Physical therapy research最新文献

{"title":"A Standing Low-frequency Vibration Exercise Device for Improving Balance in Community-dwelling Older Adults: A Single-blind Randomized Controlled Trial.","authors":"Shinichiro Oka,&nbsp;Yoshio Takano,&nbsp;Hiroo Matsuse,&nbsp;Yoshihiko Tagawa,&nbsp;Naoto Shiba","doi":"10.1298/ptr.E10192","DOIUrl":"10.1298/ptr.E10192","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effects of the standing low-frequency vibration exercise device (SLVED) and walking training on balance ability on an unstable surface in community-dwelling elderly people.</p><p><strong>Methods: </strong>Thirty-eight older adults were randomly allocated to the SLVED sessions: the intervention group (n = 19), and the walking sessions: the control group (n = 19). Each group session lasted 20 min and was performed twice a week for 12 weeks. Standing balance was assessed by the change in center-of-gravity sway of the participant standing on foam rubber with eyes open (EO) and eyes closed (EC). The primary outcome measures were the root mean square (RMS) values of the center of foot pressure in the mediolateral and anteroposterior directions and the RMS area. Secondary outcome measures were the results of the 10-m walking time test (10 MWT), five-times sit-to-stand (5T-STS) test, and timed up-and-go (TUG) test.</p><p><strong>Results: </strong>Analysis of variance showed a significant group × time interaction for the TUG test. Significant improvements were observed in Y-RMS for EO condition; RMS, X-RMS, Y-RMS, and RMS area for EC condition; and 10 MWT, 5T-STS test, and TUG test for the main effect of the time factor.</p><p><strong>Conclusion: </strong>SLVED for intervention in community-dwelling older adults showed a greater improvement than walking training in the TUG test. In addition, SLVED improved the Y-RMS for the EO condition on foam rubber; RMS, X-RMS, Y-RMS, and RMS area for the EC condition on foam rubber in standing balance; and the 10 MWT and 5T-STS test, suggesting that it has similar effects to walking training.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462414","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":"Recent Findings in Physical Exercise for Cancer Survivors.","authors":"Shinichiro Morishita,&nbsp;Katsuyoshi Suzuki,&nbsp;Taro Okayama,&nbsp;Junichiro Inoue,&nbsp;Takashi Tanaka,&nbsp;Jiro Nakano,&nbsp;Takuya Fukushima","doi":"10.1298/ptr.R0023","DOIUrl":"10.1298/ptr.R0023","url":null,"abstract":"<p><p>In recent years, the number of cancer survivors has been increasing each year due to advances in the early diagnosis and treatment of cancer. Cancer survivors present a variety of physical and psychological complications due to cancer and its treatment. Physical exercise is an effective nonpharmacological treatment for complications in cancer survivors. Furthermore, recent evidence has shown that physical exercise improves the prognosis of cancer survivors. The benefits of physical exercise have been widely reported, and guidelines for physical exercise for cancer survivors have been published. These guidelines recommend that cancer survivors engage in moderate- or vigorous-intensity aerobic exercises and/or resistance training. However, many cancer survivors have a poor commitment to physical exercise. In the future, it is necessary to promote physical exercise among cancer survivors through outpatient rehabilitation and community support.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 1","pages":"10-16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9468207","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 Risk Factors and Preventive Strategies of Poor Knee Functions and Osteoarthritis after Anterior Cruciate Ligament Reconstruction: A Narrative Review.","authors":"I Putu Gde Surya Adhitya, Ida Kurniawati, Ryuichi Sawa, Tabita Febyola Wijaya, Ni Putu Aprilia Chintya Dewi","doi":"10.1298/ptr.R0028","DOIUrl":"https://doi.org/10.1298/ptr.R0028","url":null,"abstract":"<p><p>Anterior cruciate ligament reconstruction (ACLR) is the standard surgical treatment for ACL injury, which typically uses a graft to replace the torn ligament in the knee that uses small incisions with minimally invasive surgery. The optimal knee functions following ACLR depend on rehabilitation processes before and after the surgery. Knee function is the ability of the knee to perform various types of functional movements like walking, squatting, running, jumping, and pivoting where patients expect to achieve maximum knee function or at least more than 80% of its initial condition before the injury to avoid being categorized as poor knee function after ACLR. Patients use patient-reported outcome measures to collect data on their health status and quality of life after ACLR. Post-traumatic osteoarthritis (PTOA) is a type of OA that manifests in local cartilage injury caused by chondrocyte death, and matrix dispersion occurs following a joint injury like ACL injury. Gender, time from injury to surgery, and graft type were considered as risk factors for poor knee function after ACLR, while overweight, meniscus tear, and cartilage defect as risk factors for PTOA. However, age is an internal risk factor for both poor knee function and PTOA following ACLR. This review suggests several strategies to prevent both conditions, including a pre-operative program, comprehensive rehabilitation, body weight control, and return to sport (RTS) consideration based on physical capacity, proper time, and psychological readiness.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 3","pages":"78-88"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833366","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":"Improvement in the Physical Function and Quality of Life through Exercise and Physical Activity Intervention Using a Smartphone after Allogeneic Hematopoietic Cell Transplantation: A Case Report.","authors":"Takuya Fukushima,&nbsp;Takashi Tanaka,&nbsp;Suguru Fukushima,&nbsp;Mizuki Watanabe,&nbsp;Jun Aoki,&nbsp;Ayumu Ito,&nbsp;Yoshihiro Inamoto,&nbsp;Sung-Won Kim,&nbsp;Akira Kawai,&nbsp;Takahiro Fukuda","doi":"10.1298/ptr.E10196","DOIUrl":"https://doi.org/10.1298/ptr.E10196","url":null,"abstract":"<p><strong>Purpose: </strong>Physical activity (PA) interventions positively affect the physical function (PF) in patients with advanced cancer. However, patients must remain motivated during the intervention. We report a case wherein a smartphone application for PA intervention was useful in motivating the patient to improve adherence.</p><p><strong>Methods: </strong>A 40-year-old woman underwent an allogeneic hematopoietic cell transplantation (allo-HCT) for an advanced extranodal natural killer/T-cell lymphoma. On day 6, she developed the posterior reversible encephalopathy syndrome. She was managed in the intensive care unit for 3 days, and her PF declined markedly. We initiated a smartphone-based PA intervention from day 35. She was instructed to maintain a PA diary for self-monitoring of the daily steps and to set a new step-count goal every week.</p><p><strong>Results: </strong>The PA and PF improved within a short period thereafter. However, she developed severe acute graft-versus-host disease and was administered with high-dose systemic corticosteroids from day 49. The PA, PF, and quality of life (QOL) decreased again. The intervention was continued for 5 months with a high adherence. The PA, PF, and QOL improved gradually. She resumed independent activities of daily living and was discharged on day 202.</p><p><strong>Conclusion: </strong>Smartphone-based PA intervention may be effective against post-allo-HCT physical dysfunction.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 3","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910345/pdf/ptr-25-162.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10760842","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":"Interpreting Results from Statistical Hypothesis Testing: Understanding the Appropriate P-value.","authors":"Eiki Tsushima","doi":"10.1298/ptr.R0019","DOIUrl":"https://doi.org/10.1298/ptr.R0019","url":null,"abstract":"Clinical research based on epidemiological study designs requires a good understanding of statistical analysis. This paper discusses the common misconceptions of p-values so that researchers and readers of research papers will be able to properly present and understand the results of null hypothesis significance testing (NHST). The p-values calculated by NHST are categorized as three different types: \"significant at p <0.05,\" \"significant at p <0.01,\" or \"not significant.\" If specified, they may be written as p = 0.124. The 95% confidence interval (CI) of the supplementary statistics is presented regardless of the p-value, and the range of the CI is observed and discussed to determine whether the results are clinically valid. The effect size (ES), which is a measure of the magnitude of the effect, is also referenced and discussed. However, the ES should not be overestimated. It is important to examine the actual descriptive statistics and consider them comprehensively as much as possible. A high detection power of 80% or more indicates that NHST with high accuracy was applied. However, even when it falls below 80%, it is important to consider the limitations of the study, because the results are not completely useless.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 2","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9437930/pdf/ptr-25-49.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40368310","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":"Prediction of Low-intensity Physical Activity in Stable Patients with Chronic Obstructive Pulmonary Disease.","authors":"Atsuyoshi Kawagoshi,&nbsp;Masahiro Iwakura,&nbsp;Yutaka Furukawa,&nbsp;Keiyu Sugawara,&nbsp;Hitomi Takahashi,&nbsp;Takanobu Shioya","doi":"10.1298/ptr.E10208","DOIUrl":"https://doi.org/10.1298/ptr.E10208","url":null,"abstract":"<p><strong>Objective: </strong>To develop an equation of the predicted amount of low-intensity physical activity (LPA) by analyzing clinical parameters in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>In this cross-sectional study, we analyzed the assessments of clinical parameters evaluated every 6 months from the start of pulmonary rehabilitation in 53 outpatients with stable COPD (age 77 ± 6 yrs; 46 men; body mass index 21.8 ± 4.1 kg/m²; forced expiratory volume in one second 63.0 ± 26.4% pred). An uniaxial accelerometer was used to measure the number of steps and the time spent in LPA of 1.8-2.3 metabolic equivalents during 14 consecutive days. We also evaluated body composition, respiratory function, skeletal muscle strength, inspiratory muscle strength, exercise capacity, and gait speed. Factors associated with the time spent in LPA were examined by multivariate regression analysis. Internal validity between the predicted amount of LPA obtained by the equation and the measured amount was examined by regression analysis.</p><p><strong>Results: </strong>Multivariate regression analysis revealed that gait speed (β = 0.369, p = 0.007) and maximum inspiratory mouth pressure (PI_max) (β = 0.329, p = 0.016) were significant influence factors on LPA (R² = 0.354, p <0.001). The stepwise regression analysis showed a moderate correlation between the measured amount and predicted amount of LPA calculated by the regression equation (r = 0.609, p <0.001; LPA = 31.909 × gait speed + 0.202 × PI_max - 20.553).</p><p><strong>Conclusion: </strong>Gait speed and PI_max were extracted as influence factors on LPA, suggesting that the regression equation could predict the amount of LPA.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 3","pages":"143-149"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910347/pdf/ptr-25-143.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10773012","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":"Pain in Spinal Muscular Atrophy: A Questionnaire Study.","authors":"Yuu Uchio,&nbsp;Kota Kajima,&nbsp;Hayato Suzuki,&nbsp;Kaho Nakamura,&nbsp;Midori Saito,&nbsp;Tetsuo Ikai","doi":"10.1298/ptr.E10201","DOIUrl":"https://doi.org/10.1298/ptr.E10201","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to reveal the chronic pain prevalence in spinal muscular atrophy (SMA) patients and identify the clinical characteristics of these patients with chronic pain. The pain status was also investigated in SMA patients with chronic pain.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between July 2018 and December 2018. SMA type II and type III patients in Japan were mailed a survey questionnaire. The survey items were chronic pain prevalence, clinical characteristics, and motor function. Patients with chronic pain also answered questions on various pain status parameters: pain intensity, frequency, duration, location using body map, and factors that exacerbated and relieved pain.</p><p><strong>Results: </strong>The questionnaire recovery rate was 61.1%. Sixty-four type II (mean age 17.3 ± 11.7 years) and 22 type III (mean age 44.9 ± 21.6 years) patients were eligible for inclusion. The prevalence of chronic pain in type II and III patients was 40.6% and 40.9%, respectively. Type II patients with chronic pain were more likely to report the inability to sit without manual support than those without pain (p = 0.03). Pain intensity in SMA patients was mild, but pain usually occurred daily, for prolonged durations, most often in the neck, back, and lower extremities. Sitting and high physical activity exacerbated pain the most.</p><p><strong>Conclusion: </strong>The percentage of patients with SMA with chronic pain was high, at above 40%. Moreover, the pain experienced by patients with SMA was low in intensity but frequent and most common in the lower extremities.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 3","pages":"150-155"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910355/pdf/ptr-25-150.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10760841","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":"Social Network Moderates the Association between Frequency of Social Participation and Physical Function among Community-dwelling Older Adults.","authors":"Kazuaki Uchida,&nbsp;Rika Kawaharada,&nbsp;Katsuyoshi Tanaka,&nbsp;Rei Ono","doi":"10.1298/ptr.E10182","DOIUrl":"https://doi.org/10.1298/ptr.E10182","url":null,"abstract":"<p><strong>Objective: </strong>Social participation is an essential component of active aging. Physical dysfunction is restriction of social participation, but it is inconclusive that improvement of physical function contributes to promote social participation. Therefore, understanding the other factor that moderates the association between physical dysfunction and social participation is important, and social network (i.e., ties with family and friends) may be a key factor. The aims of this study were to investigate the association between physical function and frequency of social participation, with social network as a moderator, and to examine the gender differences on the relationships.</p><p><strong>Methods: </strong>We conducted a cross-sectional study among 287 community-dwelling older adults. We asked how often they participated in social groups in a week to measure frequency of social participation. Physical function and social network were measured by using the modified version of Short Physical Performance Battery for community-dwelling older adults and the abbreviated Lubben Social Network Scale, respectively. To investigate the association, we performed a linear regression analysis.</p><p><strong>Results: </strong>After adjustment, a linear regression analysis showed interactions between physical function and social network on frequent social participation (β: -0.20, 95% confidence interval [CI]: -0.40 to -0.01). Furthermore, the same association was observed only in women (adjusted β: -0.33, 95% CI: -0.65 to -0.02).</p><p><strong>Conclusion: </strong>Our results suggested that social network moderates the association between physical function and social participation, and observed gender differences on the relationships. The findings of this study indicated the importance of multidimensional assessment and measures for improving social participation, not only physical function but also social network.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 3","pages":"120-126"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910351/pdf/ptr-25-120.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10760840","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":"Effect of Intradialytic Supine Ergometer Exercise on Hemodialysis Patients with Different Nutritional Status.","authors":"Masahiro Noguchi, Shinichi Yamaguchi, Miho Tanaka, Y. Koshino","doi":"10.1298/ptr.e10144","DOIUrl":"https://doi.org/10.1298/ptr.e10144","url":null,"abstract":"OBJECTIVE It is important for hemodialysis patients to exercise while their nutritional status is being monitored. This study aimed to examine the difference in physical exercise function and the effect of exercise intervention in hemodialysis patients who were divided into two groups (high-nutrition and low-nutrition groups) based on the serum albumin levels. METHOD A total of 26 outpatients (18 men and 8 women) undergoing hemodialysis (age: 66 ± 10 years) were included in this study. The patients' body composition data (weight, body mass index, percentage of body fat, fat-free mass, and total body water) and physical functions (grip strength, knee extensor strength, open-eyed one-legged standing time, long sitting trunk anteflexion, and 6-minute walking distance [6MWD] test) were measured. The intervention was supine ergometer exercise during hemodialysis, and the patients exercised for 30 minutes during hemodialysis thrice a week. The intervention period was three months. RESULTS Compared to the high-nutrition group, the low-nutrition group showed a significant decrease in muscle strength. Furthermore, long sitting trunk anteflexion in the high-nutrition group and 6MWD in the low-nutrition group improved significantly after the intervention. CONCLUSION The result of this study may indicate that 6MD can be improved by exercise during dialysis, regardless of nutritional status. It is said that low nutritional status has a negative impact on survival rate; thus, considering the impact on survival rate, it is hemodialysis patients with a low nutritional status that should be considered to introduce more active exercise during dialysis.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 1 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66344012","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":"Cost-effectiveness Analysis of Combined Physical and Cognitive Exercises Programs Designed for Preventing Dementia among Community-dwelling Healthy Young-old Adults.","authors":"Gohei Kato, Takehiko Doi, Hidenori Arai, Hiroyuki Shimada","doi":"10.1298/ptr.E10153","DOIUrl":"10.1298/ptr.E10153","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to estimate the cost-effectiveness of combined physical and cognitive programs designed to prevent community-dwelling healthy young-old adults from developing dementia.</p><p><strong>Methods: </strong>The analysis was conducted from a public healthcare and long-term care payer's perspective. Quality-adjusted life years (QALYs) and expenses for health services and long-term care services were described in terms of effectiveness and cost, respectively. A thousand community-dwelling healthy adults aged 65 years were generated through simulation and analyzed. The incremental cost-effectiveness ratio (ICER) of adults with preventive program intervention compared to those with nonintervention was simulated with a 10-year cycle Markov model. The data sources for the parameters to build the Markov models were selected with priority given to higher levels of evidence. The threshold for assessing cost-effectiveness was set as less than 5,000,000 Japanese yen/QALY.</p><p><strong>Results: </strong>The ICER was estimated as -5,740,083 Japanese yen (US$-57,400)/QALY.</p><p><strong>Conclusion: </strong>A program targeting community-dwelling healthy young-old adults could be cost-effective.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 2","pages":"56-67"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9437929/pdf/ptr-25-56.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366841","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}