{"id":24338,"date":"2023-05-16T12:49:28","date_gmt":"2023-05-16T09:49:28","guid":{"rendered":"https:\/\/alchimeia.ro\/vechi\/?page_id=24338"},"modified":"2023-05-31T10:58:43","modified_gmt":"2023-05-31T07:58:43","slug":"sindrom-de-impingement-subacromial","status":"publish","type":"page","link":"https:\/\/alchimeia.ro\/vechi\/afectiuni-tratate\/durere-umar\/sindrom-de-impingement-subacromial\/","title":{"rendered":"Sindrom de impingement subacromial"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-overflow:visible;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-two\" style=\"--awb-font-size:24px;\"><h2 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography1-line-height);\"><h2>Ce reprezint\u0103 sindromul de impingement subacromial?<\/h2><\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-1\"><p><b>Leziunile um\u0103rului <\/b><span style=\"font-weight: 400;\">au efecte negative \u00een fiecare aspect al vie\u021bii, deoarece afecteaz\u0103 activit\u0103\u021bile de zi cu zi \u0219i se pot agrava pe parcurs, atunci c\u00e2nd nu sunt tratate corespunz\u0103tor. Chiar dac\u0103 durerile ini\u021biale pot s\u0103 fie suportabile, solicitarea \u00een continuare a um\u0103rului va avea ca rezultat probleme mai greu de rezolvat, ce necesit\u0103 o recuperare anevoioas\u0103, uneori de durat\u0103.<\/span><\/p>\n<p><b>Sindromul de impingement subacromial <\/b><span style=\"font-weight: 400;\">este o afec\u021biune ce apare \u00een mod frecvent la articula\u021bia um\u0103rului, provoc\u00e2nd durere \u0219i mobilitate limitat\u0103. Se manifest\u0103 atunci c\u00e2nd tendoanele \u0219i bursa din spa\u021biul subacromial, situate \u00eentre partea superioar\u0103 a humerusului (osul bra\u021bului superior) \u0219i acromion (o proeminen\u021b\u0103 osoas\u0103 a omoplatului), devin comprimate sau iritate. Aceast\u0103 compresie poate duce la<\/span><b> inflama\u021bie, umflare \u0219i durere ulterioar\u0103<\/b><span style=\"font-weight: 400;\">. Sindromul de impingement subacromial se poate manifesta \u00een diferite moduri, cu simptome variind de la disconfort u\u0219or \u0219i p\u00e2n\u0103 la durere sever\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Majoritatea pacien\u021bilor Alchimeia se pl\u00e2ng de faptul c\u0103 se confrunt\u0103 cu <\/span><b>durere sever\u0103<\/b><span style=\"font-weight: 400;\"> din cauza sindromului de impingement subacromial. Durerea este resim\u021bit\u0103 \u00een partea din fa\u021b\u0103, \u00een lateral sau \u00een partea superioar\u0103 a um\u0103rului \u0219i poate radia \u00een jos pe bra\u021b. Anumite mi\u0219c\u0103ri sau ridicarea obiectelor agraveaz\u0103 simptomele, ceea ce face dificil\u0103 efectuarea anumitor sarcini.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pe l\u00e2ng\u0103 durere, pacien\u021bii pot prezenta <\/span><b>sl\u0103biciune la nivelul um\u0103rului afectat<\/b><span style=\"font-weight: 400;\"> \u0219i pot avea dificult\u0103\u021bi \u00een efectuarea activit\u0103\u021bilor banale de zi cu zi, cum ar fi piept\u0103narea p\u0103rului sau atingerea obiectelor de pe rafturile mai \u00eenalte. Alte simptome includ<\/span><b> mobilitatea limitat\u0103 \u0219i senza\u021bia de pocnire a articula\u021biei<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sindromul de impingement subacromial poate fi clasificat \u00een func\u021bie de <\/span><b>severitatea \u0219i cronicitatea afec\u021biunii<\/b><span style=\"font-weight: 400;\">, dup\u0103 cum urmeaz\u0103:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>impingementul acut<\/b><span style=\"font-weight: 400;\"> &#8211; debut brusc al simptomelor, adesea din cauza traumei sau a suprasolicitarii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>impingementul subacut <\/b><span style=\"font-weight: 400;\">&#8211; simptomele persist\u0103 pentru o durat\u0103 mai lung\u0103, de obicei \u00eentre 4 \u0219i 12 s\u0103pt\u0103m\u00e2ni<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>impingementul cronic<\/b><span style=\"font-weight: 400;\"> &#8211; simptome care dureaz\u0103 peste 12 s\u0103pt\u0103m\u00e2ni\u00a0<\/span><\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:48%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" 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style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:60px;--awb-padding-bottom:60px;--awb-background-color:var(--awb-color2);\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:24px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h3 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography2-line-height);\"><h2><span style=\"font-weight: 400;\">Cauze sindrom de impingement subacromial<\/span><\/h2><\/h3><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-2\"><p><span style=\"font-weight: 400;\">Mai mul\u021bi factori contribuie la dezvoltarea sindromului de impingement subacromial. Una dintre cauzele principale o reprezint\u0103 <\/span><b>anomaliile structurale din articula\u021bia um\u0103rului<\/b><span style=\"font-weight: 400;\">. Aceste anomalii pot include un acromion (prelungire osoas\u0103 a spinei scapulare) \u00een form\u0103 de c\u00e2rlig, care este o varia\u021bie congenital\u0103 \u00een care acromionul are o form\u0103 proeminent\u0103 \u0219i ag\u0103\u021bat\u0103, f\u0103c\u00e2nd spa\u021biul subacromial mai \u00eengust. Alte varia\u021bii anatomice, cum ar fi un <\/span><b>acromion \u00eenclinat \u00een jos<\/b><span style=\"font-weight: 400;\"> sau prezen\u021ba <\/span><b>pintenilor oso\u0219i<\/b><span style=\"font-weight: 400;\"> pot contribui, de asemenea, la impingement.<\/span><\/p>\n<p><b>Activit\u0103\u021bile repetitive ce presupun mi\u0219carea m\u00e2inilor deasupra capului <\/b><span style=\"font-weight: 400;\">\u0219i <\/span><b>postura incorect\u0103 a umerilor <\/b><span style=\"font-weight: 400;\">pot duce la dezvoltarea afec\u021biunii. Ocupa\u021biile sau sporturile care implic\u0103 mi\u0219c\u0103ri repetitive precum pictura, \u00eenotul sau aruncarea sunt factori ce cresc riscul de impingement. \u00cen plus, postura proast\u0103, cum ar fi <\/span><b>umerii rotunji\u021bi sau pozi\u021bia capului \u00eenainte <\/b><span style=\"font-weight: 400;\">modific\u0103 mecanica articula\u021biei um\u0103rului \u0219i cresc probabilitatea ca pacientul s\u0103 fie diagnosticat cu acest sindrom.\u00a0<\/span><\/p>\n<p><b>Dezechilibrele musculare \u0219i sl\u0103birea sistematic\u0103 a mu\u0219chilor din jurul articula\u021biei um\u0103rului<\/b><span style=\"font-weight: 400;\"> pot, de asemenea, predispune persoanele la impingement subacromial. <\/span><b>Dezechilibrele dintre for\u021ba \u0219i flexibilitatea mu\u0219chilor<\/b><span style=\"font-weight: 400;\">, \u00een special a mu\u0219chilor man\u0219etei rotatoare, pot perturba alinierea \u0219i mi\u0219carea corespunz\u0103toare a articula\u021biei um\u0103rului.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Al\u021bi<\/span><b> factori de risc<\/b><span style=\"font-weight: 400;\"> includ:\u00a0<\/span><\/p>\n<ul>\n<li><b>v\u00e2rsta \u0219i modific\u0103rile degenerative din articula\u021bia um\u0103rului\u00a0<\/b><\/li>\n<li><b>tendinita coafei rotatorilor\u00a0<\/b><\/li>\n<li><b>bursita\u00a0<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Este necesar\u0103 diagnosticarea exact\u0103 a afec\u021biunii de la nivelul um\u0103rului pentru a elabora un plan de tratament personalizat.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:24px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h3 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography2-line-height);\"><h2><span style=\"font-weight: 400;\">Tratamente sindrom de impingement subacromial<\/span><\/h2><\/h3><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-3\"><p><span style=\"font-weight: 400;\">Abordarea tratamentului pentru sindromul de impingement subacromial este una <\/span><b>colaborativ\u0103<\/b><span style=\"font-weight: 400;\">, \u00een sensul c\u0103 speciali\u0219tii Alchimeia recomand\u0103 mai multe terapii pentru o recuperare sigur\u0103 \u0219i eficient\u0103. Tratamentele conservatoare includ <\/span><b>odihn\u0103, modificarea stilului de via\u021b\u0103 \u0219i kinetoterapie<\/b><span style=\"font-weight: 400;\">. Odihnirea um\u0103rului afectat \u0219i evitarea activit\u0103\u021bilor care agraveaz\u0103 simptomele pot ajuta la atenuarea durerii \u0219i la reducerea inflama\u021biei, prevenind \u00eenr\u0103ut\u0103\u021birea st\u0103rii pacientului.\u00a0<\/span><\/p>\n<p><b>Kinetoterapia<\/b><span style=\"font-weight: 400;\"> are ca scop \u00eent\u0103rirea mu\u0219chilor din jurul articula\u021biei um\u0103rului, \u00eembun\u0103t\u0103\u021birea mobilit\u0103\u021bii \u0219i corectarea oric\u0103ror dezechilibre musculare sau anomalii posturale. Exerci\u021biile efectuate cu ajutorul speciali\u0219tilor Alchimeia sunt \u00eentotdeauna adaptate la<\/span><b> starea pacientului <\/b><span style=\"font-weight: 400;\">\u0219i la <\/span><b>severitatea leziunii<\/b><span style=\"font-weight: 400;\">, \u00een a\u0219a fel \u00eenc\u00e2t evolu\u021bia s\u0103 fie una lin\u0103, ce nu creeaz\u0103 disconfort.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Uneori pot fi utile \u0219i medicamentele antiinflamatoare, \u00eens\u0103 acestea trebuie administrate \u00een propor\u021bia potrivit\u0103, \u00een sensul c\u0103 ele au rolul de a ameliora simptomele de moment. Medicamentele <\/span><b>NU<\/b><span style=\"font-weight: 400;\"> reprezint\u0103 o solu\u021bie pe termen lung.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dac\u0103 m\u0103surile conservatoare nu reu\u0219esc s\u0103 ofere u\u0219urare sau dac\u0103 afec\u021biunea este sever\u0103 \u0219i interfereaz\u0103 semnificativ cu activit\u0103\u021bile zilnice, poate fi luat\u0103 \u00een considerare <\/span><b>interven\u021bia chirurgical\u0103<\/b><span style=\"font-weight: 400;\">. Scopul acesteia este de a crea mai mult spa\u021biu \u00een regiunea subacromial\u0103 prin \u00eendep\u0103rtarea pintenilor oso\u0219i, repar\u00e2nd anomaliile structurale \u0219i tendoanele sau \u021besuturile deteriorate. <\/span><b>Procedurile artroscopice<\/b><span style=\"font-weight: 400;\">, folosind incizii mici \u0219i o abordare ghidat\u0103 de camer\u0103, sunt efectuate \u00een mod obi\u0219nuit pentru sindromul de impingement subacromial.\u00a0<\/span><\/p>\n<p><b>Recuperarea<\/b><span style=\"font-weight: 400;\"> dup\u0103 sindromul de impingement subacromial variaz\u0103 \u00een func\u021bie de severitatea afec\u021biunii, de tratamentul efectuat \u0219i de starea pacientului. Tratamentele conservatoare au adesea rezultate pozitive, cu ameliorarea treptat\u0103 a durerii \u0219i a func\u021bionalit\u0103\u021bii bra\u021bului. De obicei, perioada de tratament se poate \u00eentinde de la c\u00e2teva s\u0103pt\u0103m\u00e2ni p\u00e2n\u0103 la c\u00e2teva luni. Recuperarea optim\u0103 este esen\u021bial\u0103 pentru<\/span><b> a preveni leziuni viitoare<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dup\u0103 interven\u021bia chirurgical\u0103, <\/span><b>terapia fizic\u0103<\/b><span style=\"font-weight: 400;\"> este ini\u021biat\u0103 pentru ca recuperarea s\u0103 fie c\u00e2t mai u\u0219oar\u0103 \u0219i pentru a \u00eembun\u0103t\u0103\u021bi starea general\u0103. Pe tot parcursul acestui proces, speciali\u0219tii Alchimeia sunt al\u0103turi de pacien\u021bi, ajut\u00e2ndu-i pe ace\u0219tia s\u0103 restabileasc\u0103<\/span><b> echilibrul dintre corp, minte \u0219i suflet<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ne bucur\u0103m de fiecare dat\u0103 c\u00e2nd pacien\u021bii ne dau un feedback pozitiv, at\u00e2t verbal, c\u00e2t \u0219i demonstrat prin <\/span><b>evolu\u021bia ce poate fi observat\u0103 de la o \u0219edin\u021b\u0103 de terapie la alta<\/b><span style=\"font-weight: 400;\">. Odat\u0103 ce o persoan\u0103 \u00eencepe kinetoterapia ca parte din programul de recuperare, schimb\u0103rile \u00een bine sunt evidente, inclusiv \u00een ceea ce prive\u0219te starea de spirit.\u00a0<\/span><\/p>\n<p><b>Balan\u021ba dintre planul fizic \u0219i emo\u021bional<\/b><span style=\"font-weight: 400;\"> are un rol foarte important \u00een procesul de recuperare. Chiar dac\u0103 unele momente sunt dificile atunci c\u00e2nd te confrun\u021bi cu o afec\u021biune, o stare emo\u021bional\u0103 stabil\u0103 poate accelera semnificativ reabilitarea. Implicarea activ\u0103 a pacientului este un factor de care depinde vindecarea, al\u0103turi de sprijinul specialistului.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alchimeia promoveaz\u0103 <\/span><b>s\u0103n\u0103tatea \u0219i via\u021ba lipsit\u0103 de durere \u0219i disconfort<\/b><span style=\"font-weight: 400;\">, iar terapeu\u021bii no\u0219tri se asigur\u0103 c\u0103 \u00eentre ei \u0219i pacient exist\u0103 o<\/span><b> comunicare<\/b><span style=\"font-weight: 400;\"> bazat\u0103 pe sinceritate \u0219i transparen\u021b\u0103. De-a lungul timpului am reu\u0219it s\u0103 red\u0103m starea general\u0103 de bine multor pacien\u021bi, iar acest lucru ne motiveaz\u0103 s\u0103 continu\u0103m \u00een aceea\u0219i manier\u0103, \u021bin\u00e2nd cont \u00een primul r\u00e2nd de nevoile celor care apeleaz\u0103 la noi.\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_text_transform:uppercase;\" target=\"_self\" title=\"Programeaz\u0103 o consulta\u021bie\" href=\"#\" data-toggle=\"modal\" data-target=\".fusion-modal.programare-consultatie\"><span class=\"fusion-button-text\">Programeaz\u0103 o consulta\u021bie<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":343,"featured_media":0,"parent":23835,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/24338"}],"collection":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/users\/343"}],"replies":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/comments?post=24338"}],"version-history":[{"count":0,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/24338\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/23835"}],"wp:attachment":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/media?parent=24338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}