝关节损伤是强制性的。
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引用次数: 1
Assessment and treatment of patients with kinesiophobia: A Delphi consensus 运动恐惧症患者的评估和治疗:德尔菲共识
Pub Date : 2022-10-26 DOI: 10.29328/journal.jnpr.1001047
Santi Mattias, Diener Ina, Oostendorp Rob
Kinesiophobia is described as pain-related fear of movement and plays a role in the development of chronic musculoskeletal pain. Several approaches have been described in the literature, but there does not seem to be a consensus on the most appropriate way to evaluate and treat patients with kinesiophobia. The aim of this study was to identify clinically relevant assessments and treatments recommended by a consensus of experts. Fourteen experts were identified to participate in a three-round internet-based Delphi study. Participants were asked to propose assessments and treatments (round 1), to grade each proposal on a Likert scale of 9 (round 2), and to reassess their level of agreement (round 3). The consensus was defined with 75% agreement. Five methods of assessment and six treatment approaches reached a consensus. The TAMPA scale reached the top position as an assessment of kinesiophobia. Graded exposure to movement, cognitive and behavioral therapy, and pain neuroscience education were the highest-rated interventions. These results provide the first expert consensus on preferred assessments and treatments for patients with kinesiophobia and correspond with the evidence base in the literature.
运动恐惧症被描述为与疼痛有关的运动恐惧,在慢性肌肉骨骼疼痛的发展中起作用。文献中描述了几种方法,但对于评估和治疗运动恐惧症患者的最合适方法似乎没有达成共识。本研究的目的是确定专家一致推荐的临床相关评估和治疗方法。十四名专家被确定参加了三轮基于互联网的德尔菲研究。参与者被要求提出评估和治疗方法(第1轮),以李克特9分量表(第2轮)对每个建议进行评分,并重新评估他们的一致程度(第3轮)。共识被定义为75%的一致性。五种评估方法和六种治疗方法达成共识。坦帕量表在运动恐惧症的评估中名列前茅。分级接触运动、认知和行为疗法以及疼痛神经科学教育是评价最高的干预措施。这些结果为运动恐惧症患者的首选评估和治疗提供了第一个专家共识,并与文献中的证据基础相一致。
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引用次数: 0
Rehabilitation protocol with VISS system and human synergy mat in subjects with flat foot problems in developmental age 发育年龄扁平足患者的康复方案:VISS系统与人体协同垫
Pub Date : 2022-10-18 DOI: 10.29328/journal.jnpr.1001046
Bellomo Rosa Grazia, Barbato Claudia, Porreca Annamaria, Saggini Raoul
The flat foot can be defined as a syndrome with multiple etiopathogenesis, characterized by an altered structure of the longitudinal arch of the plantar vault with its reduction in height. The plantar arch collapse can be counteracted by strengthening the muscles involved; for many years, specific physical exercises have been proposed for this purpose in physical and rehabilitation medicine. Our work aimed to improve the plantar arch muscles’ tone using high focal vibration therapy (300 Hz). Methods: 49 children with a 3rd degree flat foot (age: 8,7,6) underwent 10 sessions, 2 days/wk, of 30 min of focused high vibratory therapy at a frequency of 300 Hz (Vissman, Italy). Before and after treatment stabilometry (StT), static and dynamic baropodometry tests were performed. Results: Evaluation of StT showed an improvement in stability and a decrease in the sway area and ellipse area. Baropodometry tests showed a decrease in foot surface. Also, dynamic tests showed a decrease in both foot surfaces. Discussion: The results lead us to consider this method as a method of the first choice for a conservative approach in the rehabilitation of flat foot syndrome and also for 3rd grade children [1,2].
扁平足可以定义为一种具有多种病因的综合征,其特征是足底纵弓结构改变,高度降低。足底弓塌陷可以通过加强相关肌肉来抵消;多年来,在物理和康复医学中,专门的体育锻炼已经提出了这一目的。我们的工作旨在改善足底弓肌肉张力采用高局灶振动治疗(300赫兹)。方法:49名患有三度平足的儿童(年龄:8、7、6岁)接受了频率为300 Hz的集中高振动治疗,每次30分钟,10次,2天/周(Vissman,意大利)。治疗前后进行稳定性测定(StT)、静态和动态气压计测试。结果:StT评估显示稳定性改善,摇摆面积和椭圆面积减少。足部测压显示足部面积减小。此外,动态测试显示,两足表面都有所减少。讨论:结果使我们认为该方法可作为平足综合征保守康复的首选方法,也可用于三年级儿童[1,2]。
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引用次数: 1
Shoulder recovery for head and neck cancer patients after unilateral neck dissection: a pilot exploratory study 单侧颈部切除后头颈癌患者肩部恢复的初步探索性研究
Pub Date : 2022-09-28 DOI: 10.29328/journal.jnpr.1001045
Tan Celia Ia Choo, Yeo Pauline Hui Ling, Rangabashyam Mahalakshmi, Omar Aisyah Binte, Whye Ng Cindy Li, S. Rehena, Netto Kevin, Ai Png Meng, N. Rahul, Tay Gerald Ci An, Tan Ngian Chye, G. N, Tan Hiang Khoon
An established side-effect of neck dissection (ND) for head and neck (HNC) tumour management includes shoulder dysfunction (SD), which can impact quality of life (QOL). Shoulder strength and range of movement (ROM) are key parameters to be monitored in SD. However, such evaluations are not routinely conducted in the clinical setting. The aim of this study was to evaluate objectively the impact of ND on shoulder functions. Methods: This is a pilot exploratory study in a tertiary cancer centre. Five participants with unilateral ND and advanced HNC, completed the study. Outcome measures consisted of self-reported QOL questionnaires, C2–T1 dermatomes and shoulder ROM and strength testing. Data was collected at baseline, 1.5-months after surgery and 6-months after diagnosis (after adjuvant treatment completion). Results: Most outcome measures on the surgically affected side were negatively impacted post-operatively, with varied recovery seen at follow-up. Sensory loss was noted at C3–4 dermatome levels. Shoulder ROM and strength was reduced on the surficial side for all participants, with some recovery after six months except for two participants. Conclusion: Results of SD after ND are diverse and unique to each patient. Findings from this pilot study indicate that regular rehabilitation/exercise may facilitate recovery of shoulder function post HNC surgery. However, customised rehabilitation may yield better outcomes. Future studies with a larger sample are indicated to validate the findings of this study.
头颈部(HNC)肿瘤治疗中颈部剥离(ND)的已知副作用包括肩部功能障碍(SD),它会影响生活质量(QOL)。肩关节的力量和活动范围(ROM)是SD监测的关键参数。然而,这样的评估并没有在临床环境中常规进行。本研究的目的是客观评价ND对肩关节功能的影响。方法:这是一项在三级癌症中心进行的初步探索性研究。5名单侧ND和晚期HNC患者完成了研究。结果测量包括自我报告的生活质量问卷,C2-T1皮肤测量和肩部ROM和力量测试。数据收集于基线、术后1.5个月和诊断后6个月(辅助治疗完成后)。结果:手术影响侧的大多数结果指标术后均受到负面影响,随访时恢复情况不一。C3-4皮节水平感觉丧失。除两名参与者外,所有参与者的肩关节活动度和力量均在6个月后有所恢复。结论:ND术后SD结果多样,且因人而异。这项初步研究的结果表明,定期的康复/锻炼可能有助于HNC手术后肩关节功能的恢复。然而,定制康复可能会产生更好的结果。未来将有更大样本的研究来验证本研究的结果。
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引用次数: 0
The real-time information provision problem in assessing rehabilitation needs among athletes with overtraining syndrome 过度训练综合征运动员康复需求评估中的实时信息提供问题
Pub Date : 2022-08-12 DOI: 10.29328/journal.jnpr.1001044
Katrakazas Panagiotis
One of the biggest challenges in sports medicine is the return-to-play decisions, making or breaking athletic careers. Since there are no protocols to guide team physicians and consultants for athletes with fatigue syndrome, illness, injury, or overtraining syndrome, real-time monitoring plays a crucial role in such cases. By monitoring a combination of performance (e.g., maximal lactate concentration, maximal heart rate at lactate threshold), physiological (e.g., resting heart rate and maximal heart rate), biochemical (e.g., glucose) and hormonal (e.g., cortisol) variables, there should be objective indices determining eligibility or disqualification for the ill or injured athletes, allowing rehabilitation practitioners to improve and adjust their plan accordingly on a real-time information provision basis.
运动医学面临的最大挑战之一是决定是否重返赛场,决定是否从事体育事业。由于没有指导队医和顾问治疗运动员疲劳综合症、疾病、受伤或过度训练综合症的协议,实时监测在这种情况下起着至关重要的作用。通过综合监测运动表现(如最大乳酸浓度、乳酸阈值下最大心率)、生理指标(如静息心率和最大心率)、生化指标(如葡萄糖)和激素指标(如皮质醇)等变量,为患病或受伤运动员确定合格或不合格的客观指标,使康复医生能够在实时信息提供的基础上改进和调整相应的计划。
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引用次数: 0
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Journal of novel physiotherapy and physical rehabilitation
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