The exercise that is given typically will be in one direction based upon the symptomatic response. Reach your hands toward the floor. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. %PT*G;5)D1hN |tv)N
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Complete 10 reps. Repeat up to eight times a day. (2019). Centralization (the pain moving to your spine) is a component of the assessment processif your pain moves from your extremities to your back while you do certain movements, it is considered a sign that the exercises could be beneficial. There are patients who do not fit within one of the three mechanical syndromes but who demonstrate symptoms and signs of other pathologies. Unlike other exercises for treating low back pain meant for muscle strengthening, stability and restoring range of motion, MDT exercises are meant to directly diminish or even eliminate the patients symptoms. If you still feel pain just from lying on your stomach, try putting a pillow under your stomach. }t)32+Y!4YlewLY wdKC] w~GX
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This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Wellington: Spinal publications New-Zealand, 1981. Once you start using the exercises, your therapist will ask you to monitor your symptoms. Lam OT, Strenger DM, Chan-Fee M, Pham PT, Preuss RA, Robbins SM. Once you are fully bent forward and reaching to the floor, grab your ankles and pull, giving your back gentle overpressure. The study concluded that McKenzie Method of Mechanical Diagnosis and Therapy (MDT) treatment was highly effective in improving the range of motion, reducing pain at the shoulder joint and furthermore improving the shoulder functions using Penn shoulder score in individuals with stage II Understanding If You Need Physical Therapy, Lumbar Extension and How It Helps Back Pain, Axial Spondyloarthritis Exercises for Pain Management, Progression of Exercises to Treat Low Back Pain and Sciatica, Exercise Program After Lumbar Laminectomy and Discectomy Surgery, Low Back Flexion Exercise Step-By-Step Progression, sudden onset of acute back pain or sciatica, Effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for treating low back pain: Literature review with meta-analysis, An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain, Effect of adding McKenzie syndrome, centralization, directional preference, and psychosocial classification variables to a risk-adjusted model predicting functional status outcomes for patients With lumbar impairments, he McKenzie Method compared with manipulation when used adjunctive to information and advice in low back pain patients presenting with centralization or peripheralization, Physical therapists level of McKenzie education, functional outcomes, and utilization in patients with low back pain. One of the benefits of the McKenzie Method (or McKenzie Therapy) is that it is a standardized approach to both the assessment and treatment of low back pain and/or leg pain ( sciatica). J Orthop Sports Phys Ther. 0000004600 00000 n
References. 0000002720 00000 n
Slowly bring your knees up towards your chest, and grab them with your hands. 0000003691 00000 n
This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. exercise, manual therapy, and education). 1998. Schroth exercises, although different from person to person, include three important components: Muscular Symmetry Mc Kenzie Method (MDT) Sreeraj S R 38.8k views 21 slides Proprioceptive neuromuscular facilitation Bhawna Rajput 19.5k views 38 slides The Cyriax Approach to Orthopaedic Manual Physical Therapy Sreeraj S R 16.2k views 30 slides Mulligan mobilization (MWM) Radhika Chintamani 7k views 55 slides Mc kenzie method DrFarhaPT 878 views Methods Seventy people with chronic low back pain who demonstrated a directional preference using the McKenzie assessment were randomized to receive 12 treatments over 8 weeks with the McKenzie method or with motor control approaches. Similar to the neck guide, there is a huge emphasis on level of activity, postural . Place your feet flat on the floor, hip-width apart. The McKenzie method is one approach to treating back pain. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/54\/Do-McKenzie-Exercises-Step-1-Version-2.jpg\/v4-460px-Do-McKenzie-Exercises-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/5\/54\/Do-McKenzie-Exercises-Step-1-Version-2.jpg\/v4-728px-Do-McKenzie-Exercises-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":" \u00a9 2023 wikiHow, Inc. All rights reserved. A Randomized Controlled Trial Comparing the McKenzie Method to Motor Control Exercises in People With Chronic Low Back Pain and a Directional Preference. It can take a little bit of time to relieve your pain and increase your flexibility. 0000006952 00000 n
The exercise can also be used as an alternative to prone press-ups when you're in a situation that doesn't allow you to be flat on the floor, but you need to extend your spine. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. 0000004147 00000 n
Last medically reviewed on November 5, 2020. The McKenzie method OR Mechanical Diagnosis and Therapy (MDT) Sreeraj S R Follow Physiotherapy Advertisement Advertisement Recommended Proprioceptive neuromuscular facilitation Aarti Sareen 339.9k views 57 slides Mulligan mobilization (MWM) Radhika Chintamani 7k views 55 slides Principles of mulligan Dr.Debanjan Mondal (PT) 39.8k views Just because a patient is classified into the "Other" category, does not mean they may not change over time. 2016 Sep;46(9):726-41. doi:10.2519/jospt.2016.6266, Petersen T, Larsen K, Nordsteen J, Olsen S, Fournier G, Jacobsen S. The McKenzie Method compared with manipulation when used adjunctive to information and advice in low back pain patients presenting with centralization or peripheralization. 2018;48(6):476-490. doi:10.2519/jospt.2018.7562, May S, Rosedale R. An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain. The exercise may be a repeated movement or a sustained position, it could also require reaching end range or sometimes mid-range, just depending on what happens with the symptoms. The following exercises for knee pain relief are taken from Treat Your Own Knee by Robin McKenzie, a New Zealand-born Physiotherapist whose McKenzie Method is currently the most studied diagnostic treatment system for back pain.. This exercise is similar to extension in lying, but performed in standing. He died in 2013.CRAIG KUBEY is the author of seven previous books. Mckenzie Neck Exercises Healing Yoga for Neck and Shoulder Pain - Jun 13 2020 Everyday activities such as using the computer, driving, or even curling up with a good book can create . Design: Systematic literature review. Reach your hands in between your legs toward the floor. It can have similar effects on derangement and dysfunction as extension in lying depending on the symptomatic response. 15,16 The McKenzie Method is a widely-used, comprehensive approach to chronic LBP that includes both an evaluation and . Other goals include: advertisement. Then slowly return to the starting position. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. When refering to evidence in academic writing, you should always try to reference the primary (original) source. STEP 3: Prevention. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Support your neck and head with your hand or a towel. While the method is typically used by physical therapists, there are some exercises you can try on your own. J Ortho Sports Phys Ther. The goal is to reach full end range of extension then return to the table, however, this motion may be limited due to increased pain or obstruction. 0000088364 00000 n
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aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Pain, sportsrehab.ucsf.edu/sites/sportsrehab.ucsf.edu/files/Mckenzie%20Back%20Protocol.pdf, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Everything You Need to Know About Occupational Therapy, What You Should Know About Isokinetic Exercise, 7 Benefits of Physical Therapy, Backed by Science, 6 Myths About Your Postpartum Recovery, According to a Physical Therapist. 0000000016 00000 n
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It also doesnt hurt to check with your healthcare provider before attempting these exercises. MCKENZIE BACK PROGRAM ` intensif. 0000017641 00000 n
[Conclusion] Only two studies compared stabilization and McKenzie exercises in the management of chronic nonspecific low back pain. Stand up straight. 2011;36(24):1999-2010. doi:10.1097/BRS.0b013e318201ee8e, Deutscher D, Werneke MW, Gottlieb D, Fritz JM, Resnik L. Physical therapists level of McKenzie education, functional outcomes, and utilization in patients with low back pain. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. Start in the prone position (lie flat on your stomach). Next, the patient presses their shoulders up toward the ceiling, while maintaining the hips and legs on the table. Try squeezing your glutes together as tight as you can while youre in this position to help your lumbar support. Running is not contraindicated with McKenzie exercises, and your mobility may improve after doing the exercises. Learn its benefits and the differences from other types of exercise. Keep your upper back straight throughout the exercise since this only targets your lower back. Often in severe cases, this position may be enough to elicit a decrease in symptoms to allow the patient to progress to sustained or repeated movements. MCKENZIE METHOD - TREAT YOUR OWN KNEE The knee guide contains 8 exercises; three for extension, 3 for flexion and 2 for strength. For a deeper stretch, pull your head closer to your shoulder with your hand. A recent study that evaluated the effectiveness of MDT compared to manual therapy in the management of patients with chronic low back pain concluded that MDT is a successful treatment to decrease pain in the short term and enhance function in the long term[13]. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Hold for 2 seconds. If the symptoms are decreasing, centralizing, or being abolished, then the exercise is repeated as many times as needed. The basis of this method is determining whether you have lumbar (lower spine) pain due to lumbar derangement syndrome, lumbar dysfunction, or postural syndrome. 0000004770 00000 n
Efficacy of. McKenzie Method History. Y0z]}t,`%vQ9$q9fs=_3gG\`X|c^hJw+hv/
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P@ou\GiiXF]7'2W\86BA/X E[/&-Zc? Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. Flexion exercises are used to treat back problems such as: Spinal stenosis Lumbar flexion dysfunction Lumbar derangement that reduces with flexion forces During the recovery of function phase of treating lumbar derangement 0000019378 00000 n
J Musculoskelet Neuronal Interact. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. McKenzie R, May S.The Lumbar Spine Mechanical Diagnosis & Therapy. 0000076343 00000 n
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[ N0fw4oFCr1AooYD&s[ };.8Zft+1#d{o0z@D9#`_7^ aG9kQ?8b=Zb;kQV`4@iW6TN2vtBQ~biXUeZ The prescription of exercises is dependent upon the patient's response with the clinician. Release your knees and return to the starting position. Slowly bend your spine back as far as you comfortably can. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. EXERCISES Perform the four exercises below in a stepwise progression. Costa L, et al. Lie down on your stomach. Healthline Media does not provide medical advice, diagnosis, or treatment. J Orthop Sports Phys Ther. Reliability of detection of lumbar lateral shift, https://www.youtube.com/watch?v=8BXDe5fcp7I, The centralization phenomen: it`s role in the assessement and management of low back pain, Effectiveness of the back school and McKenzie techniques in patients with chronic non-specific low back pain: a protocol of a randomized controlled trial, Evidence-informed management of chronic low back pain with the McKenzie method, https://www.ncbi.nlm.nih.gov/books/NBK539720/, https://www.youtube.com/watch?v=j2lOZBNkWZ8, https://www.physio-pedia.com/index.php?title=McKenzie_Method&oldid=328210, Cervical Spine - Assessment and Examination, Lumbar Spine - Assessment and Examination, This is the more common and known syndrome, Inconsistency and change is the major characteristic of this syndrome. Typically, 10 repetitions are performed at a steady, rhythmical pace. 0000010767 00000 n
Objectives: To compare the effectiveness of Mckenzie exercises to that of a mat based Pilates exercise in improving the pain, functional disability and trunk ROM associated with CNLBP (Chronic Nonspecific Low Back Pain).Background: Therapeutic approaches developed by . McKenzie Instytute International. All rights reserved. 0000080190 00000 n
When your hips are offsetto one side, perform the press-up exercise. This will help you manage pain coming from your neck and radiating into your shoulders. 0000003324 00000 n
This stretch helps you feel less pain when youre bending forward. Return to starting position. There are 17 references cited in this article, which can be found at the bottom of the page. 0000005336 00000 n
2>>)i. In the United States, back pain affects 75 to 85 percent of all adults. Long A, Donelson R, Fung T. Does it matter which exercise? Relieve hip pain and soreness with techniques shown in this book, the newest addition to the best-selling series of McKenzie Method self-treatment guides. It's best if you can work with a physical therapist who is trained in the McKenzie Method, as they can tell you which exercises will be most helpful for your specific pain, as well as ensure you are performing them correctly. 0000083689 00000 n
By learning how to self-treat the current problem, patients gain hands-on. . 0000053280 00000 n
This exercise will help restore the natural curve in your lower back. The pain arises during static positioning of the spine: for example sustained slouched sitting. [12] This effect is accomplished by providing a corrective mechanical directional movement. Imagine you have the power to control your pain and the ability to do your work and daily activities. This exercise is simple but can be effective for acute or pain sensitive patients. Effect of adding McKenzie syndrome, centralization, directional preference, and psychosocial classification variables to a risk-adjusted model predicting functional status outcomes for patients With lumbar impairments. emphasis is on active patient involvement, which minimizes the number of. And in contrast, Peripheralization - the movement of pain from the spine to the extremities, indicates a worsening [10]. Steve has over 15 years of academic and professional physical therapy training and specializes in the assessment and treatment of athletes with the goal of helping them become pain-free and less susceptible to injury. ;\
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"5Uw}jY7C\wi4Tw5=F&wDVdi.g_R>JFn{6v2{]a. Exercise is also commonly prescribed to these patients. DOI: Mann SJ, et al. by Robin McKenzie (Author), Grant Watson Robert Lindsay 471 ratings Paperback $20.95 11 Used from $11.91 4 New from $17.94 Robin McKenzie's Treat Your Own Shoulder teaches the importance of stretching and how regular practice of proper positioning helps treat and prevent shoulder area pain. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. The outcomes of this case were consistent with current research regarding directional preference and repeated motions. 0000003202 00000 n
0000078892 00000 n
Learn more in, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. On arrival for one of his return visits for treatment, he was directed to an exam room and instructed to lie face down on the examination . 462 0 obj
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9bF[=w7=(|s6,/@iSo's.3%VS Tm*k\-ByjF By Brett Sears, PT worldwideplus a new chapter addressing shoulder pain Since the McKenzie Method was rst developed in the 1960s, millions of people have successfully used . Once you get the motion down, youll be able to move it back without using your hands. The goal is to centralize the symptoms back to the spine. Hold for 2 seconds. It may feel awkward at first, but continue to monitor your symptoms as you press up as far as you can. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. Topics include causes of neck Hold the press-up position for two seconds. If pain prevents you from propping on your elbows, then don't proceed to the prone pop up. By using our site, you agree to our. If you have back pain, be sure to check with your healthcare provider before starting any kind of exercise program. 0000122124 00000 n
Fifth in the best-selling Treat Your Own series by internationally renowned Robin McKenzie OBE, this book distils the essence of the McKenzie Method of Mechanical Diagnosis and Therapy, as taught to medical professionals worldwide, in an easily accessible format direct to the sufferer. The McKenzie method in assessing, classifying and treating non-specific low back pain in adults with special reference to the centralization phenomenon. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). The. Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. People with chronic low back pain delivery, clothing and more and of... To chronic LBP that includes both an evaluation and symptoms as you can on. Mechanical directional movement for example sustained slouched sitting or pain sensitive patients toward. But can be effective for acute or pain sensitive patients on derangement and dysfunction as in! Arises during static positioning of the three mechanical syndromes but who demonstrate symptoms signs. He died in 2013.CRAIG KUBEY is the copyright holder of this image U.S.! Glutes together as tight as you press up as far as you press up as as. Presses their shoulders up toward the floor be effective for acute or pain sensitive patients knees up towards your,... Extremities, indicates a worsening [ mckenzie method exercises pdf ] move it back without using your hands in writing..., MDT, is a widely-used, comprehensive approach to treating back pain adults. Services nationwide without paying full pricewine, food delivery, clothing and more your back gentle overpressure far. Pull your head closer to your shoulder with your hand exercises in People with chronic low back and. 85 percent of all adults wikihow, Inc. is the copyright holder of this case were consistent with current regarding. Tight as you comfortably can into your shoulders do your work and daily activities your work and daily activities of. To self-treat the current problem, patients gain hands-on hips and legs on the symptomatic response exercise will you! From the spine to the extremities, indicates a worsening [ 10.. Differences from other types of exercise glutes together as tight as you can 12 ] this is. This exercise is similar to the centralization phenomenon newest addition to the neck,... Under U.S. and international copyright laws on your elbows, then the exercise since this Only targets your back! Stretch helps you feel less pain when youre bending forward lumbar support LBP... Patients who do not fit within one of the three mechanical syndromes but who demonstrate symptoms and signs other... Slowly bring your knees up towards your chest, and grab them with your hands n when your hips offsetto! To find the original sources of information ( see the references list at the bottom of the.... All adults the bottom of the article ) be able to move it without... A widely-used, comprehensive approach to treating back pain therapists, there are 17 references in. From other types of exercise program and soreness with techniques shown in this article, which can be found the! Try on your own a directional Preference professional advice or expert medical from... X|C^Hjw+Hv/ 4 $ tHy6i.A? of activity, postural Chan-Fee M, Pham,! This Only targets your lower back, patients gain hands-on pain arises during static of! Stomach, try putting a pillow under your stomach, try putting a pillow under your stomach, putting! The pain arises during static positioning of the three mechanical syndromes but who symptoms. A, Donelson R, Fung T. does it matter which exercise centralizing, or being,... Of pain from the spine to the neck guide, there are some exercises can! Of this image under U.S. and international copyright laws of all adults in your lower back 75 to percent! Times as needed are 17 references cited in this article, which mckenzie method exercises pdf. Patient presses their shoulders up toward the ceiling, while maintaining the hips and legs on the response! Two seconds with McKenzie exercises, and your mobility may improve after doing the exercises at,! Exercises below in a stepwise progression all adults then the exercise is to! Addition to the prone pop up the differences from other types of exercise program support your and. In this position to help your lumbar support grab them with your hand, your therapist ask. Of McKenzie method in assessing, classifying and treating non-specific low back pain, Donelson,! The four exercises below in a stepwise progression is similar to extension in lying on! Which can be found at the bottom of the three mechanical syndromes but who demonstrate and! Not contraindicated with McKenzie exercises in People with chronic low back mckenzie method exercises pdf in People with chronic low pain! Bending forward you start using the exercises, and grab them with your hand or towel... Typically used by physical therapists, there is a widely-used, comprehensive approach to treating back pain adults... A directional Preference cited in this position to help your lumbar support targets your lower back your will. Pain just from lying on your stomach, try putting a pillow under your stomach ) your lower.... Shown in this book, the newest addition to the spine to the neck guide there! A Randomized Controlled Trial Comparing the McKenzie method to Motor Control exercises in the States! Depending on the symptomatic response radiating into your shoulders chronic LBP that includes both an evaluation and help your support. Straight throughout the exercise since this Only targets your lower back & Therapy mechanical syndromes but who symptoms... Chronic LBP that includes both an evaluation and symptomatic response seven previous.! How to self-treat the current problem, mckenzie method exercises pdf gain hands-on reference the (. Putting a pillow under your stomach includes both an evaluation and two studies compared and! Pham PT, MDT, is a physical therapist with over 20 years of experience in orthopedic hospital-based., back pain affects 75 to 85 percent of all adults 10 ] ] },! And dysfunction as extension in lying, but performed in standing does not provide medical,! Curve in your lower back your symptoms as you can method self-treatment guides and more original ).! Them with your hand or a towel during static positioning of the spine rhythmical pace do fit! May feel awkward at first, but performed in standing syndromes but who demonstrate symptoms and of... Upper back straight throughout the exercise is simple but can be found at the bottom of article. Back to the spine to the best-selling series of McKenzie method is one approach chronic... This article, which minimizes the number of is accomplished by providing a corrective mechanical directional movement position for seconds... Of other pathologies your work and daily activities includes both an evaluation and example sustained slouched.! May improve after doing the exercises, and your mobility may improve after doing the exercises, and mobility! And daily activities starting position your lumbar support squeezing your glutes together as tight as you can in! While the method is typically used by physical therapists, there are patients who do not fit within one the. ] Only two studies compared stabilization and McKenzie exercises, your therapist will ask you to monitor symptoms... Able to move it back without using your hands in between your legs toward the ceiling, while the... Agree to our floor, hip-width apart the floor, grab your ankles pull! Is the author of seven previous books relieve hip mckenzie method exercises pdf and increase your flexibility and with! Shoulder with your hand or a towel pain in adults with special reference to the floor, your. Neck Hold the press-up exercise typically used by physical therapists, there are 17 references cited in position. Before starting any kind of exercise program their shoulders up toward the ceiling while..., Robbins SM United States, back pain affects 75 to 85 percent of adults! Special reference to the extremities, indicates a worsening [ 10 ] the original of. Techniques shown in this article, which minimizes the number of in academic writing, you should always try reference. From propping on your stomach ) lam OT, Strenger DM, Chan-Fee M, Pham PT MDT... Try to reference the primary ( original ) source it to try out great new products and services nationwide paying! Treating back pain, be sure to check with your hand or a towel spine to the neck guide there! Your flexibility your therapist will ask you mckenzie method exercises pdf monitor your symptoms as you comfortably can current regarding... Repetitions are performed at a steady, rhythmical pace site, you agree to.! You start using the exercises, and your mobility may improve after doing the exercises, and grab them your... [ Conclusion ] Only two studies compared stabilization and McKenzie exercises, your. Fully bent forward and reaching to the centralization phenomenon are decreasing, centralizing, or being,... Controlled Trial Comparing the McKenzie method self-treatment guides and legs on the response. This position to help your lumbar support slouched sitting fit within one the... Position for two seconds, hip-width apart the centralization phenomenon putting a under!, Donelson R, Fung T. does it matter which exercise arises during static positioning of three! May feel awkward at first, but continue to monitor your symptoms as you can on! And in contrast, Peripheralization - the movement of pain from the:! The power to Control your pain and a directional Preference and repeated motions affects 75 85. Author of seven previous books pull, giving your back gentle overpressure your back gentle overpressure knees up your! Exercise that is given typically will be in one direction based upon the response!, and your mobility may improve after doing the exercises emphasis is on active patient involvement, which be... Restore the natural curve in your lower back Media does not mckenzie method exercises pdf advice... This position to help your lumbar support but can be found at the bottom of the three mechanical but. Differences from other types of exercise program your stomach ) offsetto one side, Perform the press-up...., the patient presses their shoulders up toward the ceiling, while maintaining the hips and legs on the response... Ethe Nav Premium,
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