CN113813561A - Parkinson's disease patient freezes gait rehabilitation nursing self-triggering training ware - Google Patents
Parkinson's disease patient freezes gait rehabilitation nursing self-triggering training ware Download PDFInfo
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- 208000018737 Parkinson disease Diseases 0.000 title claims abstract description 34
- 230000000474 nursing effect Effects 0.000 title claims abstract description 22
- 230000005021 gait Effects 0.000 title claims description 12
- 238000000034 method Methods 0.000 claims abstract description 25
- 206010056242 Parkinsonian gait Diseases 0.000 claims abstract description 20
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/04—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
- A61H1/0262—Walking movement; Appliances for aiding disabled persons to walk
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
- A63B21/023—Wound springs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5058—Sensors or detectors
- A61H2201/5071—Pressure sensors
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Abstract
The invention discloses a self-triggering trainer for rehabilitation and nursing of a Parkinson patient with frozen gait, which relates to the technical field of training of the Parkinson patient, wherein the ratio of active training components of the patient in self-triggering training is large, and the connection between posture control and walking control in the starting process is improved, and the specific scheme is as follows: including the walking passageway, the walking passageway includes left side walking way and right side walking way, and left side walking way and right side walking way contact each other and relative activity sets up, and lifting unit is connected respectively to left side walking way and right side walking way bottom, and the patient is trampling the in-process to left side walking way and right side walking way, and lifting unit drives and corresponds the walking way and descends, and when patient one side lifted the foot, lifted the walking way that the foot corresponds and replied under lifting unit drives and rise. The self-triggering trainer for rehabilitation nursing of the Parkinson's disease patient with the frozen gait can be used for self-training the Parkinson's disease patient and gradually recovering the Parkinson's disease patient.
Description
Technical Field
The invention relates to the technical field of Parkinson patient training, in particular to a self-triggering trainer for rehabilitation nursing of a Parkinson patient with frozen gait.
Background
Parkinson's Disease (PD) is the second most common degenerative Disease of the central nervous system in the world, and its prevalence is increasing as the population ages. The pathological manifestations of PD are degeneration and apoptosis of dopaminergic neurons in substantia nigra, the main motor symptoms are static tremor, muscular rigidity, bradykinesia, unstable posture and the like, and patients in the later stage of PD often fall down or have the condition that life cannot be self-managed due to the motor symptoms such as frozen gait, unstable posture and the like, so that the quality of life is seriously reduced. At present, drug therapy is taken as a main strategy of motor symptoms, but PD clinical symptoms have strong heterogeneity, tremor, myotonia, bradykinesia and the like have good response to drugs, and unstable posture and balance dysfunction have poor response. Evidence-based medicine proves that rehabilitation training of PD patients can not only improve the life quality of the patients, but also delay the disease process, and is an important part for self-management of the PD patients.
Gait freezing occurs mainly when walking starts (hesitation to start), turns around, passes through narrow spaces, performs double tasks, etc., walking in open spaces is reduced or eliminated. Once frozen, the patient often involuntarily takes a hungry gait (small strides) to compensate, increasing the risk of falling, as the position of the feet falls behind the body's center of gravity. It has been found that PD patients often follow a series of prospective Postural Adjustment (APA) procedures prior to gait initiation, which mainly involve changes in ground reaction force following muscle activation, moving the center of pressure back and towards the initial swing leg, and pushing the body's center of gravity forward, towards the single support leg. Compared with a healthy population, the change of the moment of the internal and external (M-L), the front and back (A-P) ground reaction force and the foot pressure center in the PD patient is longer in duration, smaller in amplitude and longer in time interval from the APA start to the stepping start. One clinical study has shown that the normal connection between posture and movement of PD patients is somewhat disturbed, and if the therapist provides appropriate auxiliary stimuli (lateral movement with hands placed at the pelvis of the patient), it can be improved by lateral centre of gravity transfer. In addition, the patient may pay special attention to the gait during the gait assessment and training process, the frozen gait is a sporadic sign, many assessment and training processes do not have the environment for triggering the frozen gait, the patient may have false negative situations, and therefore certain triggering skills are needed, such as cognitive difficulty increase (in the case of mathematical calculation) and stress increase (in the case of time reciprocal pressure).
Therefore, the conventional balance function training usually requires manual assistance of family members and rehabilitation therapists, increases the burden of medical staff, and has insufficient training interest and poor compliance of patients.
Disclosure of Invention
To solve the above technical problems, the present invention provides a rehabilitation nursing self-triggering trainer for a parkinson's disease patient with a frozen gait, in which the stimulation is provided by the subject himself rather than by a rehabilitation therapist. The active training components of the patient in the self-triggering training are significant, and the connection between the posture control and the walking control in the starting process is improved.
The technical purpose of the invention is realized by the following technical scheme:
the utility model provides a parkinson disease patient freezes gait rehabilitation nursing self-triggering training ware, including walking channel, walking channel includes left walking way and right walking way, left walking way and right walking way contact each other and relative activity sets up, lifting unit is connected respectively to left walking way and right walking way bottom, the patient is trampling the in-process to left walking way and right walking way, lifting unit drives and corresponds the walking way and descend, when patient one side is lifted the foot, it replies under lifting unit drives to rise to lift the walking way that the foot corresponds.
In the above scheme, the left walking path and the right walking path are collectively called as walking paths, and the left and the right are relative words which refer to the walking side of the left foot and the right foot of the patient for convenience of explanation; after the patient steps on the walking road, the patient steps on the walking path on one side, the corresponding lifting assembly drives the left walking path to descend, the descending stimulation promotes the lateral gravity center transfer of the supporting legs, and then the pneumatic walking is realized. According to the scheme, self-training of the patient can be realized, dependence of the patient is reduced, the training effect is improved, meanwhile, the center of gravity in the training process is transferred, and interestingness in the training process can be well improved.
As a preferred scheme, the lifting component is a plurality of springs which are respectively and fixedly connected with the left walking path and the right walking path on the side where the springs are located.
In the above preferred embodiment, when the patient steps on one side of the walking path, the spring is compressed under pressure to realize the descending of the side walking path, and after lifting the foot, the spring returns, and the side walking path ascends and returns to the initial position. The spring can be provided with a large spring or a plurality of small springs, and the plurality of small springs can be uniformly distributed.
As a preferred scheme, the self-triggering trainer also comprises a controller, and the lifting assembly is an electric control hydraulic cylinder.
In the prior scheme, the controller can adopt a single chip microcomputer, the electric control hydraulic cylinder is controlled by the controller to realize the lifting of the walking way, and the striding training of the patient can be realized by increasing the cognitive difficulty, increasing the pressure and the like under the condition that the patient evaluates as false negative; in the training process of increasing the cognitive difficulty, correct answers of patients can be solved as stepping signals through various mathematic questions or other vocational related questions, and then the electric control hydraulic cylinder of the walking way on one side is controlled by a controller to realize the descending process; in the training process of increasing the pressure, the pressure of the patient can be increased through the time inverse number, and further the striding training of the patient is realized; once activated, the electrically controlled hydraulic cylinder rapidly lowers within about 100ms, and the lowering stimulus promotes lateral center of gravity transfer of the support leg.
As a preferred scheme, pressure sensors are respectively arranged on the left walking path and the right walking path and are in signal connection with the electric control hydraulic cylinder through a controller.
In the preferred scheme, the action of the electric control hydraulic cylinder is realized through the treading force of the patient on the footpath on one side, the invalid walking actions such as probing and the like of the patient in the striding process can be effectively avoided by setting the pressure threshold, and the pressure threshold can be set according to a certain proportion of the patients with different weights.
As a preferred scheme, the pressure sensor is also in signal connection with a time delay assembly, when the left walking path and the right walking path feel pressure, after the time delay is carried out for a period of time, the controller controls the electric control hydraulic cylinder to act, and the electric control hydraulic cylinder drives the corresponding walking path to descend.
In the preferred scheme, the time delay assembly adopts a time delay circuit and comprises a time delay device and a restorer, the patient easily has nervous and anxious emotions due to too short adjusting time along with the increase of strides in the combined striding training process, and further the training effect is poor.
Preferably, the descending height of the lifting assembly is not more than 5 cm.
In the above preferred embodiment, as the height of the descent increases, the risk of the patient falling during the training process increases gradually; the descending height is too low, the gravity center of the patient is not greatly influenced, the training effect is easy to discount, therefore, the height of the lifting assembly is preferably adjustable, the height is adjusted according to the body postures of different patients, but the height is generally not more than 5cm, and the falling risk of the patient is greatly increased when the height exceeds the value.
Preferably, the self-triggering trainer further comprises a protective pad, the protective pad is positioned outside the walking channel in the walking direction of the patient, and the walking channel is flush with the protective pad in an unstressed state.
In the preferred scheme, the protection pad can well protect the patient when the patient falls down; and along with patient's heeling, the pressure that the pavement received can reduce, can appear kick-backing and rise, then all-round protects the patient, avoids the patient to collide with the corner.
As a preferred scheme, the colors of the upper surfaces of the left walking path and the right walking path and the color of the upper surface of the protective pad are respectively provided with three different colors.
In above-mentioned preferred scheme, set up three kinds of colours, the patient's of being convenient for differentiation for the patient can know the removal region of left foot and right foot, and then improves the effect of training.
Preferably, the front end and the rear end of the travel path in the travel direction are connected to a preparation area and an end area, respectively, and the preparation area and the end area are provided integrally with the protection pad.
In the above preferred embodiment, the patient can prepare in the preparation area and take a rest in the ending area, and then the patient can be better protected in a closed manner, and the preparation area and the ending area can be provided with a soft pad as the protection pad.
As a preferred scheme, the left walking path and the right walking path have the same width, and the width is 5-10 cm.
In the above preferred embodiment, the above arrangement can be applied to training of almost all persons.
In conclusion, the invention has the following beneficial effects:
(1) the self-triggering trainer for rehabilitation nursing of the Parkinson's disease patient with the frozen gait can carry out self-training on the Parkinson's disease patient and gradually recover;
(2) the self-triggering trainer for rehabilitation nursing of the frozen gait of the Parkinson patient can provide training in various modes, including active training and passive training;
(3) the self-triggering trainer for rehabilitation nursing of the Parkinson's disease patient with the frozen gait can achieve the effects of shortening the rehabilitation period of the patient and reducing the burden of medical staff;
(4) the self-triggering trainer for rehabilitation nursing of the Parkinson's disease patient with frozen gait provided by the invention has the advantages of simple structure, good use effect, and good economy and practicability.
Drawings
FIG. 1 is a top view of a Parkinson's disease patient frozen gait rehabilitation care self-triggering trainer according to an embodiment of the invention;
FIG. 2 is a cross-sectional view of a Parkinson's disease patient frozen gait rehabilitation care self-triggering trainer according to an embodiment of the invention;
reference numerals:
1. a walking channel; 101. a left walking lane; 102. a right walk; 2. a lifting assembly; 3. and (6) a protective pad.
Detailed Description
This specification and claims do not intend to distinguish between components that differ in name but not function. In the following description and in the claims, the terms "include" and "comprise" are used in an open-ended fashion, and thus should be interpreted to mean "include, but not limited to. "substantially" means within an acceptable error range, within which a person skilled in the art can solve the technical problem to substantially achieve the technical result.
The terms in upper, lower, left, right and the like in the description and the claims are combined with the drawings to facilitate further explanation, so that the application is more convenient to understand and is not limited to the application.
The present invention will be described in further detail with reference to the accompanying drawings.
The utility model provides a parkinson disease patient freezes gait rehabilitation nursing self-triggering training ware, including walking passageway 1, walking passageway 1 includes left walking way 101 and right walking way 102, left walking way 101 and right walking way 102 contact each other and relative activity sets up, lifting unit 2 is connected respectively to left walking way 101 and right walking way 102 bottom, the patient is trampling the in-process to left walking way 101 and right walking way 102, lifting unit 2 drives and corresponds the walking way and descends, when patient one side lifted the foot, it replied under lifting unit 2 drives to lift the walking way that the foot corresponds and rises.
In the above embodiment, the left walking path 101 and the right walking path 102 are collectively referred to as walking paths, and the left and right are relative words, which refer to the walking side of the left foot and the right foot of the patient for convenience of explanation; after stepping on the walking road, the patient steps on the walking path at one side along with the patient, and the corresponding lifting assembly 2 drives the left walking path 101 to descend, so that the descending stimulation promotes the lateral gravity center transfer of the supporting legs, and then the pneumatic stepping is realized. Above-mentioned embodiment can realize patient's self-training, reduces patient's dependence, and then improves the effect of training, and the focus of training in-process shifts simultaneously, can fine improvement training in-process interest.
As a preferred embodiment, the lifting assembly 2 is a plurality of springs, and the springs are fixedly connected with the left walking path 101 and the right walking path 102 on the same side.
In the above preferred embodiment, when the patient steps on one side of the walking path, the spring is compressed under pressure to realize the descending of the side walking path, and after lifting the foot, the spring is restored, and the side walking path is ascended and restored to the initial position. The spring can be provided with a large spring or a plurality of small springs, and the plurality of small springs can be uniformly distributed.
As a preferred embodiment, the self-triggering trainer further comprises a controller, and the lifting assembly 2 is an electrically controlled hydraulic cylinder.
In the preferred embodiment, the controller can adopt a single chip microcomputer, the electric control hydraulic cylinder is controlled by the controller to realize the lifting of the walking way, and the striding training of the patient can be realized by increasing the cognitive difficulty, increasing the pressure and the like under the condition that the patient evaluates as false negative; in the training process of increasing the cognitive difficulty, correct answers of patients can be solved as stepping signals through various mathematic questions or other vocational related questions, and then the electric control hydraulic cylinder of the walking way on one side is controlled by a controller to realize the descending process; in the training process of increasing the pressure, the pressure of the patient can be increased through the time countdown, and then the striding training of the patient is realized.
As a preferred embodiment, the left walking path 101 and the right walking path 102 are respectively provided with a pressure sensor, and the pressure sensors are in signal connection with the electric control hydraulic cylinders through a controller.
In the preferred embodiment, the action of the electric control hydraulic cylinder is realized by the tread force of the patient on the footpath on one side, the invalid walking actions such as probing and the like of the patient in the striding process can be effectively avoided by setting the pressure threshold, and the pressure threshold can be set according to a certain proportion of patients with different weights.
As a preferred embodiment, the pressure sensor is further connected with a delay component through a signal, when the left walking path 101 and the right walking path 102 sense pressure, after a period of delay, the controller controls the electric control hydraulic cylinder to act, and the electric control hydraulic cylinder drives the corresponding walking path to descend.
In the above preferred embodiment, the delay component adopts a delay circuit, and comprises a delay device and a restorer, and when the patient is in the combined stride training process, the patient is easy to have tense and anxious moods due to too short adjustment time along with the increase of strides, so that the training effect is not good.
As a preferred embodiment, the height of the lowering and lifting assembly 2 is not more than 5 cm.
In the preferred embodiment described above, the risk of the patient falling during the training is increased gradually as the height of descent increases; the descending height is too low, the gravity center of the patient is not greatly influenced, the training effect is easy to get discounted, therefore, the height of the lifting assembly 2 is preferably adjustable, the height is adjusted according to the body postures of different patients, but generally not more than 5cm, and the risk of falling of the patient is greatly increased when the height exceeds the value.
As a preferred embodiment, the self-triggering trainer also comprises a protective pad 3, the protective pad 3 is positioned at the outer side of the walking channel 1 in the walking direction of the patient, and the walking channel 1 is flush with the protective pad 3 in an unstressed state.
In the preferred embodiment, the protection pad 3 can well protect the patient when the patient falls down; and along with patient's heeling, the pressure that the pavement received can reduce, can appear kick-backing and rise, then all-round protects the patient, avoids the patient to collide with the corner.
As a preferred embodiment, the color of the upper surface of the left walking path 101, the color of the upper surface of the right walking path 102 and the color of the upper surface of the protection pad 3 are respectively set to three different colors.
In the above preferred embodiment, three colors are provided, which is convenient for the patient to distinguish, so that the patient can know the moving areas of the left foot and the right foot, and the training effect is further improved.
As a preferred embodiment, the traveling tunnel 1 is connected with a preparation area and an end area at the front and rear ends in the traveling direction, respectively, and the preparation area and the end area are integrally provided with the protection pad 3.
In the above preferred embodiment, the patient can be prepared in the preparation area and the finishing area can take a rest, and then the patient can be better protected in a closed manner, and the preparation area and the finishing area can be provided with a soft cushion as the protection cushion 3.
As a preferred embodiment, the left walking path 101 and the right walking path 102 have the same width, and the width is 5-10 cm.
In the above preferred embodiment, the above arrangement can be applied to training of almost all persons.
The present embodiment is only for explaining the present invention, and it is not limited to the present invention, and those skilled in the art can make modifications of the present embodiment without inventive contribution as needed after reading the present specification, but all of them are protected by patent law within the scope of the claims of the present invention.
Claims (10)
1. The utility model provides a parkinson disease patient freezes gait rehabilitation nursing self-triggering training ware, a serial communication port, including walking passageway (1), walking passageway (1) is including left walking way (101) and right walking way (102), left walking way (101) and right walking way (102) contact each other and relative activity sets up, lifting unit (2) are connected respectively to left walking way (101) and right walking way (102) bottom, the patient is trampling the in-process to left walking way (101) and right walking way (102), lifting unit (2) drive corresponds the walking way and descends, when patient one side lifted the foot, lifted the walking way that the foot corresponds and replied under lifting unit (2) drive and rise.
2. The rehabilitation and nursing self-triggering trainer for parkinson's disease patients with frozen gait according to claim 1, characterized in that the lifting assembly (2) is a plurality of springs which are fixedly connected with the left walking path (101) and the right walking path (102) on the side.
3. The parkinson's disease patient freezes gait rehabilitation and nursing self-triggering trainer of claim 1, characterized in that the self-triggering trainer further comprises a controller, the lifting assembly (2) being an electrically controlled hydraulic cylinder.
4. The self-triggering trainer for rehabilitation and nursing of patients with Parkinson's disease with frozen gait according to claim 3, characterized in that the left walking path (101) and the right walking path (102) are respectively provided with a pressure sensor, and the pressure sensors are in signal connection with the electrically controlled hydraulic cylinder through a controller.
5. The rehabilitation and nursing self-triggering trainer for freezing gait of Parkinson's disease patients according to the claim 4, characterized in that the pressure sensor is further connected with a time delay component through signals, when the left walking path (101) and the right walking path (102) sense the pressure, after a period of time delay, the controller controls the action of the electric control hydraulic cylinder, and the electric control hydraulic cylinder drives the corresponding walking path to descend.
6. The Parkinson's disease patient frozen gait rehabilitation and nursing self-triggering trainer according to any one of claims 2 to 5, characterized in that the lifting assembly (2) is lowered by a height of not more than 5 cm.
7. The rehabilitation and nursing self-triggering trainer for parkinson's disease patient with frozen gait according to claim 6, characterized in that the self-triggering trainer further comprises a protective pad (3), the protective pad (3) being located outside the walking channel (1) in the walking direction of the patient, the walking channel (1) being flush with the protective pad (3) in the non-stressed state.
8. The Parkinson's disease patient frozen gait rehabilitation and nursing self-triggering trainer according to claim 7, characterized in that the colors of the upper surfaces of the left walking path (101) and the right walking path (102) and the color of the upper surface of the protective pad (3) are respectively set to three different colors.
9. The rehabilitation and nursing self-triggering trainer for parkinson's disease patient with frozen gait according to claim 8, characterized in that the walking channel (1) is connected with a preparation area and an ending area at the front and rear ends in the walking direction, respectively, and the preparation area and the ending area are integrally arranged with the protective pad (3).
10. The parkinson's disease patient frozen gait rehabilitation and nursing self-triggering trainer according to claim 9, characterized in that the left walking path (101) and the right walking path (102) are the same width, both 5-10 cm.
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| CN202111070696.1A CN113813561B (en) | 2021-09-13 | 2021-09-13 | Self-triggering trainer for frozen gait rehabilitation nursing of parkinsonism patient |
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