Patrick Kornherr, Christian Kühne, Falko Kopp, Achim Preiss, Leif Menzdorf, Nils Proksch
{"title":"[Bouldering: a sport with a high risk of intraarticular fractures].","authors":"Patrick Kornherr, Christian Kühne, Falko Kopp, Achim Preiss, Leif Menzdorf, Nils Proksch","doi":"10.1055/a-1376-9730","DOIUrl":"https://doi.org/10.1055/a-1376-9730","url":null,"abstract":"<p><p>Bouldering is a famous new sport with an increasing number of athletes. It became an Olympic sport in 2020. As no major sports equipment is required, everybody can take up bouldering even with little knowledge. However, despite the low climbing height there is a high risk of severe joint injuries, especially in the lower limb. Increasing numbers of climbers have led to an increase in injuries. New floor designs are supposed to reduce these risks. Improved documentation and specific research in bouldering should provide more insight into risks, injury patterns and prevention.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"129-137"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618138","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}
Markus Gabl, Peter Kaiser, Stefan Benedikt, Gernot Schmidle, Matthias Haselbacher, Rohit Arora
{"title":"Risk profiles in two different alpine rock climbing styles.","authors":"Markus Gabl, Peter Kaiser, Stefan Benedikt, Gernot Schmidle, Matthias Haselbacher, Rohit Arora","doi":"10.1055/a-1833-8840","DOIUrl":"https://doi.org/10.1055/a-1833-8840","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to evaluate the injury risk profile of the two different styles of rock climbing, alpine climbing with minor route protection (AC) and alpine sport climbing on well-protected routes (SC), in order to develop preventive strategies for risk management. PATIENTS AND METHODS : 18 SC and 12 AC rock climbing accidents were evaluated retrospectively with a focus on climbers` demographics (age, experience, training intensity, performance level), accident demographics (unforeseen events preceding the injury, ascending or descending, fall height), injury patterns (injury severity, pathologies, pathomechanism) and environmental conditions (rock characteristics, route frequency, route grade, weather). RESULTS : Injuries were mainly sustained by male lead climbers during ascent (80%). The lower extremity was injured in 46%, the upper extremity in 40%, the pelvis in 6% and the head, chest and spine in 3%. Climbers were significantly older (43 vs. 31 years; p=0.03) and more experienced (21.5 vs. 5.7 climbing years) in AC. Falling height was significantly greater in AC (14.8 vs. 4.7m). Unforeseen events preceding the injury differed significantly between both groups. Slipping off and letting go preceded the fall in 78% in SC, while rock dislodging occurred only in AC. There was a tendency that climbers in SC climbed near or above their performance level, while climbers in AC climbed below their level. SC climbers tended to show more ankle fractures while AC climbers tended to present more cases with multiple injuries.</p><p><strong>Discussion: </strong>AC and SC climbers differ in their risk profiles. Poorer route protection in AC resulted in more severe injuries. Yet in SC routes, good protection alone was not enough to avoid severe injuries. For prevention, climbers should be aware of the specific risks in AC and SC routes and should adjust their behaviour accordingly. Athletic skills were overestimated in SC, while alpine demands were underestimated in AC. A higher focus on visual and haptic grip control may help to prevent loss of hold. A careful lining of the rope into solid rock can reduce rockfalls for the seconder. Continuous attention is mandatory in rope handling and belaying. Applying more mobile pros is recommended in AC because they may shorten fall heights.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"145-154"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618139","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":"Functional Adaptations in Isokinetic Performance and Shoulder Mobility in Elite Ultimate Frisbee Players.","authors":"Christoph Koeble, Wolfgang Seiberl","doi":"10.1055/a-1023-4983","DOIUrl":"https://doi.org/10.1055/a-1023-4983","url":null,"abstract":"<p><p>Ultimate Frisbee is a team sport where players mainly use their dominant arm for throwing a flying disc. Little is known about possible functional adaptations to this unilateral strain. The purpose of this study was to investigate shoulder rotation strength and range of motion (ROM) in elite Ultimate Frisbee players. We were especially interested in possible sport-specific functional adaptations of peak torque and work ratios as well as the range of motion of agonist and antagonist shoulder rotators regarding laterality between the dominant and non-dominant body sides. For this reason, the concentric external and internal isokinetic (60°/s) shoulder rotation torque and passive glenohumeral rotation ROM were examined in 15 male subjects (27.5 ± 5.5 yrs; all current or former members of the German National Team) and comparisons of dominant to non-dominant body sides were conducted. Maximum strength (work) during external shoulder rotation was higher on the dominant body side compared with the non-dominant body side (8.4 ± 8.4 %; p < 0.01). No side-to-side differences were found in maximum internal rotation strength. Internal rotation ROM and total ROM were smaller on the dominant body side (21 ± 18 %; p < 0.01 and 5 ± 9 %; p < 0.05). Our findings indicate similar adaptation patterns of shoulder rotation mobility compared to other overhead sports, but differing results regarding shoulder rotation strength. Stretching exercises and monitoring programs are recommended for elite Ultimate Frisbee players, starting at the early stages of the career.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"165-168"},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1023-4983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37638834","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}
Raphael Vogel, Vilijam Zdravkovic, Michael Badulescu, Gábor J Puskás, Bernhard Jost
{"title":"Comparing major joint injuries, interventions and late sequelae in elite male handball players with an age-matched control group.","authors":"Raphael Vogel, Vilijam Zdravkovic, Michael Badulescu, Gábor J Puskás, Bernhard Jost","doi":"10.1055/a-1143-7559","DOIUrl":"https://doi.org/10.1055/a-1143-7559","url":null,"abstract":"<p><strong>Introduction: </strong>Handball is a contact sport which involves throwing and jumping, exposing players to serious physical stress. There is a high risk of injuries leading to possible long-term sequelae. The aim of this study was to assess the incidence of musculoskeletal injuries in elite male handball players compared with an age-matched control group.</p><p><strong>Patients and methods: </strong>Former elite handball players, who had played on the Swiss national team between 1980 and 1985, answered a questionnaire about injuries, surgical interventions and their current health status. A total of 34 athletes were compared with 58 age-matched volunteers, who only engaged in recreational sports or no sports at all.</p><p><strong>Results: </strong>The mean age of the athletes was 58.4 years (range 52-68 years) and did not differ significantly from the mean age of the control group of 58.7 years (range 53-69 years). In the control group, 70 % engaged in recreational sports. There was no statistical difference regarding the life-long incidence of shoulder injuries and surgical interventions, sequelae or persistent shoulder pain. Athletes had more interventions after elbow injuries (0.09 vs. 0, p = 0.047), but the difference with respect to chronic pain or late sequelae was not statistically significant. For knee injuries, there were no significant differences regarding the incidence of injuries or interventions, the prevalence of secondary consequences or persistent pain. Concerning the foot and ankle, there was a significantly higher incidence of injuries (0.5 vs. 0.03, p < 0.001) and interventions (0.5 vs. 0.09, p < 0.001) in athletes, but no statistical difference regarding sequelae or persistent pain. Overall quality of life had identical ratings in both groups (athletes mean 85.9 %, controls mean 85.8 %).</p><p><strong>Discussion: </strong>Top handball players did not sustain more shoulder or knee injuries than the age-matched control group. The elbow was more at risk in these top athletes, but long-term consequences appeared to be less severe. The most distinctive difference was seen in foot and ankle injuries.</p><p><strong>Conclusions: </strong>A career as an elite handball player had no adverse effect on the overall quality of life of elite handball players 25 to 30 years after retiring from professional sports.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"136-141"},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1143-7559","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38294253","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}
Veronika Mandlik, Leonard Achenbach, Marc Rüwe, Matthias Kuhr, Kai Fehske
{"title":"Traumatic injuries to the hand and wrist in youth elite handball are most frequently localised to the thumb and proximal interphalangeal joints.","authors":"Veronika Mandlik, Leonard Achenbach, Marc Rüwe, Matthias Kuhr, Kai Fehske","doi":"10.1055/a-1175-1364","DOIUrl":"https://doi.org/10.1055/a-1175-1364","url":null,"abstract":"<p><strong>Introduction: </strong>Hand and wrist injuries have been described as the second most common severe injuries in handball. However, no evidence exists regarding the specific characteristics of these injuries. The aim of this study was to determine the injury pattern of hand and wrist injuries in youth handball.</p><p><strong>Materials and methods: </strong>Two-hundred and ninety-six adolescent elite handball players (mean age: 14.0 ± 0.8 years) completed a retrospective survey regarding their hand and wrist injuries during the previous season. The injury questionnaire was adapted from sports-specific questionnaires to the demands of hand and wrist injuries in handball and included injury location, type of injury and injury severity.</p><p><strong>Results: </strong>One-hundred and twenty-three (42 %) players reported 156 injuries (0.53 injuries per season per player) to their hands or wrists in the past season. Injuries to the proximal interphalangeal joints were most frequently described (n = 74, 47 %). The thumb was involved in 46 (29 %) cases. Sprains (n = 113, 72 %) were the most common type of injury. Thirty-six percent of moderate and severe injuries (> 7 days time loss) had not been treated by a physician.</p><p><strong>Conclusions: </strong>The rates of hand and wrist injuries are high in youth elite handball. Injury prevention strategies and return to competition criteria should focus on the thumb and the interphalangeal joints. Further research into these injuries is essential to identify risk factors and to develop adequate injury prevention measures.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"142-146"},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38412270","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}
Felipe León-Morillas, Martha Cecilia León-Garzón, María Del Mar Martínez-García, Javier Reina-Abellán, María Victoria Palop-Montoro, Silvana Loana de Oliveira-Sousa
{"title":"Effects of respiratory muscle training in soccer players: a systematic review with a meta-analysis.","authors":"Felipe León-Morillas, Martha Cecilia León-Garzón, María Del Mar Martínez-García, Javier Reina-Abellán, María Victoria Palop-Montoro, Silvana Loana de Oliveira-Sousa","doi":"10.1055/a-1524-0021","DOIUrl":"https://doi.org/10.1055/a-1524-0021","url":null,"abstract":"<p><p>Respiratory muscle training can improve strength and reduce respiratory muscle fatigue during high-intensity exercise. Little is known about the existing evidence in soccer players. A systematic review with a meta-analysis was performed to analyse the existing evidence on the effects of respiratory muscle training in soccer players. Two independent researchers reviewed 17 databases until July 2019. Inclusion criteria were controlled clinical trials (randomised or not), soccer players (professional or recreational), females and/or males, and respiratory muscle training compared with simulated or regular training groups. The methodological quality and quality of evidence were evaluated with the Cochrane Collaboration Tool and GRADE score, respectively. Statistical analysis was performed using the integral meta-analysis 3.3.070. Nine studies met the eligibility criteria. The meta-analysis was performed for eight variables related to respiratory muscle function, lung function and sports performance. Respiratory muscle training provided a significant improvement compared with simulated or regular training in maximal inspiratory buccal pressure (6 studies, SDM = 0.89; 95 % CI = 0.42, 1.35) and maximum consumption of oxygen (3 studies, SDM = 0.92; 95 % CI = 0.24; 1.61). No significant improvements were observed for other variables. The quality of the evidence was rated as low or very low.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"154-164"},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39183450","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":"[Development of an injury surveillance system (ISS) in judo].","authors":"Jascha Drew Jaeger, Kai-Uwe Schmitt","doi":"10.1055/a-1302-8804","DOIUrl":"https://doi.org/10.1055/a-1302-8804","url":null,"abstract":"<p><strong>Background: </strong> Judo is a popular combat sport with a high risk of injury. To date, information on injuries in non-competitive and amateur judo is sparse. Injuries in Swiss judo have not been recorded systematically. The objective of this project was to develop an injury surveillance system for judo. Such a system not only provides a possibility for the systematic monitoring of injuries, but also allows for the planning and assessing of strategies for injury prevention.</p><p><strong>Methods: </strong> A survey was conducted to obtain an overview of injuries sustained in Swiss judo. The results served as a basis to develop and implement a database with a web interface, which is called injury surveillance system. Several judo athletes tested the new system in a trial.</p><p><strong>Results: </strong> Amateur judokas provided 34.2 % of the answers of the survey. Upper extremity injuries, especially of the shoulder, were most frequently reported, followed by lower extremity injuries, particularly of the knee. In due consideration of the results and experiences gained from the survey, the SJISS (Swiss Judo Injury Surveillance System) was established. SJISS is a web-based injury surveillance system designed for Swiss judo.</p><p><strong>Conclusion: </strong> This is the first system developed to provide an ongoing and systematic recording of injuries in Swiss judo. The system allows for injury monitoring and may serve as a starting point for developing and evaluating injury prevention programmes.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"45-51"},"PeriodicalIF":0.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1302-8804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25374487","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}
Reinhold Ortmaier, Christian Fink, Wolfgang Schobersberger, Harald Kindermann, Iris Leister, Armin Runer, Caroline Hepperger, Cornelia Blank, Georg Mattiassich
{"title":"Return to Sports after Anterior Cruciate Ligament Injury: a Matched-Pair Analysis of Repair with Internal Brace and Reconstruction Using Hamstring or Quadriceps Tendons.","authors":"Reinhold Ortmaier, Christian Fink, Wolfgang Schobersberger, Harald Kindermann, Iris Leister, Armin Runer, Caroline Hepperger, Cornelia Blank, Georg Mattiassich","doi":"10.1055/a-1019-0949","DOIUrl":"https://doi.org/10.1055/a-1019-0949","url":null,"abstract":"<p><strong>Purpose: </strong> The purpose of this study was to evaluate sports activity before anterior cruciate ligament (ACL) injury and after surgical treatment of ACL rupture comparing ACL repair with an Internal Brace to ACL reconstruction using either a hamstring (HT) or quadriceps tendon (QT) autograft.</p><p><strong>Methods: </strong> Between 12/2015 and 10/2016, we recruited 69 patients with a mean age of 33.4 years for a matched-pair analysis. Twenty-four patients who underwent Internal Brace reconstruction were matched according to age (± 5 years), gender, Tegner activity scale (± 1), BMI (± 1) and concomitant injuries with 25 patients who had undergone HT reconstruction and 20 patients who had undergone QT reconstruction. The minimum follow-up was 12 months.</p><p><strong>Results: </strong> Overall, the return-to-sports rate was 91.3 %. There were no significant differences (p ≥ 0.05) in the number of sports disciplines and the time before return to sports within or among the groups. Overall and within the groups, the level of sports participation did not change significantly (p ≥ 0.05) postoperatively. The patients' sense of well-being was excellent after either ACL repair with an Internal Brace or ACL reconstruction with autologous HT or QT.</p><p><strong>Conclusion: </strong> At short-term follow-up, ACL repair using an Internal Brace enables sports activity and provides a sense of well-being similar to that of classic ACL reconstruction using hamstring or quadriceps tendon autografts in a selected patient population.</p><p><strong>Level of evidence: </strong>Level III Retrospective comparative study.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"36-44"},"PeriodicalIF":0.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1019-0949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37573608","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":"Assessing Foot Loads in Continuous Passive Motion (CPM) and Active Knee Joint Motion Devices.","authors":"Benedikt Stolz, Casper Grim, Christoph Lutter, Kolja Gelse, Monika Schell, Bernd Swoboda, Hans-Dieter Carl, Thilo Hotfiel","doi":"10.1055/a-0648-8699","DOIUrl":"https://doi.org/10.1055/a-0648-8699","url":null,"abstract":"<p><strong>Background: </strong>Continuous passive motion (CPM) and active knee joint motion devices are commonly applied after various surgical procedures. Despite the growing use of active motion devices, there is a paucity of data comparing plantar loads between the different mobilization techniques. The aim of this study was to investigate foot loads during knee joint mobilization in continuous passive and active knee joint motion devices and to compare this data to the physiological load of full weight-bearing.</p><p><strong>Patients/material and methods: </strong>Fifteen healthy participants (7 women and 8 men, 25 ± 3 years, 66 ± 6 kg, 175 ± 10 cm, BMI 21.9 ± 2) were recruited. Plantar loads were measured via dynamic pedobarography using a continuous passive motion device (ARTROMOT-K1, ORMED GmbH, Freiburg, Germany) and an active motion device (CAMOped, OPED AG, Cham, Switzerland), each with a restricted range of motion of 0-0-90° (ex/flex) and free ROM for the knee joint. For the active motion device, cycles were performed at four different resistance levels (0-III). Data were assessed using the pedar<sup>®</sup> X system (Novel Inc., Munich, Germany), which monitors loads from the foot-sole interface. Force values were compared between motion devices and normal gait, which served as the reference for conditions of full weight-bearing. P-values of < 0.05 were considered statistically significant.</p><p><strong>Results: </strong>Normal gait revealed peak forces of 694 ± 96 N, defined as 100 %. The CPM device produced plantar forces of less than 1.5 N. Using the active motion device in the setting of 0-0-90° produced foot loads of < 1.5 N (resistance 0-II) and 3.4 ± 9.3 N with a resistance of III (p < 0.001). Conditions of free ROM resulted in foot loads of 4.5 ± 4.5 N (resistance 0), 7.7 ± 10.7 N (resistance I), 6.7 ± 10.4 (resistance II) and 6.7 ± 6.9 N with a resistance of III (p < 0.001), corresponding to 0.6 %, 1.1 %, 1.0 % and 1.0 % of full weight-bearing, respectively.</p><p><strong>Conclusion: </strong>Motion exercises of the knee joint can be performed both with passive and active devices in accordance with strict weight-bearing restrictions, which are often recommended by surgeons. Also, active motion devices can be used when the ankle joint or foot have to be offloaded. Further studies assessing intraarticular joint load conditions have to be performed to confirm the findings obtained in this study.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"18-23"},"PeriodicalIF":0.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-0648-8699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36987379","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}