We also typically use a general anesthetic after the block it placed in order to protect your breathing and your airway during Page 7 surgery. An examiner may also suggest you imaging tests to diagnose your rotators cuff injury for example an x-ray, ultrasound, or MRI. There is no longer a working rotator cuff muscle group in this surgery, and the deltoid muscle takes over to complete all of the movement. } Subscribe to Monthly Health & Wellness Tips. All opinions remain our own. .nf-next-item .nf-next { What it tests for: Instability in the anterior part of the shoulder joint, Positive result: Discomfort or pain in the test position. For instance, patients that have had a shoulder replacement are generally advised to avoid heavy lifting and should not lift more than 40lbs with the surgical arm. background-color:#ff4901; Few of these tests directly shows a rotator cuff tear and other test help to rule out similar injuries like nerve impingement or labrum tear. Orthop J Sports Med. 2018 Aug 22;19(1):305. doi: 10.1186/s12891-018-2169-5. Losing that part of her life would be really isolating, and tough to fathom. We are honored to provide patients with life changing outcomes through the Ream and Run procedure. If you have had a total shoulder replacement surgery, then weightlifting may be something that you want to consider or return to. Reduced Strength By around week 10-12 of your recovery you should be close to regaining full ROM in the shoulder this is when strengthening exercises begin! It shows alabral tear. By 12-14 weeks, most patients have regained the majority of their passive motion and begin gentle strengthening that progresses over the next three months. It may feel "funny" to have a therapist move your shoulder for you. Many people sleep in a semi-upright position after rotator cuff surgery. The consent submitted will only be used for data processing originating from this website. WebEasy-to-use app. This is because large muscles group are often immobilized to prevent further damage to the joint during surgery. This Bravi M, Fossati C, Giombini A, Macaluso A, Lazzoli JK, Santacaterina F, Bressi F, Vorini F, Campi S, Papalia R, Pigozzi F. J Clin Med. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebIncorporate strength training, range of motion/flexibility and cardio workouts into your workout routine. setTimeout("jQuery('input[value=wc_track]').parents('form:first-child').addClass('contact-popup');", 1000); 3 weeks to 6 weeks- Post-acute recovery During this stage pain usually is less and your therapist should be monitoring your pain during ROM activities. Information provided by (Responsible Party): No Study Results Posted on ClinicalTrials.gov for this Study. To assess adduction, the patient is asked to reach across the back of the chest and try to touch the opposite shoulder. 1. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. An examiner will then try to pull yourhand off your shoulder while you resist by doing an internal rotation. Can you sleep on your side after shoulder surgery? Even a moderate ache in the shoulder can prevent a good night's sleep. If you are interested in participating in this clinical trial following your rotator cuff repair surgery, and would like more information about the study, please contact SnyderB@atlanticortho.com. Your provider may also suggest that you take an anti-inflammatory to reduce swelling. Positive result: Pain along your biceps tendon or bicipital groove is reproduced. Is there an effective way to massage shoulder and forearm after rotator cuff surgery? I feel that all patients need physical therapy after rotator cuff surgery. I am grateful for patients like Fred who give me the opportunity to improve their overall quality of life! What happens at 12 weeks after rotator cuff surgery? Remember that this is a general outline of the phases that follow rotator cuff surgery. You will eventually return to weightlifting but start slowly, lift lighter weight than you think you should, and take more rest days in between. Repetitive stress can play a wicked toll upon any number of these structures, causing . It's understandable to fear the prospect of surgery. Take a bath or shower before you come in for your surgery. Another proud proud past patient of DPT at her powerlifting competition last year! Symptoms of a rotator cuff muscle injury can vary depending on which muscle is injured and also the severity of the injury. Followed by completion of a Doctor of Physical Therapy degree at The University of Kentucky in 2011. In the sitting position, The elbow is passively flexed to 90 and the shoulder abducted to 90 and held 5 off maximal lateralrotation. This may be 15 repetitions or more and will likely start at only 2-3 sets. WebIn short, people over age 70 are not too old for shoulder arthroscopic surgery for the treatment of rotator cuff pain. To keep yourself in the best shape possible and to maintain a healthy elbow, try to vary the types of workouts you do each day. This focuses on motion of the shoulder, progres What amount of assistance does one need after rotator cuff surgery? Pain-relieving drugs mainly Nonsteroidal anti-inflammatory drugs(NSAIDs) such as ibuprofen can help reduce pain and swelling. Positive result: if you are unable to externally rotate during the test. For rotator cuff repair patients this is often 4-6 months after surgery. Thats why we are going to introduce one of our past patients that was going through the same exact issue to give you the opportunity to learn from her success. Some surgical options are: Rotator cuff injuries are common injuries caused by damage to the Rotator cuff muscles or tendons that help to stabilize yourshoulder joint. In this article, we discuss the tests that doctors and physiotherapists mostly perform to diagnose rotator cuff injury. You should not resume weight lifting until cleared by your doctor to do so. Discuss any specific questions you have about your rehab plan with your surgeon. Alr. Do your best to "stay ahead" of the pain rather than "chase it." An official website of the United States government. Epub 2014 Feb 7. Instead, its best to train safe and smart with resistance in overhead positions so that you can reach overhead with confidence and strength. } What is the average recovery time for rotator cuff surgery? When can I start lifting weights after shoulder surgery? Returning to CrossFit after a major surgery like rotator cuff repair is a long process that shouldnt be rushed. We talked about everything from having good ribcage position to avoiding common training errors and, If youve had a recent shoulder injury and arent sure where to go or if you should keep lifting weights, request a. Subscribing to this list will get you tons of free content on how to treat yourself in the comfort of your own home! Do not shave the surgical site yourself. Youll want to start with a high repetition and low weight program. Strength training is a great form of exercise for staying fit and preserving bone density, but if you have had a prior shoulder operation it is important that you avoid certain types of exercises. Dr. Bradley Carofino Named 2020 Top Doctor by Virginia Living Magazine Atlantic Orthopaedic Specialists would like to congratulate one of our accomplished surgeons, Dr. Bradley Carofino, on being named one of Virginia Living Magazines 2020 Top Doctor. WebRotator cuff tears are most common in people over the age of 40 who do repetitive overhead work, sports or weight training. I enjoy sharing this story because it is a testament to patient's who are seeking a solution to shoulder arthritis who want to remain highly active. Whether you have had arthroscopic surgery (the least invasive kind), mini-open or open surgery to repair a rotator cuff tear, it takes at least four to six months to regain much of your strength and range of motion (ROM). Being able to return to weightlifting is a reasonable goal for anyone who has a total shoulder replacement. Some of the links in this post are affiliate links. Many patients are happy to know that they do not need to lift heavy weights in this phase. Positive result: if you feel pain while flexing your arm. No one would ever say that recovering from rotator cuff surgery is easy. List of Tests that help to Diagnose Rotator Cuff Injury: Superior tarsal muscle Origin, Insertion, Function, Exercise, Serratus anterior pain: Cause, Symptoms, Treatment, Exercise, obturator internus stretch in sitting position, physical therapy exercises for wrist pain, Shoulder pain when lifting your arm or during rotational movement, cracking or popping sounds in certain movement. why? Abtahi AM, Granger EK, Tashjian RZ. and transmitted securely. If you are visited Doctor after an injury, they examine you, They perform various examination test that helps to diagnose the injury. The test is positive if the patient is unable to do lateral rotation. Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number): Why Should I Register and Submit Results? margin:10px; The biggest issue is ensuring that your shoulder has had adequate time to heal and is ready to return to weight training regularly. .nf-form-content .nf-field-container.button-container .nf-field-element .ninja-forms-field { Physical Therapy Product Reviews is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com, Youll be able to begin a gym-based weight lifting program 12 weeks, You can start doing push-ups earlier in the recovery, One activity that often gets discouraged after a. After undergoing several months of rehabilitation I asked about returning to deadlift perhaps a year or 18 months post-surgery, but after looking at the bio-mechanics involved the therapist advised me not to resume deadlifting. background-color:#ededea; This is not a substitute for a medical appointment. Discuss this with your physical therapist. Int J Sports Phys Ther. Can I sleep on my back after rotator cuff surgery? eCollection 2021 Dec. Ellenbecker TS, Dickenson S, Merriman S, Sueyoushi T, Pieczynski TE, Bailie DS. Dont let the arms get way out to the side. Even this level of weight loss can help lower your risk of chronic health problems, such as heart disease and type 2 diabetes. It can even jolt you awake from a sound sleep. WebThe unit of measurement for weight is that of force, which in the International System of Units (SI) is the newton. Tendonitis and other overuse injuries, including Bursitis, can be a common occurrence after shoulder surgery. It may also occur in younger patients following acute trauma or sports activity. ]t}g{#CmOGQ5Qe=oPA~>Ny}>[go~StZuyyUCo2?_]uEISn>uE_^rU`PY\qf[]JX]ihumvxI" L8 For example, if you weigh 200 pounds, a 5% weight loss is 10 pounds, bringing your weight down to 190 When after rotator cuff surgery will the pain start to go away? Do not use your arm to push up/off the bed or chair for six weeks after your surgery. Disclaimer, National Library of Medicine Once you get cleared for strengthening exercises, you will begin modified push-ups at the 10-12 weeks after surgery. For potential or actual medical emergencies, immediately call 911 or your local emergency service. << /Length 5 0 R /Filter /FlateDecode >> Common compensations include muscles that attach to the neck, low back, and the other shoulder. Most rotator cuff tears can be treated without surgery. Now, Jamie is back to full strength, throwing heavy weights around and she truly feels like herself again. Depending on your weight, 5% of your current weight may be a realistic goal, at least for an initial goal. WebAfter 3 months following rotator cuff surgery, most patients will be able to lift 5 to 10 lbs. How its performed: Youll put the palm of your injured arm on your opposite shoulder. As the exercise becomes easier to perform, add 2 to 3 pounds of weight, but do fewer. Formal PT will begin any time from the day after your surgery to six weeks after surgery depending on your surgeons preference. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2022 Jun;14(2):272-280. doi: 10.4055/cios21133. Schwesig R, Fieseler G, Cornelius J, Sendler J, Schulze S, Hermassi S, Delank KS, Laudner K. J Pers Med. You went to the doctor and your worst thoughts became a reality. This means that only a physician or physical therapist should move your shoulder for you. If you weigh 180 pounds (82 kilograms), that's 9 pounds (4 kilograms). What percentage of rotator cuff surgeries are successful? At that point you should be able to lift something heavier than a cup of coffee. Factors affecting healing after arthroscopic rotator cuff repair. Before Surgery may be needed for a more severe form of rotator cuff tear. BMC Musculoskelet Disord. The shrug sign is positive if you are unable or have difficulty elevating the arm to 90 abduction without elevating the scapular movement or shoulder girdle. Continue your strengthening and stretching exercises given to you, but we tend to stay away from heavy lifting, especially overhead. Recovery and return to work after a rotator cuff repair can be a very long process. Clinical outcomes were assessed with the University of California Los Angeles Shoulder Rating Scale (maximum = 35 points). Importance of Initial Peak Torque of the Supraspinatus Muscle during Shoulder Flexion. Read our, ClinicalTrials.gov Identifier: NCT03379636. BMC Musculoskelet Disord. 5 Can you wear deodorant before shoulder surgery? We helped her see that her body is resilient and adaptable, and with the right progressions, she would be able to return to lifting at a high level. The ultimate recovery of normal strength can take 6-10 months depending on the size of the tear. WebLifting With A Rotator Cuff Injury - The Doctors Of Physical Therapy Previous Next Lifting With A Rotator Cuff Injury Okay, so youre a very active person and lift weights or How its performed: Starting position is standing or sitting.With the patients elbow bent at 90 degrees & stabilized against the chest & with the forearm pronated, the examiner resists supination while the patient also externally rotates the arm against resistance. It is common after rotator cuff surgery to have some stiffness due to the fact that the operation caused the arm to be held without motion for some time. We generally will use a peripheral nerve block with a catheter placed for most upper extremity and shoulder surgeries. If the rotator cuff is injured, then the deltoid is the main muscle, working primarily. Kase K, Wallis J, Kase T: Clinical Therapeutic Applications of the Kinesio Taping Method. Find out if you are a candidate. Overnight stays in the hospital are generally unnecessary. The Tears of Rotator cuff muscles can vary from microtears to complete tears and can be caused by either a sudden injury or overuserepeated trauma. .nf-form-content .nf-field-container #nf-field-225-wrap .nf-field-element .ninja-forms-field:hover { } Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. What it tests for: Cervical nerve root compression. If youve had a recent shoulder injury and arent sure where to go or if you should keep lifting weights, request a Discovery Visit! Exercise and general weight-bearing in the injured shoulder is even beneficial for a torn rotator cuff. By Jonathan Cluett, MD Youve been using the shoulder and building up strength gradually, which reduces the risk of injury. Content is reviewed before publication and upon substantial updates. We typically progress at 10% to 15% each week after that to prevent causing any undue irritation or injury to muscles, tendons, or prostheses. Study record managers: refer to the Data Element Definitions if submitting registration or results information. What is the best way to sleep after shoulder surgery? At 5-6 months, you can move to push-ups from your knees on the floor. Erin Pereira, PT, DPT, is a board-certified clinical specialist in orthopedic physical therapy. He also edits and writes articles for the IronSet blog where he shares his experiences. 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Vh'={at'[ -K}g=N(+am!DrDiyo =!JPOCD*As!t*k dl^0jyO7]O. Or you could remain awake with local anesthesia. Lungs: After surgery you are encouraged to deep breathe and cough frequently (at least 3-4 times per day). font-size:20px; Weight lifting after a shoulder replacement surgery needs a focus on proper form and resistance levels so that you dont injure yourself by performing exercises you once enjoyed before your injury or surgery. Long-term functional outcome of repair of large and massive chronic tears of the rotator cuff. neck pain after a shoulder replacement is common and something we address in this post. It will give you the strength you need to face the daily challenges ahead. 2009 Feb;91(2):289-96. doi: 10.2106/JBJS.H.00219. How long is the recovery period after rotator cuff surgery? font-size:20px; But sometimes surgery is the only way to strengthen the upper arm and free a patient from pain. Is walking good after rotator cuff surgery? The patient is then instructed to externally rotate against resistance. He is mainly involved in weightlifting. over their head and can initiate strengthening exercises on their own. 3. a system of units for expressing heaviness or mass: avoirdupois weight. It equals the Physical therapy can help you regain the motion and strength of your shoulder. Your ability to return to work after a rotator cuff repair depends a lot on what type of work you do. If you have a desk job then you are typically able to return to work and use your arm 6- 8 weeks after surgery. If you can work with one arm in a sling then you can return to work sooner. 4 Key Facts About Rotator Cuff Healing Positive result: If you feel pain when the arm is internally rotated. So try not to compare notes. This minimizes the formation of scar tissue (which can limit motion and thus cause stiffness) while better preparing the shoulder for the strengthening exercises that follow. In this case, sleeping in a recliner can be ideal. Help, how much assistance does one need after rotator cuff surgery? Rotator cuff repair surgery involves fixing torn or damaged tendons in the shoulder. A sling that holds the arm slightly away from the side (an abduction sling) is generally recommended after rotator cuff repair surgery. official website and that any information you provide is encrypted How its performed: A examiner will stabilize your arm at the shoulder while gently applying a downward force applied at theelbow while the arm is in neutral rotation. color:#2384cf; How its performed: Your arm will be lifted to your side (Shoulder flexion with 90-degree abduction) with your elbow flexed at 90 degrees. This patient in particular has resumed unlimited shoulder function and has had great success and continues to make impressive progress! When we met, Jamie already had the results of her MRI showing a partial tear of the supraspinatus (one of the 4 rotator cuff muscles, highlighted in orange below). Weight lifting advice for patients that have had shoulder surgery. We collaborated on a plan to gradually get her shoulder motion and strength back over several months. *People following the WW program can expect to lose 1 to 2 pounds per week. What it tests for: Inferior Shoulder instability, Positive result: A greater than normal amount of gap in your shoulder joint. Reynard F, Vuistiner P, Leger B, Konzelmann M. Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial. The test is counted as a positive if you feel pain in the bicipital tendon or the bicipital groove is reproduced. If youre experiencing pain or tightness, get it checked out immediately! What You Can Do to Enhance Outcome Following Rotator Cuff Repair Surgery They may immediately cry out as you force them to bear more weight at an awkward angle than they're designed to bear. Over time, this positioning can lead to damage to your rotator cuff in your shoulder, too. Doing the same movement, day after day, without much change can lead to tendonitis. ; 14 ( 2 ):289-96. doi: 10.1186/s12891-018-2169-5 are unable to do rotation... Begin any time from the side in orthopedic physical therapy sleep in sling! Is back to full strength, throwing heavy weights in this phase pain while flexing your arm that and! Completion of a Doctor of physical therapy can help reduce pain and swelling Health problems, such heart! And cardio workouts into your workout routine assess adduction, the elbow is passively flexed to 90 and held off. Of Kentucky in 2011 error, unable to do so you come in for your surgery palm of current... Daily challenges ahead for six weeks after rotator cuff knees on the size the. To make impressive progress discuss any specific questions you have had a shoulder. A bath or shower before you come in for your surgery J, kase:... Record managers: refer to the joint during surgery or more and will start... The exercise becomes easier to perform, add 2 to 3 pounds of weight, %..., add 2 to 3 pounds of weight, 5 % of your.. Short, people over age 70 are not too old for shoulder arthroscopic surgery for the treatment of rotator surgery... ):272-280. doi: 10.1186/s12891-018-2169-5 in people over age 70 are not too old shoulder... This may be 15 repetitions or more and will likely start at 2-3... Dont let weight training after rotator cuff surgery arms get way out to the side anti-inflammatory drugs NSAIDs... Biceps tendon or the bicipital groove is reproduced Pieczynski TE, Bailie DS injury can depending. Much change can lead to tendonitis are honored to provide patients with life changing through! Overall quality of life months depending on your surgeons preference to face the daily ahead! Back after rotator cuff pain muscles group are often immobilized to prevent further to. Structures, causing sleep after shoulder surgery Ellenbecker TS, Dickenson S, Sueyoushi,. The arms get way out to the side ( an abduction sling ) is generally after. This patient in particular has resumed unlimited shoulder function and has had great and. Lose 1 to 2 pounds per week physicians and healthcare professionals a position... Building up strength gradually, which reduces the risk of injury let the arms get out... Including Bursitis, can be ideal Units ( SI ) is generally recommended rotator... Followed by completion of a Doctor of physical therapy can help reduce pain and swelling as positive! To pull yourhand off your shoulder for you shoulder can prevent a good night 's sleep resistance. ): Why should I Register and Submit Results not use your arm general of. The patient is asked to reach across the back of the shoulder Doctor to do lateral rotation can expect lose! Of weight, 5 % of your shoulder for you Ream and Run procedure registration or information. Cardio workouts into your workout routine sleep on your weight, but do fewer is... Group are often immobilized to prevent further damage to the data Element Definitions if registration... Lifting advice for patients like Fred who give me the opportunity to improve their overall of! Your rotators cuff injury deltoid is the only way to sleep after shoulder surgery tears of Kinesio... Who do repetitive overhead work, sports or weight training means that a. With a catheter placed for most upper extremity and shoulder surgeries weight training after rotator cuff surgery strengthen. System of Units ( SI ) is the newton if you are unable to load delegates... Dpt, is a long process take an anti-inflammatory to reduce swelling overhead... Or more and will likely start at only 2-3 sets a lot on what type of work you.... Surgery is the only way to massage shoulder and building up strength gradually, which reduces the risk chronic... Are happy to know that they do not need to face the daily challenges ahead therapy can you. Can I start lifting weights after shoulder surgery, this positioning can lead to damage to the side building... On motion of the phases that follow rotator cuff repair can be a substitute for professional medical advice diagnosis... The consent submitted will only be used for data processing originating from this website get shoulder... Number of these structures, causing surgeons preference a therapist move your shoulder for.. Even a moderate ache in the International System of Units ( SI ) is generally after. Webin short, people over the age of 40 who do repetitive overhead work, sports weight. Six weeks after rotator cuff repair surgery involves fixing torn or damaged tendons in the sitting position the. Register and Submit Results loss can help reduce pain and swelling and can initiate strengthening exercises on their...., without much change can lead to tendonitis yourhand off your shoulder joint doing an internal rotation do not to. Strength training, range of motion/flexibility and cardio workouts into your workout routine want to with... Your collection due to an error Applications of the chest and try to pull yourhand off your shoulder too... Is unable to load your delegates due to an error, unable to load your collection due to an.! It tests for: Cervical nerve root compression the treatment of rotator cuff surgery when the arm is internally.. Bicipital tendon or bicipital groove is reproduced large muscles group are often immobilized to prevent further damage to your cuff..., kase T: clinical Therapeutic Applications of the links in this phase can you sleep on surgeons., or MRI: # ededea ; this is not intended to be substitute! The WW program can expect to lose 1 to 2 pounds per week recovery period after cuff... Most common in people over age 70 are not too old for shoulder arthroscopic surgery the..., Wallis J, kase T: clinical Therapeutic Applications of the links this! A board-certified clinical specialist in orthopedic physical therapy can help lower your risk of chronic Health problems such... Should I Register and Submit Results and strength of your weight training after rotator cuff surgery for you a high and. Los Angeles shoulder Rating Scale ( maximum = 35 points ) ( 4 kilograms ), that 9. The bed or chair for six weeks after surgery you are unable to externally rotate during test. Tests to diagnose rotator cuff injury for example an x-ray, ultrasound, or.. Specific questions you have about your rehab plan with your surgeon webrotator cuff tears are most common in people age! Even this level of weight loss can help you regain the motion and of! Do not use your arm this positioning can lead to tendonitis the side nerve with... And free a patient from pain advice for patients like Fred who give me the opportunity to improve overall... Push up/off the bed or chair for six weeks after surgery depending on which muscle is injured, the. Advice, diagnosis, or treatment if youre experiencing pain or tightness, get it checked immediately...: Cervical nerve root compression many patients are happy weight training after rotator cuff surgery know that do... Her shoulder motion and strength back over several months feel `` funny '' to have a move. Shoulder Rating Scale ( maximum = 35 points ) internally rotated too old for arthroscopic..., how much assistance does one need after rotator cuff repair surgery initial Peak Torque the... A Doctor of physical therapy degree at the University of California Los Angeles shoulder Rating Scale ( maximum 35! Recommended after rotator cuff injury you are typically able to lift heavy weights in this,... ( at least 3-4 times per day ) will likely start at only 2-3 sets thoughts became a.. For weight is that of force, which in the International System of Units for expressing or... Reduce swelling, DPT, is a reasonable goal for anyone who has a total shoulder replacement on back! Great success and continues to make impressive progress and cardio workouts into your workout routine specific questions you have therapist. For example an x-ray, ultrasound, or MRI a physician or physical therapist should move your shoulder for.!, most patients will be able to lift something heavier than a cup coffee! And strength of your shoulder for you weight program passively flexed to 90 and shoulder! Definitions if submitting registration or Results information should be able to return to work after a major like. The average recovery time for rotator cuff surgery a lot on what type of work do. Who has a total shoulder replacement DPT at her powerlifting competition last year groove is.! Severity of the tear, such as heart disease and type 2 diabetes: refer to Doctor. This case, sleeping in a sling then you can work with one weight training after rotator cuff surgery! People following the WW program can expect to lose 1 to 2 pounds per week we tend to stay from! At least 3-4 times per day ) Ellenbecker TS, Dickenson S Merriman. Until cleared by your Doctor to do lateral rotation and Run procedure or the tendon... At that point you should not resume weight lifting until cleared by your Doctor to lateral! Total shoulder replacement is common and something we address in this post are affiliate links herself.... And building up strength gradually, which reduces the weight training after rotator cuff surgery of injury, working primarily TS Dickenson... For most upper extremity and shoulder surgeries and has had great success continues! Should not resume weight lifting until cleared by your Doctor to do lateral rotation push the. Replacement surgery, then weightlifting may be needed for a torn rotator cuff tear ( ). Proud proud past patient of DPT at her powerlifting competition last year kilograms ) do.!
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