Musculoskeletal Care最新文献

{"title":"Self-Compassion and Medical Coping Modes of Patients With Rheumatoid Arthritis: Mediating Role of Personal Mastery.","authors":"Wenyan Wu, Jieyu Zhang, Xiuli Wang, Yinghui Zhang, Tian Yao, Shengxiao Zhang","doi":"10.1002/msc.70074","DOIUrl":"https://doi.org/10.1002/msc.70074","url":null,"abstract":"<p><strong>Aim: </strong>To test the mediating role of personal mastery in the relationship between self-compassion and medical coping modes in patients with rheumatoid arthritis (RA).</p><p><strong>Design: </strong>A cross-sectional questionnaire survey was administered.</p><p><strong>Methods: </strong>We enrolled a convenience sampling of patients with RA from a Class A tertiary hospital. Date were collected from May 2023 to April 2024. Using self-compassion, medical coping modes, and personal mastery self-reported questionnaires. The data were analysed using correlation analyses, multiple linear regression analysis and structural equation modelling.</p><p><strong>Results: </strong>A total of 245 participants were included in this study. Personal mastery was an independent predictor of medical coping modes (β = 0.15, SE = 0.07, 95% CI [0.01, 0.30]). Significant correlations were identified between self-compassion, personal mastery, and medical coping strategies among these patients. Personal mastery was found to mediate the relationship between self-compassion and confrontation (β = 0.724, 95%CI: 0.367-1.081, p < 0.05) and avoidance coping strategies (β = -0.179, 95%CI: -0.336 to -0.022, p < 0.05). Additionally, self-compassion was directly linked to resignation coping (β = -0.309, 95%CI: -0.515 to -0.136, p < 0.05), with no mediation effect observed.</p><p><strong>Conclusion: </strong>Personal mastery mediates the impact of self-compassion on the adoption of medical coping strategies among RA patients. Self-compassion is shown to have a direct influence on personal mastery. It is imperative for healthcare providers to consider the self-compassion and personal mastery of their patients, encouraging adaptive coping mechanisms to enhance life quality.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70074"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upskilling Rheumatology Occupational Therapists in Work Rehabilitation: An Evaluation of a Job Retention Vocational Rehabilitation Training Course (the Workwell Trial).","authors":"Alison Hammond, Rachel O'Brien, Sarah Woodbridge, Yeliz Prior, Angela Ching, June Culley, Jennifer Parker","doi":"10.1002/msc.70067","DOIUrl":"10.1002/msc.70067","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives were to assess current job retention vocational rehabilitation (JRVR) services for employed individuals with inflammatory arthritis (IA) in rheumatology therapy departments interested in participating in the Workwell trial. Additionally, to modify a JRVR training course to support therapists in delivering JRVR and to evaluate changes in therapists' knowledge, confidence, and ability following the training.</p><p><strong>Methods: </strong>This was a mixed-methods study. Current work services were explored with lead therapists through a cross-sectional survey about their work rehabilitation service; and one-to-one interviews. Feedback from previous course attendees and trainers informed modifications to the training course. Participating therapists completed mailed questionnaires pre-and post-training.</p><p><strong>Results: </strong>Lead therapists from 28 interested departments reported providing JRVR to a median of 7 patients per month (IQR 3-12) for an average of 60 min (IQR 41.25-90). Nine therapists participated in pre-trial interviews, with themes highlighting variability in referrals, the use of work assessment tools, and advice on ergonomic adjustments. The training course was shortened from three to 2 days by incorporating a pre-training self-study pack and reducing lecture time, while increasing practical content such as work assessment demonstrations and extended workshops. Following the training, 32 therapists showed significant improvements in their knowledge and confidence in delivering JRVR (p < 0.001).</p><p><strong>Discussion: </strong>The need for training in work assessment and delivery of complex JRVR was identified. The therapist training course provided was favourably received. Post-training, therapists' ability to assess and plan complex JRVR improved.</p><p><strong>Trial registration: </strong>WORKWELL Trial: ISRCTN: 61762297; Clinical Trials.Gov: NCT03942783.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70067"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531916","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":"The Movement, Mindfulness, and Pain Science (MMaPS) Class Improves Well-Being and Physical Function in Patients With Chronic Pain.","authors":"Sharna Prasad, Olivia Coskey, Micah Wong, Jonathan D Jones","doi":"10.1002/msc.70076","DOIUrl":"https://doi.org/10.1002/msc.70076","url":null,"abstract":"<p><strong>Objectives: </strong>This study sought to quantify the impact of participation in an interactive class for patients with chronic pain called Movement, Mindfulness, and Pain Science (MMaPS), on physical function, pain catastrophizing, and quality of life.</p><p><strong>Methods: </strong>Patients with chronic pain of any type were enroled in an 8-week course that implemented principles of safe movement, mindfulness, and meditation practice, and also incorporated education related to the biopsychosocial model of pain science. Questionnaires were collected from participants who attended the MMAPS programme in the 2018 through 2020 sessions prior to and after the class to measure participant outcomes, which included the pain catastrophizing scale (PCS), Adverse Childhood Events score (ACE), Quality of Life scale (QOL), Patient Specific Functional Score (PSFS), 30 s sit to stand (30 STS), and 4-stage balance (4SBT).</p><p><strong>Results: </strong>One hundred fifty-five people completed the class. The median Pain Catastrophizing Scale score dropped from 19 to 11 (p < 0.001). Median Quality of Life scores increased from 5 to 6 (p < 0.001) on a 10-point scale. Patient Specific Functional Scale scores improved from an average score of 2.5 to 5.1 (p < 0.001). Median 30 Second Sit-to-Stand scores improved from 8 to 11 (p < 0.001). The 4-stage balance test improved with 39% of patients having completed all four stages at intake and 56% completing all four stages by the end of class (p = 0.001).</p><p><strong>Conclusion: </strong>Patients with chronic pain had significant improvements in several measures of wellness and physical function after participating in the MMaPS class.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70076"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibromyalgia and Rehabilitation. Not as You Thought. Changing the Stigma.","authors":"Amit Kosto, Julia Getmansky, Michael Glukhoded, Judith Nosgorodsky, Alan Friedman, Lena Lutsky, Iuly Treger","doi":"10.1002/msc.70080","DOIUrl":"https://doi.org/10.1002/msc.70080","url":null,"abstract":"<p><strong>Background: </strong>A cohort of patients in the rehabilitation wards also suffer from Fibromyalgia, which is considered the most prevalent cause of chronic pain. Poor function, subjective cognitive impairment, instability and imbalance are all common features of Fibromyalgia, among other more prominent features such as the use of chronic pain medication. The main purpose of this study was to examine the differences in Length of Stay (LOS) and functional outcome parameters.</p><p><strong>Methods: </strong>A retrospective cohort trial was conducted at the Soroka University Medical Centre. The time of data collection was conducted from January 2015 to December 2021. Patients were divided into two groups based on their exposure status: With Fibromyalgia (n = 43) and Control group Without Fibromyalgia (n = 1119). A 1:10 matching process and regression analysis were performed to avoid confounding factors. Matching was based on age, gender, and ethnicity. Various rehabilitation outcomes were collected along with pain assessment and pain medication use during the hospitalisation. Statistical analysis was performed using R software. A p value of < 0.05 will be considered statistically significant.</p><p><strong>Results: </strong>No statistically significant difference was found in the duration of hospitalisation, the FIM index at admission and discharge, or the change in the FIM index (ΔFIM) during hospitalisation between the two groups. No statistically significant differences were demonstrated in stability and balance indices (DGI, BBS) or cognitive assessment tests (MoCA).</p><p><strong>Conclusions: </strong>The stigma is incorrect, as patients with fibromyalgia can improve their functional parameters during an inpatient rehabilitation programme to the same degree as those without fibromyalgia.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70080"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Barriers and Facilitators to Self-Management for Patients With Persistent Musculoskeletal Conditions Following NHS-Led Hydrotherapy: A Service Evaluation.","authors":"Natasha Pathak, Roger Newham, Neil Smith, Roanna Burgess","doi":"10.1002/msc.70075","DOIUrl":"10.1002/msc.70075","url":null,"abstract":"<p><strong>Introduction: </strong>Persistent musculoskeletal (MSK) disorders are one of the leading reasons for years lived with disability within the UK. Guidelines encourage integrating self-management support. Hydrotherapy supports patients with persistent MSK conditions; however, self-management following NHS-led hydrotherapy has been inconsistent.</p><p><strong>Aim: </strong>To identify outcomes of hydrotherapy alongside the barriers, facilitators, and contributory factors affecting self-management in the local persistent MSK pain population.</p><p><strong>Methods: </strong>Between April 2023 and May 2023, a service evaluation was undertaken exploring factors affecting self-management in the local persistent MSK pain population following NHS-led hydrotherapy. Demographics, clinical factors, functional status (MSK-HQ) and patient-reported experiences, including barriers and facilitators to self-management, were recorded. Data was analysed using descriptive statistics alongside exploration of themes.</p><p><strong>Results: </strong>Ninety patients completed hydrotherapy. White British (n = 24) and Indian British (n = 23) were the most common groups to attend. Multiple joint (n = 27) and spinal conditions (n = 26) were the most common MSK conditions. Mean pre- and post-MSK-HQ scores were 20.8 and 26.1, respectively. Among the contactable patients (n = 69), 49 patients did not maintain independent water-based self-management reporting barriers such as ongoing support, access and financial concerns. Patients supported the establishment of a support group (n = 56) to help maintain water-based exercises.</p><p><strong>Conclusions: </strong>The local persistent MSK pain population lacks self-efficacy for independent water-based self-management. A supportive and collaborative approach is proposed to address this via a patient-led hydrotherapy support group.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70075"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516956","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":"Self-Efficacy and Self-Management in Musculoskeletal Rehabilitation: Strategies and Challenges Among Brazilian Physiotherapists.","authors":"Carolina Matiello Souza, Jaqueline Martins, Anamaria Siriani de Oliveira","doi":"10.1002/msc.70077","DOIUrl":"10.1002/msc.70077","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the knowledge and strategies used by Brazilian physical therapists in assessing and promoting self-efficacy and self-management in musculoskeletal rehabilitation.</p><p><strong>Methods: </strong>A nationwide cross-sectional online survey was conducted with licenced physical therapists recruited through professional networks and social media. The questionnaire, developed based on the CHERRIES checklist, assessed participants' knowledge, clinical strategies, and perceived barriers related to self-efficacy and self-management interventions. Data were analysed using descriptive statistics and logistic regression models.</p><p><strong>Results: </strong>A total of 348 responses were analysed. While 97.7% of respondents acknowledged self-efficacy as a key factor in treatment adherence, only 43.6% frequently applied strategies to enhance it in clinical practice, as per Bandura's theory. The most commonly cited interventions were self-management education and exercises (81.2%). However, limited professional training and low patient adherence emerged as major barriers. Logistic regression analysis revealed that therapists who engaged more frequently with literature on the subject were 3.48 times more likely (95% CI: 1.6-7.4) to implement self-efficacy strategies in practice compared with those who engaged less frequently.</p><p><strong>Conclusion: </strong>Despite acknowledging the importance of self-efficacy, Brazilian physical therapists face challenges in applying structured strategies in practice. Enhancing education and integrating behavioural approaches into curricula may facilitate the implementation of evidence based self-efficacy interventions.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70077"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study.","authors":"Maria Moffatt, Nina Chalmers, Chris Littlewood","doi":"10.1002/msc.70079","DOIUrl":"10.1002/msc.70079","url":null,"abstract":"<p><strong>Objectives: </strong>The decision to undergo total shoulder replacement surgery is a major one and should be a joint one between the patient and surgeon. It is important that patients are provided with accessible, meaningful and appropriate information to enable an informed decision. The aim of this study was to explore the content and language used within publicly available information leaflets produced by UK National Health Service (NHS) Trusts for people considering shoulder replacement surgery and to consider how this may influence surgical decision making.</p><p><strong>Design: </strong>An online search of publicly available NHS shoulder replacement patient information leaflets (PIL) was undertaken. The text within the PIL was analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Thirty-eight PIL were identified. The volume of information and content varied greatly. All PIL discussed the clinical problem, mainly within a biomedical framework and from a clinician's perspective in which normal shoulder anatomy was contrasted with shoulder pathology. Only a minority of the PIL discussed non-surgical treatments and of those that did, such approaches were predominantly portrayed as a temporary management option only, whilst surgery was frequently portrayed as the optimum treatment.</p><p><strong>Conclusion: </strong>There is variation in the content of NHS shoulder replacement PIL. The content and language used may not adequately support people in making an informed decision about whether surgery is the right treatment option for them. We need to better understand the information needs of people considering shoulder replacement surgery, and provide information that is accessible, culturally sensitive, and capable of facilitating shared decision making.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70079"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598136","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":"Improving Standards of Care for Axial Spondyloarthritis Through Project CATALYST: Experience From Two UK Centres.","authors":"Niamh Kennedy, Catherine Tonks, Keir Young, Tim Blake, Adrian Pendleton, Caroline Clarke, Tanya Rooney, Liesbet Van Rossen","doi":"10.1002/msc.70073","DOIUrl":"10.1002/msc.70073","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70073"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516958","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":"Knee Bracing for Unicompartmental Osteoarthritis: A Service Evaluation.","authors":"Sarah Hetherington, Samantha Watson-Smith, Felicity Evison, Caroline Miller","doi":"10.1002/msc.70072","DOIUrl":"10.1002/msc.70072","url":null,"abstract":"<p><strong>Objectives: </strong>This service evaluation examined the impact of offloader knee bracing for unicompartmental osteoarthritis (OA) on pain, quality of life (QoL) and activities of daily living (ADL).</p><p><strong>Design: </strong>The retrospective service evaluation was completed at two NHS community primary care clinics offering offloader knee bracing services. Between 2015 and 2023 patients prescribed offloader knee braces with unicompartmental osteoarthritis were invited to complete a Knee injury and Osteoarthritis Outcome Score (KOOS) at baseline, one, six and 12 months and at two and three years. KOOS data were analysed to assess the change in ADL, Pain and QoL domains from baseline to one, six and twelve months and up to three years using a paired t-test. Demographic data collected included age, sex, and type of OA.</p><p><strong>Results: </strong>Two hundred and forty-three patients were issued an offloader knee brace. There were statistically significant differences in pain and ADL for both braces at one and six months (p < 0.05). Participants issued with an ÖSSUR brace demonstrated statistically significant changes in pain and ADL for up to two years (p = 0.0101; p = 0.0153) and QoL up to one year (p = 0.0011). There was no statistically significant difference in either brace at three years. The ÖSSUR brace demonstrated a minimal clinically significant difference at one month for all domains, at one year for pain and ADL and two and three years for pain, ADL and QoL.</p><p><strong>Conclusions: </strong>Results indicate that offloader knee bracing for unicompartmental knee OA could reduce patients' pain, ADL and QoL in the long term.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70072"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568355","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":"Global and Regional Prevalence of Carpal Tunnel Syndrome: A Meta-Analysis Based on a Systematic Review.","authors":"T Gebrye, E Jeans, G Yeowell, C Mbada, F Fatoye","doi":"10.1002/msc.70024","DOIUrl":"10.1002/msc.70024","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) is a considerable concern, impacting individual health and socio-economic factors. A systematic review and meta-analysis of CTS prevalence would offer valuable insights for healthcare planning, improving outcomes and reducing the burden on affected individuals.</p><p><strong>Methods: </strong>In line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a meta-analysis was conducted to estimate the prevalence of CTS. Medline, CINAHL, AMED, Scopus, and Web of Science databases were searched for studies published from 1 January 2012 to 10 October 2024. The pooled prevalence rates were determined using a random effects model.</p><p><strong>Results: </strong>The search yielded 548 initial findings, 103 duplicate records were eliminated, and only 31 of these papers were deemed relevant for inclusion in this review. The prevalence estimates were sourced from 15 different countries, including the United States (n = 8), Saudi Arabia (n = 5), Ethiopia (n = 3), Turkey (n = 2), Iran (n = 2) and Brazil (n = 2), among others. Each of the following countries contributed one study: China, France, Germany, India, Kuwait, the United Kingdom, Korea, the Netherlands, and Sweden. In total, the included studies analysed 5,311,785 individuals, revealing a prevalence of CTS ranging from 0.003 to 0.743. The random-effects meta-analysis yielded an overall prevalence estimate of 0.144, with a 95% confidence interval (CI) of 0.067-0.282, based on 30 studies.</p><p><strong>Conclusion: </strong>The prevalence estimates for CTS are notably high, highlighting the need for effective surgical management strategies. Developing and implementing these interventions is crucial to enhancing health outcomes for individuals affected by CTS.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"22 4","pages":"e70024"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822773","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}