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Role of Therapy and Rehabilitation

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Tennis Elbow

Abstract

Tennis elbow is a term commonly used when referring to lateral epicondylosis (LE). LE is believed to result from repetitive overuse and microtrauma, which leads to degenerative changes at the common extensor tendon origin. Nonoperative treatment is considered the main treatment approach. It is imperative for clinicians to understand the pathophysiology of this condition, so an evidence-based rehabilitation regime can be implemented. This chapter will provide the reader with an in-depth review of the various therapeutic treatments described in the literature and their efficacy. This will allow the clinician to apply a systematic evidence-based treatment approach. This chapter also includes a description of a validated, reliable outcome measure which can be used by researchers and clinicians in order to determine the effectiveness of the various therapeutic interventions.

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References

  1. Alfredson H. Chronic midportion Achilles tendinopathy: an update on research and treatment. Clin Sports Med. 2003;22:727–41.

    Article  PubMed  Google Scholar 

  2. Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26:360–6.

    CAS  PubMed  Google Scholar 

  3. Altan L, Ercan I, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int. 2010;30:1049–54.

    Article  PubMed  Google Scholar 

  4. Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract. 1996;46:209–16.

    PubMed Central  CAS  PubMed  Google Scholar 

  5. Bales CP, Placzek JD, Malone KJ, Vaupel Z, Arnoczky SP. Microvascular supply of the lateral epicondyle and common extensor origin. J Shoulder Elbow Surg. 2007;16(4):497–501.

    Article  PubMed  Google Scholar 

  6. Barr S, Cerisola FL, Blanchard V. Effectiveness of corticosteroid injections compared with physiotherapeutic interventions for lateral epicondylitis: a systematic review. Physiotherapy. 2009;95(4):251–65.

    Article  PubMed  Google Scholar 

  7. Basford JR, Sheffield CG, Cieslak KR. Laser therapy: a randomized, controlled trial of the effects of low intensity Nd:YAG laser irradiation on lateral epicondylitis. Arch Phys Med Rehabil. 2000;81:1504–10.

    Article  CAS  PubMed  Google Scholar 

  8. Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C. Measuring the whole or the parts? Validity, reliability, and responsiveness of the disabilities of the arm, shoulder and hand outcome measure in different regions of the upper extremity. J Hand Ther. 2001;14(2):128–46.

    Article  CAS  PubMed  Google Scholar 

  9. Binder Al, Hazlernan BL. Lateral humeral epicondylitis—a study of natural history and the effect of conservative therapy. Br J Rheumatol. 1983;22:73–6.

    Article  CAS  PubMed  Google Scholar 

  10. Binder A, Hodge G, Greenwood AM, Hazleman BL, Thomas DPP. Is therapeutic ultrasound effective in treating soft tissue lesions? BMJ. 1985;290:512–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Bingol U, Altan L, Yurtkuran M. Low-power laser treatment for shoulder pain. Photomed Laser Surg. 2005;23:459–64.

    Article  PubMed  Google Scholar 

  12. Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med. 2005;39(7):411–22.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Bjordal JM, Lopes-Martins RA, Joensen J, Couppe C, Ljunggren AE, Stergioulas A, Johnson MI. A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow). BMC Musculoskelet Disord. 2008;9:75.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Blanchette MA, Normand MC. Cross-cultural adaptation of the patient-rated tennis elbow evaluation to Canadian French. J Hand Ther. 2010;23(3):290–9.

    Article  PubMed  Google Scholar 

  15. Brosseau L, Casimiro L, Milne S, et al. Deep transverse friction massage for treating tendinitis (Cochrane Review). Cochrane Database Syst Rev. 2002;4:CD003528.

    PubMed  Google Scholar 

  16. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheumatol. 2006;33:1351–63.

    Google Scholar 

  17. Bunata RE, Brown DS, Capelo R. Anatomic factors related to the cause of tennis elbow. J Bone Joint Surg Am. 2007;89(9):1955–63.

    Article  PubMed  Google Scholar 

  18. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg. 2008;16(1):19–29.

    PubMed  Google Scholar 

  19. Chang WD, Wu JH, Yang WJ, Jiang JA. Therapeutic effects of low-level laser on lateral epicondylitis from differential interventions of Chinese-Western medicine: systematic review. Photomed Laser Surg. 2010;28(3):327–36.

    Article  PubMed  Google Scholar 

  20. Ciccotti MG, Ramani MN. Medial epicondylitis. Techn Hand Upper Extrem Surg. 2003;7(4):190–6.

    Article  Google Scholar 

  21. Coonrad RW, Hooper WR. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am. 1973;55:1177–82.

    CAS  PubMed  Google Scholar 

  22. Cowan J, Lozano-Calderon S, Ring D. Quality of prospective controlled randomized trials: analysis of trials of treatment for lateral epicondylitis as an example. J Bone Joint Surg Am. 2007;89:1693–9.

    Article  PubMed  Google Scholar 

  23. Croisier JL, Foidart-Dessalle MI, Tinant F, et al. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2001;41:269–75.

    Article  Google Scholar 

  24. Croisier JL, Foidart-Dessalle M, Tinant F, Crielaard JM, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2007;41(4):269–75.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Dorf ER, Chhabra AB, Golish SR, McGinty JL, Pannunzio ME. Effect of elbow position on grip strength in the evaluation of lateral epicondylitis. J Hand Surg Am. 2007;32(6):882–6.

    Article  PubMed  Google Scholar 

  26. el Hawary R Stanish WD Curwin SL. Rehabilitation of tendon injuries in sport. Sports Med. 1997;24:347–58.

    Article  CAS  PubMed  Google Scholar 

  27. Ellenbecker TS, Mattalino AJ. The elbow in sport: injury, treatment, and rehabilitation. Champaign: Human Kinetics; 1997.

    Google Scholar 

  28. Fahlstrom M, Jonsson P, Lorentzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11:327–33.

    Article  PubMed  Google Scholar 

  29. Faro F, Wolf JM. Lateral epicondylitis: review and current concepts. J Hand Surg Am. 2007;32(8):1271–9.

    Article  PubMed  Google Scholar 

  30. Fedorczyk JM. Tennis elbow: blending basic science with clinical practice. J Hand Ther. 2006;19(2):146–53.

    Article  PubMed  Google Scholar 

  31. Fedorczyk JM. Elbow tendinopathies: clinical presentation and therapist’s management of tennis elbow. In: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, editors. Rehabilitation of the hand and upper extremity. 6th edn. St. Louis: C.V. Mosby; 2011. pp. 1098–108.

    Chapter  Google Scholar 

  32. Fess EE, Moran C. Clinical assessment recommendations. Indianapolis: American society of hand therapists monograph; 1981.

    Google Scholar 

  33. Garg R, Adamson GJ, Dawson PA, Shankwiler JA, Pink MM. A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis. J Shoulder Elbow Surg. 2010;19(4):508–12.

    Article  PubMed  Google Scholar 

  34. Gerr F, Marcus M, Monteilh C, Hannan L, Ortiz DJ, Kleinbaum D. A randomized control trial of postural interventions for prevention of musculoskeletal symptoms among computer users. Occup Environ Med. 2005;62(7):478–87.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  35. Pattanittum P, Turner T, Green S, Buchbinder R. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. 2013;(5):CD003686. doi: 10.1002/14651858.CD003686.pub2.

    PubMed  Google Scholar 

  36. Greenfield C, Webster V. Chronic lateral epicondylitis: survey of current practice in outpatient departments in Scotland. Physiotherapy. 2002;88(10):578–94.

    Article  Google Scholar 

  37. Haker E, Lundeberg T. Is low-energy laser treatment effective in lateral epicondylalgia? J Pain Symptom Manage. 1991;6:241–6.

    Article  CAS  PubMed  Google Scholar 

  38. Halle JS, Franklin Orthop Sports Phys Ther. 1986;8:62–9.

    Article  CAS  PubMed  Google Scholar 

  39. Hefford C, Abbott JH, Arnold R, Baxter GD. The patient-specific functional scale: validity, reliability, and responsiveness in patients with upper extremity musculoskeletal problems. J Orthop Sports Phys Ther. 2012;42(2):56–65. doi: 10.2519/jospt.2012.3953. Epub 2012 Feb 1.

    Article  PubMed  Google Scholar 

  40. Holdsworth LK, Anderson DM. Effectiveness of ultrasound used with a hydrocortisone coupling medium or epicondylitis clasp to treat lateral epicondylitis: pilot study. Physiotherapy. 1993;79:19–24.

    Article  Google Scholar 

  41. Hoppenrath T, Ciccone CD. Is there evidence that phonophoresis is more effective than ultrasound in treating pain associated with lateral epicondylitis? Phys Ther. 2006;86(1):136–40.

    PubMed  Google Scholar 

  42. Ilfeld FW, Field SM. Treatment of tennis elbow. Use of a special brace. JAMA. 1966;195:67–70.

    Article  CAS  PubMed  Google Scholar 

  43. Jansen CW, Olson SL, Hasson SM. The effect of use of a wrist orthosis during functional activities on surface electromyography of the wrist extensors in normal subject. J Hand Ther. 1997;10:283.

    Article  CAS  PubMed  Google Scholar 

  44. Jonsson P, Wahlstrom P, Ohberg L, Alfredson H. Eccentric training in chronic painful impingement syndrome of the shoulder: results of a pilot study. Knee Surg Sports Traumatol Arthrosc. 2006;14:76–81. doi:10.1007/~00167–004-0611-8.

    Article  PubMed  Google Scholar 

  45. Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M. Histopathology of common tendinopathies: update and implications for clinical management. Sports Med. 1999;27(6):393–408.

    Article  CAS  PubMed  Google Scholar 

  46. Klaiman MD, Shrader JA, Danoff JV, et al. Phonophoresis versus ultrasound in the treatment of common musculoskeletal conditions. Med Sci Sports Exerc. 1998;30:1349–55.

    CAS  PubMed  Google Scholar 

  47. Kohia M, Brackle J, Byrd K, et al. Effectiveness of physical therapy treatments on lateral epicondylitis. J Sport Rehabil. 2008;17(2):119–36.

    PubMed  Google Scholar 

  48. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999;81(2):259–78.

    Article  CAS  PubMed  Google Scholar 

  49. Lam LK, Cheing GL. Effects of 904-nm low-level laser therapy in the management of lateral epicondylitis: a randomized control trial. Photomed Laser Surg. 2007;25:65–71.

    Article  PubMed  Google Scholar 

  50. Law M, Baptiste S, McColl MA, Opzoomer A, Polatajko H, Pollock N. The Canadain occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990;57:82–7.

    Article  CAS  PubMed  Google Scholar 

  51. Ljung BO, Forsgren S, Friden J. Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow. J Orthop Res. 1999;17(4):554–9.

    Article  CAS  PubMed  Google Scholar 

  52. Lundeberg T, Haker E, Thomas M. Effect of laser versus placebo in tennis elbow. Scand J Rehabil Med. 1987;19:135–8.

    CAS  PubMed  Google Scholar 

  53. Lundeberg T, Abrahamsson P, Haker E. A comparative study of continuous ultrasound, placebo ultrasound and rest in epicondylalgia. Scand J Rehabil Med. 1988;20:99–101.

    CAS  PubMed  Google Scholar 

  54. MacDermid JC, Wojkowski S, Kargus C, Marley M, Stevenson E. H and therapist management of the lateral epicondylosis: a survey of expert opinion and practice patterns. J Hand Ther. 2010;23(1):18–29.

    Article  PubMed  Google Scholar 

  55. Manias P, Stasinopoulos D. A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med. 2006;40(1):81–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  56. Marcus M, Ger F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, Edwards A, Ensor C, Kleinbaum D. A prospective study of computer users: postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41:236–49.

    Article  PubMed  Google Scholar 

  57. Martinez-Silvestrini JA, Newcomer KL, Gay RE, Schaefer MP, Kortebein P, Arendt KW. Chronic lateral epicondylosis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. J Hand Ther. 2005;18:411–9. (quiz 420).

    Article  PubMed  Google Scholar 

  58. Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, Gay RE, Arendt KW. Sensitivity of the Patient-rated Forearm Evaluation Questionnaire in lateral epicondylitis. J Hand Ther. 2005; 18:400–6.

    Google Scholar 

  59. Ng GY, Chan HL. The immediate effects of tension of counterforce forearm brace on neuromuscular performance of wrist extensor muscles in subjects with lateral humeral epicondylosis. J Orthop Sports Phys Ther. 2004;34(2):72–8.

    Article  CAS  PubMed  Google Scholar 

  60. Nirschl RP. Tennis elbow. Orthop Clin North Am. 1973;4:787–800.

    CAS  PubMed  Google Scholar 

  61. Nirschl RP. Prevention and treatment of elbow and shoulder injuries in the tennis player. Clin Sports Med. 1988;7(2):289–308.

    CAS  PubMed  Google Scholar 

  62. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992;11(4):851–70.

    CAS  PubMed  Google Scholar 

  63. Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979;61:832–9.

    CAS  PubMed  Google Scholar 

  64. Nirschl RP, Sobel JB. Rehabilitative exercise program. In: Arm care: a complete guide to prevention and treatment of tennis elbow. Arlington: Medical Sports, Inc; 1996. p. 39–64.

    Google Scholar 

  65. Nirschl RP, Rodin DM, Ochiai DH, Maartmann-Moe C. Iontophoretic administration of dexamethasone sodium phosphate for acute epicondylitis. Am J Sports Med. 2003;31(2):189–95.

    PubMed  Google Scholar 

  66. O’Driscoll SW, Horii E, Ness R, et al. The relationship between wrist position, grasp size, and grip strength. J Hand Surg Am. 1992;17A:169–77.

    Article  Google Scholar 

  67. Ohberg L, Alfredson H. Effects on neovascularisation behind the good results with eccentric training in chronic mid-portion Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc. 2004;12:465–70.

    Article  PubMed  Google Scholar 

  68. Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther. 1999;12:31–7.

    Google Scholar 

  69. Panni AS, Tartarone M, Maffulli N. Patellar tendinopathy in athletes: outcome of nonoperative and operative management. Am J Sports Med. 2000;28:392–7.

    CAS  PubMed  Google Scholar 

  70. Pienimaki TT, Tarvainen TK, Siira PT, Vanharanta H. Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylosis. Physiotherapy. 1996;82(9):522–30.

    Article  Google Scholar 

  71. Plancher KD, Halbercht J, Lourie GM. Medial and lateral epicondylitis in the athlete. Clin Sports Med. 1996;15:283–305.

    CAS  PubMed  Google Scholar 

  72. Purdam CR, Jonsson P, Alfredson H, Lorentzon R, Cook JL, Khan KM. A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Br J Sports Med. 2004;38:395–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  73. Regan W, Wold LE, Coonrad R, Morrey BF. Microscopic histopathology of chronic refractory lateral epicondylitis. Am J Sports Med. 1992;20(6):746–9.

    Article  CAS  PubMed  Google Scholar 

  74. Rompe JD, Maffulli N. Repetitive shock wave therapy for lateral elbow tendinopathy (tennis elbow): a systematic and qualitative analysis. Br Med Bull. 2007;83:355–78.

    Article  PubMed  Google Scholar 

  75. Rompe JD, Overend TJ, MacDermid JC. Validation of the patient-rated tennis elbow evaluation questionnaire. J Hand Ther. 2007;20(1):3–10.

    Article  PubMed  Google Scholar 

  76. Sevier TL, Wilson JK. Treating lateral epicondylitis. Sports Med. 1999;28(5):375–80.

    Article  CAS  PubMed  Google Scholar 

  77. Shalabi A, Kristoffersen-Wilberg M, Svensson L, Aspelin P, Movin T. Eccentric training of the gastrocnemius-soleus complex in chronic Achilles tendinopathy results in decreased tendon volume and intratendinous signal as evaluated by MRI. Am J Sports Med. 2004;32:1286–96.

    Article  PubMed  Google Scholar 

  78. Smidt N, van der Windt DA. Tennis elbow in primary care. BMJ. 2006;333:927–8.

    Article  PubMed Central  PubMed  Google Scholar 

  79. Smidt N, Assendelft WJ, van der Windt DA, Hay EM, Buchbinder R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic review. Pain. 2002;96(1–2):23–40.

    Article  CAS  PubMed  Google Scholar 

  80. Smidt N, Assendelft WJ, Arola H, Malmivaara A, Greens S, Buchbinder R, van der Windt DA, Bouter LM. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med. 2003;35:51–62.

    Article  PubMed  Google Scholar 

  81. Smith RW, Papadopolous E, Mani R, Cawley MI. Abnormal microvascular responses in a lateral epicondylitis. Br J Rheumatol. 1994;33(12):1166–8.

    Article  CAS  PubMed  Google Scholar 

  82. Snyder-Mackler L, Epler M. Effect of standard and aircast tennis elbow bands on integrated electromyography of forearm musculature proximal to the bands. Am J Sports Med. 1989;17:278–81.

    Article  CAS  PubMed  Google Scholar 

  83. Stanish WD, Rubinovich RM, Curwin S. Eccentric exercise in chronic tendonitis. Clin Orthop Rel Res. 1986;208:65–8.

    PubMed  Google Scholar 

  84. Stergioulas A. Effects of low-level laser and plyometric exercises I the treatment of lateral epicondylitis. Photomed Laser Surg. 2007;25:205–13.

    Article  PubMed  Google Scholar 

  85. Stratford PW, Levy DR. Assessing valid change over time in patients with lateral epicondylitis at the elbow. Clin J Sport Med. 1994;4:88–91.

    Article  Google Scholar 

  86. Stratford PW, Levy DR, Gauldie S, Miseferi D, Levy K. The evaluation of phonophoresis and friction massage as treatments for extensor carpi radialis tendonitis: a randomized controlled trial. Physiother Can. 1989;41:93–8.

    Google Scholar 

  87. Struijs PAA, Smidt N, Arola H, van Dijk CN, Buchbinder R, Assendelft WJ. Orthotic devices for the treatment of tennis elbow. Cochrane Database Syst Rev. 2002;(1):CD001821.

    Google Scholar 

  88. Tonks JH, Pai SK, Murali SR. Steroid injection therapy is the best conservative treatment for lateral epicondylitis: a prospective randomised controlled trial. Int J Clin Pract. 2007;61(2):240–6.

    Article  CAS  PubMed  Google Scholar 

  89. Tuner J, Hode L. Low Level Laser Therapy. Prima Books, Stockholm, Sweden. 1999

    Google Scholar 

  90. Tuner J, Hode L. Laser therapy—clinical practice and scientific background. Grängesberg: Prima Books AB; 2002.

    Google Scholar 

  91. Tyler TF, Thomas GS, Nicholas SJ, McHugh MP. Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial. J Shoulder Elbow Surg. 2010;19(6):917–22.

    Article  PubMed  Google Scholar 

  92. Vasseljen O Jr., Hoeg N, Kjeldstad B, Johnsson A, Larsen S. Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med. 1992;24:37–42.

    PubMed  Google Scholar 

  93. Walz DM, Newman JS, Konin GP, Ross G. Epicondylitis: pathogenesis, imaging, and treatment. Radiographics. 2010;30(1):167–84.

    Article  PubMed  Google Scholar 

  94. Werner RA, Franzblau A, Gell N, Hartigan A, Ebersole M, Armstrong TJ. Predictors of persistent elbow tendonitis among auto assembly workers. J Occup Rehabil. 2005;15(3):393–400.

    Article  PubMed  Google Scholar 

  95. Woodley BL, Newsham-West RJ, Baxter GD. Chronic tendinopathy: effectiveness of eccentric exercise. Br J Sports Med. 2007;41:188–98.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Ruby Grewal MD, MSc, FRCSC .

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Appendices

Appendix A:

PATIENT RATED TENNIS ELBOW EVALUATION

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Grewal, R., Pipicelli, J., Kaminski, D., Chinchalker, S. (2015). Role of Therapy and Rehabilitation. In: Wolf, J. (eds) Tennis Elbow. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7534-8_6

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