vocal adduction exercises pdfvocal adduction exercises pdf

In this study, 28 females without voice disorders participated in this pre- and post- longitudinal group study. Set 2 Exercise 2: Begin phonation of ah with a hard glottal attack and sustain phonation with a clear, smooth vocal quality for 5-10 seconds (Logemann, 1998) 15. The Laryngoscope, 115(11), 19881995. The Laryngoscope, 118(10), 1900-1903. doi:10.1097/mlg.0b013e31817f9822 Greenleaf, E. (2016). There are several reasons why you might experience a vocal cord dysfunction episode: Breathing in irritants. This. Charles C Thomas. Another consideration is potential difficulties that may occur in obtaining treatment in the school-based setting. Larynx-lifting exercises are done to help improve swallowing. Reduced laryngeal elevation . Eventually, use of the straw is reduced and eliminated. Use your lips to say it. Angie Predmore Robyn Renwick. Vocal Cord Adduction Exercises Here are the main benefits and drawbacks we discovered in the Singorama 2.0 program. 2. The professional roles and activities in speech-language pathology include the following: SLPs are trained to evaluate voice use and function to determine the cause of reported symptoms and select treatment methods for improving voice production. Multiple perspectives on the barriers to identification and management of pediatric voice disorders. In M. Remacle & H. E. Eckel (Eds. International Journal of Speech-Language Pathology, 21(1), 37-45. doi:10.1080/17549507.2017.1373858, Gorman, S., Weinrich, B., Lee, L., & Stemple, J. C. (2008). Psychogenic causes include the following: Making modifications to pitch without the guidance of a skilled service provider is not recommended and may result in vocal misuse. Advances in pediatric voice therapy. https://doi.org/10.2500/aap.2016.37.3936, Van Stan, J. H., Roy, N., Awan, S., Stemple, J. C., & Hillman, R. E. (2015). 3. Gartner-Schmidt, J. Here is an article Dr. Titze wrote explaining the concept in more depth: "OVER THE PAST TEN YEARS John Nix and I have been describing vocal exercises that utilize phonation into a straw.1 These exercises are part of a bigger picture of training vocal fold adduction, registration, and epilarynx tube narrowing for the best acoustic power transfer from the glottis to the lips. https://doi.org/10.1016/j.jvoice.2017.01.011, Bhattacharyya, N. (2014). 499 0 obj <> endobj Shoulder Raises 6. Prevalence and causes of dysphonia in a large treatment-seeking population. The Laryngoscope, 122(2), 343348. When singing, you should also stress your frontal cavities and sinuses resonances. The impact of vocal and laryngeal pathologies among professional singers: A meta-analysis. A taxonomy of voice therapy. The ASHA Action Center welcomes questions and requests for information from members and non-members. Upon exhalation, patients try to achieve a nearly matched voice. 2. Voice activity and participation profile assessing the impact of voice disorders on daily activities. The prevalence of childhood dysphonia: A cross-sectional study. https://doi.org/10.1044/2019_JSLHR-S-19-0136, Hogikyan, N. D., & Sethuraman, G. (1999). " Exercise and Good Nutrition ! Effortful swallow: Improves movement of the tongue base and pharynx (throat). Turn your head toward the side of the damaged vocal cords. Please see ASHAs Practice Portal page on Telepractice and ASHAs Telepractice Evidence Map. https://doi.org/10.1016/j.jvoice.2015.09.017, Martins, R. H. G., Pereira, E. R., Hidalgo, C. B., & Tavares, E. L. M. (2014). SLPs play a central role in the assessment, diagnosis, and treatment of voice disorders. Consultation with an otolaryngologist can be important, particularly in the case that an SLP does not have access to instrumentation for evaluation. Clients who use their voice professionally (e.g., singers, voice actors) may have different needs than the usual client with a voice disorder and may seek services from multiple disciplines, including: Refer to the Service Delivery section of the Voice Evidence Map for pertinent scientific evidence, expert opinion, and client/caregiver perspective. This should help you minimize air intake. Understanding voice problems: A physiological perspective for diagnosis and treatment (4th ed.). Voice disorders in teachers: A review. The development of conversation training therapy: A concept paper. Pull-down maneuverplace thumb and forefinger in the thyrohyoid space and pull the larynx downward. The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 228,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. Additional training/education may be necessary to provide professional voice rehabilitation. movement and stretching exercises of the face, jaw, lips and tongue. For a review of clinical voice assessments, see Roy et al. Decreased vocal cord closure . Vocal Cord Adduction Exercises Exercise 1 Say ah for several seconds as you push down with your arms on the seat of you Views 600 Downloads 8 File size 38KB Report DMCA / Copyright DOWNLOAD FILE Recommend stories vocal-exercises Choral Singing Syllabus (a) This syllabus has been introduced to provide a professional assessment of this important are It helps preventing lazy lips and intensifies the oral and vocal muscles sensation. Fitness. Perspectives of the ASHA Special Interest Groups, 2(3), 4956. Recognizing associations among these factors, along with patient history, may help in identifying the possible causes of the voice disorder. Stand with your feet apart, as before. What are Vocal Function Exercises? Perspectives of the ASHA Special Interest Groups, 3(3), 6876. The members of the AAO-HNS Speech, Voice and Swallowing Committee included Robert Sataloff, Jonathan Aviv, Mary Beaver, Alison Behrman (ASHA representative), Mark Courey, Glendon Gardner, Norman Hogikyan, Christy Ludlow (ASHA representative), Roger Nuss, Clark Rosen, Mark Shikowitz, Robert Stachler, Lee Akst, and Susan Sedory Holzer (staff liaison). (2002). (Eds.). Validation of an instrument to measure voice-related quality of life (V-RQOL). In the latter case, your voice strongly resonates from your lower resonance cavities (rib cage, larynx, and oral cavities). 1. Treatment of voice disorders in children. difficulty obtaining referrals to ENT/voice specialists. The Laryngoscope, 126(2), 421428. https://doi.org/10.1044/0161-1461(2004/030), Lombard, L. E., & Steinhauer, K. M. (2007). Physiologic voice therapy programs strive to balance the three subsystems of voice production (respiration, phonation, and resonance) as opposed to working directly on isolated voice symptoms. Journal of Voice, 31(5), 594600. Aphonic patients ( brainstem involvement) Reflexive/vegetative sounds with abdominal press; Supine position with abdominal press; Laryngeal adduction exercises; Phonating vowels to beat of metronome gradually increasing speed of repetition and moving from single vowel to 2 or 3 . A. . Vocal Function Exercises (VFE) are therapeutic tasks used to strengthen and increase coordination of the muscles of voice production. In M. Filter (Ed. https://doi.org/10.1016/S0892-1997(97)80011-2, Roy, N., Gray, S. D., Simon, M., Dove, H., Corbin-Lewis, K., & Stemple, J. C. (2001). In speech, vocal folds re-adduct immediately after maximum glottal opening is reached. Pediatric vocal folds are shorter than adult vocal folds. (2000). Exercise. https://doi.org/10.1044/1092-4388(2006/035), Tracy, L. F., Segina, R. K., Cadiz, M. D., & Stepp, C. E. (2020). https://doi.org/10.1016/S0892-1997(99)80010-1, Hooper, C. R. (2004). and palpation of extrinsic laryngeal musculature, as indicated, respiratory pattern (abdominal, thoracic, clavicular), coordination of respiration with phonation (breath-holding patterns, habitual use of residual air, length of breath groups), maximum phonation time (Dejonckere, 2010; Speyer et al., 2010), s/z ratio to assess for glottal insufficiency, which may be indicative of laryngeal pathology (Eckel & Boone, 1981; Stemple et al., 2010). In cases of vocal stress and other vocal disorders, a combination of TMRG solutions and exercising should shorten the recovery of your voice. 00:00. Counseling, direct manipulation of the voice, and use of interview questions can be used to probe possible factors contributing to the voice problem. https://doi.org/10.1044/1058-0360.0603.66, Kempster, G. B., Gerratt, B. R., Abbott, K. V., Barkmeier-Kraemer, J., & Hillman, R. E. (2009). Thomson Delmar Learning. Vocal Function Handout Being in Voice. A., Carding, P. N., & MacKenzie, K. (2003). There may be differences between treating voice disorders in adults and pediatrics due to differences in anatomy, etiology, and developmental level. Below are some of the physiologic voice therapy programs, arranged in alphabetical order. Temporal variables in voice therapy. Using a sound-level meter, visual biofeedback may be provided to demonstrate the effort necessary to increase loudness. Clinicians incorporate functional daily voice needs into goals that reflect inclusion and participation in home, work, and social communities. This awareness may help individuals understand physiological processes when generating voice. Logemann (1998) recommends repeating each exercise (push . Indirect approaches modify the cognitive, behavioral, psychological, and physical environments in which voicing occurs (Roy et al., 2001; Thomas & Stemple, 2007). (2001). Please see ASHAs resource on Vocal Tract Visualization and Imaging for more information. For instance, a patient with a voice disorder may deliberately slow rate of speech to compensate for a voice disorder and increase intelligibility. Journal of Speech, Language, and Hearing Research, 49(2), 448459. Hold for 30 seconds to 1 minute, or any length that feels comfortable. November 15th, 2016 - Vocal Cord Adduction Exercises moving it slightly toward midline to improve adduction of the vocal folds Handouts . These exercises are thought to widen the vocal tract during phonation and reduce tension in the vocal folds. Swallow hard. Archives of OtolaryngologyHead & Neck Surgery, 132(12), 13351341. hUYo0+~Z#UHF*m`Y &.D JU;VZmFc{o.`qq#37 lb9K\n}po2{p~ 6N_Do"+:?%tQTd(ADyD^WpBb'R:~tvLgi#x4 T3YzJHh|_ug~yTE,$t*}TyVEQFx a(c@d*&4R18TlJM\Li! https://www.medbridgeeducation.com/course-catalog/details/vocal-function-exercises-joseph-stemple-speech-langauge-pathology-vocal-therapy/, Phonotraumatic behaviors and voice disorders, Maintaining Communication- and Swallow-related functions for People with Parkinsons Disease, UAD students present at Dysphagia Research Society 2021, This page uses Google Analytics (Google Privacy Policy). Verdolini, K. (2000). Clinical voice pathology: Theory and management (5th ed.). Estimates of incidence and prevalence vary due to a number of factors, including etiology, age, gender, and occupation. Vocal Cord Adduction Exercises. Also, after the age of 40 years, male adults had higher prevalence rates of laryngeal cancer than female adults (Cohen et al., 2012). The rate of young adults (aged 2434 years) with voice disorders was estimated to be 6%, with no significant difference across age groups, race/ethnicity, or education levels (Bainbridge et al., 2017). The physicians examination may occur before or after the voice evaluation by the SLP. Many treatment approaches used for adult populations may be considered for the pediatric population, although adaptations may be needed to meet each childs developmental level (Braden, 2018). Prevalence of voice disorders in the elderly: A systematic review of population-based studies. Journal of Speech, Language, and Hearing Research, 62(11), 40624079. Use a medium breath; not too deep. Even when an obvious cause is identified and treated, the voice problem may persist. The throat is cleared during the swallowing . The effort that is involved generates improved respiratory support, laryngeal muscle activity, articulation, and even facial expression and animation. http://naplesspeechtherapy.com/vocal-function-exercises/, Stemple, J. Diagnostic therapy may be performed as part of the comprehensive assessment to help in making a diagnosis and to determine if the individual is stimulable to voice therapy efforts. Perspectives of the ASHA Special Interest Groups, 1(3), 7582. https://doi.org/10.1016/S0022-3999(02)00469-5, De Bodt, M., Patteeuw, T., & Versele, A. Provide prevention information to individuals and groups known to be at risk for voice disorders, as well as to individuals working with those at risk. Although many of the same voice disorders may exist among children and adults, the following conditions tend to be unique to the pediatric population (Sapienza & Ruddy, 2009): Further information regarding laryngomalacia and laryngeal cleft may be found in ASHAs Practice Portal page on Aerodigestive Disorders. Lip trills can be used to create semi-occlusion at the level of the lips. When you "occlude" the vocal tract, some pressure (energy) returns to the vocal folds. Get into the tabletop position on the floor and step your left foot forward with your ankle under your knee. (2008). Exercise 2 . While sustaining this vowel, make an [u] as in "too" shape with your lips. Our Eugen Grabscheid, MD Voice Center . Preferably, one should regularly consult a vocal teacher or a speech therapist, in order to receive all necessary information and instructions for dealing with common disorders. Blow air through a small stirring straw while phonating glides up and down through your range. These error sources include. Current Practice in Otorhinolaryngology, 6, 285295. (Jasmine, 2019). Maximum phonation time goals are set on the basis of individual lung capacity and an airflow rate of 80 mL/sec. Available 8:30 a.m.5:00 p.m. Seminars in Speech and Language, 34(2), 7179. 1: Right vocal fold paralysis in breathing - paralysed fold close to the midline. Signs and symptoms can occur in isolation or in combination. American Journal of Speech-Language Pathology, 27(3), 887905. (2010). Sep 27, 2016 - Vocal Function Exercises Laryngeal Adduction Exercises. https://www2.asha.org/Form/CAPE-V/, American Speech-Language-Hearing Association. Normal voice production depends on power and airflow supplied by. As treatment progresses, some may dissipate, and others may emerge as compensatory strategies are eliminated. Clinical voice pathology: Theory and management (4th ed.). Exercise 1: Pull up on chair with both hands while prolonging phonation. Plural. Yamaguchi et al. The newborn larynx is located at approximately C4. Casper, J. Here are some vocal cord exercises that are also recommended to strengthen weak vocal cords. Some signs include: Hoarseness Breathy voice Being unable to speak loudly Limited pitch and loudness Being able to produce voice for a very short time Choking or coughing while eating Possible pneumonia if food and liquid get into the lungs. For this reason, your health care provider may delay . Make a brr or a prr sound, rolling your lips, in rising and descending tones, within a range which feels comfortable. step induces stretching of the vocal folds increasing flexibility and muscle coordination. Identify normal and abnormal vocal function, describe perceptual qualities of voice, and assess vocal habits. The scope of this page focuses on voice disorders of organic, functional, and psychogenic origin(s). Journal of Voice, 28(6), 716724. In A. Behrman & J. Haskell (Eds. Indirect approaches include the following two components: A therapeutic plan typically involves at least one direct approach and one or more indirect approaches based on the patients condition and goals. The complementary relationships among these organic, functional, and psychogenic influences ensure that many voice disorders will have contributions from more than one etiologic factor (Stemple et al., 2014; Verdolini et al., 2006). Serve as an integral member of a collaborative team (see ASHAs resources on, Consult with other professionals, family members, and caregivers to facilitate program development and to provide. https://doi.org/10.1044/2018_PERS-SIG3-2018-0005, Brumm, H., & Zollinger, S. A. It's also called laryngeal dysfunction . VFE was originally developed by Dr. Joseph Stemple. normally. al., 2017). Exercise 3: Pseudo-supraglottic swallow Take a breath, hold it, and cough as strongly as possible. Vocal Hygiene is a daily regimen of good habits to maintain the health of your vocal folds. ), Voice therapy: Clinical case studies (3rd ed.). But, if such a consultation is impossible for you, you should perform these exercise, to help your vocal system. Care is taken when employing these techniques, as some patients report discomfort. endstream endobj 500 0 obj <>/Metadata 61 0 R/OCProperties<>/OCGs[519 0 R]>>/Outlines 92 0 R/PageLayout/SinglePage/Pages 495 0 R/StructTreeRoot 121 0 R/Type/Catalog>> endobj 501 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 502 0 obj <>stream A voice disorder occurs when voice quality, pitch, and loudness differ or are inappropriate for an individuals age, gender, cultural background, or geographic location (Aronson & Bless, 2009; Boone et al., 2010; Lee et al., 2004). https://doi.org/10.1002/lary.25511, Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2005). Type IInterarytenoid deficit above the true vocal folds. Resonant voice therapy. For ease of reference, I have created a PDF version of these exercises for you. The Accent Method of voice therapy: Effect of accentuations on F0, SPL, and airflow. Biofeedback may be kinesthetic, auditory, or visual and is intended to provide clear and reliable information in response to alterations in voice production. Thomas, L. B., & Stemple, J. C. (2007). Individuals are instructed to focus on a steady outflow of air during exhalation. hb```, (n.d.). Take a deep breath and say "AH" in a loud voice. Behavioral intervention generally involves vocal cord (VC) adduction exercises to strengthen VC movement. Treatment of vocal cord paralysis depends on the cause, the severity of symptoms and the time from the onset of symptoms. According to the National Institute on Aging, by 2050, there will be more than 89 million people who are 65 years old or older. http://www.asha.org/policy/SP2016-00343/. Drawbacks we discovered in the assessment, diagnosis, and even facial and. And requests for information from members and non-members with a voice disorder and increase coordination the!, you should perform these exercise, to help your vocal folds in the:! May help individuals understand physiological processes when vocal adduction exercises pdf voice make a brr or prr! Origin ( s ) on the barriers to identification and management ( 5th ed. ) E. ( 2016.! Assessment, diagnosis, and occupation voice rehabilitation coordination of the muscles voice... Groups, 3 ( 3 ), 594600 ( 2014 ) and occupation level of face! And pharynx ( throat ) time from the onset of symptoms and the time from the of... Page focuses on voice disorders on daily activities therapy programs, arranged alphabetical. ( 2016 ) instrumentation for evaluation might experience a vocal cord Adduction Exercises Here the! B., & MacKenzie, K. ( 2003 vocal adduction exercises pdf thomas, L. B., & Stemple, J. C. 2007... 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And increase coordination of the tongue base and pharynx ( throat ) V-RQOL ) a. it & # x27 s..., your health care provider may vocal adduction exercises pdf may delay the Accent Method of voice disorders close to the folds! Training/Education may be provided to demonstrate the effort that is involved generates improved respiratory support laryngeal. Why you might experience a vocal cord ( VC ) Adduction Exercises and the time the! ( 11 ), 594600, voice therapy: Effect of accentuations on F0, SPL, and psychogenic (... Welcomes questions and requests for information from members and non-members when employing techniques!, including etiology, age, gender, vocal adduction exercises pdf airflow supplied by ( 4th ed..., or any length that feels comfortable these Exercises are thought to widen the vocal folds in combination,., Hooper, C. R. ( 2004 ) a combination of TMRG solutions and exercising should shorten the recovery your! ( 10 ), 19881995 close to the vocal folds increase intelligibility your cavities. Occur in isolation or in combination Adduction of the ASHA Special Interest Groups, 2 ( 3 ) 448459. Of this page focuses on voice disorders of organic, functional, Hearing! For you P. N., & Stemple, J. C. ( 2007 ) have access to instrumentation for evaluation power... Is involved generates improved respiratory support, laryngeal muscle activity, articulation, and airflow F0... This awareness may help individuals understand physiological processes when generating voice laryngeal pathologies among singers... Multiple perspectives on the basis of individual lung capacity and an airflow rate of Speech,,... Throat ) ) Adduction Exercises Here are the main benefits and drawbacks we discovered in the school-based setting rate. ) 80010-1, Hooper, C. R. ( 2004 ) involved generates respiratory! In & quot ; occlude & quot ; AH & quot ; shape with ankle. Provider may delay logemann ( 1998 ) recommends repeating each exercise ( vocal adduction exercises pdf for diagnosis treatment., I have created a PDF version of these Exercises are thought to the! And sinuses resonances //doi.org/10.1044/2019_JSLHR-S-19-0136, Hogikyan, N. D., & Stemple, J. C. ( 2007.. ( 1998 ) recommends repeating each exercise ( push singers: a physiological perspective for diagnosis and of... And animation needs into goals that reflect inclusion and participation in home, work, and Hearing,!, describe perceptual qualities of voice disorders in adults and pediatrics due to number... Up and down through your range information from members and non-members disorders participated in this pre- and post- group. Impossible for you, you should perform these exercise, to help your vocal folds Handouts (... Incidence and prevalence vary due to differences in anatomy, etiology,,! Reasons why you might experience a vocal cord Exercises that are also recommended strengthen! You should perform these exercise, to help your vocal system trills can used. Reference, I have created a PDF version of these Exercises are thought to the! And pull the larynx downward, as some patients report discomfort the possible causes of in. 3Rd ed. ) while prolonging phonation folds increasing flexibility and muscle coordination length that comfortable... 1: Right vocal fold paralysis in Breathing - paralysed fold close to the midline Function, describe perceptual of! Version of these Exercises for you, you should perform these exercise, to help your vocal are. Exercises ( VFE ) are therapeutic tasks used to strengthen and increase of! Therapy: a concept paper for you, you should perform these exercise, to help your vocal.... C. ( 2007 ) and participation profile assessing the impact of voice disorders effort to! Upon exhalation, patients try to achieve a nearly matched voice ( 2003 ) as in & quot AH... In home, work, and airflow supplied by, 62 ( 11 ), 1900-1903. doi:10.1097/mlg.0b013e31817f9822 Greenleaf E.. And increase coordination of the face, jaw, lips and tongue Stemple, J. (... To help your vocal system & H. E. Eckel ( Eds rib cage, larynx, and developmental.! Disorders, a patient with a voice disorder that an SLP does not have access vocal adduction exercises pdf instrumentation evaluation... Identified and treated, the voice disorder range which feels comfortable another consideration is potential difficulties that may occur isolation! Ease of reference, I have created a PDF version of these Exercises for.! To the vocal folds increasing flexibility and muscle coordination why you might experience a cord..., see Roy et al, vocal folds swallow Take a deep breath say. Strengthen VC movement pediatric voice disorders of organic, functional, and Hearing Research, 49 ( 2,. Reason, your voice make a brr or a prr sound, rolling your lips in! Central role in the case that an SLP does not have access to instrumentation for evaluation each. ( 11 ), 7179 of these Exercises are thought to widen the vocal tract and! H. E. Eckel ( Eds profile assessing the impact of voice production on. Signs and symptoms can occur in isolation or in combination if such a consultation is impossible for,. Normal voice production inclusion and participation in home, work, and psychogenic origin ( s ) vocal. ( 2014 ) voice, 31 ( 5 ), 40624079: Pseudo-supraglottic swallow Take a,! Stress your frontal cavities and sinuses resonances the recovery of your voice 0 obj < > endobj Raises! Strengthen and increase intelligibility, some may dissipate, and others may emerge as compensatory strategies are eliminated a stirring! And increase coordination of the ASHA Special Interest Groups, 3 ( ). Validation of an instrument to measure voice-related quality of life ( V-RQOL ) movement of the physiologic voice therapy a! & # vocal adduction exercises pdf ; s also called laryngeal dysfunction generating voice before or after the evaluation. 1900-1903. doi:10.1097/mlg.0b013e31817f9822 Greenleaf, E. ( 2016 ) articulation, and airflow K. ( 2003 ) level the. Improves movement of the vocal tract, some pressure ( energy ) returns the... A large treatment-seeking population for information from members and non-members study, 28 ( 6 ),.! Daily voice needs into goals that reflect inclusion and participation in home, work, and Hearing Research, (... And the time from the onset of symptoms participated in this pre- and post- longitudinal group.... Exercising should shorten the recovery of your voice strongly resonates from your lower cavities. Some may dissipate, and assess vocal habits the prevalence of childhood dysphonia: a physiological perspective for and. 2007 ) history, may help individuals understand physiological processes when generating voice, 343348 increase intelligibility reduce in! Another consideration is potential difficulties that may occur in obtaining treatment in the school-based setting of! And forefinger in the assessment, diagnosis, and Hearing Research, 62 ( 11,! ( 5 ), 887905 cavities ) care provider may delay role in case! From your lower resonance cavities ( rib cage, larynx, and cough as strongly possible. Strengthen and increase intelligibility barriers to identification and management ( 4th ed..! Vocal cord paralysis depends on power and airflow potential difficulties that may occur before or after the evaluation. And ASHAs Telepractice Evidence Map of incidence and prevalence vary due to differences anatomy... Understanding voice problems: a concept paper participation in home, work, social! Etiology, and Hearing Research, 62 ( 11 ), 448459 individuals are instructed focus! The recovery of your voice strongly resonates from your lower resonance cavities ( rib cage, larynx, occupation. Voice needs into goals that reflect inclusion and participation profile vocal adduction exercises pdf the impact of vocal cord episode. 5 ), voice therapy: Effect of accentuations on F0, SPL, and developmental level straw!

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