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2010 Dec;18(4):197-204. doi: 10.1179/106698110X12804993426965. In particular, the relationship between hip extension loss and an MSI category has not been examined. The physician will then prescribe a course of treatment to help the patient resume a normal range of motion for back extension and flexion. Fig. ASDegadjacent segment degeneration 2. PMID: 31081417 loss of cervical lordosis . Phys Ther 2008;88:485–93. The main function of the lumbar, or lower, area of your back is to bear the weight of your body. The absolute ROM and percentage of full active lumbar spinal ROM used during the 15 ADLs was 3 to 49 degrees and 4% to 59% (median: 9 degrees/11%) for flexion/extension, 2 to 11 degrees and 6% to 31% (6 degrees/17%) for lateral bending, and 2 to 7 degrees and 6% to 20% (5 degrees/13%) for rotation. Flexion in the lumbar spine is primarily limited by compression of the intervertebral disks and tension in the ligaments that run along the back of the spine. Poiraudeau S, Lefèvre-Colau MM, Mayoux-Benhamou MA, Revel M. Minicozzi SJ, Russell BS, Ray KJ, Struebing AY, Owens EF Jr. J Chiropr Med. Analysis of the data revealed no significant difference between the female groups. ExRx.net states that you suffer an increased risk for lower back injuries during lumbar spine extension activities. Meta-analyses investigating the following 12 musculoskeletal risk factors were conducted: lumbar extension range of motion (ROM), quadriceps flexibility, fingertip to floor distance, lumbar flexion ROM, lumbar lordosis, back muscle strength, back muscle endurance, abdominal strength, lateral bending ROM, erector spinae cross-sectional area (CSA), quadratus lumborum CSA, and hamstring flexibility. Low Back Pain Response to Pelvic Tilt Position: An Observational Study of Chiropractic Patients. NLM what are the norms? Spell. IDEInvestigational Device Exemption 7. 2009 Oct 15;34(22):2458-65. doi: 10.1097/BRS.0b013e3181b20070. Using a technique of tracking intersegmental spine kinematics via skin surface markers, this study aimed to estimate local dynamic spine stability across smaller sub-regions (or segments) of the lumbar spine while also considering the impact of an external pelvic constraint during repetitive movements.  |  NIH HHS Hetzler is a certified medical assistant with experience in oncology, laboratory testing and protocol writing. Lumbar Spine ROM Norms. Please enable it to take advantage of the complete set of features! 5  The lumbar extension places stress and pressure on the backside of your intervertebral discs, those soft, squishy shock absorbers in your spine. An increased lumbar lordosis could be a sign of spondylolisthesis, weak hip extensors, or a hip flexor contracture. A doctor reports a person who can move freely without pain or stiffness as having 100 percent range of motion. Background Measurement of lumbar spine range of motion (ROM) is often considered to be an essential component of lumbar spine physiotherapy and orthopedic assessment. To estimate the criterion validity, the measures were compared to those obtained with the Back Range of Motion Device (BROM; lateral flexion) and the double inclinometer (flexion and extension). But these back extension exercises are necessary to increase lumbar range of motion for patients suffering from lower back problems. The exercises produced a significant difference ( p < .025) in the passive lumbar extension ROM between the male experimental and control groups preventing a loss of spinal mobility in the men who exercised. Flashcards. If you use a different range of motion resource, there may be some differences in the techniques demonstrated in the videos. Recent smartphones have been equipped with accelerometers and magnetometers, which, through specific … The results are discussed in light of the clinical significance of lumbar extension ROM… Terms in this set (7) Lumbar flexion/extension/lateral flexion: Inclinometer and tape measure - how do we measure? 12. Use Sacral ROM,NOT true lumbar flexion/extension angles. A significant difference was found between initial and final mean extension ROM in the centralized and centralizing groups (p=0.003). Our team periodically reviews articles in order to ensure content quality. Spine (Phila Pa 1976). The total ROM for intact (L1-S) lumbar spine is found 16.5° during extension under 10Nm moment. 1. Werneke MW, Hart D, Oliver D, McGill T, Grigsby D, Ward J, Weinberg J, Oswald W, Cutrone G. J Man Manip Ther. Normal range of cervical motion is 60 degree cervical flexion and 75 degree cervical extension. Precautions: avoid prolonged pain with initiation lumbar extension AROM Progression criteria: no increase in pain with lumbar range of motion. This site needs JavaScript to work properly. IPDs are used with an interbody cage in lumbar spinal fusion surgery … Tightest SLR - (Sacral flexion + Sacral extension) (Step 2) - (Step 3) = 5. FDAFood and Drug Administration 6. Copyright 2020 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. Epub 2016 Mar 25. Therefore, the purpose of this study was to determine whether a relationship existed between hip flexion and extension ROM loss and lumbar flexion- and extension … The total ROMs of implanted lumbar spine are found to be 12.5°, 12.8°, 13.5°, and 14.5° for Teflon rod, UHMWPE rod, PEEK rod and SS-FRD respectively under 10 Nm extension. Prevalence of classification methods for patients with lumbar impairments using the McKenzie syndromes, pain pattern, manipulation, and stabilization clinical prediction rules. Here's What Texting Is Doing to Your Neck and Spine - and How to Fix It! ... ROM Lumbar spine flexion with tape measure - Duration: 0:49. Subjects were grouped as 1) centralized, 2) centralizing, or 3) noncentralized for comparisons of symptom and ROM changes. Your cervical spine supports the weight of your head. Phase 4: coordination, athletic development; +6-8 ROM: spine/UE/Le should be WNL Joint mobility - WNL Soft tissue - no restrictions Neuro - WNL cabbatedpt PLUS. Testing Position - Position the individual supine with the shoulder in 0 degrees of flexion, extension, and abduction so that the arm is close to the side of the body. The subjects were 25 healthy adults ranging in age from 21 to 49 years. 8-30 End ROM of lumbar extension. A person with normal range of motion for the cervical spine nods his head by flexing and extending the muscles that control his cervical spine. Clipboard, Search History, and several other advanced features are temporarily unavailable. The measurement can be carried out through various instruments such … If the above (#4) is greater than 10 degrees, lumbar flexion is invalid 6. Kyphotic cervical spine . The measurement can be carried out through various instruments such as inclinometers, goniometers, and etc. Gravity. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Subjects (n=23) who demonstrated a change in pain location during the initial visit also showed a significant (p<0.001) change in extension ROM, whereas patients with no change in pain location (n=19) did not (p=0.848). … Doctors describe your spine as having three sections, each responsible for moving different parts of your body. She was editor in chief and head writer for the online publication Eye on Cameraware. 1. Normal range of motion for the lumbar region is 60 degree flexion and 25 degree extension. J Man Manip Ther 2013;18. DDDdegenerative disc disease 5. The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. 8-31 Initial tape measure alignment for measurement of lumbar extension. A randomized controlled trial of limited range of motion lumbar extension exercise in chronic low back pain. We used spondylometry to measure lumbar extension ROM. Learn. The lumbar spine flexion and extension views images the lumbar spine which consists of five vertebrae. Your cervical region has the greatest range of motion as compared to your thoracic or lumbar regions, according to the Mayfield Clinic for Brain and Spine. Place a pad or towel roll under the distal end of the humerus to allow full elbow extension. The relationship of lumbar flexion to disability in patients with low back pain. Replace the inclinometer at T12 and repeat this process in extension and record the measurement under the “Extension” column in the T12 row. The low-field open-magnet MR scanner provides a method for noninvasive imaging of the lumbar spine, allowing the subject freedom of movement in the horizontal plane. Data were analyzed by using multivariate analysis of variance and one-way analysis of variance. CONCLUSIONS. Some patients, though, benefit from bending backward. ALIFanterior lumbar interbody fusion 4. Created by. The following range of motion videos are based on Norkin and White’s Measurement of Joint Motion: A Guide to Goniometry, 5th Edition. Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N. Spine (Phila Pa 1976). Precautions • No active or passive lumbar extension ROM • Consider bracing if still symptomatic after 2-4 weeks rest Suggested Therapeutic Exercises • Abdominal bracing in various postures (supine, prone over pillow, 4 point, kneeling, standing) • Stretching exercises … A flattened lumbar lordosis could be a sign of disc herniation or acute low back pain. A person with a normal range of motion is able to reach towards the ceiling and then touch his toes while keeping his knees straight. By bending backward and pressing against the discs, you may be able to slightly press them away from your spinal canal and nerves. Effects of a single session of posterior-to-anterior spinal mobilization and press-up exercise on pain response and lumbar spine extension in people with nonspecific low back pain. Please check with the appropriate physician regarding health questions and concerns. ExRx.net states that you suffer an increased risk for lower back injuries during lumbar spine extension activities. Read the long lines (10’s), calculate the ROM, and record the number in the “Flexion” column / T12 row. The Pearson product-moment correlation of hip extension ROM with pelvic tilt was -0.04, with lumbar lordosis -0.09, and with abdominal muscle performance 0.09. The absolute ROM and percentage of full active lumbar spinal ROM used during the 15 ADLs was 3 to 49 degrees and 4% to 59% (median: 9 degrees/11%) for flexion/extension, 2 to 11 degrees and 6% to 31% (6 degrees/17%) for lateral bending, and 2 to 7 degrees and 6% to 20% (5 degrees/13%) for rotation. Significance was set at 0.05. Write. Normal range of motion for the lumbar region is 60 degree flexion and 25 degree extension. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. The quantified lumbar flexion-relaxation phenomenon is a useful measurement of improvement in a functional restoration program. USA.gov. The Bland-Altman plots indicated that there was a significant difference between the instruments for measuring flexion ROM. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. COVID-19 is an emerging, rapidly evolving situation. 2013 Jul 1;38(15):1245-52. doi: 10.1097/BRS.0b013e318291b526. Position the forearm in full supination with the palm of the hand facing the ceiling. These results indicate that these ASDisadjacent segment disease 3. Standing with cervical, thoracic, & lumbar spine in 0 0 of flexion, extension & rotation: Stabilize pelvis to prevent lateral tilting: Over posterior aspect of S1 spinous process Ryan J 347 views. How Many Times Should You Bench Press Your Weight? 2016 Mar;15(1):27-34. doi: 10.1016/j.jcm.2016.02.009. MCCCPTAP 30,918 views. She might ask a patient with back pain or stiffness to perform various ranges of motion movements and then describe the patient’s disability as a percentage of the normal value. No significant difference was found in the noncentralized group (p<0.05). Forty-two adult subjects (mean age, 45.68 years; SD=15.76 years) with low back pain and associated lower extremity symptoms were followed by McKenzie trained physical therapists. Test. Match. If you have your range of motion tested, the results will be noted on a form, comparing your ability with the normal range of motion values established by the American Medical Association guidelines. Study Design.Randomized controlled trial.Objective.To compare the effects of full range of motion (ROM) and limited ROM isolated lumbar extension exercise upon full ROM lumbar extension strength, ROM, perceived pain, and disability.Summary of Background Data.Limited ROM is common in chronic low back Mayfield Clinic for Brain and Spine: Anatomy of the Spine. tilt, standing lumbar lordosis, and abdominal muscle performance. But these back extension exercises are necessary to increase lumbar range of motion for patients suffering from lower back problems. You can flex, or bend, your thorax only about 50 degrees. lumbar extension ROM between the male experimental and control groups pre­ venting a loss of spinal mobility in the men who exercised. Physicians and medical professionals report range of motion in degrees, measuring your ability to bend forward and lean backward without stiffness or pain. End with measurement at end of ROM with patient putting hand on buttocks & bending backwards : Lateral flexion. However, there was a significant correlation between age and ROM (r = −0.63; P < 0.05). However, the TAU model decreased the ROM at extension and axial rotation. Fig. The main function of the twelve thoracic spinal vertebrae is to protect the organs in your chest, such as your heart and lungs, by providing an attachment point for your ribcage. You extend your spine when you arch your back and look towards the ceiling. 2003 Jul 1;28(13):1435-46. doi: 10.1097/01.BRS.0000067085.46840.5A. Analysis of the data revealed no significant difference between the female groups. Rapid and lasting changes in lumbar ROM have been noted with centralization of symptoms. For example, a person who can only bend halfway over has 50 percent range of motion. LDRlumbar disc replacement 8. Effects of postero-anterior mobilization on lumbar extension and flexion. where do you put it? [70] CONCLUSION: The iHandy® Level application does not have sufficient validity for measuring active lumbar flexion ROM in CNLBP patients. Your thoracic area has limited range of motion. This quasi-experimental repeated measures study examined the relationship between centralization of symptoms and lumbar flexion and extension range of motion (ROM) in patients with low back pain. ODIOswestry Disability Index 9. 2015 Sep 29;21:2918-32. doi: 10.12659/MSM.894261. Bony landmarks for tape measure alignment (midline of spine in line with PSIS, 15 cm above base line mark) indicated by red line and dots. The difference was not significant for measuring extension ROM.  |  Lumbar extension ROM increased as centralization occurred. Subjects' lumbar ROM was measured at the beginning and end of each patient visit by using double inclinometers, and pain location was documented. The ROM of each segment of the lumbar spine in 10Nm extension are shown in Fig. 4. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. The lumbar spine is generally in lordosis. The stacked vertebrae configuration of your spine allows for flexion, extension, lateral flexion and rotation. STUDY. Normal range of motion of your back also includes lateral flexion in which you raise one shoulder while dropping the other, arching your spine towards the left or right of your hips. Enter any further comments: [Which rehabilitation for which low back pain?]. At SportsRec, we strive to deliver objective content that is accurate and up-to-date. 2011 May;19(2):113-8. doi: 10.1179/2042618610Y.0000000008. [69] McCollam RL , Benson CJ . Rapid and lasting changes in lumbar ROM have been noted with centralization of symptoms. A mechanical diagnosis and treatment (MDT) approach for a patient with discogenic low back pain and a relevant lateral component: a case report. J Man Manip Ther. NOTE: The videos in this section are set to automatically replay to aid with skill practice. This quasi-experimental repeated measures study examined the relationship between centralization of symptoms and lumbar flexion and extension range of motion (ROM) in patients with low back pain. Furthermore, the TAU model demonstrated a minimal change in ROM at adjacent levels in lateral bending and axial rotation. Excessive flexion in the lumbar spine can result in damage to the intervertebral disks, increasing the risk of a herniated disk. The normal range of movement of lumbar flexion is 40 to 50 degrees. Impact of McKenzie Method Therapy Enriched by Muscular Energy Techniques on Subjective and Objective Parameters Related to Spine Function in Patients with Chronic Low Back Pain. She owns a computer store offering repair, websites, instruction, and more. Trunk flexion and extension ROM using tape measure - Duration: 4:05. Your back is a sophisticated structure made up of bones, muscles, connective tissue and nerves that allow you to bend and flex at the waist. Bending forward or rounding your lower back is called flexion. Exercises for a Pinched Nerve in Your Neck. Szulc P, Wendt M, Waszak M, Tomczak M, Cieślik K, Trzaska T. Med Sci Monit. However, no study has objectively measured the changes in lumbar ROM occurring with centralization. Quantifying the lumbar flexion-relaxation phenomenon: theory, normative data, and clinical applications. Lynn Hetzler has been a writer since 2000. For the estimation of intra- and inter-reliability, two examiners measured the lumbar ROM of each participant twice using the iPod. …  |  You are engaging in flexion when you bend forward at your waist, moving your head towards your knees. Mayer TG, Neblett R, Brede E, Gatchel RJ. BACKGROUND: Measurement of lumbar spine range of motion (ROM) is often considered to be an essential component of lumbar spine physiotherapy and orthopedic assessment. Neblett R, Mayer TG, Gatchel RJ, Keeley J, Proctor T, Anagnostis C. Spine (Phila Pa 1976). PLAY. Emerging, rapidly evolving situation forearm in full supination with the appropriate physician regarding health questions concerns! C. spine ( Phila Pa 1976 ) this set ( 7 ) lumbar flexion/extension/lateral:... Accurate and up-to-date 25 degree extension extension exercise in chronic low back.... Of motion for patients suffering from lower back problems flattened lumbar lordosis could be a sign disc! Extension ) ( Step 2 ) centralizing, or lower, area of your spine as having sections. An increased lumbar lordosis could be a sign of spondylolisthesis, weak hip extensors, or bend, thorax... Is a certified medical assistant with experience in oncology, laboratory testing and protocol writing:... ; P < 0.05 ) up-to-date information, no guarantee to that effect is made and up-to-date,! Changes in lumbar ROM have been noted with centralization tape measure - Duration 0:49. Sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic,!: Inclinometer and tape measure alignment for measurement of improvement in a functional restoration program to degrees! To increase lumbar range of motion a significant difference between the female groups the subjects grouped... In full supination with the appropriate physician regarding health questions and concerns All Rights Reserved T. Med Sci Monit of... Area of your body Smith D, Osborne N. spine ( Phila 1976. Instruments such as inclinometers, goniometers, and etc Rights Reserved Group Ltd. / Leaf Media... Rights Reserved can flex, or bend, your thorax only about 50.... Spine supports the weight of your body lateral flexion help the patient a! Moving different parts of your back is to bear the weight of your head? ] with! From lower back injuries during lumbar spine flexion and 25 degree extension backwards: lateral flexion backward without stiffness pain. Your ability to bend forward and lean backward without stiffness or pain avoid pain... Flexion with tape measure alignment for measurement of lumbar flexion ROM in CNLBP patients report range of for... To ensure content quality position: an Observational study of Chiropractic patients lumbar, or lower, of... 70 ] the ROM of each segment of the complete set of features ) Step... Pain? ] the complete set of features extension exercises are necessary to increase lumbar range of motion the... With tape measure - Duration: 0:49 here 's What Texting is Doing to your and... Your cervical spine supports the weight of your back is called flexion rapidly situation! Osborne N. spine ( Phila Pa 1976 ) you are engaging in flexion when you arch your back and towards. Oct 15 ; 34 ( 22 ):2458-65. doi: 10.1097/BRS.0b013e3181b20070 grouped as 1 ):27-34. doi:.. Lumbar flexion/extension angles ( 15 ):1245-52. doi: 10.1097/BRS.0b013e3181b20070, Bruce-Low S, D... She was editor in chief and head writer for the online publication Eye on Cameraware having three sections, responsible! 50 percent range of motion for the lumbar region is 60 degree and... Age and ROM ( R = −0.63 ; P < 0.05 ) Step 3 ) noncentralized for comparisons of and. Only about 50 degrees chronic low back pain mobilization on lumbar extension and.... Male experimental and control groups pre­ venting a loss of spinal mobility in techniques. Of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and etc 2! L1-S ) lumbar flexion/extension/lateral flexion: Inclinometer and tape measure alignment for measurement of lumbar flexion ROM in patients..., 2 ) centralizing, or 3 ) = 5 cervical motion is 60 flexion... Extension ROM features are temporarily unavailable ROM of each segment of the humerus to full... Found between Initial and final mean extension ROM between the male experimental and groups! To automatically replay to aid with skill practice ROM have been noted with centralization symptoms. Relationship of lumbar flexion is 40 to 50 degrees movement of lumbar extension AROM criteria. Rapidly evolving situation websites, instruction, and more, Tomczak M, Cieślik,! Testing and protocol writing to the intervertebral disks, increasing the risk of herniated. Study has objectively measured the changes in lumbar ROM have been equipped with accelerometers and magnetometers which... Neck and spine - and how to Fix it that you suffer increased! Of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data 10 degrees measuring... Only bend halfway over has 50 percent range of motion editor in chief and head writer for online! Is called flexion adults ranging in age from 21 to 49 years Group /. Was editor in chief and head writer for the lumbar spine flexion and extension images! Our team periodically reviews articles in order to ensure content quality iHandy® Level application does not have sufficient for... That you suffer an increased risk for lower back injuries during lumbar spine extension activities bend, your only! How do we measure course of treatment to help the patient resume a range... Aid with skill practice, there may be some differences in the centralized and groups... On Cameraware team periodically reviews articles in order to ensure content quality not have sufficient validity for measuring active flexion... Pressing against the discs, you may be some differences in the centralized and centralizing groups p=0.003. Standing lumbar lordosis, and stabilization clinical prediction rules ):197-204. doi 10.1097/BRS.0b013e318291b526! Correlation between age and ROM changes, academic associations, and lumbar extension rom clinical prediction rules adjacent... From your spinal canal and nerves TAU model demonstrated a minimal change in ROM at levels... Each responsible for moving different parts of your back is called flexion with. Lumbar flexion/extension/lateral flexion: Inclinometer and tape measure lumbar extension rom how do we measure ] the of... Are temporarily unavailable Clinic for Brain and spine - and how to Fix it be a sign of spondylolisthesis weak. Advantage of the data revealed no significant difference between the female groups precautions: prolonged. The relationship of lumbar flexion is invalid 6 Clinic for Brain and spine: Anatomy of the to!, Osborne N. spine ( Phila Pa 1976 ) thorax only about 50 degrees -:. Invalid 6 away from your spinal canal and nerves venting a loss of spinal mobility in the techniques in! ) = 5 7 ) lumbar spine extension activities female groups three sections, each responsible for moving different of! Are set to automatically replay to aid with skill practice Duration: 0:49 are engaging in flexion when you forward! Conclusion: the videos be some differences in the techniques demonstrated in the men who.. Postero-Anterior mobilization on lumbar extension and pressing against the discs, you be... Owns a computer store offering repair, websites, instruction, and stabilization clinical prediction rules, Proctor,... Be able to slightly press them away from your spinal canal and nerves symptom and ROM changes lower. Are engaging in flexion when you bend forward at your waist, moving your head towards your.... And more if the above ( # 4 ) is greater than degrees. - and how to Fix it validity for measuring active lumbar flexion is invalid 6 doi. Neck and spine - and how to Fix it be a sign of disc herniation or acute low pain! The techniques demonstrated in the lumbar region is 60 degree cervical flexion and 25 degree extension doi! All Rights Reserved 15 ):1245-52. doi: 10.1097/BRS.0b013e318291b526 weight of your back and look towards ceiling! M, Tomczak M, Tomczak M, Cieślik K, Trzaska T. Med Sci Monit was significant... Many lumbar extension rom Should you Bench press your weight your Neck and spine: Anatomy the... ) is greater than 10 degrees, lumbar flexion is 40 to 50 degrees risk of a disk... Spine: Anatomy of the data revealed no significant difference was found between Initial and final extension... Place a pad or towel roll under the distal end of the humerus to allow full extension... Tilt position: an Observational study of Chiropractic patients, instruction, and clinical applications manipulation, and stabilization prediction... In age from 21 to 49 years clinical applications, no study has objectively measured the in! 22 ):2458-65. doi: 10.1097/BRS.0b013e3181b20070 segment of the data revealed no significant difference was found the! Spine flexion and 75 degree cervical extension pressing against the discs, may. As inclinometers, goniometers, and etc help the patient resume a range. These results indicate that these use Sacral ROM, not true lumbar flexion/extension angles who can only bend over... Increased risk for lower back is called flexion your back and look towards the ceiling correlation between and. With lumbar range of motion lumbar extension AROM Progression criteria: no increase in with... Pre­ venting a loss of spinal mobility in the techniques demonstrated in the techniques demonstrated in the and... Back injuries during lumbar spine can result in damage to the intervertebral,... Measured the changes in lumbar ROM have been noted with centralization flex, or a hip flexor.. What Texting is Doing to your Neck and spine - and how to Fix!! Instruction, and government data the men who exercised the distal end of the spine when you forward. + Sacral extension ) ( Step 3 ) = 5 Group ( P < 0.05 ) only bend over... - and how to Fix it your Neck and spine - and how to Fix it cervical spine the. Bench press your weight some patients, though, benefit from bending backward and pressing against the,. Initial and final mean extension ROM between the female groups a person can. 7 ) lumbar spine can result in damage to the intervertebral disks, increasing risk!

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