{"title":"Comparative Effectiveness of Gua Sha, Cryostretch, and Positional Release Technique on Tenderness and Function in Subjects with Plantar Fasciitis: a Randomized Clinical Trial.","authors":"Aditi Jadhav, Peeyoosha Gurudut","doi":"10.3822/ijtmb.v16i1.749","DOIUrl":"https://doi.org/10.3822/ijtmb.v16i1.749","url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis (PF) can be treated effectively with manual techniques like cryostretch (CS) and the positional release technique (PRT). Although Gua Sha (GS) has been suggested in the literature for PF, its efficacy has not been studied in the research.</p><p><strong>Objective: </strong>To determine and compare the effectiveness of GS, CS, and PRT in subjects with PF in terms of pain intensity, pain pressure threshold, and foot function.</p><p><strong>Methods/design: </strong>Thirty-six patients with PF (n=36) were randomly allocated to three study groups (12 in each group)-group GS, group CS, and group PRT, respectively.</p><p><strong>Settings: </strong>A randomized clinical trial was conducted at physiotherapy OPD in a tertiary health center.</p><p><strong>Participants: </strong>Subjects of all genders with plantar fasciitis of the age group 20-60 years. Thirty-six subjects with plantar fasciitis out of whom 12 were males and 24 females. There were no dropouts in this study.</p><p><strong>Intervention: </strong>The interventions included the Gua Sha technique (1 session), the cryostretch technique with a frozen tennis ball (3 sessions), and the positional release technique (7 sessions), along with common exercises for all three groups.</p><p><strong>Outcome measures: </strong>Pain intensity, foot functions, and pain pressure threshold were assessed using the Numerical Pain Rating Scale, Foot Function Index, and pressure algometer, respectively, on day 1 (pre-intervention) and day 7 (post-intervention).</p><p><strong>Results: </strong>Between-group analyses showed that group GS was more effective than CS and PRT for pain (<i>p</i>=.0001), group CS was more effective than GS and PRT for foot function (<i>p</i>=.0001) whereas group PRT was more effective than GS and CS for pain pressure threshold (<i>p</i>=.0001).</p><p><strong>Conclusion: </strong>Although all three groups showed improvement, Gua Sha was superior in terms of reducing pain, cryostretch for improving foot functions, and PRT for reducing tenderness. The interventions used in this study are cost-effective and have proved to be simple and safe techniques.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/e9/ijtmb-16-13.PMC9949612.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9388644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A V Siva Kumar, A Krishna Sri Lahari, K N Maruthy, S K Kareem, K MaheshKumar
{"title":"Effects of Therapeutic Calf Massage on Cardiac Autonomic Function in Healthy Volunteers-a Pilot Study.","authors":"A V Siva Kumar, A Krishna Sri Lahari, K N Maruthy, S K Kareem, K MaheshKumar","doi":"10.3822/ijtmb.v15i1.725","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i1.725","url":null,"abstract":"<p><strong>Background: </strong>Calf massage is a therapeutic intervention that improves circulation and relieves us from pain & tightness. The calf massage also improves autonomic performance by modulating the vagal tone of the cardiovascular system. Therefore, the current study was intended to determine therapeutic calf massage on cardio autonomic activity in healthy subjects.</p><p><strong>Objective: </strong>To assess the immediate effect of a single 20-min session of calf massage on cardiac autonomic modulation through heart rate variability (HRV) measurement.</p><p><strong>Materials & methods: </strong>In this study, 26 apparent healthy female participants aged between 18 and 25 years participated. Massage over the calf muscles on both legs for 20 min was performed, and resting cardiovascular parameters and HRV parameters were measured at baseline, immediately after the massage, and during the recovery periods (10 and 30 min after the massage). Data were analyzed using one-way ANOVA followed with post hoc analysis.</p><p><strong>Results: </strong>Immediately after the massage intervention, heart rate (HR), systolic (SBP), and diastolic (DBP) blood pressure were decreased (<i>p</i> < .01), and the reduction was persisted at 10 min and 30 min of the recovery period (<i>p</i> < .01). In HRV parameters, the root mean square of successive differences (RMSSD) and high-frequency normalized unit (HF n.u.) increased, and low frequency (LF n.u.) decreased after the massage, and at the 10 and 30 min of the recovery period.</p><p><strong>Conclusion: </strong>The present study reports suggest a significant reduction in heart rate and blood pressure after the massage therapy. A drop in sympathetic tone and raise in parasympathetic tone can also attribute to the therapeutic effect.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/cb/ijtmb-16-24.PMC9949611.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9388646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applying Scientific Rationale to the Current Perceptions and Explanations of Massage and Miscarriage in the First Trimester.","authors":"Sarah Fogarty, Ruth Werner, Joanna L James","doi":"10.3822/ijtmb.v16i1.771","DOIUrl":"https://doi.org/10.3822/ijtmb.v16i1.771","url":null,"abstract":"<p><p>Miscarriage is a relatively common occurrence, impacting 8-15% of clinically recognised pregnancies, and up to 30% of all conceptions. The public perception of the risk factors associated with miscarriage does not match the evidence. Evidence indicates that there are very few modifiable factors to prevent miscarriage, and the majority of the time little could have been done to prevent a spontaneous miscarriage. However, the public perception is that consuming drugs, lifting a heavy object, previous use of an intrauterine device, or massage can all contribute to miscarriage. While misinformation about the causes and risk factors of miscarriage continues to circulate, pregnant women will experience confusion about what activities they can (and cannot) do in early pregnancy, including receiving a massage. Pregnancy massage is an important component of massage therapy education. The resources that underpin pregnancy massage coursework consist of educational print content that includes direction and caution that massage in the first trimester, if done 'incorrectly' or in the 'wrong' location, can contribute to adverse outcomes such as miscarriage. The most common statements, perceptions and explanations for massage and miscarriage cover three broad areas: 1) maternal changes from massage affects the embryo/fetus; 2) massage leads to damage of the fetus/placenta; and 3) aspects of the massage treatment in the first trimester initiate contractions. The goal of this paper is to use scientific rationale to critically consider the validity of the current perceptions and explanations of massage therapy and miscarriage. Whilst direct evidence from clinical trials was lacking, considerations of physiological mechanisms regulating pregnancy and known risk factors associated with miscarriage provide no evidence that massage in pregnancy would increase a patient's risk of miscarriage. This scientific rationale should be addressed when teaching pregnancy massage courses.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/95/ijtmb-16-30.PMC9949615.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9372695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perpetuating Victimization with Efforts to Reduce Human Trafficking: a Call to Action for Massage Therapist Protection.","authors":"Mica Rosenow, Niki Munk","doi":"10.3822/ijtmb.v16i1.775","DOIUrl":"https://doi.org/10.3822/ijtmb.v16i1.775","url":null,"abstract":"<p><p>Human trafficking guised as massage therapy businesses is a highly successful business model that creates independent but related victims beyond the women and girls forced into sex work. Massage clinicians and the massage therapy profession are also negatively impacted by the trafficking massage business model with over 9,000 established illicit massage businesses marketing services alongside professional therapeutic massage businesses. Credential regulation efforts advocated for by various massage-related professional organizations and regulating agencies have fallen short in their purported intentions to protect massage therapists and trafficking victims. Massage industry advocates continue endorsing massage therapy as a branch of health care although health-care workers are not generally considered or treated as sex workers. Sexual harassment research in direct patient care disciplines, such as physical therapy and nursing, points to a high patient initiated incident rate and transdisciplinary, detrimental mental health outcomes for clinicians. Reporting and debriefing instances of sexual harassment inside of health-care organizations, covered by The Civil Rights Act of 1964, promotes a victim-centered perspective to support the well-being of past, current, and pending victims. The massage therapy workforce is comprised of mainly female sole proprietors, creating a double vulnerability in their potential to experience sexual harassment. This threat is compounded by little-to-no protective or supporting systems or networks for massage clinicians. The priorities of professional massage organizations to depend on credentialing and licensing as their primary efforts to fight human trafficking, seems more to perpetuate the current system/expectations, leaving individual massage therapists responsible for fighting or reeducation deviant sexualized behaviors. This critical commentary closes with a call to action aimed at professional massage organizations, regulators, and corporations to protect massage therapists through a unified position, supported in word, policy, and action, against sexual harassment, and unequivocally condemns professional massage devaluation and sexualization in all forms.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b0/eb/ijtmb-16-44.PMC9949613.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9388649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Greetings from the New Executive Editor.","authors":"Amanda Baskwill","doi":"10.3822/ijtmb.v15i1.821","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i1.821","url":null,"abstract":"This editorial marks a change in the Edi-torial Board of the International Journal of Therapeutic Massage and Bodywork. The new Executive Editor/Editor-in-Chief, Dr. Amanda Baskwill, shares her gratitude for the outgoing journal leadership, an-nounces new Editorial Board staff, and identifies two initiatives for 2023.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/76/ijtmb-16-1.PMC9949616.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9388645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Effects of a Single-Session of Full-Body Foam Rolling on Heart Rate Variability.","authors":"Thomas Kopec","doi":"10.3822/ijtmb.v15i4.739","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i4.739","url":null,"abstract":"<p><strong>Background: </strong>Self-myofascial release has been demonstrated to increase relaxation and improve blood flow, yet it is unknown if it can elicit an acute effect on heart rate variability (HRV).</p><p><strong>Purpose: </strong>This study aimed to determine if a single-bout of foam rolling could increase parasympathetic activity as measured by HRV.</p><p><strong>Methods: </strong>Twenty (20) participants volunteered and their baseline HRV was assessed using a finger sensor while lying supine, and then a second measure was recorded with them sitting upright with feet on the ground. This study utilized a practical HRV collection method designed for use in the field settings, and the data is recorded in arbitrary units (A.U.). Participants then oscillated on a closed-cell cylindrical foam roller using their body weight on the triceps surae, hamstrings, quadriceps, lumbar spine, and pectoral muscles each for 60 sec. Participants first massaged the right limb and then repeated on the matching muscle group on the left before continuing to the next region. Follow-up HRV measurements were recorded using the same procedures.</p><p><strong>Results: </strong>Paired samples <i>t</i> tests assessing pre- and post-foam-rolling HRV measures in supine and seated positions revealed no difference between supine measures (<i>p</i> = .05, <i>d</i> = 0.21), nor the seated measures (<i>p</i> = .27, <i>d</i> = 0.17) among all participants. When sexes were analyzed separately, males showed a significant decrease in HRV in supine positions (<i>p</i> = .03, <i>d</i> = 0.33), but females did not (<i>p</i> = .55, <i>d</i> = 0.09).</p><p><strong>Conclusions: </strong>The single bout of foam rolling on large muscle groups did not increase parasympathetic activity as hypothesized. Males and females responded differently in supine positions, but no difference was present in seated positions across sexes. The task of self-massage may have prevented the anticipated response from the massage. Further research should investigate if passive massage is more effective on HRV response.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/1f/ijtmb-15-18.PMC9683995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35347272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Massage Therapy as a Complementary Treatment for Stiffness and Numbness Post Cervical Spinal Cord Injury: a Case Study.","authors":"Dorothy Deetz, Benjamin K Petrie","doi":"10.3822/ijtmb.v15i4.745","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i4.745","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal Cord Injuries (SCI) commonly result in pain, stiffness, weakness and numbness. There are limitations in the ability of the standard medical approach to manage many symptoms of SCI. This case study examined the effects of massage therapy as a \"complementary\" therapy to treat post-operative numbness and stiffness after removal of a cavernous hemangioma intermeshed with a 26-year-old male patient's spinal cord.</p><p><strong>Methods: </strong>The patient received eight, one-hour therapeutic massage sessions over five months. Therapeutic massage techniques were performed by a Board-Certified Therapeutic Massage and Bodywork Therapist and consisted of cranial sacral, Swedish, myofascial release, trigger point therapy, and passive stretching. Symptom intensity was recorded prior to each session on a qualitative scale (1-10) and was trended over the course of the study.</p><p><strong>Results: </strong>There was a slight decrease over time in left-arm and back numbness, as well as neck and upper body stiffness. The patient viewed therapeutic massage to be a beneficial component to his recovery.</p><p><strong>Discussion/conclusion: </strong>Massage therapy should be considered as an adjunct therapy as part of a rehabilitation plan to address numbness and stiffness post-SCI. Further research is needed to understand the effects of massage therapy on SCI numbness and stiffness.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/80/ijtmb-15-3.PMC9683994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35347273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"So Long, and Thanks for All the Fish\": an Editor's Farewell.","authors":"Ann Blair Kennedy","doi":"10.3822/ijtmb.v15i4.789","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i4.789","url":null,"abstract":"This editorial is a reflection on the tenure of the outgoing Executive Editor/Editor-in-Chief, Dr. Ann Blair Kennedy. The editorial reviews the initial goals and accomplishments that were initiated in 2016 through 2022.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/9b/ijtmb-15-1.PMC9683996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35347270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proprioceptive Neuromuscular Facilitation Neck Pattern and Trunk Specific Exercise on Trunk Control and Balance-an Experimental Study.","authors":"Marimuthu Dinesh, Paluchamy Thenmozhi, Selvaraj KalaBarathi","doi":"10.3822/ijtmb.v15i4.727","DOIUrl":"https://doi.org/10.3822/ijtmb.v15i4.727","url":null,"abstract":"<p><strong>Background: </strong>Most stroke survivors continue to live with disabilities and may require physical rehabilitation to control the trunk and balance during the post-stroke period. The cause of lack of trunk control and balance among stroke patients is the weakened trunk muscle strength.</p><p><strong>Purpose: </strong>To study the effect of proprioceptive neuromuscular facilitation (PNF) neck pattern and trunk-specific exercise on trunk control and balance among stroke patients.</p><p><strong>Setting: </strong>The study was conducted at the medical wards of Saveetha Medical College and Hospital, Chennai, India.</p><p><strong>Participants: </strong>Sixty patients with stroke who met the inclusion criteria participated in the study.</p><p><strong>Research design: </strong>This is a quasi-experimental study.</p><p><strong>Intervention: </strong>PNF trunk-specific exercise was administered to the experimental group for 45 min of 28 sessions, which contained 15 min of stretching exercise and 30 min trunk-specific exercise. The control group received routine hospital care services.</p><p><strong>Main outcome measures: </strong>The study's primary outcome was balance and trunk control, measured by the Berg Balance Scale (BBS) and Trunk Impairment Scale (TIS) before the intervention and at the end of the intervention of 28 days.</p><p><strong>Results: </strong>Within-group analysis, paired <i>t</i> test showed a significant improvement comparing the trunk control and balance score before (13.40±1.04 & 25.40±1.81) and after (15.03±0.96 & 27.07± 1.48) the intervention in the experimental group (<i>p</i> < .001). Between-group analysis, both the experimental and control group post-test mean score of TIS (15.03±0.96 &13.70±1.15) and BBS (27.07±1.48 & 25.30±1.73) showed significant difference (p < .001).</p><p><strong>Conclusion: </strong>PNF neck pattern and trunk-specific exercise used in this study effectively improved balance and trunk control among patients with stroke.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/ab/ijtmb-15-9.PMC9683997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35347271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Lebert, Monica Noy, Eric Purves, Jacqueline Tibbett
{"title":"Massage Therapy: A Person-Centred Approach to Chronic Pain.","authors":"Richard Lebert, Monica Noy, Eric Purves, Jacqueline Tibbett","doi":"10.3822/ijtmb.v15i3.713","DOIUrl":"10.3822/ijtmb.v15i3.713","url":null,"abstract":"<p><p>Person-centred care is an emergent movement within evidence-based medicine that has the potential to transform the health care system. Person-centred care is a collaborative approach in which health care professionals partner with patients to co-design and deliver personalized care with a focus on physical comfort, emotional well-being, and patient empowerment. By embracing person-centred care through two-way communication, patient engagement, and self-management strategies, massage therapists have the potential to further reduce suffering associated with chronic pain in our society.</p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/f5/ijtmb-15-27.PMC9401086.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40349486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}