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Sports Medicine
Published in: Sports Medicine 7/2014

01-07-2014 | Review Article

Pain During and Within Hours After Exercise in Healthy Adults

Authors: Erin A. Dannecker, Kelli F. Koltyn

Published in: Sports Medicine | Issue 7/2014

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Abstract

Literature on the pain relieving effects of exercise has been reviewed several times. It is equally important to review the literature on the pain-inducing effects of exercise. Indeed, exercise professionals, health care providers, and exercisers must grapple with the fact that exercise can both induce and reduce pain. The objective of this review was to synthesize our current understanding of exercise-induced pain and inspire advanced research. We searched the PubMed database for publications since 2000 about healthy human participants. Disease-specific reviews of the effects of exercise are available elsewhere. The results of our literature review verified that many different modes, intensities, and durations of exercise can induce pain in healthy people. Another important point is that pain can occur within a few hours after eccentric contractions, which should be considered relative to the construct of delayed-onset muscle soreness. In addition, the studies supported that exercise can be painful in diverse muscle groups. Yet another point illuminated by the literature is that different pain measures do not always change in similar directions and magnitudes after exercise. Therefore, our review confirms that a wide variety of exercises can be painful—even for healthy people. We wonder how many exercise professionals and health care providers regularly and appropriately measure exercise-related pain or consider such pain in their exercise recommendations. We also question if exercise-related pain affects exercise behavior in healthy people as it has been shown to do in people with chronic illnesses. Additional research is needed to improve both exercise recommendations and exercise behavior.
Literature
1.
2.
Badley EM, Papageorgiou AC. Visual analogue scales as a measure of pain in a study of overall pain and pain in individual joints at rest and on movement. J Rheumatol. 1989;16:102–5.PubMed
3.
Farrell MJ, Gibson SJ, McMeeken JM, et al. Increased movement pain in osteoarthritis of the hands in associated with ABeta-mediated cutaneous mechanical sensitivity. J Pain. 2000;1:229–42.PubMed
4.
Focht BC, Ewing V, Gauvin L, et al. The unique and transient impact of acute exercise on pain perception in older, overweight, or obese adults with knee osteoarthritis. Ann Behav Med. 2002;24:201–10.PubMed
5.
Gooberman-Hill R, Woolhead G, Mackichan F, et al. Assessing chronic joint pain: lessons from a focus group study. Arthritis Rheum. 2007;57:666–71.PubMed
6.
Tallon D, Chard J, Dieppe P. Exploring the priorities of patients with osteoarthritis of the knee. Arthrit Care Res. 2000;13:312–9.
7.
Hendry M, Williams NH, Markland D, et al. Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee. Fam Pract. 2006;23:558–67.PubMed
8.
Bellamy N, Buchanan WW. A preliminary evaluation of the dimensionality and clinical importance of pain and disability in osteoarthritis of the hip and knee. Clin Rheumatol. 1986;5:231–41.PubMed
9.
Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med. 2003;33:145–64.PubMed
10.
Sayers SP, Dannecker EA. How to prevent delayed-onset muscle soreness (DOMS) after eccentric exercise. Int SportsMed J. 2004;5:84–97.
11.
Redelmeier DA, Katz J, Kahneman D. Memories of colonoscopy: a randomized trial. Pain. 2004;104:187–94.
12.
Torres R, Ribeiro F, Alberto Duarte J, et al. Evidence of the physiotherapeutic interventions used currently after exercise-induced muscle damage: systematic review and meta-analysis. Phys Ther Sport. 2012;13:101–14.PubMed
13.
O’Connor P, Cook DB. Exercise and pain: the neurobiology, measurement, and laboratory study of pain in relation to exercise and humans. In: Holloszy JO, editor. Exercise and sport sciences reviews. New York: Lippincott Williams & Wilkins; 1999. p. 119–65.
14.
Cook DB, Koltyn KF. Pain and exercise. Int J Sport Psychol. 2000;31:256–77.
15.
Birtles DB, Rayson MP, Casey A, et al. Venous obstruction in healthy limbs: model for chronic compartment syndrome? Med Sci Sport Exerc. 2003;35:1638–44.
16.
Giske L, Vollestad NK, Mengshoel AM, et al. Attenuated adrenergic responses to exercise in women with fibromyalgia—a controlled study. Eur J Pain. 2008;12(3):351–60.PubMed
17.
Kadetoff D, Kosek E. The effects of static muscular contraction on blood pressure, heart rate, pain ratings and pressure pain thresholds in healthy individuals and patients with fibromyalgia. Eur J Pain. 2007;11:39–47.PubMed
18.
Lannersten L, Kosek E. Dysfunction of endogenous pain inhibition during exercise with painful muscles in patients with shoulder myalgia and fibromyalgia. Pain. 2010;151:77–86.PubMed
19.
Svensson P, Burgaard A, Schlosser S. Fatigue and pain in human jaw muscles during a sustained, low-intensity clenching task. Arch Oral Biol. 2001;46:773–7.PubMed
20.
Park IH, McCall WD, Chung JW. Electromyographic power spectrum of jaw muscles during clenching in unilateral temporomandibular joint osteoarthritis patients. J Oral Rehabil. 2012;39:659–67.PubMed
21.
Farella M, Soneda K, Vilmann A, et al. Jaw muscle soreness after tooth-clenching depends on force level. J Dent Res. 2010;89:717–21.PubMed
22.
Farella M, Palumbo A, Milani S, et al. Synergist coactivation and substitution pattern of the human masseter and temporalis muscles during sustained static contractions. Clin Neurophysiol. 2009;120:190–7.PubMed
23.
Glaros AG, Burton E. Parafunctional clenching, pain, and effort in temporomandibular disorders. J Behav Med. 2004;27:91–100.PubMed
24.
Wernbom M, Augustsson J, Thomee R. Effects of vascular occlusion on muscular endurance in dynamic knee extension exercise at different submaximal loads. J Strength Cond Res. 2006;20:372–7.PubMed
25.
Nosaka K, Sakamoto K, Newton M, et al. How long does the protective effect on eccentric exercise-induced muscle damage last? Med Sci Sport Exerc. 2001;33:1490–5.
26.
Clarkson PM, Nosaka K, Braun B. Muscle function after exercise-induced muscle damage and rapid adaptation. Med Sci Sport Exerc. 1992;24:512–20.
27.
Karibe H, Goddard G, Gear RW. Sex differences in masticatory muscle pain after chewing. J Dent Res. 2003;82:112–6.PubMed
28.
Conti PC, Silva Rdos S, Araujo Cdos R, et al. Effect of experimental chewing on masticatory muscle pain onset. J Appl Oral Sci. 2011;19:34–40.PubMed
29.
Farella M, Bakke M, Michelotti A, et al. Effects of prolonged gum chewing on pain and fatigue in human jaw muscles. Eur J Oral Sci. 2001;102:81–5.
30.
García-López D, de Paz JA, Jiménez-Jiménez R, et al. Early explosive force reduction associated with exercise-induced muscle damage. J Physiol Biochem. 2006;62:163–70.PubMed
31.
Bowers EJ, Morgan DL, Proske U. Damage to the human quadriceps muscle from eccentric exercise and the training effect. J Sport Sci. 2004;22:1005–14.
32.
Yeung SS, Yeung EW. Shift of peak torque angle after eccentric exercise. Int J Sports Med. 2008;29:251–6.PubMed
33.
Hollander DB, Durand RJ, Trynicki JL, et al. RPE, pain, and physiological adjustment to concentric and eccentric contractions. Med Sci Sport Exerc. 2003;35:1017–25.
34.
Hollander DB, Kilpatrick MW, Ramadan ZG, et al. Load rather than contraction type influences rate of perceived exertion and pain. J Strength Cond Res. 2008;22:1184–93.PubMed
35.
Seger JY, Thorstensson A. Muscle strength and myoelectric activity in prepubertal and adult males and females. Eur J Appl Physiol. 1994;69:81–7.
36.
Kubota J, Ono T, Araki M, et al. Non-uniform changes in magnetic resonance measurements of the semitendinosus muscle following intensive eccentric exercise. Eur J Appl Physiol. 2007;101(6):713–20.PubMed
37.
Lee J, Goldfarb AH, Rescino MH, et al. Eccentric exercise effect on blood oxidative-stress markers and delayed onset of muscle soreness. Med Sci Sport Exerc. 2002;34:443–7.
38.
Prasartwuth O, Taylor JL, Gandevia SC. Maximal force, voluntary activation and muscle soreness after eccentric damage to human elbow flexor muscles. J Physiol (London). 2005;567:337–48.
39.
Shahbazpour N, Carroll TJ, Riek S, et al. Early alterations in serum creatine kinase and total cholesterol following high intensity eccentric muscle actions. J Sport Med Phys Fit. 2004;44:193–9.
40.
Fernández-Carnero J, Binderup AT, Ge HY, et al. Pressure pain sensitivity mapping in experimentally induced lateral epicondylalgia. Med Sci Sports Exerc. 2010;42:922–7.PubMed
41.
Nie H, Kawczynski A, Madeleine P, et al. Delayed onset muscle soreness in neck/shoulder muscles. Eur J Pain. 2005;9:653–60.PubMed
42.
Binderup AT, Arendt-Nielsen L, Madeleine P. Pressure pain threshold mapping of the trapezius muscle reveals heterogeneity in the distribution of muscular hyperalgesia after eccentric exercise. Eur J Pain. 2010;14:705–12.PubMed
43.
Micklewright D. The effect of soft tissue release on delayed onset muscle soreness: a pilot study. Phys Ther Sport. 2009;10:19–24.PubMed
44.
Vaile JM, Gill ND, Blazevich AJ. The effect of contrast water therapy on symptoms of delayed onset muscle soreness. J Strength Cond Res. 2007;21:697–702.PubMed
45.
Madden MC, Byrnes WC, Lebin JA, et al. Plasma matrix metalloproteinase-9 response to eccentric exercise of the elbow flexors. Eur J Appl Physiol. 2011;111:1795–805.PubMed
46.
Dierking JK, Bemben MG, Bemben DA, et al. Validity of diagnostic ultrasound as a measure of delayed onset muscle soreness. J Ortho Sports Phys. 2000;30:116–25.
47.
Kawczynski A, Nie H, Jaskolaska A, et al. Mechanomyography and electromyography during and after fatiguing shoulder eccentric contractions in males and females. Scand J Med Sci Sport. 2007;17:172–9.
48.
Koutris M, Lobbezoo F, Sümer NC, et al. Is myofascial pain in temporomandibular disorder patients a manifestation of delayed-onset muscle soreness? Clin J Pain. 2013;29:712–6.PubMed
49.
Lavender AP, Nosaka K. Changes in fluctuation of isometric force following eccentric and concentric exercise of the elbow flexors. Eur J Appl Physiol. 2006;96:235–40.PubMed
50.
Torisu T, Wang K, Svensson P, et al. Does eccentric-exercise-induced jaw muscle soreness influence brainstem reflexes? Clin Neurophysiol. 2008;119:2819–28.PubMed
51.
Torisu T, Wang K, Svensson P, et al. Effects of eccentric jaw exercise on temporal summation in jaw-closing muscles of healthy subjects. Eur J Pain. 2010;14:719–24.PubMed
52.
Bajaj P, Madeleine P, Sjogaard G, et al. Assessment of postexercise muscle soreness by electromyography and mechanomyography. J Pain. 2002;3:126–36.PubMed
53.
Delfa de la Morena JM, Samani A, Fernández-Carnero J, et al. Pressure pain mapping of the wrist extensors after repeated eccentric exercise at high intensity. J Strength Cond Res. 2013;27:3045–52.PubMed
54.
Gleeson N, Eston R, Marginson V, et al. Effects of prior concentric training on eccentric exercise induced muscle damage. Brit J Sport Med. 2003;37:119–25.
55.
Janecki D, Jarocka E, Jaskólska A, et al. Muscle passive stiffness increases less after the second bout of eccentric exercise compared to the first bout. J Sci Med Sport. 2011;14:338–43.PubMed
56.
Nosaka K, Newton M. Repeated eccentric exercise bouts do not exacerbate muscle damage and repair. J Strength Cond Res. 2002;16:117–22.PubMed
57.
Flores DF, Gentil P, Brown LE, et al. Dissociated time course of recovery between genders after resistance exercise. J Strength Cond Res. 2011;25:3039–44.PubMed
58.
Pointon M, Duffield R, Cannon J, et al. Cold application for neuromuscular recovery following intense lower-body exercise. Eur J Appl Physiol. 2011;111:2977–86.PubMed
59.
Paschalis V, Nikolaidis MG, Theodorou AA, et al. A weekly bout of eccentric exercise is sufficient to induce health-promoting effects. Med Sci Sport Exerc. 2011;43:64–73.
60.
Sesto ME, Radwin RG, Block WF, et al. Anatomical and mechanical changes following repetitive eccentric exertions. Clin Biomech. 2005;20:41–9.
61.
Madeleine P, Samani A, Binderup AT, et al. Changes in the spatio-temporal organization of the trapezius muscle activity in response to eccentric contractions. Scand J Med Sci Sports. 2011;21:277–86.PubMed
62.
MacIntyre DL, Sorichter S, Mair J, et al. Markers of inflammation and myofibrillar proteins following eccentric exercise in humans. Eur J Appl Physiol. 2001;84:180–6.PubMed
63.
Bottas R, Miettunen K, Komi PV, et al. Disturbed motor control of rhythmic movement at 2 h and delayed after maximal eccentric actions. J Electromyogr Kines. 2010;20:608–18.
64.
Piitulainen H, Holobar A, Avela J. Changes in motor unit characteristics after eccentric elbow flexor exercise. Scand J Med Sci Sports. 2012;22:418–29.PubMed
65.
Torres R, Vasques J, Duarte JA, et al. Knee proprioception after exercise-induced muscle damage. Int J Sports Med. 2010;31:410–5.PubMed
66.
Dannecker EA, Sluka KA. Pressure and activity-related allodynia in delayed-onset muscle pain. Clin J Pain. 2011;27:42–7.PubMedCentralPubMed
67.
Ahmadi S, Sinclair PJ, Davis GM. Muscle oxygenation after downhill walking-induced muscle damage. Clin Phys Funct Imaging. 2008;28:55–63.
68.
Milias GA, Nomikos T, Fragopoulou E, et al. Effects of eccentric exercise-induced muscle injury on blood levels of platelet activating factor (PAF) and other inflammatory markers. Eur J Appl Physiol. 2005;95:504–13.PubMed
69.
Milias GA, Nomikos T, Fragopoulou E, et al. Effects of baseline serum levels of Se on markers of eccentric exercise-induced muscle injury. Biofactors. 2006;26:161–70.PubMed
70.
Lau WY, Nosaka K. Effect of vibration treatment on symptoms associated with eccentric exercise-induced muscle damage. Am J Phys Med Rehab. 2011;90:648–57.
71.
Barss TS, Magnus CR, Clarke N, et al. Velocity specific strength recovery after a second bout of eccentric exercise. J Strength Cond Res. 2014;28:339–49.PubMed
72.
Dartnall TJ, Nordstrom MA, Semmler JG. Adaptations in biceps brachii motor unit activity after repeated bouts of eccentric exercise in elbow flexor muscles. J Neurophysiol. 2011;105:1225–35.PubMed
73.
Paddon-Jones D, Muthalib M, Jenkins D. The effects of a repeated bout of eccentric exercise on indices of muscle damage and delayed onset muscle soreness. J Sci Med Sport. 2000;3:35–43.PubMed
74.
Peake J, Nosaka K, Suzuki K. Characterization of inflammatory responses to eccentric exercise in humans. Exerc Immunol Rev. 2005;11:64–85.PubMed
75.
Conceição MS, Libardi CA, Nogueira FR, et al. Effects of eccentric exercise on systemic concentrations of pro- and anti-inflammatory cytokines and prostaglandin (E2): comparison between young and postmenopausal women. Eur J Appl Physiol. 2012;112:3205–13.PubMed
76.
O’Connor PJ, Cook DB. Moderate-intensity muscle pain can be produced and sustained during cycle ergometry. Med Sci Sport Exerc. 2001;33:1046–51.
77.
Cook DB, Jackson EM, O’Connor PJ, et al. Muscle pain during exercise in normotensive African American women: effect of parental hypertension history. J Pain. 2004;5:111–8.PubMed
78.
Motl RW, Gliottoni RC, Scott JA. Self-efficacy correlates with leg muscle pain during maximal and submaximal cycling exercise. J Pain. 2007;8(7):583–7.PubMed
79.
Jameson C, Ring C. Contributions of local and central sensations to the perception of exertion during cycling: effects of work rate and cadence. J Sport Sci. 2000;18:291–8.
80.
Cook DB, Stegner AJ, Ellingson LD. Exercise alters pain sensitivity in Gulf War veterans with chronic musculoskeletal pain. J Pain. 2010;11:764–72.PubMed
81.
Capodaglio EM. Comparison between the CR10 Borg’s Scale and the VAS (Visual Analogue Scale) during an arm-cranking exercise. J Occup Rehab. 2001;11:69–74.
82.
Staud R, Robinson ME, Weyl EE, et al. Pain variability in fibromyalgia is related to activity and rest: role of peripheral tissue impulse input. J Pain. 2010;11:1376–83.PubMedCentralPubMed
83.
Farr T, Nottle C, Nosaka K, et al. The effects of therapeutic massage on delayed onset muscle soreness and muscle function following downhill walking. J Sci Med Sport. 2002;5:297–306.PubMed
84.
Racinais S, Bringard A, Puchaux K, et al. Modulation in voluntary neural drive in relation to muscle soreness. Eur J Appl Physiol. 2008;102:439–46.PubMedCentralPubMed
85.
Chen TC, Nosaka K, Lin MJ, et al. Changes in running economy at different intensities following downhill running. J Sport Sci. 2007;25:55–63.
86.
Green MS, Doyle JA, Ingalls CP, et al. Adaption of insulin-resistance indicators to a repeated bout of eccentric exercise in human skeletal muscle. Int J Sport Nut Exerc Metabol. 2010;20:181–90.
87.
Twist C, Gleeson N, Eston R. The effects of plyometric exercise on unilateral balance performance. J Sport Sci. 2008;26:1073–80.
88.
Ueda T, Nabetani T, Teramoto K. Differential perceived exertion measured using a new visual analogue scale during pedaling and running. J Physiol Anthropol. 2006;25:171–7.PubMed
89.
Howatson G, Hough P, Pattison J, et al. Trekking poles reduce exercise-induced muscle injury during mountain walking. Med Sci Sports Exerc. 2011;43:140–5.PubMed
90.
Sun FH, Ya-Jun Huang W, Heung-Sang Wong S, et al. Metabolic and muscular responses during and after a 100 km hill walk. J Sport Med Phys Fit. 2013;53:368–77.
91.
Fatouros IG, Chatzinikolaou A, Douroudos II, et al. Time-course of changes in oxidative stress and antioxidant status responses following a soccer game. J Strength Cond Res. 2010;24:3278–86.PubMed
92.
Pavlath GK, Thaloor D, Rando TA, et al. Heterogeneity among muscle precursor cells in adult skeletal muscles with differing regenerative capacities. Dev Dyn. 1998;212:495–508.PubMed
93.
Mohri Y, Fumoto M, Sato-Suzuki I, et al. Prolonged rhythmic gum chewing suppresses nociceptive response via serotonergic descending inhibitory pathway in humans. Pain. 2005;118:35–42.PubMed
94.
Kamiya K, Fumoto M, Kikuchi H, et al. Prolonged gum chewing evokes activation of the ventral part of prefrontal cortex and suppression of nociceptive responses: involvement of the serotonergic system. J Med Dent Sci. 2010;57:35–43.PubMed
95.
Brown N, White J, Brasher A, et al. The experience of breast pain (mastalgia) in female runners of the 2012 London Marathon and its effect on exercise behaviour. Brit J Sport Med. 2014;48:320–5.
96.
Ellingson LD, Cook DB. Physical activity and pain: neurobiological mechanisms. In: Ekkekakis P, editor. Routledge handbook of physical activity and mental health, 2013. New York: Routledge; 2014. p. 400–10.
97.
O’Connor PJ, Cook DB. Exercise and pain: the neurobiology, measurement, and laboratory study of pain in relation to exercise in humans. Exerc Sport Sci Rev. 1999;27:119–66.PubMed
98.
99.
Millan MJ. Descending control of pain. Prog Neurobiol. 2002;66:355–474.PubMed
100.
Harris RE, Gracely RH, McLean SA, et al. Comparison of clinical and evoked pain measures in fibromyalgia. J Pain. 2006;7:521–7.PubMed
101.
Janal MN, Glusman M, Kuhl JP, et al. On the absence of correlation between responses to noxious heat, cold, electrical, and ischemic stimulation. Pain. 1994;58:403–11.PubMed
102.
Arima T, Arendt-Nielsen L, Svensson P. Effect of jaw muscle pain and soreness evoked by capsaicin before sleep on orofacial motor activity during sleep. J Orofac Pain. 2001;15:245–56.PubMed
103.
Yarnitsky D. Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states. Curr Opin Anaesthesiol. 2010;23:611–5.PubMed
104.
Ellingson LD, Koltyn KF, Kim JS, et al. Does exercise induce hypoalgesia through conditioned pain modulation? Psychophysiology. 2014;51:267–76.PubMed
105.
Vaegter HB, Handberg G, Graven-Nielsen T. Similarities between exercise-induced hypoalgesia and conditioned pain modulation in humans. Pain. 2013;155:158–67.PubMed
106.
Koltyn KF. Analgesia following exercise: a review. Sports Med. 2000;29:85–98.PubMed
107.
Naugle KM, Fillingim RB, Riley JL. A meta-analytic review of the hypoalgesic effects of exercise. J Pain. 2012;13:1139–50.PubMedCentralPubMed
108.
Sluijs EM, Kok GJ, Van Der Zee J. Correlates of exercise compliance in physical therapy. Phys Ther. 1993;73:771–86.PubMed
109.
Medina-Mirapeix F, Escolar-Reina P, Gascón-Cánovas JJ, et al. Personal characteristics influencing patients’ adherence to home exercise during chronic pain: a qualitative study. J Rehabil Med. 2009;41:347–52.PubMed
110.
Dobkin PL, Abrahamowicz M, Fitzcharles MA, et al. Maintenance of exercise in women with fibromyalgia. Arthritis Rheum. 2005;53:724–31.PubMed
111.
Litcher-Kelly L, Stone AA, Broderick JE, et al. Associations among pain intensity, sensory characteristics, affective qualities, and activity limitations in patients with chronic pain: a momentary, within-person perspective. J Pain. 2004;5:433–9.PubMed
112.
van Santen M, Bolwijn P, Landewe R, et al. High or low intensity aerobic fitness training in fibromyalgia: does it matter? J Rheumatol. 2002;29:582–7.PubMed
113.
Mailloux J, Finno M, Rainville J. Long-term exercise adherence in the elderly with chronic low back pain. Am J Phys Med Rehab. 2006;85:120–6.
114.
Minor MA, Sanford MK. Physical interventions in the management of pain in arthritis. Arthrit Care Res. 1993;6:197–206.
115.
Kraus H, Nagler W, Melleby A. Evaluation of an exercise program. Am Fam Physician. 1983;28:153–8.PubMed
116.
Mori DL, Sogg S, Guarino P, et al. Predictors of exercise compliance in individuals with Gulf War veterans’ illnesses: Department of Veterans Affairs Cooperative Study 470. Military Med. 2006;191:917–23.
117.
Parr JJ, Borsa PA, Fillingim RB, et al. Pain-related fear and catastrophizing predict pain intensity and disability independently using an induced muscle injury model. J Pain. 2012;13:370–8.PubMedCentralPubMed
118.
McHugh P. Recent advances in the understanding of the repeated bout effect: the protective effect against muscle damage from a single bout of eccentric exercise. Scand J Med Sci Sport. 2003;13:88–97.
119.
Dannecker EA, Liu Y, Rector RS, et al. Sex differences in exercise-induced muscle pain and muscle damage. J Pain. 2013;13:1242–9.
Metadata
Title
Pain During and Within Hours After Exercise in Healthy Adults
Authors
Erin A. Dannecker
Kelli F. Koltyn
Publication date
01-07-2014
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 7/2014
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-014-0172-z

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