occupational therapy after spinal fusionmost educated person in zimbabwe

In 2017, Pedro could barely move. Post Surgical Spinal Precautions - Lumbar Surgery. Various compensatory strategies need to be taught to these patients to make swallowing safer and to prevent aspiration. Activities of Daily Living After . Support groups and forums are great places to build community during your recovery. See Getting Adequate Pain Control After Back Surgery. %%EOF Generally, a laminectomy follows this process: After the surgery, you will be taken to the recovery room for observation. A leg-lifter allows patients to move their feet and legs to increase ease of transfers and repositioning following spinal cord injury. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015, Hospital Care After Spinal Fusion Surgery (2 to 4 Days), Recovery After Fusion at More Than One Level, Back Surgery Video: How Spinal Fusion Stops Back Pain, Getting Adequate Pain Control After Back Surgery, Prepare for Blood Loss after Spinal Fusion Surgery, Guide to Physical Therapy After Spinal Fusion, Postoperative Care for Spinal Fusion Surgery, Spinal Fusion Surgery Recovery: After Discharge (First Few Days), Spinal Fusion Surgery Recovery: 1 to 4 Weeks After, Spinal Fusion Surgery Recovery: 1 to 3 Months After, Spinal Fusion Surgery Recovery: 3 Months and After, How to Prep Your Home for Spine Surgery Recovery Video, Practical Advice for Recovering from Back Surgery, What Causes Buttock Muscle Pain and How to Relieve it, Piriformis Syndrome: When the Symptoms Indicate a Medical Emergency, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Suffering from Lumbar Spinal Stenosis? Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Pain is under control using oral medications, Able to get out of bed and move around without assistance. et al. The healthcare staff will clean the skin over the surgical site with an antiseptic solution. Your instructions are informed by your individual body and other any other conditions you may have. See Physical Therapy after Spinal Fusion: Weeks 6 to 9. The incision will be closed with stitches or surgical staples. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. <> However, your activity will still be limited. Want 15 pages of SCI recovery exercises in PDF form? Lie on your stomach with your arms out and your palms facing the floor. Our hope is to alter the course of care for these patients in ways that improve their lives," says Mohamad Bydon, M.D., a neurosurgeon at Mayo Clinic in Rochester, Minnesota. Minnesota Regional Spinal Cord Injury Model Systems (SCIMS) program designation fuels new research aimed at improving patient outcomes, Minnesota Office of Higher Education announces Minnesota Spinal Cord and Traumatic Brain Injury Research Grants. <> Iliac crest bone graft is the gold standard but availability can be limited and usage often leads to persistent postoperative pain at the donor site. ?LlAZlE0`x/*Xr``Gd0@Z|Kr)}$$WL6N:\K[XH In such cases, an occupational therapist must get creative and employcompensatory strategies: new ways to accomplish everyday tasks. . oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E A laminectomy is considered only after other medical treatments have not worked. Or it is done when the pain is accompanied by symptoms of nerve damage, such as numbness or weakness in the arms or legs. gi;;93HAAOC?Yd0vua"v?JtthfWGAAAA!bB-.Q]]&b?oz#zc:'Vtu3)'?.BXL>MOVRjfWOAAAA! tt~t3JTPPPPCtz@G:'h*2wuA4]_G:t/*UPPPPGX:{:{}IF8KU]]\l[fPezcv@!oxuu2?3G~hC+wv -_oh!rw+(((\:w#?DdGWW@AAAF2vDJh?6~%r6TPPP9$j~ET:pMbt=W}=$6>GcTeGq%/ V They will clear you for most activities as long as everything is healing correctly. Your doctor will discuss this with you in advance. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. These 10 quadratus lumborum stretches will help to stabilize your spine and support you lower back for increased strength and mobility. Stem cells can potentially provide trophic support to the injured spinal cord microenvironment by modulating the inflammatory response, increasing vascularization and suppressing cystic change. Occupational Therapy helps develop, recover or maintain daily living and work skills. General Tips Try to keep your neck as relaxed as possible throughout this exercise. 360 0 obj <> endobj Youll be asked to avoid: Physical therapy sessions are very important during this stage of the healing process. Revision surgeries usually necessitate bone graft implementation as an adjunct to hardware revision. What they tell you might be slightly different than what is presented in this general guide. Mayo Clinic orthopedic surgeons and neurosurgeons perform more than 2,000 spinal fusions each year. The yellow and blue pucks track your movement and provide feedback. Side neck stretch. Showers are typically not allowed the first few days after spinal fusion surgery. Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). Ov'R:6o!+k}@A GCg_Aiz#IV+l!p>l>6=7 Z2}4hM k\P#xXT''gaR_*Q,+. Sign up to receive a free PDF ebook with recovery exercises for stroke, traumatic brain injury, or spinal cord injury below: Government Contract Vehicles | Terms of Service | Return Policy | Privacy Policy | My Account, Copyright 2023 All rights Reserved. While supporting the raised leg with hands behind the knee, pump the ankle while holding the knee still. Compensatory strategies typically involve the use ofadaptive toolsto help make up for lost function. This can cause weakness or numbness. Learn the symptoms and your options for treatment. While restorative rehabilitation is preferred (because it promotes the most independence), spinal cord injury recovery may be limited. Tell your healthcare provider of all prescribed and over-the-counter medicines and herbal supplements that you are taking. This lack of movement means the levels above and below the fusion are now at a higher risk of also wearing out and wearing out faster because you had surgery. To do shoulder shrugs, follow these instructions: Shoulder shrugs strengthen your trapezius muscles, helping to stabilize your neck and upper back and reduce the strain on your neck and shoulder muscles. For example, a patient might practice how to get out of bed or brush their teeth. Occupational Therapy. 2020;95:406. When problems do occur, one of the most common ones is that the spinal fusion fails to relieve pain. Repeat this 5 times on each side. The surgeon will spread the muscles apart. Your physical therapist may prescribe exercises that focus on strengthening the: Education is another critical component of physical therapy after neck fusion surgery. Pb/x$pg*>!Sir1{x `]o#p`vEf$WP'!.9YCz! Form a bridge with trunk raised by raising hips from floor and keeping a straight line from shoulders to hips. A Beginners Guide, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Central Cord Syndrome: Causes and How to Treat It, Decompression Therapy: What You Should Know About This Technique, What Minimally Invasive Spine Surgery Is and How It Works, Klippel-Feil Syndrome (KFS): Causes, Symptoms, and Treatment, lifting anything heavier than about 8 pounds, pain and redness in your lower legs that might extend above your knee, redness and swelling and the incision site, drainage or pus coming from the incision site. Pennington Z, et al, (2020). Healthline Media does not provide medical advice, diagnosis, or treatment. <> Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Stem cell treatment after spinal cord injury: The next steps. The physical therapist will work with you to extend your ability to look from side to side, up, and down. Tell your healthcare provider about any of the following: Don't drive until your healthcare provider tells you it's OK. Don't bend over to pick up objects or arch your back. Advanced techniques. Many people find it helpful to bring sturdy slip-on shoes with them to the hospital, since surgeons and hospital staff encourage patients to get up and walk around as quickly as possible after the surgery. Repetition is critical because it helps sparkneuroplasticity; the mechanism the central nervous system uses to rewire itself and regain function after injury. Its really a great device that minutely takes care of each and every muscle of your affected body part. You may be given an exercise plan to follow both in the hospital and after discharge. You might need to stay longer if youre at risk of an infection or other complications. <> Because of the large surface area of the mattress, individuals can move around without worrying about losing their balance or falling over. Using your arms, press up and out of the chair until your elbows are straight. Your healthcare provider will give you specific bathing instructions. Lie on your stomach and extend your arms out to each side like you are an airplane. endobj But first, lets discuss the reason why occupational therapy is critical for all spinal cord injury patients. Physical therapy can help you start rebuilding your strength. However, a sponge bath may be permitted so long as the incision site does not get wet. Please refer to your doctors instructions and follow them closely. However, there are some general milestones you can expect to hit as you recover. Get instant access to our free exercise ebook for SCI survivors. Initially I wasnt sure if it would work because of the various treatments I tried and also many physiotherapists who tried their level best, but didnt achieve any positive results. Patients will not be able to drive themselves home. Your physical therapist will develop an individualized exercise program based on their assessment of your specific condition. Treatment Spinal Fusion 3 Weeks to 3 Months After ACDF Surgery 3 Weeks to 3 Months After ACDF Surgery By: David DeWitt, MD Peer-Reviewed Watch: ACDF Video By 3 weeks, patients usually are cleared to do some light work around the home. Pain is likely to continue to decrease gradually, but some patients continue to have pain 3 to 6 months after surgery. %PDF-1.5 This research aimed to evaluate a hospital occupational therapy service provided to . Sit in a chair with both feet positioned flat on the ground. You will be positioned either on your side or belly on the operating table. During this time, its important to keep moving and to follow instructions from your physical therapist and your surgeon. Pacific St., Seattle, WA 98195 | 206-598-4830 . Decompression therapy is considered an effective treatment for pain caused by compressed nerves that's severe or chronic and disrupts your daily life. Other blood tests may also be ordered. In addition to a complete health history, your healthcare provider may do a physical exam to make sure that you are in good health before undergoing the procedure. 382 0 obj <>stream About 6 weeks to 3 months after surgery, an outpatient physical therapy program may be started. An occupational therapist may recommend investing in a stair lift to help minimize the risk of falling and reduce the time it takes to go up and down the stairs. Those muscles were not designed to hold your head up. Get back to enjoying their day-to-day activities pain-free, In Motion O.C. v>"A You may be told to stop these medicines before the procedure. 7fQKUoq|x|msqbumg Y_:/B,I[PeQ0N}u(elzZ0VH[O~~>5}~\P.kDv1Bzk;HQ&Zvij6JS,i:TI/\c!gjI3yMZXLy:p8W+K=S|Y-uZR?URoL&*U/*6+s e)jH2)--_oU7\VT!N-_Pa\EC|1>Y6gWkxK{64-n`r 3L?+`H$AHy#0e\ _"8jiQRUZk}2$ j'Vi2mAeCY.l^2* Y5];c!T95)+jnk4B;o@j:@g2:8'Z*[7`4HEC+?V+SCu34D$4:oRBTm'I1Lw&89JWWl[Y9$I}5a]+KBtBZqM!A^~"m g_"j[ZaH}#*/\WH +(Zcb>O"r (_*/Y:YO+ i.\tU[vFXvmg$JGE]/zf@?Gr4i{*9~#Tv7QnN6L_IYcmz+TstJmt,9EM95;DNGR.qTimfB>p;/1a)r{e1[&o^ZIP'U0@AR"v{erY T ,H2O6At~Kl7pY2i 00l 4N:qlV ('@Ld|6n535pDFl5He~PashvU6g 4xnIx-sWH"iD|@Q?YQIE'wA 2BLBRap`6r kw,c{. If you are pregnant or think you could be, tell your healthcare provider. Extend the upper body by lying on the stomach and squeezing shoulder blades together while slowly raising head and shoulders only one inch off floor. We are vaccinating all eligible patients. Shrug your shoulders up and towards your ears. 2 0 obj Nerve stretches (mobilization) should be done in a pumping fashion without long hold times and can be done every two hours. See Getting Adequate Pain Control After Back Surgery. Your physical therapist can help you devise a workout plan, and youll be able to exercise on your own as well. Get Veritas Health Newsletters delivered to your inbox. A nurse eventually changes the bandage to a smaller one. Study participants must be age 18 or older and have experienced traumatic spinal cord injury within the past year. Youll stay in the hospital for about 2 to 4 days following your spinal fusion surgery. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015. When Can You Exercise After Cervical Fusion? You might have some pain and discomfort following spinal fusion surgery. H9SLeiZD_x}q#?/.NJ_b0 aIw;fq?4![AAAAj2:_/O}V*|C">i~{ S6x+(((tGyS/_>{|JoDo8 '%~ [AAAA#6s?{z?}&?M${O}tuJ=2 FsBQ&g.kL_"]2F"%>uPB`"ClJ0|x?MoSM26P~]l As long as everything is healed and looks right, youll be cleared to return to nearly all your typical activities. Patients should follow their surgical team's recommendations. Installing grab bars and rails at areas where transfers are commonly performed such as the bed, toilet, and bathtub can help prevent falling. This surgery minimizes damage to tissue and muscles. Physical therapy after neck fusion surgery is a crucial part of the recovery process. The surgery is done to help stabilize your spine, reduce pain, or address spine issues, such as scoliosis.. Other doctors told him he might never walk again. The numbness or weakness will be felt in the body part where the nerve is involved, often the arms or legs. A back brace helps limit your motion so you can heal correctly. Kd."qpXJ@n,M54:,m[vcga8yV9 Do you notice how tight the muscles in the back of your neck always feel? You will be asked to sign a consent form that gives your permission to do the surgery. You can add more advanced exercises under the supervision of your physical therapist and surgeon. Occupational therapy after spinal cord injury focuses on easing the transition back to everyday life. The anesthesiologist will continuously watch your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. Meeting with a physical therapist before and/or a few days after surgery is important so specific direction can be given on when to begin various types of exercise. Patients may progress from Techniques for Effective Exercise Walkingto more demanding exercises, such as swimming. Its important to take care of yourself after spinal fusion. Physical therapists typically propose adjustments to the work environment to help patients return to the workplace. Use the. This position is the basis for keeping the lumbar spine stable. Theres no one set path for recovery from spinal fusion surgery. A hospital stay of between 2 and 4 days is typical. Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning (anticoagulant) medicines, aspirin, or other medicines that affect blood clotting. As long as it has been cleared by the surgeon, the patient can start doing more of the following: By 4 to 6 weeks after lumbar fusion surgery, most patients are cleared to return to school or work that does not involve physical labor. Anterior cervical discectomy and fusion is one of the most common surgical procedures performed in the United States. Bydon M, et al. If you need to, you can assist with your legs. endobj Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Access to the spine can be achieved through incisions in the front, the back, the sides, or some combination of approaches, Minimally invasive techniques or traditional open surgical techniques may be used. Licensed therapists work with patients on the activities that "occupy" their time, such as climbing stairs or . Check out our bestselling tool by clicking the button below: Medications for Spinal Cord Injury That Help Minimize Complications, C7 Spinal Cord Injury: What to Expect in the Aftermath & Recovery Process, Activities for Spinal Cord Injury Patients That Promote Recovery. Prevention How can I reduce my risk of central cord syndrome? Physical Therapy after Spinal Fusion: Weeks 6 to 9. After undergoing urgent posterior cervical decompression and fusion, as well as physical and occupational therapy, the patient demonstrated improvement in motor and sensory function. Spinal fusions, achieved by means of Steffee plates, can be followed by the patient being encased in a hip spica jacket for 3-6 months. Gently pull down your head toward your left shoulder, to stretch the muscles on the right side of your neck (see Figure 3). CELLTOP clinical trial: First report from a phase I trial of autologous adipose tissue-derived mesenchymal stem cells in the treatment of paralysis due to traumatic spinal cord injury. If youd like to learn more about FitMi, click the button below: Do you have this 15 pages PDF of SCI rehab exercises? Some medical treatments for pain may include: Laminectomy is usually done for back or neck pain that continues after medical treatment. <> Think your old mattress may be causing some back pain? They should be completed by moving arms and legs while avoiding any rocking or arching of the lower trunk. Long handled sponges can also help patients wash their lower extremities safely, especially if they have decreased core strength. 8 0 obj I feel more at ease in flexing.. This is likely to create functional difficulties for the patient, which are appropriate for occupational therapy. Most surgeons will encourage patients to get out of bed and walk the first day after surgery, and recommend walking frequently throughout the initial recovery period, increasing the amount and length of the walks as tolerated. 4 0 obj Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Excess lifting (anything over 10 to 15 pounds). The more intense pain typically lasts a couple of days after surgery, and pain medication is administered regularly to manage it. A surgical team will typically advise a patient to take short walks and do gentle stretching during the first week after surgery. If the home is more than an hours drive, it is advisable to stop and get out to walk for a brief time. ]g~Mjm56t9SAS1b3cM Manual therapy: o Grade 1-2 joint mobilization for neuro-modulation of pain (primarily thoracic region) After undergoing urgent posterior cervical decompression and fusion, as well as physical and occupational therapy, the patient demonstrated improvement in motor and sensory function. Immediately After Spinal Fusion Surgery Upon waking up after surgery, most patients experience some pain and drowsiness. <> A vital part of the recovery process is education combined with post-operative care, as suggested by your doctor, as well as physical and occupational therapy. Reachers can also assist some individuals with getting their feet through their pant legs when getting dressed. 19 0 obj Individuals must pass written and clinical evaluations to ensure they can drive without endangering themselves or anyone around them. Certain activities may be limited after your surgery. Following surgery, pain management is a priority to help patients return to activities of daily living. This content does not have an Arabic version. #2: Strengthen Postural Flexibility Another goal of physical therapy after neck fusion surgery is to work on postural flexibility and strength. Thats why Flint Rehab created FitMi, a motion-sensing, gamified home recovery tool designed for neurological injury like SCI. Pharmacological Therapy after Acute Cervical Spinal Cord . This site complies with the HONcode standard for trustworthy health information: verify here. I believe this device will help me concentrate on making the repetitive actions needed to obtain further movement range in my wrist and hand and arm and therefore rating it with five stars. 13 0 obj hb```f``2d` aB &$Z,S5arp@;O*qQ- <>>> However, there might be permanent restrictions in certain circumstances. Employers and educational institutions must make reasonable accommodations to help individuals with disabilities succeed. This will help maintain the movement of the vertebrae in your neck. Additionally, while youll be able to resume exercise, lifting, and other activities, you might be told to limit your activities to certain amounts, depending on how your spine heals. Another common complication of spinal cord injury is loss of control over the bladder muscles. The incision is checked every day to ensure it remains dry and clean. % Following promising phase 1 testing, Mayo Clinic is launching phase 2 of a randomized clinical trial of stem cell treatment for patients with severe spinal cord injury. ", CELLTOP illustrates Mayo Clinic's commitment to regenerative medicine therapies for neurological care. Bring your shoulder blades down and back. Physical therapists typically propose adjustments to the work environment to help . Before you agree to the test or the procedure make sure you know: At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Medicines, such as muscle relaxants, anti-inflammatory medicines, and pain relievers, Physical rehabilitation, physical therapy, or both, Assistive devices, such as mechanical back supports, Risks linked to the use of general anesthesia. A laminectomy may be done while you are asleep under general anesthesia. A therapist can help you put on and manage your back brace. Call (469) 202-4490 or Email Us to make an appointment with our expert scoliosis and spine doctors. However after trying FitMi, I could feel that slowly and steadily I am improving. While the program will be different for each patient, here is a general guideline for post-operative spine fusion rehabilitation that should be customized for each patient. c\jmZ/m1&(MT[zbg 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r Once you recover, you should be in much less pain than before spinal fusion. The surgical staples or stitches are removed during a follow-up office visit. After recovery, people who have had successful spinal fusions are generally able to become more active than they were before. In some cases, spinal fusion may be done at the same time. Laminectomy Post-Surgical Care. ;*c*(>*)qo@4&LF58AMR].a!QdnRfL f e3$gHdD$-kN(f\*p)QB Some possible complications may include: Nerve or blood vessels in the area of surgery may be injured. However, spinal fusion can greatly improve the quality of life for people who have it. 18 0 obj This medication may be given in the vein or by injection into the muscle of the arm or leg. Procedures may vary depending on your condition and your doctor's practices. Loss of bowel or bladder control from pressure in the cervical or lumbar spine also usually needs surgery. Once you have mastered this, practice doing the exercise with a light weight in each hand. Triple Fusion Relieve to Relieve Spine Pain. SD(E2r$4CObGCO/ #: While damage to the spinal cord is permanent, motor and sensory functions can be relearned because of the spinal cords neuroplasticity. For example, because blood is lost during surgery, hemoglobin will be monitored to ensure that blood oxygen levels do not fall too low. Read on to discover more about why you want to have physical therapy after neck fusion surgery and what it might entail. Occupational therapy after spinal cord injury focuses on easing the transition back to everyday life. It is particularly important to stretch the hamstrings and quadriceps, as well as the middle back where the nerve root is located to prevent the formation of adhesions or scarring of the nerve. endobj If medical treatments no longer work, surgery may be a choice. Spinal fusion surgery connects two or more vertebrae of your spine together. Figure 3. Its important to always keep your shoulders back and relaxed and your head retracted. Youll build light daily tasks, such as driving and simple daily chores. Massed practice like this helps stimulate and rewire the nervous system. Good luck! Gently lean in until you feel a gentle stretch across your chest and the front of your shoulders. 3 0 obj Maintain a straight back with your neck and shoulders relaxed. 5 0 obj E0&LfwAC)MDggggr2&c]N3lWz0 "We will also use biomarker studies to learn about the characteristics of responders' cells. 370 0 obj <>/Filter/FlateDecode/ID[<156CCA0520B2DDF2C068ADB2D244FA7F>]/Index[360 23]/Info 359 0 R/Length 67/Prev 487989/Root 361 0 R/Size 383/Type/XRef/W[1 2 1]>>stream Whether youve had ACDF surgery or are considering it you want to ensure the best possible results, post-surgery. Spinal Fusion Surgery Recovery: 3 Months and After, Learn how bone growth stimulation therapy can help your healing process. If youre having severe pain, tenderness, or swelling following your surgery, contact your surgeon immediately. endobj Central cord syndrome is a spinal cord injury that commonly happens after a fall or car accident. The surgeon's technique and the patient's individual diagnosis will influence what rehabilitation should be done. Manual Therapy Grade 1 or Grade 2 joint mobilizations for neuromodulation of pain Scar mobilization: educate patients in scar mobilization To minimize the risk of falling, an occupational therapist may recommend using a reacher as an extension of the arm. A hospital stay of between 2 and 4 days is typical. endobj In these situations, the patient may be discharged to a rehabilitation facility for additional care and recovery progress until a return home is advised. Even getting out of bed requires a special techniqueknown as log-rollingto avoid twisting the spine. For this reason, your doctor may prescribe occupational therapy to assist you in learning alternate methods to perform these tasks. Below, well discuss effective compensatory strategies that spinal cord injury patients can learn to use through occupational therapy: There are many variations of adaptive utensils for spinal cord injury patients with upper extremity motor impairments. Dr. Bydon examining patient #1 in the CELLTOP phase 1 trial, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Rehab after cervical fusion may include the following 3 phases of exercise: Having physical therapy after cervical spine surgery will help you to recover more quickly and prevent re-injury by: Following neck fusion surgery, you will lose some range of motion in your neck. Is Minimally Invasive Spine Surgery Right for You? To do press-ups, follow these instructions: Press-ups are another great way to activate your lower trapezius muscle.

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