Archives of physical medicine and rehabilitation最新文献

{"title":"A Foundational Balance Training Exercise Program for People with Blindness or Low Vision.","authors":"Emily Townsend, Sara Mesa, Mahya Beheshti, Holly Stants, Katelyn Jordan, John-Ross Rizzo","doi":"10.1016/j.apmr.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.002","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Sensory and Motor Components Shape the Neurological Level of Injury.","authors":"Einat Engel-Haber, John Benedetto, Brittany Snider, Danielle Lee, Rüdiger Rupp, Steven Kirshblum","doi":"10.1016/j.apmr.2026.10.007","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.007","url":null,"abstract":"<p><strong>Objective: </strong>To assess the contributions of light touch (LT), pinprick (PP) and motor function in NLI determination, and evaluate how omitting LT or PP affects NLI and American Spinal Injury Association (ASIA) Impairment Scale (AIS) classification, informing evidence-based recommendations.</p><p><strong>Design: </strong>Secondary analysis.</p><p><strong>Settings: </strong>National Spinal Cord Injury Model Systems (SCIMS) database.</p><p><strong>Participants: </strong>N=7,449 individuals with traumatic spinal cord injury (AIS A-D) who had complete International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examinations recorded between 2011 and 2023.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Contribution of LT, PP, and motor scores to NLI determination; changes in NLI and AIS classification when LT or PP scores were omitted.</p><p><strong>Results: </strong>In spinal segments where motor function could contribute to NLI determination (C4-T1, L1-S1), motor alone uniquely determined the NLI in 29.0% of cases, versus 13.4% for PP alone and 5.5% for LT alone. By overall identification (how often a modality's finding matched the final NLI, alone or combined), motor matched 64.1%, PP 61.0%, and LT 49.7%. In segments without motor contribution (C1-C3, T2-T12), LT and PP together determined the NLI in 49.7% of cases. When they diverged, PP was the unique determinant nearly twice as often as LT (33.0% vs. 17.3%), with overall identification of 82.7% for PP and 67.0% for LT. In the full sample, removal of LT did not change the NLI in 88.6% of cases, versus 76.8% for PP. Excluding either modality led to up to 2.3% of cases being reclassified to a more severe AIS grade.</p><p><strong>Conclusions: </strong>Both LT and PP contributed to NLI determination, with PP more frequently the unique determinant when findings diverged. Omitting either modality led to changes in AIS grades in a small but noteworthy subset of cases. Both modalities remain essential to NLI classification, especially where motor testing is not possible.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149206712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Patient-Centered Outcomes Data to Support Reciprocal Learning and Improve Rehabilitation Care.","authors":"Jason M Beneciuk, Brocha Z Stern, Fenan S Rassu, Daniel L Young, Daniel E Ciolek, Kelly N Daley, Natalie Douglas, Jessica Edelstein, Carla S Enriquez, Emily Evans, Margaret A French, Leigh Harris, Joshua Johnson, Samannaaz S Khoja, Chih-Ying Li, Kate I Minick, Jennifer Oshita, Rachel A Prusynski, Ryan T Roemmich, Kelly Tanner, Hallie Zeleznik, Linda Resnik","doi":"10.1016/j.apmr.2026.10.008","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.008","url":null,"abstract":"<p><p>Using patient-centered outcomes (PCO) data to inform individual patient care and guide health system-level learning can optimize rehabilitation outcomes. However, systematically achieving this can be challenging for a variety of reasons, including siloed activities and poor communication between team members. Due to several ways that PCO data can be used, there is a critical need for transparency among team members at all levels with respect to the overarching purpose of using these data to help answer relevant questions. The purpose of this Special Communication paper is to provide an overview of using PCO data at the individual patient and aggregate levels to support a continuous and reciprocal learning cycle. We also identify key shareholders who would benefit from using these data to improve rehabilitation care, acknowledge some specific and general challenges to using these data, provide potential solutions where applicable, and integrate a case example.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technical and clinical feasibility of a pulmonary telerehabilitation model for people with COPD.","authors":"Jean Paul El Sayegh, Francis-Edouard Gravier, Augustin Clet, Adrien Kerfourn, Jean-François Muir, Antoine Cuvelier, Fairuz Boujibar, Ingrid Banovic, Lucy Dupont, Catherine Viacroze, Elise Artaud-Macari, Zoe McKeough, Tristan Bonnevie","doi":"10.1016/j.apmr.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.001","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate (1) the technical feasibility of transmitting data from devices connected to an application used for pulmonary rehabilitation (PR) in people with chronic obstructive pulmonary disease, (2) the clinical feasibility of a home-based PR (HBPR) program using an application integrating essential components of PR, and (3) exploratory clinical outcomes. (NCT05314686).</p><p><strong>Design: </strong>Prospective two-phase feasibility study.</p><p><strong>Setting: </strong>Single-center HBPR program.</p><p><strong>Participants: </strong>Twenty participants were included in Phase 1 and 20 in Phase 2.</p><p><strong>Interventions: </strong>Phase 1 assessed technical feasibility during endurance sessions using a pulse oximeter and a physical activity tracker connected to the application. Phase 2 assessed clinical feasibility of an 8-week HBPR program.</p><p><strong>Main outcome measures: </strong>Technical feasibility was assessed using the percentage of clinical agreement between locally stored and transmitted data. Clinical feasibility included retention, satisfaction, and usability. Exploratory clinical outcomes were assessed before and after the program.</p><p><strong>Results: </strong>Locally stored data and those transmitted throughout the application were similar for heart rate, transcutaneous oxygen saturation, and daily step count with a percentage of clinical agreement of at least 99%. Nineteen participants (95%) completed HBPR with high level of satisfaction (Client Satisfaction Questionnaire-8 (median 30, IQR 25 to 32)), and usability (System usability scale (median 80.0, IQR 62.5 to 100.0)). Endurance time during the constant work-rate exercise test increased following HBPR (median of paired differences 171.00 seconds, 95% CI 17.00 to 725.00).</p><p><strong>Conclusions: </strong>Devices connected to the application can monitor patients accurately while delivering PR. The HBPR program was feasible and highly accepted by patients and their family members. Future randomized controlled studies are needed to further assess its clinical efficacy.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time-Varying Social Integration and Long-Term All-Cause and Cause-Specific Mortality After Traumatic Spinal Cord Injury: A Longitudinal SCIMS Study.","authors":"Andrea Calderone, Angela Marra, Rosaria De Luca, Alessandra Mangano, Gabriele Sorbello, Angelo Quartarone, Rocco Salvatore Calabrò","doi":"10.1016/j.apmr.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.003","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether lower time-updated social integration and within-person decline are associated with subsequent mortality after traumatic spinal cord injury (SCI), and to examine cause-specific and educational gradients.</p><p><strong>Design: </strong>Longitudinal secondary cohort analysis using annually lagged exposure, a 5-year validity window, and discrete-time survival models with participant-clustered standard errors.</p><p><strong>Setting: </strong>Spinal Cord Injury Model Systems 2021 public-use database.</p><p><strong>Participants: </strong>Adults with traumatic SCI and at least one eligible Craig Handicap Assessment and Reporting Technique (CHART) Social Integration assessment. The primary cohort included 16,783 participants; the repeated-assessment model included 6,610 participants, entering follow-up after their second assessment.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>All-cause mortality was primary. Natural-cause, external-cause, and suicide mortality were secondary; suicide was a subset of external causes. CHART and education were exposures or covariates.</p><p><strong>Results: </strong>During 122,626 exposure-covered person-years, 2,965 deaths occurred. Crude mortality increased from 17.3 per 1,000 person-years at CHART 100 to 46.8 at CHART 0-49. Each 10-point lower current score was associated with higher mortality (hazard ratio [HR], 1.09; 95% confidence interval [CI], 1.07-1.10). A lower first score (HR, 1.078; 95% CI, 1.049-1.108) and within-person decline (HR, 1.077; 95% CI, 1.051-1.104) were associated with mortality per 10 points. Associations were observed for natural (HR, 1.08) and external mortality (HR, 1.11); the suicide estimate was imprecise (HR, 1.05; 95% CI, 0.96-1.15). Lower education corresponded to higher standardized 10-year mortality risk. Estimates were similar when the first assessment occurred within two years of injury. Primary cause was unavailable for 23.2% of deaths, and early postinjury mortality was incompletely represented in follow-up.</p><p><strong>Conclusions: </strong>Lower and declining social integration were associated with higher subsequent mortality after traumatic SCI. Repeated assessment may provide prognostic information, but survivor selection, missing causes, and residual confounding limit interpretation. These findings do not establish that modifying social integration or education changes survival.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post burn Cubital Tunnel Syndrome Electrophysiological and Functional Responses to High intensity Laser Therapy versus Extracorporeal Shock Wave Therapy: A Randomized Controlled Trial.","authors":"Mahmoud Hamada Mohamed, Waleed T Mansour, Mohamed N Selim, Marwa Elsayed Mohamed, Kamaleldin Ahmed Kamal, Ahmed Mahmoud Kadry","doi":"10.1016/j.apmr.2026.10.006","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.006","url":null,"abstract":"<p><strong>Objective: </strong>To compare the additional effects of high-intensity laser therapy (HILT) and extracorporeal shock wave therapy (ESWT), combined with ulnar nerve gliding exercises (UNGE), on electrophysiological and functional outcomes in patients with post burn cubital tunnel syndrome (CuTS).</p><p><strong>Design: </strong>Prospective assessor blinded, parallel-group randomized controlled trial.</p><p><strong>Setting: </strong>University outpatient rehabilitation clinic.</p><p><strong>Participants: </strong>Seventy-five participants with post burn CuTS involving upper extremity.</p><p><strong>Interventions: </strong>Participants were randomized (1:1:1) to HILT+UNGE (n = 25), ESWT+UNGE (n = 25), or UNGE alone (n = 25) for 4 weeks.</p><p><strong>Outcome measures: </strong>Primary outcomes were ulnar motor nerve conduction velocity (MNCV) across the elbow and compound muscle action potential (CMAP) amplitudes recorded from the abductor digiti minimi during ulnar nerve stimulation at three standardized sites. The secondary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) score. Assessments were performed at baseline, post-treatment, and 12-week follow-up.</p><p><strong>Results: </strong>All participants completed the intervention, and 69 completed the 12-week follow-up. Significant post vs pretreatment changes were observed for MNCV, CMAP amplitudes, and DASH scores (all P < .001). Both HILT and ESWT produced greater improvements than UNGE alone at post-treatment and follow-up (all P < .001). HILT resulted in significantly greater improvements than ESWT across all electrophysiological outcomes and DASH scores. No intervention-related adverse events were reported.</p><p><strong>Conclusion: </strong>Both HILT and ESWT combined with UNGE improved nerve conduction and upper-limb function more than UNGE alone in patients with post-burn CuTS. HILT produced superior electrophysiological and functional outcomes compared with ESWT, with benefits maintained at 12-week follow-up.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Integrated Respiratory and Functional Training on Weaning from Mechanical Ventilation, Respiratory and Peripheral Muscle Strength, Functional Ability, and Pain After Emergency Abdominal Surgery: A Randomized Controlled Trial.","authors":"Sherin Hassan Mohammed Mehani, Ayman A Mohamed, Mohamed Sayed Mohamed, Mahmoud Ibrahim Mohamed Mahmoud","doi":"10.1016/j.apmr.2026.10.005","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.005","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of integrated respiratory and functional (multidimensional functional) training versus high-intensity inspiratory muscle training (IMT) plus conventional chest physiotherapy (CPT) on ventilator weaning after emergency abdominal surgery.</p><p><strong>Design: </strong>Prospective, multicenter, parallel-group, randomized controlled trial.</p><p><strong>Setting: </strong>Two intensive care units.</p><p><strong>Participants: </strong>Ninety mechanically ventilated patients with difficult weaning following emergency abdominal surgery (N=90).</p><p><strong>Interventions: </strong>Participants were randomly assigned (1:1) to the study group and control groups. The study group received multidimensional functional training, high-intensity IMT and conventional chest physiotherapy. The control group received high-intensity IMT and conventional chest physiotherapy.</p><p><strong>Main outcome measures: </strong>Primary outcomes were weaning success and maximal inspiratory pressure (MIP). Secondary outcomes included rapid shallow breathing index (RSBI), peripheral muscle strength, Functional Independence Measure (FIM), pain, weaning duration, and intensive care unit (ICU) length of stay.</p><p><strong>Results: </strong>Weaning success was significantly higher in the study group (95.6% vs 82.2%; P = .044). Both groups significantly improved MIP, with no between-group difference after treatment (mean difference [MD]=0.30 cmH₂O; 95% confidence interval [CI], -4.11 to 4.72; P=0.89). Compared with control group, the study group demonstrated significantly greater improvements in all peripheral muscle strength measures and FIM domains (all P<0.001), greater reductions in RSBI (MD=-3.92 breaths/min/L; 95% CI, -6.85 to -1.00; P=0.01) and pain (MD=3.22; 95% CI, 3 to 3.44; P<0.001), and shorter weaning duration (MD=-5.82 days; 95% CI, -7.98 to -3.67; P<0.001) and ICU length of stay (MD=-7.74 days; 95% CI, -11.37 to -4.11; P<0.001).</p><p><strong>Conclusions: </strong>Both training approaches improved MIP, whereas multidimensional functional training resulted in higher weaning success and greater improvements in peripheral muscle strength, functional independence, pain, weaning duration, and ICU length of stay than high-intensity IMT+CPT in patients following emergency abdominal surgery.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal Dextrose Concentration for Prolotherapy in TendinopathyA Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.","authors":"Anshory Sahlan, Yose Waluyo, Muthiah Nur Afifah, M Salas Al Aldi, Diah Nurul Islami Muchsin","doi":"10.1016/j.apmr.2026.10.004","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.10.004","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of different dextrose concentrations used in prolotherapy for reducing pain in patients with tendinopathy.</p><p><strong>Data sources: </strong>PubMed, Cochrane Library, and ScienceDirect were searched from inception to July 2025.</p><p><strong>Study selection: </strong>Randomized controlled trials (RCTs) of dextrose prolotherapy in tendinopathy were included; trials reporting 0-10 pain scores at 6-12 weeks against saline were eligible for network meta-analysis.</p><p><strong>Data extraction: </strong>Two reviewers independently extracted data and assessed risk of bias (RoB 2.0); certainty of evidence was rated with CINeMA.</p><p><strong>Data synthesis: </strong>A frequentist common-effect network meta-analysis estimated mean differences (MDs) with 95% confidence intervals (CIs) versus saline, interpreted against a minimal clinically important difference (MCID) of 1.4 points.</p><p><strong>Results: </strong>Nine RCTs (490 participants) were included; six were at low risk of bias and three had some concerns. Three trials (111 participants) formed the network, each comparison being informed by a single trial. Compared with saline, 15% dextrose (MD -4.66; 95% CI -5.36 to -3.96) and 5% dextrose (MD -3.55; 95% CI -4.24 to -2.86) reduced pain beyond the MCID; both estimates came from one three-arm lateral epicondylitis trial, in which 15% exceeded 5% by 1.11 points (95% CI 0.43 to 1.79). Neither 20% dextrose (MD 0.26; 95% CI -0.22 to 0.74) nor 10.7% dextrose-morrhuate (MD -0.30; 95% CI -1.23 to 0.63) differed from saline. Heterogeneity and inconsistency could not be estimated, and certainty of evidence was low to very low.</p><p><strong>Conclusions: </strong>Evidence on the optimal dextrose concentration for tendinopathy is limited. The apparent advantage of 5% and 15% dextrose rests on a single trial and may reflect differences in tendon site, injection schedule, and follow-up rather than concentration alone. Adequately powered trials directly comparing concentrations are needed before dosing recommendations can be made.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1016/j.apmr.2026.09.007","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.007","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response from Authors to the Letter to the Editor: Interpreting Per-Protocol Efficacy Signals in a Pilot Trial of Inspiratory Muscle Training.","authors":"Shan Su, Clare C W Yu, Siu Ngor Fu","doi":"10.1016/j.apmr.2026.09.020","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.020","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}