International Journal of Osteopathic Medicine最新文献

{"title":"Repositioning menstrual pain management: Multidisciplinary collaboration and cultural sensitivity as key priorities","authors":"Erma Pratiwi Nufi","doi":"10.1016/j.ijosm.2025.100771","DOIUrl":"10.1016/j.ijosm.2025.100771","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100771"},"PeriodicalIF":1.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic intervention for inflammatory conditions of the lactating breast: a case series","authors":"Roger Engel ,&nbsp;Katie Willy ,&nbsp;Elise Fuller","doi":"10.1016/j.ijosm.2025.100769","DOIUrl":"10.1016/j.ijosm.2025.100769","url":null,"abstract":"<div><h3>Introduction</h3><div>Inflammatory conditions of the lactating breast (ICLB) are responsible for many cases of early weaning. Patients with ICLB seek care from osteopaths with treatment often including osteopathic manual therapy (OMT) and therapeutic ultrasound (TUS). The aim of this case series is to measure change in inflammatory symptoms following OMT and TUS in patients with ICLB.</div></div><div><h3>Methods</h3><div>This case series includes women 18–40 years who attended a private mastitis clinic between April and October 2024. The primary outcome measure was the Breast Inflammatory Symptom Severity Index (BISSI). The BISSI was administered at baseline (pre-treatment), immediately post-treatment, 1, 2, 3, 7 and 14 days. All patients received OMT and TUS. Number of treatment sessions, other treatments and adverse events within the 14-day period were recorded.</div></div><div><h3>Results</h3><div>11 women were included in this case series. There was a sustained reduction in BISSI scores across the entire cohort over 14 days (average score: 28.5 at baseline; 0.6 at 14 days). There was a 41 % reduction from baseline to immediately post-initial treatment (28.5–16.7), a 64 % reduction by 1 day (28.5–10.4) and an 80 % reduction by day 2 (28.5–5.6). The average number of treatment sessions was 1.5 with most of the treatments occurring within the first 2 days. No adverse events were reported following OMT or TUS.</div></div><div><h3>Discussion</h3><div>A combination of OMT and TUS appears to be safe and beneficial to women with ICLB. Our finding of a 40 % reduction in symptoms immediately post-initial treatment warrants further investigation.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100769"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of forward head posture with cervical muscle thickness and neck pain-related disability among young adults: a cross-sectional study","authors":"Seçilay Güneş ,&nbsp;Şeyda Şahinkaya ,&nbsp;Sude Yamak ,&nbsp;Sude Kaplan ,&nbsp;Ali Rıza Sarıkaya ,&nbsp;Osman Enes Demirhan ,&nbsp;Irem Kar ,&nbsp;Şehim Kutlay","doi":"10.1016/j.ijosm.2025.100770","DOIUrl":"10.1016/j.ijosm.2025.100770","url":null,"abstract":"<div><h3>Background</h3><div>Forward head posture (FHP) is a common postural disorder in patients with neck pain. Despite the intuitive assumption that FHP determines neck pain characteristics, its effect on neck pain and cervical muscle morphology is unclear.</div></div><div><h3>Objectives</h3><div>To evaluate whether FHP affects cervical muscle morphology and neck pain-related disability among young adults.</div></div><div><h3>Methods</h3><div>Young adults with chronic neck pain older than 18 years were divided into 2 groups according to craniovertebral angle (CVA): those with FHP (≤49°) and those without. Neck pain severity and disability were evaluated with a numeric rating scale (NRS) and the neck disability index (NDI). Semispinalis capitis and sternocleidomastoid muscle thicknesses were measured via ultrasonography.</div></div><div><h3>Results</h3><div>Twenty-one females and 31 males were evaluated. The mean ages of those with and without FHP were 19.9 ± 1.1 and 20.0 ± 1.1 years, respectively. The incidence of FHP was significantly greater in females (73 %) (p &lt; 0.001). The normalized muscle thickness for body weight of both the semispinalis capitis and sternocleidomastoid muscle, the NRS pain score, and the NDI were similar between the groups. CVA was weakly negatively correlated with pain but was not correlated with cervical muscle thickness or disability. There was a weak negative correlation between semispinalis capitis muscle thickness and the NRS pain scores.</div></div><div><h3>Conclusions</h3><div>The frequency of FHP is greater in females. The presence of FHP was unrelated to neck pain severity or cervical muscle thickness and disability in individuals with chronic neck pain. There was a mild negative correlation between extensor muscle thickness and neck pain regardless of FHP.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100770"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective analysis of osteopathic manipulative treatment techniques used by 3rd and 4th year medical students","authors":"Heidi R. Bowman ,&nbsp;Brian D. Schwartz ,&nbsp;Mark E. Payton ,&nbsp;Christopher M. LaFontano","doi":"10.1016/j.ijosm.2025.100768","DOIUrl":"10.1016/j.ijosm.2025.100768","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether there is a correlation between the frequency with which osteopathic manipulative techniques are taught in preclinical osteopathic medical school years one and two and the prevalence of student use during years three and four. The secondary objective was to determine the students’ reported comfort and perception of ease and safety when using osteopathic manipulative treatment (OMT).</div></div><div><h3>Methods</h3><div>Third- and fourth-year OMT patient encounter logs for the classes of 2020–2022 were retrospectively reviewed for the students' technique of choice. These techniques were compared to how frequently that technique was taught in the preclinical curriculum. Survey data was collected from the class of 2025 third-year students upon completion of their family medicine rotation evaluating factors that influence students’ use of certain OMT techniques while on third- and fourth-year rotations.</div></div><div><h3>Results</h3><div>Final analysis included 20,149 OMT logs and ninety-six student surveys. The logs indicated that Muscle Energy (ME) was the most used technique among the classes. Muscle energy is also the most frequently taught in the preclinical curriculum. The data show ease of use and confidence were significantly correlated to students’ use of osteopathic techniques during clinical rotations. There was a strong correlation of consistency (0.72-0.98) among the different classes and all pairwise correlations were statistically significant.</div></div><div><h3>Conclusion</h3><div>The use of osteopathic techniques during third and fourth-year clinical rotations is directly related to their confidence and ease of performing the technique. Correlations exist between curricular frequency and students’ confidence, indicating the importance of preclinical curriculum and hands-on lab time.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100768"},"PeriodicalIF":1.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential impact of an osteopathic intervention for internationally adopted children with fetal alcohol spectrum disorder (FASD); a prospective case series","authors":"Ramon Cases-Solé ,&nbsp;David Varillas-Delgado ,&nbsp;Marta Astals-Vizcaino ,&nbsp;Victoria Aldecoa-Bilbao ,&nbsp;Óscar García-Algar","doi":"10.1016/j.ijosm.2025.100763","DOIUrl":"10.1016/j.ijosm.2025.100763","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the potential impact of Osteopathic Manipulative Treatment (OMT) on Health-Related Quality of Life (HRQoL) on internationally adopted children with fetal alcohol spectrum disorder (FASD).</div></div><div><h3>Methods</h3><div>Twelve children with FASD adopted from Eastern European countries were recruited in this prospective observational study. HRQoL was collected using the Kidscreen-52 questionnaire. The participants followed a six-month intervention plan that included 4 bi-weekly OMT sessions and 4 monthly OMT sessions.</div></div><div><h3><em>Results</em></h3><div>Significant differences were detected in the pre-post intervention values (p = 0.001), interaction by group (p = 0.048), in the results of four dimensions (Moods &amp; Emotions, p = 0.008, Self-Perception, p = 0.016, School Environment, p = 0.008 and Social Acceptance, p = 0.017) and in the overall assessment for parents’ version (p = 0.002). A mild adverse effect (pain/discomfort) was reported by one participant (8.3 % of the total sample) after one session.</div></div><div><h3><em>Conclusion</em></h3><div>This study shows that a six-month OMT intervention is a feasible personalized intervention for children and adolescents with FASD coming from international adoption. The study suggests that measuring instruments can detect changes in HRQoL over time, pointing out the need to develop a specific HRQoL assessment instrument for children with FASD to be applied in future studies. Even though promising significant changes were observed, these were most likely not only due to OMT, and further studies are required before assuming these could be due to osteopathic care.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100763"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of osteopathic and related manipulative treatments for improving symptoms of gastrointestinal distress in neurological disorders","authors":"Joseph Peters ,&nbsp;Grant Runnels ,&nbsp;Alexa Lauinger ,&nbsp;Tanner Murphy ,&nbsp;Abbey Griffith ,&nbsp;Turner Slicho","doi":"10.1016/j.ijosm.2025.100766","DOIUrl":"10.1016/j.ijosm.2025.100766","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the clinical utility of osteopathic manipulative treatments (OMT) and related manual therapies for improving gastrointestinal distress in patients with neurological disorders (ND).</div></div><div><h3>Methods</h3><div>A database search through PubMed, Embase, Scopus, and Ovid was conducted to identify randomized and non-randomized clinical trials that analyzed the effects of OMT and related manual therapies on gut health in patients with ND. Two independent reviewers screened articles for inclusion and extracted information related to participant characteristics, intervention details, outcome measures, and significant outcomes. Methodological quality of eligible studies was assessed using the Standard Quality Assessment Criteria.</div></div><div><h3>Results</h3><div>Twelve studies (nine randomized controlled trials, two pre-post trials, and one non-randomized controlled trial) with a total of 516 individuals with ND were analyzed. All twelve studies showed improvements in symptoms of gastrointestinal distress following OMT and related treatments. Findings may be limited by methodological variability (i.e., heterogenous disability types, treatment modalities) and language exclusions.</div></div><div><h3>Conclusion</h3><div>Evidence suggests that OMT and related treatments are effective interventions for improving symptoms of gastrointestinal distress like constipation and abdominal pain. Future randomized controlled trials should examine the dose-response of OMT and microbiome changes associated with these treatments.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100766"},"PeriodicalIF":1.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of osteopathic treatments in a patient who underwent two cardiac surgeries - A case report","authors":"Andrée Aubin ,&nbsp;Joëlle Bekhazi ,&nbsp;Alexandra Fortin ,&nbsp;Anilyn Paradis ,&nbsp;Chantal Morin","doi":"10.1016/j.ijosm.2025.100765","DOIUrl":"10.1016/j.ijosm.2025.100765","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgical scars often lead to pain and can impact function. The osteopathic approach could be a valuable care option, especially for patients who have not fully recovered their health after a reasonable recovery period, but the mechanisms of action remain unknown.</div></div><div><h3>Objective</h3><div>This study aims to describe how osteopathic interventions, guided by emerging models, can support the improvement of a patient's condition related to the consequences of thoracic surgeries.</div></div><div><h3>Case description</h3><div>A 56-year-old woman who underwent two thoracic cardiac surgeries (at 15 and 55 years old) post-endocarditis suffered, since the last surgery, from severe functional limitations (reduced respiratory amplitude, severe pain in the sternal region, difficulty lying on her back and stomach, lack of endurance when walking, poor sleep quality, limitations in daily activities) and presented with postural disturbances potentially related to these symptoms. There were hypoesthesias and sensitivity signs suggestive of pain catastrophizing.</div></div><div><h3>Outcomes</h3><div>Following initial evaluation, the patient received 4 one-hour osteopathic treatments. Four out of nine indicators of the Medical Outcome Study Short Form-60 (MOS SF-36) have improved: estimation of general health status, level of pain, general health indicator, and physical functioning. Pain decreased from 7 to 3/10 and walking distance increased to over 1.6 km.</div></div><div><h3>Conclusion</h3><div>Although post-surgical osteopathic interventions often involve scar tissue work to recover local tissue mobility or primarily musculoskeletal maneuvers, in this case, the interventions were guided by multiple models—including interoception, the biopsychosocial framework, and a patient-centered approach—to align with the patient's condition and recovery potential.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100765"},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with oral Submucous Fibrosis: A study protocol for randomized clinical trial","authors":"Rohan Kumar Sahu ,&nbsp;Preeti Garg ,&nbsp;Deepak Gupta ,&nbsp;Aditi Popli ,&nbsp;Kanu Goyal ,&nbsp;Manu Goyal","doi":"10.1016/j.ijosm.2025.100764","DOIUrl":"10.1016/j.ijosm.2025.100764","url":null,"abstract":"<div><h3>Background</h3><div>Oral Submucous Fibrosis (OSMF) is a chronic, disabling disorder of oral cavity primarily marked by limited mouth opening (trismus) and rigid lips, cheeks and pharynx causing dysphagia and a burning sensation in the mouth.</div></div><div><h3>Objective</h3><div>To compare the efficacy of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with OSMF.</div></div><div><h3>Material &amp; methods</h3><div>A total of 12 OSMF participants will be randomized in two groups i.e. Group 1- Soft tissue manipulation and Intralesional injection (STM + II), while Group 2 -Intralesional injection (II) only. Participants will receive one session per week for 6 weeks with the duration of 30–40 min per session. The mouth opening range, pain and muscle function will be assessed at the baseline and 6 weeks from baseline.</div></div><div><h3>Result</h3><div>Following normality determination appropriate within and between the group analysis will be performed to evaluate statistical significance and effect size and power of intervention will be computed.</div></div><div><h3>Conclusion</h3><div>This study will evaluate the efficacy of the STM in improving muscle function of superficial masseter and anterior temporalis in patients with OSMF.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>•</span><span><div>This study protocol deals with Oral Submucous Fibrosis (OSMF) patients having trismus more than 3 months, investigating the effectiveness of Soft Tissue Manipulation (STM) on function and muscle activity of superficial masseter and anterior temporalis muscle in patients with OSMF.</div></span></li><li><span>•</span><span><div>Very few studies have been conducted on the application of Osteopathic Manipulative Treatment for the management of temporomandibular dysfunctions but there isn't any published literature on this therapy's potential in cases with OSMF.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100764"},"PeriodicalIF":1.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Placebo effects in osteopathy and other manual therapies – What they are and why they matter to clinical practice, education, and research","authors":"David Hohenschurz-Schmidt ,&nbsp;Torsten Liem","doi":"10.1016/j.ijosm.2025.100762","DOIUrl":"10.1016/j.ijosm.2025.100762","url":null,"abstract":"<div><div>Placebo effects are measurable changes in health outcomes arising from treatment context, driven by learning and expectancy mechanisms. While increasingly well documented and understood, their role in osteopathic and other manual therapies remains underexplored. Given the inherently complex and interpersonal nature of these interventions, understanding placebo and nocebo effects is essential for refining clinical practice, education, and research.</div><div>This narrative review synthesises current research on placebo mechanisms and their implications for osteopathic practice, education, and research. A non-systematic literature search was conducted using Google Scholar, structured by pre-defined learning outcomes, and prioritising high-quality studies and systematic reviews where available. Contradictory findings were sought and critically appraised to provide a balanced perspective.</div><div>Beginning with a historical overview and up-to-date summary of placebo-related concepts and mechanisms, the review highlights how expectancy, contextual factors, and psychobiological processes contribute to treatment effects in manual therapy. On this basis, the article advocates for a person-centred, biopsychosocial approach that leverages positive expectations while minimising nocebo effects. It also underscores the need for education models that incorporate placebo science to enhance clinical practice. Future research should prioritise well-designed efficacy trials, while also advancing knowledge of how expectancy and learning mechanisms influence treatment outcomes in manual therapies.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100762"},"PeriodicalIF":1.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is regression in lumbar disk herniation possible by spinal mobilization? A single-blind randomized controlled clinical study","authors":"Burhan Taşkaya ,&nbsp;İsmail Taşkent ,&nbsp;Mahmut Çakıllı ,&nbsp;Öznur Tunca","doi":"10.1016/j.ijosm.2025.100760","DOIUrl":"10.1016/j.ijosm.2025.100760","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to examine the impacts of spinal mobilization practices on herniation distance, disc height, and facet joint distance, as well as functional status, pain, range of motion (ROM), and flexibility in lumbar disc herniation (LDH) patients.</div></div><div><h3>Methods</h3><div>Thirty-two participants participated in the study, divided into an Intervention and Control Group. Radiological findings were evaluated by magnetic resonance imaging before and after the study. The Back Performance Scale, Visual Analogue Scale, The S, and The Sit and Reach Test were assessed before, after, and at three months. The control group received ten sessions of stabilization exercises for five weeks, two sessions per week. In the intervention group, spinal mobilization applications were applied in addition to stabilization exercises</div></div><div><h3>Results</h3><div>Intra-group analysis revealed significant reductions in herniation distance, increases in facet joint distance, pain alleviation, functional improvement, enhanced flexibility, and extended ROM in both groups (p &lt; 0.05). Notably, a significant increase in disc height was observed exclusively in the Intervention Group (p &lt; 0.05). Inter-group analysis revealed no significant differences between the groups post-intervention (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Mobilization applications applied in LDH patients may have a positive effect on radiological findings, functional status, pain, ROM, and flexibility.</div></div><div><h3>ClinicalTrials.gov Identifier</h3><div>NCT05753579 (03.02.2023)</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100760"},"PeriodicalIF":1.1,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}