weight bearing activities stroke occupational therapy

Lets further explain some of the acronyms, explore interpretations, and the review the application to OT intervention, especially if you are new to working in a setting such as acute care or, First, Why Would a Patient Have Weight Bearing Precautions Ordered Anyway. There are many types of strengthening exercise equipment including bands, dumbbells, tubing, putty, and exercise machines. 23. This allows us to activate our core muscles, strengthen our shoulder girdle, and improve stability. 6. Based on these results, weight-bearing exercise can be effective in improving the ability to perform upper extremity. 0000156200 00000 n It helps keep the elbow straight, provides extra support and may help make your exercises easier. If you need more stability, secure your unaffected hand on top. A licensed speech pathologist or speech therapist can help a patient with improving swallowing. Click here to upload more images (optional). If the doctor suggests no weight-bearing through the shoulder, there are still tasks in which the patient can move their wrist or elbow. Finding motivation to stick with a recovery program is not always easy, but fun activities can help. There are many devices on the market today to help with stroke recovery as well as various types of stroke rehab exercises being developed on a continuous basis. Other stroke rehab exercises include the use of technology and robotics ,mirror box therapy, graded imagery, and more. trailer Most important, his performance and satisfaction scores on the COPM improved, as did his scores on measures of client factors and performance skills. If a 150-lb female patient is only allowed to place up to 50% of her body weight through her operative hip, this means only about 75lbs of pressure. In addition to individual sessions, Jameela provided Jorge with specific opportunities for self-directed independent practice. 30. Then lean into it. Stroke causes impairment-related functional limitations that may result in difficulties participating in ADLs independent of supervision, direction, or physical assistance.For adults with stroke, the goal of occupational therapy is to improve their ability to carry out activities of daily living. Over time, even light activity such as going for a walk or cooking will contribute to physical improvements and help prevent the deconditioning that leads to further deterioration. Objective:To report the fidelity of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after stroke (RATULS) randomized controlled trial, the types of g. 24. Towel Slide (Basic) Get a towel and sit down at a table, desk, or other flat surface. 4. Mat exercises are included in the treatment programme as soon as weight bearing to spine is permitted. As you work through the program, youll unlock more difficult exercises when youre ready. Activities to Improve Upper Body Strength in Occupational. Jorges additional occupational performance goals will continue to be addressed by home-based and outpatient occupational therapy, including community mobility. Sources:http://www.brooksrehab.org/news/top-10-games-for-stroke-recovery/http://strokeassociation.org/idc/groups/stroke-public/@wcm/@hcm/@sta/documents/downloadable/ucm_314582.pdfhttp://www.strokesmart.org/new?id=219http://www.ssww.com/docs/resources/S53.pdfhttp://www.strokesmart.org/at-home-activities-that-dont-feel-like-rehab. That we promise. 0000005750 00000 n Therefore, awareness training became an integral part of her intervention plan. Then rock from side to side, shifting your weight from one arm to the next. Mat activities are one of the most important parts of rehabilitation programme of SCI patients. Viewed on Mar. From a seated position, prop yourself up on your affected arm by placing your affected arm about a foot away from your body. https://sunnybrook.ca/uploads/THR_Restricted.pdf Viewed on Mar. 69(5), 6905395010p16905395010p3. Always seek the advice of a physician or other qualified health provider concerning questions you have regarding your health or a loved one's health concerns. New Stroke Rehab e-book. Please share your favorite and most effective stroke rehab exercises or treatment below. Do you have some pictures to add? FitMi is used in some of the top clinics in the world, including the Shirley Ryan Ability Lab, the #1 ranked rehab hospital in America. Then slowly lower yourself back into the chair with control without "plopping.". Please note that submissions from others are for informational purposes only and are not professional medical advice, diagnosis, treatment or care, nor are intended to be a substitute. Every stroke survivor is different. Donning AFO & Shoes (Seated) - AFO First Method Sit so that you can reach your feet easily or use a footstool. Weight Bearing: Occupational therapy for children with cerebral palsy includes upper extremity weight bearing activities. Doing yoga improves flexibility as well. An example would be someone that could only partially lift their arm and a therapist assists them in lifting the arm further (or they use their strong arm as an assist). While much of this is due to brain damage from the stroke itself, there are additional preventable problems like physical deconditioning and fatigue that can lead to a survivor losing function. If it feels good, stay there and feel the stretch for 10 seconds or so. You can place a rolled towel underneath your hand to increase comfort. Coordination exercises for gross motor skills emphasize fine tuning large muscle movements such as walking, throwing, and moving the limbs in a coordinated manner. 8. Improve Upper Body Strength in Occupational. You can also use the tennis ball for grasp and release, gross motor, coordination, flexion/extension of digits while rolling ball on the . They can also play on a keyboard or piano with their unaffected hand. Your home rehab team can work with you and your family to improve safety and mobility. https://sunnybrook.ca/uploads/THR_Restricted.pdf, Mayo Clinic. When performing passive range of motion on a stroke patient with limited range of motion, the exercises would only be done in a pain-free range, performed more slowly, and the helper should be aware of the patient's available movement or range of motion. This article provides examples of the application of the AOTA Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015); it does not encompass the full scope of occupational therapy practice for stroke survivors. Stretching or performing flexibility exercises on a regular basis can help prevent joint contracture and muscle shortening. SaeboStim Micro Occupational Therapy Student. (2007). Weight Bearing Upper Extremity and Shoulder Exercises. One additional treatment that can be effectively used throughout the entire course of stroke rehabilitation and muscle re-education is weight bearing. 0000001545 00000 n 28. 0000007934 00000 n Spasticity Equipment can be used to achieve effect; casts and splints, weight bearing activities can provide inhibitory pressure. By folding a large item, such as a comforter, your muscles can get stronger. Task-Oriented Training One of the most important reasons to do weight bearing is to help prevent bone loss. Sensory re-education involves retraining the sensory system in the attempt to improve sensation and hand function. In the area of motor impairment, strong evidence supports using repetitive task training (RTP) to improve UE function, balance, and mobility and activity and participation for clients with motor impairments. 1. Repeat 10 times, or more if it feels beneficial. Scapular mobilization exercises help move or mobilize the scapula in order to maintain or improve shoulder range of motion and prevent pain. 19. [18] found that training the patient in the awareness of trunk position could improve sitting weight symmetry in sub-acute stroke.Although Active assistiverange of motion occurs when a weak limb is assisted through movement. Manipulation of bathing and grooming items; specifically, organizing items in a basin, opening and closing containers, and so forth. Blog Clickherefor hand exercises. KnittingKnitting is a relaxing activity that can help stroke survivors take their minds off of their recovery. Charlotte, NC 28208, Phone: (888) 284-5433 20. There are many brain games available on the computer that can help with skills like problem solving. 32. Weight Bearing Shoulder Lean You will need: A bed or bench. Flexibility can often be improved through classes such as Yoga, Pilates, and Tai Chi, but it is important for a stroke patient to find an instructor that is experienced in working with clients who have disability/mobility issues as exercises will most likely have to be adapted for safety. One of the best ways to achieve proximal stability is through weight bearing activities. Clickherefor examples of balance training exercises. 0000160399 00000 n And if it hurts, stop the stretch immediately. (2018). On the basis of Jorges primary areas of interest, assessment results, and the anticipated discharge environment (i.e., home with supervision), treatment goals were developed to target increasing independence in the performance of self-care skills, simple meal preparation, work-related activities, and the leisure activity of playing cards. Movement therapy in hemiplegia, developed by Signe Brunnstrom in 1970, was designed to promote recovery in . If balance is affected, one of the first things a patient must learn in stroke rehab is the ability to maintain their balance in sitting. Yoga. WoodworkingWoodworking requires attention, problem solving, memory, and sequencing skills, in addition to various fine or gross motor skills.Activities that Stimulate the Brain. 0000001998 00000 n 0000006129 00000 n Live Course, Foot Drop 0000001036 00000 n 0000160172 00000 n but with less time than traditional CIMT. Weight bearing can help improve balance, reduce excessive tone brought on by a stroke and strengthen weak muscles. 0000001411 00000 n 45 37 Other Methods. Crossword puzzles help with word-finding skills. With the cane out in front of your body, twist your torso to the left and right. Total Hip Exercise Booklet: Restricted Weight-Bearing. 15. Forms of sensation that can be impaired are detection of heat/cold, pain, light and deep touch. At Reddy Care Physical and Occupational Therapy, we can get you set up with the right therapist for you. Through the positive supporting reflex, muscle activity can be elicited in the lower extremity. If you need more bimanual activity ideas, check out Therapeutic PLAY Activities for Children. Stroke survivors may suffer visual problems such as visual field loss, visual spatial disorders, impaired eye movement or double vision. www.EBRSR.com is a website that offers information on the latest stroke research and the effectiveness of various rehabilitation techniques. A basket, crate, or small and easy to carry space to store tools. These conditions may include: Stroke 1 Upper extremity fracture 2 Rotator cuff repair 3 Labrum injury or surgical repair of the labrum 4 Elbow fracture 5 By actively using their arms or legs, these activities will help decrease the development of nonuse of their affected side. HTn wTV.:C:o8tcmM S-I!\q0QaFGsLK@]3i$cu'V_PgKi56qR!I; BVkn;%[=O5Eu +HB0aw 5nF SlapjackSlapjack is played by flipping over cards and slapping the stack whenever a jack or two of the same number in sequence are played. induced movement therapy, contractures, ne-motor control, functional electrical stimulation, haptic training, neuroprosthesis training, physical tness, postural stabilization, virtual reality, weight bearing, and wheelchair use. Weight bearing activities through the arms - animal walks, wheelbarrow walking, crawling, planks, and wall push ups all help to increase muscle strength and improve coactivation of the shoulder and postural muscles. Try to stay steady in this position for increasing intervals of time e.g. Computer GamesWhile traditional computer games do not incorporate physical exercise, they can help stimulate the brain. Reliance on any information provided by the Saebo website is solely at your own risk. Jameela graded the RTP to present the just-right challenge. Virtual Reality, Shop Clinical Presentations Bilateral activities What Are the Different Types Commonly Seen in Occupational Therapy Practice. Seated table tennis. 0000009671 00000 n Then, while keeping your elbow glued to your side, bring the bottle up to your shoulder. Examples include walking, dancing, low-impact aerobics, elliptical training machines, stair climbing and gardening. Per usual practice, occupational therapy practitioners dont typically set up or change weight bearing precautions for their patients. Fine motor exercises help a patient improve use of the hand for manipulating small objects. Again, if you are having trouble with your balance while sitting, consider having someone nearby to assist you as needed. This exercise is necessary for getting up from a lying position. Stroke rehab exercises often consists of strengthening activities that involve moving a body part against resistance. Saebo UK Fine motor exercises help a patient improve use of the hand for manipulating small objects. Try your best to avoid letting your affected shoulder lift up toward your ear. The hypotheses have been tested that 1) symmetry of weightbearing in persons who have sustained a stroke could be improved by the addition of a lift to the shoe on the non-paretic lower limb and 2) compelled weightbearing resulting from the addition of a lift in conjunction with targeted exercise helps to overcome the learned disuse of the paretic limb. Occupational Therapy Toolkit Treatment Guides - Section 1 ADLs and IADLs Activities of Daily Living Bathing and Showering Clothing Care Community Mobility Dressing Driving Feeding, Eating, and Swallowing . Jameela began with scanning printed invoices, Jorges computer screen, and a desk space. If balance is affected, one of the first things a patient must learn in stroke rehab is the ability to maintain their balance in sitting. . 23 Weight Bearing Activities ideas | pediatric physical therapy, activities, pediatric ot Weight Bearing Activities 23 Pins 10y A Collection by Aimee Prainito Similar ideas popular now Occupational Therapy Pediatrics Physical Therapy Sensory Activities Sensory Processing Activities Gross Motor Activities Sensory Integration Gross Motor Skills It is important to do weight bearing for the arms and legs. endstream endobj 46 0 obj<> endobj 47 0 obj<> endobj 48 0 obj<> endobj 49 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 50 0 obj<> endobj 51 0 obj<> endobj 52 0 obj<> endobj 53 0 obj<> endobj 54 0 obj<>stream We found 35 fun activities that stroke survivors can do at home. xb```f``d`e`[ @16RN`Q"vOdPpB`FieXTTS7Ri6$>>y2`-::RGG%C('1H!Md 0]e\]6ARzL_553`Yg/p/aC7_002pZzi& bN ChcCg`d0 P Design by Elementor, Shoulder Exercises for Stroke Patients from an Expert Occupational Therapist, See how FitMi can help you improve movement, Click here to download our free Stroke Rehab Exercise ebook now. Trunk work! If the scapula is unstable, then arm movement may be jerky or uncontrolled. We never sell your email address, and we never spam. Plus, two PTs on YouTube with over 3 million subscribers (you may know them as Bob & Brad) gave FitMi the thumbs up, too. It takes hard work and dedication to regain mental and physical function after a stroke. Are you looking for spiritual healing in addition to physical healing? Great! So, I am looking forward to continued improvement.. Jorges interests drove the selection of tasks used for RTP. Sitting balance exercises focus on strengthening the core or trunk musculature. Examples of gradation include increasing the number of items manipulated; changing the location of items in the environment to encourage reaching over greater distances and in different planes of motion; changing the size, shape, and weight of objects; and varying the speed requirements. Note. Biofeedback The digital download includes 100 play activity pages and 12 tip sheets. weight bearing activities stroke occupational therapythe renaissance apartments chicago. The muscles that attach to the scapula (or shoulder blade) are often affected after a stroke. New Stroke Glove Now Available . 2. It's a great way to encourage strength and motor return. The process of stroke recovery is long and full of ups, downs, twists, and turns. The WBG showed significant changes in grasping power compared to the CG. It is our job to educate the patient with compensatory and safety awareness strategies to go about mobility and functional activities with the weight-bearing precautions in mind. Following stroke, one may have decreased sensation, numbness, or tingling. Jameela continued to address awareness building using task prediction methods and videotape feedback. for examples of leg active range of motion exercises. Providing an occupation box of items related to Jorges identified goal areas, such as a deck of cards, dog brush, can opener, pen and paper, coins, and utensils and encouraging him to engage in RTP using these items during down time. It is important to keep up with current research to find out which stroke rehab exercises are effective. Physical activity. Crossword PuzzleCrossword puzzles are available in a variety of skill levels and font sizes, so there should be one within almost every stroke survivors capabilities. This bone loss can lead to brittle bones which also puts a person at higher risk for fractures. Modified CIMT (mCIMT) has also been developed by Stephen Page and colleagues as a less intense but more practical treatment that involves the same principles as CIMTbut with less time than traditional CIMT. They should be doing daily trunk work. 0000045235 00000 n What you do really matters!. 0000004906 00000 n People with certain conditions may benefit from shoulder weight-bearing and balance exercises in quadruped (the crawling position on all fours) or in the plank position. She highlighted the discrepancies. Participants in a 2009 study actually regained some of their visual field loss after doing eye exercises for an extended period of time. The Effects of Hand Strength on Upper Extremity Function. The Effects of Weight Bearing Exercise on Upper Extremity. Weight-bearing exercises also significantly strengthen muscles to work together to stabilize and support joints. There are many cell phone apps and online websites that offer brain training, but these online exercises may not necessarily carry over into improvement in everyday functioning, so it is best to also include real life cognitive practice rather than only doing computer activities. This type of exercise will gradually and progressively overload the muscles so that they will get stronger. Jorge predicted that each task would take approximately 10 min and that he would require supervision. Program components included, Watching AO videos on his computer, followed by actual task practice of manipulating cooking utensils and grooming items, and. However, the majority of their weight should be going through their arms and shoulders via crutches or a walker. Exercises. 1 Specific weight-bearing exercises that can increase muscle and bone strength include squats, step-ups, lunges, and jumping rope. These concentrate on a co-contraction of the triceps brachii, Biceps Brachii, deltoids, pectoralis major and minor, and lower back for stabilization in various ratios depending upon the angle and leverage. Catherine O'Brien. The subject in the video does not have a stroke and has full range of motion. 0000073725 00000 n 1) Weight-bearing activities to the arms and legs with the assist of a therapist 2) Electrical Stimulation (only if approved by the patient's physician and there is no contraindications for the patient) 3) Facilitation techniques - e.g. For example, if a patient recently had a total shoulder replacement, the doctor may ask the patient to non-weight bear on the surgical shoulder up to several weeks. If you have difficulties with your seated balance, be sure to complete this in a chair with arms or with someone else nearby. 0000004275 00000 n Vision therapy is often overlooked in stroke rehab. Cortical Plasticity 0000115853 00000 n If you have visual impairment following a stroke, ask your occupational therapist or an optometrist about eye exercises. Dance Dance RevolutionFor stroke survivors who are able to safely participate, playing games like Dance Dance Revolution can add to their exercise routine and encourage them to get moving. Peripheral Nerve Injury 0000004805 00000 n Rock back Jorge and his partner were educated about the signs and symptoms of depression and were provided with resources in the community to address these needs if they emerge. You should feel this stretch all the way up your torso and into your shoulder. 10 sec, 20 sec, 30 sec, etc. The goal was to maximize repetitions of reaching, grasping, transporting or manipulating, and releasing various meaningful task objects as follows: Manipulation of a computer mouse; specifically, organizing icons on the screen of Jorges work laptop, entering data onto a spreadsheet, and so forth. Picking up and placing the pieces is a grasp-and-release activity. Scoot forward to bear weight through your foot and step into AFO and shoe. Dancing. Its not an exact science, but more of a guesstimation.. Next Step Program Exercises to improve cognition may be directed at memory, problem solving, reasoning, following directions, initiation of activity, and comprehension. If a 150-lb female patient is only allowed to place up to 50% of her body weight through her operative hip, this means only about 75lbs of pressure. Find Top Stroke Hand Therapy Solutions . 0000003241 00000 n Jorge met the majority of his goals by the time he was discharged from the IRU. SaeboGlove If it feels good, stay there and feel the stretch for 10 seconds or so. Examples of functional check points include: Gravity; Levers; Time; Distance; Speed; Environment Resistance bands can be attached to furniture, a doorknob, or your chair. Joint contracture occurs when there are structural changes to the soft tissue such as tightening or shortening of muscles and tendons that restrict movement. She lights up when we bring it out and enjoys using it for about 20 to 30 minutes at a time. Therapist Advice No Plateau Podcast Product Manuals Contact Us, 2459 Wilkinson Blvd. Swallowing Exercises Dysphagia or trouble with swallowing can be a very serious impairment even life threatening. Passive range of motion refers to an external force moving a body part rather than it moving on its own volition. Forms & Guides The treatment lasted 1 h daily, 5 days per week for 3 weeks. fracture). Saebo Catalog, About Rehabilitation Nursing Once youve pushed the bottle as far as you can to one side, reverse. For stroke survivors with more severe cognitive impairments, Scattergories Junior may be more appropriate. recommendation. The occupation-based intervention of making a chopped salad was chosen because Jorge identified it as meaningful. This bone loss can lead to brittle bones which also puts a person at higher risk for fractures. Ideally, all of the above will lead to mass flexor responses in the UE. RTP to enhance arm and hand function to support engagement. Exercise: Movements to work the quadriceps in weight-bearing (closed-chain exercises) can include step-ups, partial squats, sit to stand, and leg presses. Take the cushions off the sofa and chairs - jumble them up and hide toys underneath - have child crawl up and over cushions and weight bear on hand while reaching for toys. A method for evaluation of physical performance, Scandinavian Journal of Rehabilitation Medicine, Canadian Occupational Performance Measure, A performance test for assessment of upper limb function in physical rehabilitation treatment and research, International Journal of Rehabilitation Research/Internationale Zeitschrift fur Rehabilitationsforschung/Revue Internationale de Recherches de Readaptation, Uniform Data System for Medical Rehabilitation, Guide for the Uniform Data Set for Medical Rehabilitation (including the FIM instrument), Version 5.1, Occupational therapy practice guidelines for adults with stroke, This site uses cookies. Doing yoga improves flexibility as well. From a seated position, prop yourself up on your affected arm by placing your affected arm about a foot away from your body. ScrabbleScrabble involves a variety of skills that stroke survivors can work on. Weight bearing can also increase bone density, to reduce the chance of fractures. Electrical Stimulation The patient's primary impairments included right upper and lower extremity spasticity, circumduction gait, weakness and decreased range of motion of right extremities. Repeat this exercise. WarWar is a simple card game in which you flip over a card, and the person with the highest card wins. We invested in the FitMi + MusicGlove + Tablet bundle for her at the beginning of August. such as using gravity eliminated/assisted planes, quick stretch and tapping of muscles to facilitate movement BMJ Open Sport Exerc Med. And if it hurts,stop the stretch immediately. 0000001870 00000 n Journaling can also be therapeutic and help a survivor keep tabs on their emotions and recovery process. Top 10 tips for hand and arm exercise after a stroke. Research If your hand seems to get stuck to the table, you can try placing a towel underneath it to help it slide more easily. Sign up to receive new product updates, clinical news, research and more. For example, Jameela placed necessary items on both sides of the table and encouraged an organized visual search of the table, and she provided a vegetable peeler with a built-up handle and encouraged Jorge to use his left hand to peel the vegetables. Because Jorge identified several self-care occupations as very important, Session 1 targeted specific task practice of two of Jorges chosen occupations (bathing and dressing) in his hospital room. Exercises and occupational therapy for upper extremity. 2020 Dec;17(1):1-2. Balance exercises are important in helping prevent falls. Putting on some of their favorite music can help motivate them to get up and move as much as they are able. Here's the 10 item you need for stroke interventions in a patient's facility room: 1. 0000004000 00000 n Standing balance exercises will help improve a patients ability to stand in place as well as walk or perform activities without loss of balance. Hold your cane at both ends and raise it up in front of you so that your arms are parallel to the floor. I have been working in the pediatric setting for almost 6 years and have worked in early intervention, outpatient pediatrics, inpatient pediatrics, day rehab, private clinic and schools. I suffered a stroke about 2 years ago which paralyzed my right side. This type of exercise will gradually and progressively overload the muscles so that they will get stronger. Lets further explain some of the acronyms, explore interpretations, and the review the application to OT intervention, especially if you are new to working in a setting such as acute care or skilled nursing. Jameela met Jorge in the ADL kitchen. Keep hands clasped. Van Ouwenaller C, Laplace P,Chantraine A (1986) Painful shoulder in hemiplegia Arch Phys Med Rehabil 46:23-26. Bob and Brad Top 3 Exercises for Weak Arm after Stroke (Simple Do-it-yourself). 81 0 obj<>stream Jigsaw PuzzlesPutting together a jigsaw puzzle improves both concentration and motor skills. Retrieved February, 10, 2010, from http://www.mayoclinic.com/health/arthritis/AR00015. Putting on some of their favorite music can help motivate them to get up and move as much as they are able. ARAT = Action Research Arm Test; BDIII = Beck Depression InventoryII; CBS = Catherine Bergego Scale; FMA = Fugl-Meyer Assessment; LB = lower body; M = motor; OT = occupational therapist; S = sensory; UB = upper body; UE = upper extremity. Problems can include: Loss of movement in an arm or leg Jameela assisted Jorge with comparing his actual and predicted task performance. Sign up below to get your copy! 45 0 obj <> endobj The . After a stroke the motor function of the leg tends to return before the arm, and one of the reasons may be the motivation to walk and the intensive weight bearing of the leg. All content provided on this blog is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Gentle rocking - laying on their tummy or back over a therapy ball and rolling them forward and back or side to side. For more information on stroke rehab exercises for speech, you can visitwww.speech-therapy-on-video.com. In summary, defining weight bearing precautions and recommended percentages of body weight can be very subjective depending on the doctor. VST to improve performance and compensate for unilateral neglect. Decreased sensation can greatly impair the use of hands causing one to drop objects, have difficulty with fine motor tasks, and be at risk for burning oneself. (You can preview and edit on the next page). Returns Robotic therapy for the hemiplegic shoulder pain: a pilot study. C51%Rb3/5}Y"2bntn eemgjkWU Joint contractures also interfere with activities of daily living such as trying to wash under ones arm, donning clothing over a contracted elbow or knee, or cleaning the fingernails of a contracted hand. Required fields are marked *. Standing upright position one foot in front of the other so the heel of the front foot is touching the toes of the back foot - as if standing on a tightrope. PokerPlaying poker helps challenge cognitive skills like sequencing and categorization. 0000010469 00000 n 16. Many stroke patients with movement on the weak side may not be strong enough to add resistance exercises and may perform active range of exercises.

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