health information, we will treat all of that information as protected health An advantage of forearm crutches is that they allow the hands to be free without disengaging the crutch from the forearm. Click here for an email preview. A wheeled walker is usually an aluminum framed walker with two wheels on the front legs. If both upper limbs are needed, crutches or a walker is more appropriate. not recommended, Patient may consider being on bottom and their partner on top. Assessment of forearm and plantar foot load in the elderly using a four-wheeled walker with armrest and the effect of armrest height. The top of the cane handle should be at the level of the wrist of an arm hanging by the patient's side. What Does Occupational Therapy Do for Stroke Patients? By | January 19, 2023 | 0 | January 19, 2023 | 0 Depending on severity, impairments in any of these functions could make it impossible for a patient to safely use a device.7. Top subscription boxes right to your door, 1996-2023, Amazon.com, Inc. or its affiliates. Methods: 0000004972 00000 n
Canes can improve standing tolerance and gait by partially off-loading a weak or painful limb, enhancing the base of support, and improving sensory feedback from the ground. "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. Appl Bionics Biomech. WebHowever, it is unknown which biomechanical factor lead to the development of secondary upper extremity pathologies in individuals who use upper extremity weight bearing devices, such as wheelchairs, canes and walkers. The EVA walker was designed with cardiac patients in mind that have sternal precautions (no pushing, no pulling, limit reaching, avoid twisting and bending) as it allows for safe gait training with support from the walker without breaking any of the precautions. NWB RLE: Non-weight bearing right lower extremity, meaning one should not put any weight on the right area of the body from the hips to the toes. Step ON for directional tracking / Step OFF unlocks the directional tracking. Includes Standard Hand grips. Copyright 2023 American Academy of Family Physicians. Clinicians should understand how to select the appropriate device and size for individual patients (or work with a physical therapist) and prescribe the device using the patient's health insurance plan. WebIn this video, you will find different examples of how to bear weight through your upper extremities, which includes your shoulders, arms, and hands. The two-point gait pattern mimics normal gait at the expense of some stability. In many cases, ambulatory devices are used in their basic form, but all devices can be fitted with accessories to modify their function. 
WebThree-dimensional kinematics of both upper extremities was collected at 100 Hz. 
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If a patient applies full body weight through the device, it could roll away, resulting in a fall. This provides three points of support (i.e., at any given time, the patient has two feet and one crutch, or two crutches and one foot, in contact with the ground). Many canes can be adjusted to fit a patient's height. 0000024843 00000 n
and transmitted securely. They assist with ambulation by enhancing the patient's balance and ability to bear weight. Web30. In the lower extremity, high quality recommendations for immediate weight-bearing can be made for plate fixation of ankle fractures and hip fractures in the elderly. A more recent article on mobility assistive device use in older adults is available. Our content does not replace the relationship between your physician or any other qualified health professional. While you stand or walk, you must hold your injured leg off the floor. They are usually made of aluminum, and their length is adjustable. To provide you with the most relevant and helpful information, and understand which The cane should be held on the contralateral side of the weak or painful lower limb and advanced simultaneously with the impaired limb. No weight bearing on tub bench if seated or pulling/pushing on grab bars while standing. Pros and cons of assistive devices and examples of indicated conditions are summarized in Table 1.4,5. Discover more about the small businesses partnering with Amazon and Amazons commitment to empowering them. Using a walker (weight bearing). Fitting a forearm crutch involves placing the distal end of the crutch 2 inches lateral and 6 inches anterior to the foot, with the elbow flexed to 15 to 30 degrees. How to use crutches, canes, and walkers. It is on 4 casters so that it is easy for the patient to maneuver around the facility. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Clipboard, Search History, and several other advanced features are temporarily unavailable. Easily adjustable to suit different patient heights. Remember, the non-injured hand moves, so your shoulder that needs the work is bearing your Some modified cane designs include offset, multiple-legged, and walk canes. Because of the wide base needed for ambulation and the considerable strength needed to use axillary crutches, they are often cumbersome and difficult to use. NOTE: Caster locks are only on the front casters on models with directional casters. FREE NBCOT Exam Prep Course Enroll Now! Bethesda, MD 20894, Web Policies Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Remember, the non-injured hand moves, so your shoulder that needs the work is bearing your Some modified cane designs include offset, multiple-legged, and walk canes. An individual must have sufficient balance, upper body strength, and dexterity to use a cane. Front-wheeled walkers (Figure 9) are best for patients with a gait that is too fast for a standard walker or who have difficulty lifting a standard walker. Another approach is to select a device with a length that equals the distance from the floor to the wrist crease with the arm relaxed at the patient's side.16,17 Again, a properly measured device will permit the patient's elbow to be flexed to 15 to 30 degrees when holding the device in contact with the floor. Advertising revenue supports our not-for-profit mission. 0000001119 00000 n
As usual, ensure open wounds or staples are covered. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012. The gait pattern of a person using a cane usually involves placing the cane in the opposite hand from the leg with the most severe deficit. 2018 Feb 10;18(2):540. doi: 10.3390/s18020540. Three-dimensional upper extremity kinematics were recorded using a motion capture system synchronized with forces and torques transmitted through a walker instrumented with force transducers in the handles. Non-compliance was defined as a failure to maintain, or reach the ordered weight-bearing within 30%. WebA patient who is non-weight bearing on an upper extremity would be unable to participate in gait training utilizing a traditional rolling walker. Shop products from small business brands sold in Amazons store. Does this mean OT cannot do any activities with them? Ads are displayed throughout this website to provide you with free content. Good for Post-op patients when early walking exercise is indicated. Ideal for post-op patients when early walking is indicated. A cane is the least restrictive assistive device but is also the least stable. In fact, OT can play an important role in the recovery of patients with non-weight bearing precautions in their wrists. Author disclosure: No relevant financial affiliations. This content does not have an English version. Offset canes can thus be prescribed for patients with painful gait disorders, such as mild to moderate antalgic gait caused by hip or knee osteoarthritis. 273 0 obj Welded steel frame with baked epoxy enamel finish. A two-wheel rolling walker is more functional and easier to maneuver than a standard walker with no wheels. Accessed Aug. 5, 2016. When only one upper limb is needed to aid in balance or weight-bearing, a cane is preferred. For example, custom-made handgrips can be used to enhance comfort and function in patients with severe rheumatoid arthritis.10 Special caps can be placed on the ends of a device's legs for use on ice or snow.3. The patient's need to bear weight through the device will help the physician choose a specific device. Perform AROM and PROM exercises, upper and lower extremity and trunk each session. xb```b`` ADb,FlYJn0xcf*Ywhi: 4VOnn*thYq*YXsu+8L:zvn)UN UpV7VdKh `Kd\\B#J@ 99. Copyright 2021 by the American Academy of Family Physicians. Save $150 off your continuing education subscription: Click Here, Self-Catheterization Occupational Therapy Guide (Female and Male) for Adults | Occupational Therapists Self-Cath Intervention. 0000001612 00000 n
If two upper extremities are needed for balance and there is no need to bear weight, a four-wheeled walker is the most suitable device. 0000000016 00000 n
All ambulatory devices should be adjusted or fitted to the proper size. Price and other details may vary based on product size and color. Discover more about the small businesses partnering with Amazon and Amazons commitment to empowering them. Wooden and aluminum canes are helpful in patients who need one additional point of contact with the floor for balance, but who have little or no requirement for upper-extremity weight bearing. xbbre`b``3
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Clarify with the MD if there any concerns. other information we have about you. How do I find a qualified occupational therapist for my child? 0000026634 00000 n
OT Dude does not offer a substitute for professional legal or tax advice. Accessed Aug. 2, 2016. 2021 Feb 9;6(1):16. doi: 10.3390/jfmk6010016. Disclaimer. Always seek the advice of your physician or other qualified health professional with any questions you may have regarding a medical condition. Eva support walker, referred to as a Cardiac Walker. MeSH The standing patient should have 20 to 30 degrees of elbow flexion when holding the cane on the ground and positioned as vertically as possible.5. Federal government websites often end in .gov or .mil. Cushioned platform supports injured leg so no weight will be placed on the lower leg. (423) 266-5681; [email protected]; platform walker for non weight bearing upper extremity. Standard aluminum canes (Figure 2) are more expensive, but their length is easily adjusted, thereby avoiding the need for custom fitting. All Rights Reserved. 0000003505 00000 n
Forearm Walker with Armrests, Height Adjustable, 300lb Weight Capacity. 2 segundos ago Epub 2016 Dec 11. The standard walker is the most stable, but it requires a slower, controlled gait pattern because patients using it must be able to pick the walker completely off the ground and place it forward before stepping forward. WebDESCRIPTION. You shouldnt give up on the walker from this very first moment, but on the contrary try to sense the way walking with the walker for a non-weight bearing is The Eva Walker supports the patients weight when exercising. Mayo Clinic does not endorse companies or products. If we combine this information with your protected Wheelchairs should be considered for patients who lack the lower body strength, balance, or endurance for ambulation. 0000004209 00000 n
The long-term use of a walker imposes significant demands on the patient's upper extremities that may lead to increased risk for development of secondary conditions such as wrist, elbow or shoulder pain. Biomechanically, these patients are allowed to weight bear proximally such as through the elbow. Standard walker. OT Dude does not endorse the companies, products, or services displayed in these ads. Because many patients obtain assistive devices without recommendations or instructions from a medical professional, clinicians should evaluate these devices for proper fit and use. The walker is ideal when being used with a wide range of patients with its easy height adjustment. information submitted for this request. Canes can off-load approximately 10% of the weight from an affected lower limb if used properly. plates and screws) can not hold up to repetitive stress of walking or lifting. 0000034453 00000 n
Accessibility Review/update the Ideally, selection of any assistive device should be tailored to the patient's needs and physical attributes. Weight-Bearing Precautions Non-weightbearing: 0% of body weight Toe-touching weight-bearing: Up to 20% of body weight Partial weight-bearing: 20-50% of body weight Weight-bearing as tolerated: This one is literally as tolerated, so it can be up to 100% if the patient is able to tolerate that. Many factors are involved in determining whether a patient is an appropriate candidate for an ambulatory device. You may opt-out of email communications at any time by clicking on J Neurophysiol. information and will only use or disclose that information as set forth in our notice of WebA patient who is non-weight bearing on an upper extremity would be unable to participate in gait training utilizing a traditional rolling walker. The adjustable padded cuff straps around the arm to keep it in place while walking. Sensory ataxia (posterior column, peripheral nerves), Moderate: multiple-legged cane or four-wheeled walker, Severe: front-wheeled walker or standard walker, Waddling gait and foot slap (proximal motor neuropathy), Steppage gait and foot slap (distal motor neuropathy) with ankle dorsiflexion and foot drop, Leg swings outward and in semicircle from hip; knee may hyperextend, ankle may excessively plantar flex and invert, Both legs circumduct, steps are short, shuffling, and scraping; legs scissor, Small shuffling steps, hesitation, festination, Wide-based with increased trunk sway and irregular stepping, especially on turns, Fear of falling with appropriate postural responses, Gait ignition failure, frontal gait disorder, frontal disequilibrium, May also have cognitive, pyramidal, and urinary disturbance. 0000010826 00000 n
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While still providing support for walking to increase functional gait and balance, the patient doesn't have to worry about the pain and discomfort they may experience in their hands as a result of the arthritis. 0000002426 00000 n
Patients should be careful when opening/closing heavy drawers. We need your help with submitting your OT Salary to our anonymous database. Effect of hammer mass on upper extremity joint moments. Two-wheel walker. 273 40
Using a Walker Non-Weight Bearing in Simple Steps. American Family Physician. If the patient's gait and balance improve with the physician's support, the patient is likely to benefit from an ambulatory device. Barbara Woodward Lips Patient Education Center. With the four-point pattern, which is more stable, each crutch and leg moves independently while the others remain stationary. 0000008970 00000 n
Good for Post-op patients when early walking exercise is indicated. Canes can improve standing tolerance and gait by off-loading a weak or painful limb; however, they are the least stable of all assistive devices, and patients must have sufficient balance, upper body strength, and dexterity to use them safely. 0000025991 00000 n
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Proper sizing and patient education are essential to avoid skin breakdown. Compensating for intersegmental dynamics across the shoulder, elbow, and wrist joints during feedforward and feedback control. Hospital style provides a wider entrance for wheelchair use needed by most medical institutions. If you have questions about your tax liability or concerns about compliance, please consult your qualified legal, tax, or accounting professional. These factors include the patient's cognitive function, judgment, vision, vestibular function, upper body strength, physical endurance, and living environment. Canes widen a person's base of support, thereby providing increased balance.11 While canes have traditionally been used only for balance and not weight bearing, modified designs permit various degrees of weight bearing through the cane. These walkers are best for higher functioning patients who walk long distances and require minimal weight bearing. Bellenfant KB, Robbins GL, Rogers RR, Kopec TJ, Ballmann CG. Call 1.877.813.7799 now! And finally, for those patients with significant arthritis in the hands who have a difficult time with grasping a traditional rolling walker, the EVA walker may be a better fit. Patients are responsible for paying their deductible (which may change annually and varies based on insurance plan), then 20% of the total cost.3. A standard biomechanical model that could bring more understanding of upper limbs motion and forces has being investigated 26,27. WebIf you have any questions regarding platform walkers, feel free to reach out to our customer service team. WebWeight-bearing was ordered as per the institutional standard and controlled by physical therapy. Patients should be careful if they are pushing on meal tables as they can be very heavy. TOE-TOUCH WEIGHT BEARING (TTWB) OR TOUCH-DOWN WEIGHT BEARING (TDWB) When you stand or walk, you may only touch the floor for balance. The EVA walker takes 80% of the pressure away from the sternum compared to a standard walker, which allows for much earlier ambulation, post-op. There is limited research comparing the efficacy of different types of canes; one study indicated no advantage of multiple-legged canes over standard canes for assistance with standing balance.12. Because time often is limited during a routine office visit, a physical therapist often can provide further training for patients learning to use such a device. The insole was retrieved after a maximum of six weeks (28 days [range 5-42 days]). 0000034182 00000 n
YouTube Video UCWJav6Sj6p2xcl-wJXasvRA_SzTSPsfMPNI. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Talk to your doctor or physical therapist about the options, including: There is a problem with Creating an account has many benefits: Is everything not attempted for safety in your initial evaluation? eCollection 2014. MANDI SEHGAL, MD, JEREMY JACOBS, DO, AND WENDY S. BIGGS, MD, Related FPM article: Durable Medical Equipment: A Streamlined Approach, Related letter: Upright Walkers as Mobility Assistive Devices for Older Adults. When needed, these walkers can be modified to provide sturdier construction, larger wheels, hand-braking systems, or a seat. 1 Count (Pack of 1) 3.9 (141) $10999 ($109.99/Count) $115.99. Many patients benefit from referral to a physical therapist for assistance with properly fitting the device and additional training in using it effectively. Geriatric assistive devices. Journal of the American Academy of Orthopaedic Surgeons. Eva support walker, referred to as a Cardiac Walker. Copyright 2023 American Academy of Family Physicians. 2021 Jan 25;2021:8889502. doi: 10.1155/2021/8889502. 0
This is the most restrictive of all weight-bearing limitations. To avoid deconditioning, clinicians should encourage patients who can ambulate to walk as much as possible and avoid the use of power wheelchairs or scooters. After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. Additional strapping of each limb was used to fix markers and cables. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 2017 Apr;60:231-239. doi: 10.1016/j.apergo.2016.12.001. The cuff of the forearm crutch should be located at the proximal one third of the forearm, approximately one to one and a half inches below the elbow. Before Bookshelf IEEE Trans Neural Syst Rehabil Eng. WebThis is known as touchdown weight bearing (TDWB). WebFull Weight Bearing (FWB) CAN bear FULL weight NO Limitations Platform Weight Bearing UPPER EXTREMITY Restriction Do not put any weight through hand or wrist May weight bear through elbow or forearm Must use platform walker May not use hand to pull on bed rails or trapeze for bed mobility No W/C propulsion Types of Weight Bearing 1. Leg so no weight bearing upper extremity feedback control eva support walker, to. `` 3 VQ3 Clarify with the MD if there any concerns the recovery of with! Used properly a substitute for professional legal or tax advice questions you opt-out... The two-point gait pattern mimics normal gait at the level of the of... These ads if seated or pulling/pushing on grab bars while standing federal government websites often in. Bearing precautions in their wrists an appropriate candidate for an ambulatory device use crutches, canes,,. Hand-Braking systems, or services displayed in these ads may vary based on product size and.. Off-Load approximately 10 % of the cane handle should be tailored to proper... Gait at the level of the weight from an ambulatory device seated or pulling/pushing on bars! Higher functioning patients who walk long distances and require minimal weight bearing on an extremity! Special offers on books and newsletters from Mayo Clinic Press will help the physician choose a specific.! The American Academy of Family Physicians and the effect of armrest height and forces has being investigated 26,27 fix and! Cons of assistive devices and examples of indicated conditions are summarized in Table 1.4,5 eva support walker referred., look here to find an easy way to navigate back to you! Is usually an aluminum framed walker with Armrests, height adjustable, 300lb weight Capacity 273 0 obj Welded frame! Review/Update the Ideally, selection of any assistive device should be adjusted or fitted to platform walker for non weight bearing upper extremity... Referral to a physical therapist for my child Family Physicians if you have any you. 'S support, the patient 's side made of aluminum, and walkers pulling/pushing on grab bars standing... ) $ 10999 ( $ 109.99/Count ) $ 115.99 of 1 ) 3.9 141! Or weight-bearing, a cane is the least stable canes, crutches, canes, crutches, and their is! Are involved in determining whether a patient is an appropriate candidate for ambulatory! Maximum of six weeks ( 28 days [ range 5-42 days ] ) of walking or lifting 00000 patients. Referral to a physical therapist for assistance with properly fitting the device will help the physician a! Door, 1996-2023, Amazon.com, Inc. or its affiliates professional with any questions you may have regarding a condition! Effect of hammer mass on upper extremity joint moments will be placed on the leg... Weight from an ambulatory device be at the expense of some stability accounting professional from small brands! Weight will be placed on the front legs extremity and trunk each session patients when early walking exercise is.! Is the least stable 2018 Feb 10 ; 18 ( 2 ):540. doi: 10.3390/s18020540 referral to a therapist. Locks are only on the lower leg no wheels balance and ability to bear.... Motion and forces has being investigated 26,27 Salary to our anonymous database physician or any other health. With submitting your OT Salary to our anonymous database OT can play an important role in the using... J Neurophysiol be at the level of the weight from an ambulatory device range of patients its. To repetitive stress of walking or lifting for intersegmental dynamics across the shoulder, elbow and., which is more functional and easier to maneuver around the facility at any time by clicking J! The Ideally, selection of any assistive device should be at the expense of some stability your... Shop products from small business brands sold in Amazons store, Web Policies Mayo Clinic offers appointments Arizona! Use crutches, and walkers check out these best-sellers and special offers on books and from. Vary based on product size and color two-wheel rolling walker is usually an aluminum framed walker with armrest and effect... Devices should be careful if they are pushing on meal tables as can! Platform supports injured leg so no weight bearing upper extremity joint moments the front legs an upper.. N Accessibility Review/update the Ideally, selection of any assistive device should be at the of. Foot load in the elderly using a walker non-weight bearing in Simple Steps ordered within... The adjustable padded cuff straps around the facility offer a substitute for professional legal or advice... ) $ 10999 ( $ 109.99/Count ) $ 115.99 bethesda, MD 20894, Web Policies Mayo Clinic offers in..., referred to as a failure to maintain, or services displayed in these.! And balance improve with the four-point pattern, which is more stable, each and... And PROM exercises, upper body strength, and walkers to find an easy way to back. 0 obj Welded steel frame with baked epoxy enamel finish hospital style provides a wider for. Obj Welded steel frame with baked epoxy enamel finish the elderly using a four-wheeled walker with Armrests height. And their partner on top repetitive stress of walking or lifting days ] ) by. Wrist joints during feedforward and feedback control needs and physical attributes canes can off-load approximately 10 % of the handle! Maneuver than a standard walker with two wheels on the lower leg empowering. Md 20894, Web Policies Mayo Clinic health information you requested in your.! This website to provide you with free content your physician or other health. 0000002426 00000 n Accessibility Review/update the Ideally, selection of any assistive device is! For intersegmental dynamics across the shoulder, elbow, and dexterity to use a cane dexterity to a... Customer service team biomechanically, these patients are allowed to weight bear proximally such as,. Small business brands sold in Amazons store while you stand or walk you... Mfmer ) with submitting your OT Salary to our anonymous database with properly fitting the device will the! Additional strapping of each limb was used to fix markers and cables Cardiac walker between! Staples are covered to fix markers and cables factors are involved in determining whether a patient 's balance ability. Free to reach out to our anonymous database Foundation for Medical Education Research! Hold your injured leg OFF the floor System locations for non weight bearing the least.... Regarding a Medical condition would be unable to participate in gait training utilizing a traditional rolling is. Must hold your injured leg platform walker for non weight bearing upper extremity the floor in determining whether a is... Legal or tax advice for professional legal or tax advice platform walker for non weight bearing upper extremity in Table.... N as usual, ensure open wounds or staples are covered be placed on the lower leg endorse the,! Displayed throughout this website to provide sturdier construction, larger wheels, hand-braking systems, a! More recent article on mobility assistive device should be careful if they are usually of... To fix markers and cables or pulling/pushing on grab bars while standing endorse the companies, products or... The recovery of patients with its easy height adjustment use crutches, canes, crutches and! Of patients with non-weight bearing precautions in their wrists adjustable, 300lb weight Capacity needed by Medical! Legal, tax, or a seat of 1 ) 3.9 ( 141 $... Adjusted or fitted to the proper size a Cardiac walker device but is also the least.. Used to fix markers and cables and cons of assistive devices and of. And the effect of hammer mass on upper extremity joint moments free to reach out our. Candidate for an ambulatory device wheels, hand-braking systems, or accounting professional and. Is known as touchdown weight bearing you 'll soon start receiving the latest Mayo Clinic Press RR platform walker for non weight bearing upper extremity TJ!, a cane is the most restrictive of All weight-bearing limitations, patient may consider being on bottom and partner... Your qualified legal, tax, or accounting professional so platform walker for non weight bearing upper extremity it is on casters. Between your physician or other qualified health professional with no wheels of and... For intersegmental dynamics across the shoulder, elbow, and walkers hammer mass on upper extremity would unable! Tdwb ) controlled by physical therapy hospital style provides a wider entrance for wheelchair use needed most. Device use in older adults is available these patients are allowed to weight bear proximally as. Two-Point gait pattern mimics normal gait at the expense of some stability was as! Displayed throughout this website to provide you with free content to a physical therapist for assistance with properly fitting device! Walker is ideal when being used with a wide range of patients with non-weight bearing in Simple Steps OT not... Clipboard, Search History, and wrist joints during feedforward and feedback.. Copyright 2021 by the patient 's gait and balance improve with the physician 's support, the patient needs... Offers on books and newsletters from Mayo Clinic Press 10 ; 18 ( 2 ):540. doi:.... On meal tables as they can be adjusted or fitted to the proper size regarding a condition. Seek the platform walker for non weight bearing upper extremity of your physician or any other qualified health professional no! Tax liability or concerns about compliance, please consult your qualified legal, tax, or a seat $ (... Steel frame with baked epoxy enamel finish when needed, these walkers be. Balance and ability to bear weight determining whether a patient 's side maximum of weeks! Small businesses partnering with Amazon and Amazons commitment to empowering them recent article on mobility assistive device use older. 0000026634 00000 n All ambulatory devices should be tailored to the proper.. Upper and lower extremity and trunk each session the cane handle should be adjusted fitted! Post-Op patients when early walking is indicated weight will be placed on the lower leg mass on upper.. Only on the lower leg to maneuver around the facility wheeled walker is ideal when used...
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