Araştırma Makalesi
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Postür ve Propriosepsiyon Duyusunun Denge ve Yürüyüş Üzerine Etkilerinin İncelenmesi

Yıl 2024, Cilt: 4 Sayı: 1, 165 - 176, 03.05.2024

Sena Keklikoğlu Emine Timur Ayşenur Özcan Serdar Yılmaz Esen Zehra Can Karahan Ceyhun Türkmen

https://doi.org/10.56061/fbujohs.1334050

Öz

Bu çalışmanın amacı, asemptomatik bireylerde baş postürü, denge parametreleri ve propriyosepsiyondaki bireysel farklılıkların denge ve yürüyüş üzerine etkilerini değerlendirmektir. Bu çalışma, 111 katılımcı ile yürütülmüştür. Denge ve yürüme yeteneği, servikal omurganın hareket açıklığı, vücut postürü, propriyosepsiyon duyusu, statik ve dinamik denge parametrelerine ilişkin değerlendirmeler yapılmıştır. Zamanlı Kalk Yürü Testi'nin başın öne tilti, propriyoseptif hata, Flamingo Testi puanı, Fonksiyonel Uzanma Testi puanı ve Y Denge Testi puanı gibi çeşitli bağımsız değişkenlerle ilişkisi incelenmiştir. Fonksiyonel Uzanma Testi ve Y Denge Testi puanları ile Zamanlı Kalk ve Yürü Testi puanları arasında p = 0.05 istatistiksel anlamlılık düzeyinde anlamlı bir negatif korelasyon vardır. Denge ve yürüyüş performansını öngören değişkenleri belirlemek için Çoklu Regresyon Analizi kullanıldı. Sonuçlar, Zamanlı Kalk ve Yürü Testi puanı ile prediktif değişkenlerin hiçbiri arasında istatistiksel olarak anlamlı bir ilişki olmadığını gösterdi. Bulgular, üst ekstremitenin uzanma kapasitesi ve dinamik dengenin belirli yönlerine ilişkin bozuklukların Zamanlı Kalk ve Yürü Testi süresinde uzama ile potansiyel olarak ilişkili olabileceğini gösterdi. Belirtilen bulgular, hareket kısıtlılığı olan kişilerin fiziksel yeteneklerini değerlendirmek ve eski haline getirmek için önem taşımaktadır.

Anahtar Kelimeler

Baş Postür Postüral denge Propriyosepsiyon Yürüyüş.

Destekleyen Kurum

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK)

Proje Numarası

Başvuru numarası 1919B012207093

Teşekkür

2209-A proje desteği kapsamında projemize sağladığı mali destek için Türkiye Bilimsel ve Teknolojik Araştırma Kurumu'na (TÜBİTAK) teşekkür ederiz.

Kaynakça

  • Allum, J. H., Bloem, B. R., Carpenter, M. G., Hulliger, M., & Hadders-Algra, M. (1998). Proprioceptive control of posture: a review of new concepts. Gait Posture, 8(3), 214-242. https://doi.org/10.1016/s0966-6362(98)00027-7
  • Arnold, C. M., Lanovaz, J., Farthing, J. P., Legg, H., Weimer, M., & Kim, S. (2022). Fall arrest strategy training improves upper body response time compared to standard fall prevention exercise in older women: a randomized trial. Clin Rehabil, 36(7), 940-951. https://doi.org/10.1177/02692155221087963
  • Asha, S. E., & Pryor, R. (2013). Validation of a method to assess range of motion of the cervical spine using a tape measure. J Manipulative Physiol Ther, 36(8), 538-545. https://doi.org/10.1016/j.jmpt.2013.07.005
  • Ashburn, A., Hyndman, D., Pickering, R., Yardley, L., & Harris, S. (2008). Predicting people with stroke at risk of falls. Age Ageing, 37(3), 270-276. https://doi.org/10.1093/ageing/afn066
  • Barry, E., Galvin, R., Keogh, C., Horgan, F., & Fahey, T. (2014). Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr, 14, 14. https://doi.org/10.1186/1471-2318-14-14
  • Bauer, J., Panzer, S., Gruber, M., & Muehlbauer, T. (2023). Associations between upper quarter y-balance test performance and sport-related injuries in adolescent handball players. Front Sports Act Living, 5, 1076373. https://doi.org/10.3389/fspor.2023.1076373
  • Bennie, S., Bruner, K., Dizon, A., Fritz, H., Goodman, B., & Peterson, S. (2003). Measurements of balance: comparison of the timed up and go test and functional reach test with the berg balance scale. Journal of Physical Therapy Science, 15(2), 93-97. https://doi.org/10.1589/jpts.15.93
  • Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. J Phys Ther Sci, 28(12), 3398-3402. https://doi.org/10.1589/jpts.28.3398
  • Çakır, E., & Özbar, N. (2019). Bayan futsal oyuncularında flamingo ve stork denge testinin karşılaştırılması ile kassal kuvvetin testler üzerine etkisi. Gazi Beden Eğitimi ve Spor Bilimleri Dergisi, 24(3), 181-188.
  • Carini, F., Mazzola, M., Fici, C., Palmeri, S., Messina, M., Damiani, P., & Tomasello, G. (2017). Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed, 88(1), 11-16. https://doi.org/10.23750/abm.v88i1.5309
  • Coughlan, G. F., Fullam, K., Delahunt, E., Gissane, C., & Caulfield, B. M. (2012). A comparison between performance on selected directions of the star excursion balance test and the y balance test. J Athl Train, 47(4), 366-371. https://doi.org/10.4085/1062-6050-47.4.03
  • Dastan, S., Yapici, N. A., & Ozdogar, A. T. (2021). Investigating the relationship between balance and upper extremity function in people with multiple sclerosis. Journal of Multiple Sclerosis Research, 1(3), 79-83. https://doi.org/ 10.4274/jmsr.galenos.2022.2022-1-1
  • Ferlinc, A., Fabiani, E., Velnar, T., & Gradisnik, L. (2019). The importance and role of proprioception in the elderly: a short review. Mater Sociomed, 31(3), 219-221. https://doi.org/10.5455/msm.2019.31.219-221
  • Gomes, D., Santos, L. P., Gonzalez, M. C., Vieira, E. R., & Bielemann, R. M. (2023). Changes in physical performance among community-dwelling older adults in six years. Int J Environ Res Public Health, 20(8). https://doi.org/10.3390/ijerph20085579
  • Ha, S. Y., & Sung, Y. H. (2020). A temporary forward head posture decreases function of cervical proprioception. J Exerc Rehabil, 16(2), 168-174. https://doi.org/10.12965/jer.2040106.053
  • Herman, T., Inbar-Borovsky, N., Brozgol, M., Giladi, N., & Hausdorff, J. M. (2009). The dynamic gait index in healthy older adults: the role of stair climbing, fear of falling and gender. Gait Posture, 29(2), 237-241. https://doi.org/10.1016/j.gaitpost.2008.08.013
  • Kim, J. S., Hwang, U. J., Choi, M. Y., Kong, D. H., Chung, K. S., Ha, J. K., & Kwon, O. Y. (2022). Correlation between y-balance test and balance, functional performance, and outcome measures in patients following acl reconstruction. Int J Sports Phys Ther, 17(2), 193-200. https://doi.org/10.26603/001c.31873
  • MacKinnon, C. D. (2018). Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol, 159, 3-26. https://doi.org/10.1016/b978-0-444-63916-5.00001-x
  • McLay, R., Kirkwood, R. N., Kuspinar, A., Richardson, J., Wald, J., Raghavan, N., Ellerton, C., Pugsley, S., & Beauchamp, M. K. (2020). Validity of balance and mobility screening tests for assessing fall risk in copd. Chron Respir Dis, 17, 1479973120922538. https://doi.org/10.1177/1479973120922538
  • Mohd Said, A., Manaf, H., Bukry, S. A., & Justine, M. (2015). Mobility and balance and their correlation with physiological factors in elderly with different foot postures. Biomed Res Int, 2015, 385269. https://doi.org/10.1155/2015/385269
  • Ntenezakos, N., Makrogkikas, M., Dimitriadis, Z., & Koumantakis, G. A. (2021). Neck proprioception assessment with a laser beam device: reliability in participants without neck pain and differences between participants with and without neck pain. Bulletin of Faculty of Physical Therapy, 26(1), 36. https://doi.org/10.1186/s43161-021-00056-6
  • Omaña, H., Bezaire, K., Brady, K., Davies, J., Louwagie, N., Power, S., Santin, S., & Hunter, S. W. (2021). Functional reach test, single-leg stance test, and tinetti performance-oriented mobility assessment for the prediction of falls in older adults: a systematic review. Phys Ther, 101(10). https://doi.org/10.1093/ptj/pzab173
  • Onofrei, R. R., & Amaricai, E. (2022). Postural balance in relation with vision and physical activity in healthy young adults. Int J Environ Res Public Health, 19(9). https://doi.org/10.3390/ijerph19095021
  • Osoba, M. Y., Rao, A. K., Agrawal, S. K., & Lalwani, A. K. (2019). Balance and gait in the elderly: A contemporary review. Laryngoscope Investig Otolaryngol, 4(1), 143-153. https://doi.org/10.1002/lio2.252
  • Paillard, T., & Noé, F. (2015). Techniques and methods for testing the postural function in healthy and pathological subjects. Biomed Res Int, 2015, 891390. https://doi.org/10.1155/2015/891390
  • Peng, B., Yang, L., Li, Y., Liu, T., & Liu, Y. (2021). Cervical proprioception impairment in neck pain-pathophysiology, clinical evaluation, and management: a narrative review. Pain Ther, 10(1), 143-164. https://doi.org/10.1007/s40122-020-00230-z
  • Scena, S., Steindler, R., Ceci, M., Zuccaro, S. M., & Carmeli, E. (2016). Computerized functional reach test to measure balance stability in elderly patients with neurological disorders. J Clin Med Res, 8(10), 715-720. https://doi.org/10.14740/jocmr2652w
  • Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther, 80(9), 896-903. https://doi.org/10.1093/ptj/80.9.896
  • Silva, A. G., & Johnson, M. I. (2013). Does forward head posture affect postural control in human healthy volunteers? Gait Posture, 38(2), 352-353. https://doi.org/10.1016/j.gaitpost.2012.11.014
  • Tsay, A. J., Giummarra, M. J., Allen, T. J., & Proske, U. (2016). The sensory origins of human position sense. J Physiol, 594(4), 1037-1049. https://doi.org/10.1113/jp271498
  • Uesugi, Y., Maruyama, K., Saito, I., Tomooka, K., Takata, Y., Kawamura, R., Osawa, H., Tanigawa, T., & Naito, Y. (2021). A cross-sectional study of the relationship of timed up & go test with physical characteristics and physical activity in healthy japanese: the toon health study. Healthcare (Basel), 9(8). https://doi.org/10.3390/healthcare9080933
  • Yiou, E., Caderby, T., Delafontaine, A., Fourcade, P., & Honeine, J. L. (2017). Balance control during gait initiation: state-of-the-art and research perspectives. World J Orthop, 8(11), 815-828. https://doi.org/10.5312/wjo.v8.i11.815
  • Zago, M., Duarte, N. A. C., Grecco, L. A. C., Condoluci, C., Oliveira, C. S., & Galli, M. (2020). Gait and postural control patterns and rehabilitation in down syndrome: a systematic review. J Phys Ther Sci, 32(4), 303-314. https://doi.org/10.1589/jpts.32.303
  • Zarzeczny, R., Nawrat-Szołtysik, A., Polak, A., Maliszewski, J., Kiełtyka, A., Matyja, B., Dudek, M., Zborowska, J., & Wajdman, A. (2017). Aging effect on the instrumented timed-up-and-go test variables in nursing home women aged 80-93 years. Biogerontology, 18(4), 651-663. https://doi.org/10.1007/s10522-017-9717-5

Investigation of the Effects of Posture and Proprioception Sense on Balance and Gait

Yıl 2024, Cilt: 4 Sayı: 1, 165 - 176, 03.05.2024

Sena Keklikoğlu Emine Timur Ayşenur Özcan Serdar Yılmaz Esen Zehra Can Karahan Ceyhun Türkmen

https://doi.org/10.56061/fbujohs.1334050

Öz

The aim of this research is to evaluate the effects of individual differences in head posture, balance parameters, and proprioception on balance and gait in asymptomatic individuals. The research was conducted with 111 participants. Balance and walking ability, range of motion of the cervical spine, body posture, proprioception sense, and both static and dynamic balance assessments were carried out. The relationship of the Timed Up and Go Test with various independent variables such as head forward tilt, proprioceptive error, Flamingo Test score, Functional Reach Test score, and Y Balance Test score was examined. There was a significant negative correlation between the Timed Up and Go Test score and the Functional Reaching Test score and the Y Balance Test score at p = 0.05 statistical significance level. Multiple regression analysis was used to identify variables predicting balance and gait performance. The results showed that there is no statistically significant relationship between the Timed Up and Go Test score and any of the predictive variables. The findings indicated that impairments in upper extremity reaching capacity and particular aspects of dynamic equilibrium could potentially be associated with the prolonged duration of the Timed Up and Go Test. The aforementioned discoveries hold significance for evaluating and restoring the physical abilities of people with mobility limitations.

Anahtar Kelimeler

Postural balance Gait Head Posture Proprioception

Proje Numarası

Başvuru numarası 1919B012207093

Kaynakça

  • Allum, J. H., Bloem, B. R., Carpenter, M. G., Hulliger, M., & Hadders-Algra, M. (1998). Proprioceptive control of posture: a review of new concepts. Gait Posture, 8(3), 214-242. https://doi.org/10.1016/s0966-6362(98)00027-7
  • Arnold, C. M., Lanovaz, J., Farthing, J. P., Legg, H., Weimer, M., & Kim, S. (2022). Fall arrest strategy training improves upper body response time compared to standard fall prevention exercise in older women: a randomized trial. Clin Rehabil, 36(7), 940-951. https://doi.org/10.1177/02692155221087963
  • Asha, S. E., & Pryor, R. (2013). Validation of a method to assess range of motion of the cervical spine using a tape measure. J Manipulative Physiol Ther, 36(8), 538-545. https://doi.org/10.1016/j.jmpt.2013.07.005
  • Ashburn, A., Hyndman, D., Pickering, R., Yardley, L., & Harris, S. (2008). Predicting people with stroke at risk of falls. Age Ageing, 37(3), 270-276. https://doi.org/10.1093/ageing/afn066
  • Barry, E., Galvin, R., Keogh, C., Horgan, F., & Fahey, T. (2014). Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr, 14, 14. https://doi.org/10.1186/1471-2318-14-14
  • Bauer, J., Panzer, S., Gruber, M., & Muehlbauer, T. (2023). Associations between upper quarter y-balance test performance and sport-related injuries in adolescent handball players. Front Sports Act Living, 5, 1076373. https://doi.org/10.3389/fspor.2023.1076373
  • Bennie, S., Bruner, K., Dizon, A., Fritz, H., Goodman, B., & Peterson, S. (2003). Measurements of balance: comparison of the timed up and go test and functional reach test with the berg balance scale. Journal of Physical Therapy Science, 15(2), 93-97. https://doi.org/10.1589/jpts.15.93
  • Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. J Phys Ther Sci, 28(12), 3398-3402. https://doi.org/10.1589/jpts.28.3398
  • Çakır, E., & Özbar, N. (2019). Bayan futsal oyuncularında flamingo ve stork denge testinin karşılaştırılması ile kassal kuvvetin testler üzerine etkisi. Gazi Beden Eğitimi ve Spor Bilimleri Dergisi, 24(3), 181-188.
  • Carini, F., Mazzola, M., Fici, C., Palmeri, S., Messina, M., Damiani, P., & Tomasello, G. (2017). Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed, 88(1), 11-16. https://doi.org/10.23750/abm.v88i1.5309
  • Coughlan, G. F., Fullam, K., Delahunt, E., Gissane, C., & Caulfield, B. M. (2012). A comparison between performance on selected directions of the star excursion balance test and the y balance test. J Athl Train, 47(4), 366-371. https://doi.org/10.4085/1062-6050-47.4.03
  • Dastan, S., Yapici, N. A., & Ozdogar, A. T. (2021). Investigating the relationship between balance and upper extremity function in people with multiple sclerosis. Journal of Multiple Sclerosis Research, 1(3), 79-83. https://doi.org/ 10.4274/jmsr.galenos.2022.2022-1-1
  • Ferlinc, A., Fabiani, E., Velnar, T., & Gradisnik, L. (2019). The importance and role of proprioception in the elderly: a short review. Mater Sociomed, 31(3), 219-221. https://doi.org/10.5455/msm.2019.31.219-221
  • Gomes, D., Santos, L. P., Gonzalez, M. C., Vieira, E. R., & Bielemann, R. M. (2023). Changes in physical performance among community-dwelling older adults in six years. Int J Environ Res Public Health, 20(8). https://doi.org/10.3390/ijerph20085579
  • Ha, S. Y., & Sung, Y. H. (2020). A temporary forward head posture decreases function of cervical proprioception. J Exerc Rehabil, 16(2), 168-174. https://doi.org/10.12965/jer.2040106.053
  • Herman, T., Inbar-Borovsky, N., Brozgol, M., Giladi, N., & Hausdorff, J. M. (2009). The dynamic gait index in healthy older adults: the role of stair climbing, fear of falling and gender. Gait Posture, 29(2), 237-241. https://doi.org/10.1016/j.gaitpost.2008.08.013
  • Kim, J. S., Hwang, U. J., Choi, M. Y., Kong, D. H., Chung, K. S., Ha, J. K., & Kwon, O. Y. (2022). Correlation between y-balance test and balance, functional performance, and outcome measures in patients following acl reconstruction. Int J Sports Phys Ther, 17(2), 193-200. https://doi.org/10.26603/001c.31873
  • MacKinnon, C. D. (2018). Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol, 159, 3-26. https://doi.org/10.1016/b978-0-444-63916-5.00001-x
  • McLay, R., Kirkwood, R. N., Kuspinar, A., Richardson, J., Wald, J., Raghavan, N., Ellerton, C., Pugsley, S., & Beauchamp, M. K. (2020). Validity of balance and mobility screening tests for assessing fall risk in copd. Chron Respir Dis, 17, 1479973120922538. https://doi.org/10.1177/1479973120922538
  • Mohd Said, A., Manaf, H., Bukry, S. A., & Justine, M. (2015). Mobility and balance and their correlation with physiological factors in elderly with different foot postures. Biomed Res Int, 2015, 385269. https://doi.org/10.1155/2015/385269
  • Ntenezakos, N., Makrogkikas, M., Dimitriadis, Z., & Koumantakis, G. A. (2021). Neck proprioception assessment with a laser beam device: reliability in participants without neck pain and differences between participants with and without neck pain. Bulletin of Faculty of Physical Therapy, 26(1), 36. https://doi.org/10.1186/s43161-021-00056-6
  • Omaña, H., Bezaire, K., Brady, K., Davies, J., Louwagie, N., Power, S., Santin, S., & Hunter, S. W. (2021). Functional reach test, single-leg stance test, and tinetti performance-oriented mobility assessment for the prediction of falls in older adults: a systematic review. Phys Ther, 101(10). https://doi.org/10.1093/ptj/pzab173
  • Onofrei, R. R., & Amaricai, E. (2022). Postural balance in relation with vision and physical activity in healthy young adults. Int J Environ Res Public Health, 19(9). https://doi.org/10.3390/ijerph19095021
  • Osoba, M. Y., Rao, A. K., Agrawal, S. K., & Lalwani, A. K. (2019). Balance and gait in the elderly: A contemporary review. Laryngoscope Investig Otolaryngol, 4(1), 143-153. https://doi.org/10.1002/lio2.252
  • Paillard, T., & Noé, F. (2015). Techniques and methods for testing the postural function in healthy and pathological subjects. Biomed Res Int, 2015, 891390. https://doi.org/10.1155/2015/891390
  • Peng, B., Yang, L., Li, Y., Liu, T., & Liu, Y. (2021). Cervical proprioception impairment in neck pain-pathophysiology, clinical evaluation, and management: a narrative review. Pain Ther, 10(1), 143-164. https://doi.org/10.1007/s40122-020-00230-z
  • Scena, S., Steindler, R., Ceci, M., Zuccaro, S. M., & Carmeli, E. (2016). Computerized functional reach test to measure balance stability in elderly patients with neurological disorders. J Clin Med Res, 8(10), 715-720. https://doi.org/10.14740/jocmr2652w
  • Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther, 80(9), 896-903. https://doi.org/10.1093/ptj/80.9.896
  • Silva, A. G., & Johnson, M. I. (2013). Does forward head posture affect postural control in human healthy volunteers? Gait Posture, 38(2), 352-353. https://doi.org/10.1016/j.gaitpost.2012.11.014
  • Tsay, A. J., Giummarra, M. J., Allen, T. J., & Proske, U. (2016). The sensory origins of human position sense. J Physiol, 594(4), 1037-1049. https://doi.org/10.1113/jp271498
  • Uesugi, Y., Maruyama, K., Saito, I., Tomooka, K., Takata, Y., Kawamura, R., Osawa, H., Tanigawa, T., & Naito, Y. (2021). A cross-sectional study of the relationship of timed up & go test with physical characteristics and physical activity in healthy japanese: the toon health study. Healthcare (Basel), 9(8). https://doi.org/10.3390/healthcare9080933
  • Yiou, E., Caderby, T., Delafontaine, A., Fourcade, P., & Honeine, J. L. (2017). Balance control during gait initiation: state-of-the-art and research perspectives. World J Orthop, 8(11), 815-828. https://doi.org/10.5312/wjo.v8.i11.815
  • Zago, M., Duarte, N. A. C., Grecco, L. A. C., Condoluci, C., Oliveira, C. S., & Galli, M. (2020). Gait and postural control patterns and rehabilitation in down syndrome: a systematic review. J Phys Ther Sci, 32(4), 303-314. https://doi.org/10.1589/jpts.32.303
  • Zarzeczny, R., Nawrat-Szołtysik, A., Polak, A., Maliszewski, J., Kiełtyka, A., Matyja, B., Dudek, M., Zborowska, J., & Wajdman, A. (2017). Aging effect on the instrumented timed-up-and-go test variables in nursing home women aged 80-93 years. Biogerontology, 18(4), 651-663. https://doi.org/10.1007/s10522-017-9717-5
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Sena Keklikoğlu Bu kişi benim 0009-0003-3460-7417

Emine Timur 0009-0007-2708-8283

Ayşenur Özcan 0000-0002-1401-7140

Serdar Yılmaz Esen Bu kişi benim 0000-0002-3518-8766

Zehra Can Karahan 0000-0002-6919-2720

Ceyhun Türkmen 0000-0002-3125-4113

Proje Numarası Başvuru numarası 1919B012207093
Erken Görünüm Tarihi 3 Mayıs 2024
Yayımlanma Tarihi 3 Mayıs 2024
Gönderilme Tarihi 28 Temmuz 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 4 Sayı: 1

Kaynak Göster

APA Keklikoğlu, S., Timur, E., Özcan, A., Esen, S. Y., vd. (2024). Investigation of the Effects of Posture and Proprioception Sense on Balance and Gait. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 4(1), 165-176. https://doi.org/10.56061/fbujohs.1334050
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