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The physical therapist will work with you to extend your ability to look from side to side, up, and down. 10 0 obj Physical therapists typically propose adjustments to the work environment to help patients return to the workplace. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. Your physical therapist will develop an individualized exercise program based on their assessment of your specific condition. 1999-2023 Veritas Health, LLC. 1 CERVICAL FUSION POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 30 C-collar - Per surgeon, wear at night for comfort Sit in chair for all meals endobj See Physical Therapy after Spinal Fusion: Weeks 6 to 9. Post Surgical Spinal Precautions - Lumbar Surgery. As pain gradually alleviates and the energy level rises, it is good to gradually increase activity levels. Full recovery from spinal fusion surgery can take between six months to a year to resume normal activities. Spinal fusion surgery connects two or more vertebrae of your spine together. There may be other reasons for your healthcare provider to recommend a laminectomy. Clinical signs of efficacy in both motor and sensory function were observed at three, six, 12 and 18 months following the stem cell injection. Much of the education component will focus on teaching the patient how to be aware of their posture throughout the day in order to get back to a healthy postural state. Here are our top 11 picks. endobj For example, because blood is lost during surgery, hemoglobin will be monitored to ensure that blood oxygen levels do not fall too low. 8\Oxw8URPPPfHB Your physical therapist will guide you through your recovery. This involves learning what day-to-day activities are most important to patients and finding a way to increase their engagement in these activities. endobj Essentially, rehabilitation (physical therapy, exercise) can help patients recover from spine surgery as quickly and completely as possible. Physical therapists typically propose adjustments to the work environment to help . Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. While its important for SCI patients to participate in both PT and OT, these compensatory activities have direct, real-world application, making them very important. Bydon M, et al. There may be other risks depending on your specific health condition. See Physical Therapy after Spinal Fusion: Weeks 6 to 9. A single copy of these materials may be reprinted for noncommercial personal use only. Spinal cord injury has a complex pathophysiology. The numbness or weakness will be felt in the body part where the nerve is involved, often the arms or legs. The Road To Recovery after Spine Surgery 6 A fusion stabilizes the vertebrae of the spine creating less chance for slippage of the discs. Physical Therapy after Spinal Fusion: Weeks 6 to 9. 9 0 obj The surgical staples or stitches are removed during a follow-up office visit. <> You might need to stay longer if youre at risk of an infection or other complications. Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). Rather, they should return when they feel both physically and mentally prepared. ?LlAZlE0`x/*Xr``Gd0@Z|Kr)}$$WL6N:\K[XH Do not bend forward at the waist more than 90 or raise knees higher than hips. "Our patient also reported a strong improvement with his grip and pinch strength, as well as range of motion for shoulder flexion and abduction," Dr. Bydon says. For this reason, your doctor may prescribe occupational therapy to assist you in learning alternate methods to perform these tasks. endobj Occupational therapy after spinal cord injury focuses on easing the transition back to everyday life. Now that weve gone over occupational therapy techniques that help spinal cord injury patients become more independent, lets discuss how OT prepares individuals to return to work or school. Your doctor will prescribe pain medication to help manage the pain in the first week or two. &iiB)0N|IWY `XMdET>ykc(9{"k a\&'^G n9 This will prevent you from having tight chest muscles and straining the muscles in your neck and shoulders. In some cases, spinal fusion may be done at the same time. This site complies with the HONcode standard for trustworthy health information: verify here. Youll still need to avoid bending and lifting heavy objects, but youll be able to stretch and engage in cardiovascular workouts. Flint Rehab is the leading global provider of gamified neurorehab tools. 1. This will help minimize the risk of leaking and prevent kidney damage due to urinary retention. Is Minimally Invasive Spine Surgery Right for You? 1999-2023 Veritas Health, LLC. See Getting Adequate Pain Control After Back Surgery. The spinal cord injuries must be American Spinal Injury Association (ASIA) grade A or B. stream Up next, youll discover almost a dozen compensatory strategies for SCI patients. A raised toilet seat may reduce the height difference between a patients wheelchair and the toilet seat, making the seat easier to get on and off from, and can minimize pressure on the joints. endobj You will be asked to sign a consent form that gives your permission to do the surgery. Your healthcare provider will explain the surgery to you and offer you the chance to ask any questions that you might have about the procedure. <> "I could not stand up, " she recalled. Your physical therapy team will help teach you recovery exercises. endobj Employers and educational institutions must make reasonable accommodations to help individuals with disabilities succeed. The incision is checked every day to ensure it remains dry and clean. The worst pain is generally over by 4 weeks after surgery. Example stretches: Watch: Seated Chair Hamstring Stretch for Sciatica Relief Video. Theres no one set path for recovery from spinal fusion surgery. Another goal of physical therapy after neck fusion surgery is to work on postural flexibility and strength. Obtain Long Term Pain Relief. Do not lift more than . endobj You will be positioned either on your side or belly on the operating table. Pain in the spine can restrict your ability to move and function. These 10 quadratus lumborum stretches will help to stabilize your spine and support you lower back for increased strength and mobility. Sometimes a patient-controlled analgesia (PCA) pump is used, in which the patient controls when an attached device administers the pain medication. Patients will not be able to drive themselves home. endobj You can read more about these broad milestones and when theyll occur below. c\jmZ/m1&(MT[zbg Those muscles were not designed to hold your head up. 2 0 obj Arrange for someone to help you for a few days with the household activities and driving. as well as perform any hobbies or recreational activities. 5 0 obj They should be completed by moving arms and legs while avoiding any rocking or arching of the lower trunk. 's new Physical Therapy Director in Fountain Valley, Physical Therapy for Arthritis: Slowing Progression and Relieving Symptoms. You will be asked to remove clothing and will be given a gown to wear. It may be four to six weeks before you can comfortably go back to work. Try to keep your neck as relaxed as possible throughout this exercise. Youll start your recovery with rest and gentle stretching, and youll slowly build to more intense exercise. Meeting with a physical therapist before and/or a few days after surgery is important so specific direction can be given on when to begin various types of exercise. As the pain decreases, transition to oral medication will happen. 13 0 obj Your healthcare provider may give you other instructions after the procedure, depending on your particular situation. Whether you are preparing for neck fusion surgery or have already gone through surgery and are looking for physical therapy after neck fusion surgery, In Motion O.C.s experienced physical therapists are here to help. CELLTOP clinical trial: First report from a phase I trial of autologous adipose tissue-derived mesenchymal stem cells in the treatment of paralysis due to traumatic spinal cord injury. This research aimed to evaluate a hospital occupational therapy service provided to . March in place by lifting alternating legs 3-4 inches above the floor without letting the pelvis rock side to side. These movements are described as "static" because they are done without moving the trunk. Special exercises to strengthen the muscles supporting the lower back are emphasized. If the home is more than an hours drive, it is advisable to stop and get out to walk for a brief time. However, spinal fusion can greatly improve the quality of life for people who have it. Kd."qpXJ@n,M54:,m[vcga8yV9 Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Access to the spine can be achieved through incisions in the front, the back, the sides, or some combination of approaches, Minimally invasive techniques or traditional open surgical techniques may be used. Your spine is fusing and growing together by this time. About 6 weeks to 3 months after surgery, an outpatient physical therapy program may be started. Tell your healthcare provider about any of the following: Don't drive until your healthcare provider tells you it's OK. Don't bend over to pick up objects or arch your back. 11 0 obj It can help to talk with other people who have had spinal fusion surgery and understand the day-to-day successes and struggles. 16 0 obj Most people will feel that they are fully recovered by about 1 year following their spinal fusion. Work and school make up a significant portion of an individuals lifestyle, and occupational therapists can help patients understand what to expect as they return. You might have physical therapy and sessions. Patients should follow their surgical team's recommendations. Using your arms, press up and out of the chair until your elbows are straight. Repeat this in the other direction. Check out our bestselling tool by clicking the button below: Medications for Spinal Cord Injury That Help Minimize Complications, C7 Spinal Cord Injury: What to Expect in the Aftermath & Recovery Process, Activities for Spinal Cord Injury Patients That Promote Recovery. endobj Also while lying on the stomach, extend hip muscles by raising one leg at a time holding the knee straight. ]g~Mjm56t9SAS1b3cM A vital part of the recovery process is education combined with post-operative care, as suggested by your doctor, as well as physical and occupational therapy. You may be given an exercise plan to follow both in the hospital and after discharge. Some possible complications may include: Nerve or blood vessels in the area of surgery may be injured. Most surgeons will encourage patients to get out of bed and walk the first day after surgery, and recommend walking frequently throughout the initial recovery period, increasing the amount and length of the walks as tolerated. %%EOF With education from an occupational therapist, many patients with spinal cord injuries are able to complete self-catheterization, greatly increasing their independence with toileting. <> Youll still need to avoid bending, lifting heavy objects, and twisting motions. Immediately After Spinal Fusion Surgery Upon waking up after surgery, most patients experience some pain and drowsiness. 3 0 obj Once you recover, you should be in much less pain than before spinal fusion. Prevention How can I reduce my risk of central cord syndrome? Techniques are tailored to the individual, with more and more activities added as strength builds. Following these guidelines will protect your spine and help you recover. The most common symptom of a herniated disk is sciatica. Its important not to get discouraged or hold yourself to standards and goals that arent a good fit for your circumstances. Its important to always keep your shoulders back and relaxed and your head retracted. Hospital recovery after a fusion surgery focuses on managing pain and learning how to move safely while the lumbar spinal fusion solidifies. A laminectomy usually requires a stay in a hospital. All rights reserved. Rehab after cervical fusion may include the following 3 phases of exercise: Having physical therapy after cervical spine surgery will help you to recover more quickly and prevent re-injury by: Following neck fusion surgery, you will lose some range of motion in your neck. Happy Travelers start here. A nerve stretch is achieved by lying on the back with legs on the ground, and slowly lifting one leg until a stretch is felt in the back of the thigh and through the hip. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015. The most severe pain will be in the days immediately following surgery. Whether youve had ACDF surgery or are considering it you want to ensure the best possible results, post-surgery. Other blood tests may also be ordered. The procedure involves cutting away disc and bone material that may be pressing against the nerves coming from your spine. % This can cause weakness or numbness. The occupational therapist is a therapist who, through advanced study, specializes in rehabilitating patients with conditions affecting the hands and upper extremities. Sign up to receive a free PDF ebook with recovery exercises for stroke, traumatic brain injury, or spinal cord injury below: Government Contract Vehicles | Terms of Service | Return Policy | Privacy Policy | My Account, Copyright 2023 All rights Reserved. However, your vertebrae will continue to heal and fuse for up to 18 months. However, your activity will still be limited. A laminectomy may be done while you are asleep under general anesthesia. Exercise the upper back muscles by using an elastic band positioned around a stable object and performing a "rowing" motion with arms pulled back and shoulder blades together with the chest supported. Laminectomies can be performed in the cervical, thoracic or lumbar regions of the spine and may also be performed concurrently with a spinal fusion, which permanently joins two or more vertebrae together. Low back or neck pain can range from mild, dull, and annoying to persistent, severe, and disabling. "In the phase 2 study, we will begin to learn the characteristics of individuals who respond to the therapy in terms of their age, severity of injury and time since injury," says Anthony J. Windebank, M.D., a neurologist at Mayo's campus in Minnesota and director of the Regenerative Neurobiology Laboratory. Post cervical fusion exercises are a critical component to your full recovery. The biggest plus point is, you can use this device anywhere, anytime with precise exercises that you need and also saves your money and time spent on your physiotherapist.. Everyones recovery timeline can look slightly different depending on factors such as their overall health, ability to exercise, ability to heal, weight, and more. A hospital stay of between 2 and 4 days is typical. At Johns Hopkins, the message was different. Maintain a straight back with your neck and shoulders relaxed. This will include bending, twisting, and lifting. Form a bridge with trunk raised by raising hips from floor and keeping a straight line from shoulders to hips. A pelvic tilt involves lying on your back on the floor with knees bent and pulling the belly in towards the spine. Newer techniques are being developed that may allow a laminectomy to be done under local anesthesia as an outpatient. 6 0 obj Stem cells were injected nearly a year after his injury and several months after his improvement had plateaued. You can learn more about how we ensure our content is accurate and current by reading our. Figure 3. During this time period of about 1 to 3 months after the surgery, the lumbar fusion bone mass is becoming established. The first 3 months of spinal fusion recovery are focused on rest and building strength. "We are hopeful about the potential of stem cell therapy to become part of treatment algorithms that improve physical function for patients with these devastating injuries.". In 2017, Pedro could barely move. For instance, some people who have had a spinal fusion in multiple places might be advised to avoid contact sports. Stairs can be a major obstacle for individuals with lower body motor impairments. Individuals with paralysis often find it easier to dress themselves in their beds instead of their wheelchairs. Keep looking down at the floor throughout the exercise. Occupational Therapy helps develop, recover or maintain daily living and work skills. Massed practice like this helps stimulate and rewire the nervous system. cF"_Pi_~%>65Hg/'fKDe{+9Hl3AYP=xQ>R{x0s2fOI2iOBY^UHs-M6p[\gmv0v6j2me>+qu=L 8|BB[>4w}%9 x 5v=X x[v%zi]iZ?$UzKb@~VV For example: Watch: Supine Hamstring Stretch (Towel Hamstring Stretch) for Low Back Pain and Sciatica Relief Video. Having physical therapy after cervical spine surgery can help to maintain range of motion and prevent or postpone the need for additional surgeries. Pennington Z, et al, (2020). Here is an example of the types of exercises your physical therapist may recommend for rehab after cervical fusion. Once you make it to 10 weeks, exercise and physical activity will become the focus of your recovery. Learn the symptoms and your options for treatment. The occupational or physical therapist also helps arrange medical equipment for later use in the persons home, if needed. To do press-ups, follow these instructions: Press-ups are another great way to activate your lower trapezius muscle. Laminectomy Post-Surgical Care. Guide to Physical Therapy After Spinal Fusion, Return to Exercise After Microdiscectomy Surgery, Strengthening Exercise Program for Low Back Pain Relief, Hamstring Exercises for Low Back Pain Relief Video, Spinal Fusion Surgery Recovery: 1 to 4 Weeks After, Techniques for Effective Exercise Walking, Seated Chair Hamstring Stretch for Sciatica Relief Video, Supine Hamstring Stretch (Towel Hamstring Stretch) for Low Back Pain and Sciatica Relief Video, Physical Therapy after Spinal Fusion: Weeks 6 to 9, Physical Therapy after Spinal Fusion: Weeks 9 to 12, Lower Back Stabilization Exercises for Back Pain, What Causes Buttock Muscle Pain and How to Relieve it, Piriformis Syndrome: When the Symptoms Indicate a Medical Emergency, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Suffering from Lumbar Spinal Stenosis? Get Veritas Health Newsletters delivered to your inbox. A lumbar laminectomy and discectomy is a surgical procedure that your orthopedic or neurologic surgeon may perform to help decrease pain and improve mobility. 5pOGF=vu#?3'?f>{:)$}7t/?c?/]]1k j1EE{Xhyj~C!|EMiTwj3|0)5*=+}MPmzjgiiZ}VEiugi SSy%tu(0)I}h`.hv>DG7$^>@^%&e|0!UUPPP 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r hb```f``2d` aB &$Z,S5arp@;O*qQ- Its important to seek immediate medical treatment if you have symptoms of either complication. Occupational therapy will help prepare SCI patients to return to their everyday lives through restorative and compensatory strategies. 1998-2023 Mayo Foundation for Medical Education and Research. Youll build light daily tasks, such as driving and simple daily chores. We hope they help you on the road to recovery. Upon waking up after surgery, most patients experience some pain and drowsiness. But that progress plateaued six months after the injury. 7fQKUoq|x|msqbumg Y_:/B,I[PeQ0N}u(elzZ0VH[O~~>5}~\P.kDv1Bzk;HQ&Zvij6JS,i:TI/\c!gjI3yMZXLy:p8W+K=S|Y-uZR?URoL&*U/*6+s e)jH2)--_oU7\VT!N-_Pa\EC|1>Y6gWkxK{64-n`r 3L?+`H$AHy#0e\ _"8jiQRUZk}2$ j'Vi2mAeCY.l^2* Y5];c!T95)+jnk4B;o@j:@g2:8'Z*[7`4HEC+?V+SCu34D$4:oRBTm'I1Lw&89JWWl[Y9$I}5a]+KBtBZqM!A^~"m g_"j[ZaH}#*/\WH +(Zcb>O"r (_*/Y:YO+ i.\tU[vFXvmg$JGE]/zf@?Gr4i{*9~#Tv7QnN6L_IYcmz+TstJmt,9EM95;DNGR.qTimfB>p;/1a)r{e1[&o^ZIP'U0@AR"v{erY T ,H2O6At~Kl7pY2i 00l 4N:qlV ('@Ld|6n535pDFl5He~PashvU6g 4xnIx-sWH"iD|@Q?YQIE'wA 2BLBRap`6r kw,c{. While supporting the raised leg with hands behind the knee, pump the ankle while holding the knee still. I purchased this wonderful equipment for the use of spasticity for my right hand. 3 Reasons to Have Physical Therapy After Neck Fusion Surgery, Visit In Motion O.C. Showers are typically not allowed the first few days after spinal fusion surgery. Avoid any rocking of the pelvis. CELLTOP clinical trial: First report from a phase I trial of autologous adipose tissue-derived mesenchymal stem cells in the treatment of paralysis due to traumatic spinal cord injury. Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning (anticoagulant) medicines, aspirin, or other medicines that affect blood clotting. <> Licensed therapists work with patients on the activities that "occupy" their time, such as climbing stairs or . If the surgical site is covered with extra hair, the hair may be clipped off. Your pain will be controlled with medicines so that you can take part in the exercise. Stem cell treatment after spinal cord injury: The next steps. Mayo surgeons can perform spinal fusion from the back, front or side of the spine and have access to the newest varieties of bone-fusing materials. Straighten one leg in front with toes pointed up and knee straight. Do you notice how tight the muscles in the back of your neck always feel? See Rehabilitation Following Lumbar Fusion. Get instant access to our free exercise ebook for SCI survivors. However, there are a few simple exercises you can take on at home that are part of nearly all spinal fusion recovery programs. for Physical Therapy After Neck Fusion Surgery, Protective exercise phase 0 to 6 weeks post-op, Strengthening exercise phase 6 to 12 weeks post-op, Return to normal activity, exercise, and sports phase 12+ weeks post-op, Muscles that might have experienced weakness due to nerve problems prior to surgery, Muscles in and around your surgical incision, Numerous small muscles that wrap around each of your vertebrae to help provide stability to your spine. (cross street is Heil), 10540 Talbert Ave, Suite 110 If you are pregnant or think you could be, tell your healthcare provider. 18 0 obj See Prepare for Blood Loss after Spinal Fusion Surgery. Following promising phase 1 testing, Mayo Clinic is launching phase 2 of a randomized clinical trial of stem cell treatment for patients with severe spinal cord injury. Abstract. The surgeon will spread the muscles apart. . <> <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> See Lower Back Stabilization Exercises for Back Pain, Next Page: endobj An IV (intravenous) line may be started in your arm or hand. Spinal cord injury patients should use extra caution when showering by remaining seated, applying non-slip mats to the floor, and using a handheld showerhead to minimize the need to move around. To minimize the risk of falling, an occupational therapist may recommend using a reacher as an extension of the arm. Thats why Flint Rehab created FitMi, a motion-sensing, gamified home recovery tool designed for neurological injury like SCI. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. You may be told to stop these medicines before the procedure. Most people dont have any restrictions on their activity by about 6 to 8 months after spinal fusion surgery. Healthline Media does not provide medical advice, diagnosis, or treatment. Masks are required inside all of our care facilities. Your physical therapist can help you devise a workout plan, and youll be able to exercise on your own as well. Like physical therapy, occupational therapy may use task-specific, highly repetitive exercise to regain mobility. oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E Bring your shoulder blades down and back. I have been using FitMi for just a few weeks. This is likely to create functional difficulties for the patient, which are appropriate for occupational therapy. We are vaccinating all eligible patients. This will help maintain the movement of the vertebrae in your neck. Spinal fusion recovery stages: Week by week, Spinal fusion recovery exercises you can do at home, What to watch out for after a spinal fusion, Possible permanent restrictions after a spinal fusion, thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/27/2/article-p225.xml, orthoinfo.aaos.org/en/treatment/spinal-fusion/, ohsu.edu/spine-center/spinal-fusion-surgery, The 4 Best Back Supporters for Reducing Injury and Alleviating Pain, What Is Spinal Decompression Therapy? Anterior lumbar fusion - uses an anterior (front, through the abdominal region) approach to fuse (mend) the lumbar spine bones together . Manual Therapy Grade 1 or Grade 2 joint mobilizations for neuromodulation of pain Scar mobilization: educate patients in scar mobilization 65,W!#97 CP?OI*O> 360AL B)` Bv0d``h` R ;D#R 19 0 obj v>"A And, it usually involves the start of outpatient physical therapy and a moderate transition back to conducting the activities of daily living, like working and driving. Occupational Therapy | Box 356490 1959 N.E. Spinal fusion surgery is a major procedure with a lengthy recovery time. Pain is likely to continue to decrease gradually, but some patients continue to have pain 3 to 6 months after surgery. Once you have mastered this move, add a 1 or 2-pound weight for an increased challenge. endobj Youll also meet with physical and occupational therapists to begin your recovery. Safe ways to lift, pull, or push objects are also covered. The initial participant in CELLTOP phase 1 sustained a C3-4 ASIA grade A spinal cord injury. A sterile bandage or dressing will be applied. Careful planning and follow through on a prescribed physical therapy program will go a long way in helping the patient recover from the fusion and have the best prospects for pain relief over the long term. <> Get a free copy of our ebook Rehab Exercises for Spinal Cord Injury Recovery. Last medically reviewed on March 23, 2022. Pharmacological Therapy after Acute Cervical Spinal Cord . General Tips (1 Certain activities may be limited after your surgery. 0 Medications can help manage this pain for many people. Side neck stretch. In some cases, the physical therapist may advise the patient to use a walker for stability. Physical therapy after neck fusion surgery is a crucial part of the recovery process. \_zwpc\ We're proud of who we are and where we're going! Following surgery, pain management is a priority to help patients return to activities of daily living. z2[nf 1/X$AA-u1ak. An occupational therapist helps educate patients about the Americans with Disabilities Act and the Individuals with Disabilities Education Act (IDEA). Support groups and forums are great places to build community during your recovery. Depending on your job, you might be allowed to return to work during this stage. Ask your OT to recommend some activities or techniques for you to practice at home, or try some of the methods mentioned in this article. SCI patients can maximize their independence by practicing everyday activities and using adaptive equipment. Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, tape, and anesthesia medicines (local and general). Therefore, the next best option is to find alternative ways to promote a fulfilling lifestyle. Post-Operative Lumbar Spinal Fusion Department of Neurosurgery Lahey Hospital & Medical Center, Burlington 781-744-7580 Lahey Neurosurgery at Emerson Hospital 978-287-3194 .