tesis nadadores
TRANSCRIPT
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UNIVERSIDAD ARTURO MICHELENA
FACULTAD CIENCIAS DE LA SALUD
ESCUELA FISIOTERAPIA
APLICACIN DEL BALN SUIZO COMO MTODOPREVENTIVO A LA APARICIN DE LESIONES MUSCULO
ESQUELTICAS DE HOMBRO EN LOS NADADORES DEL
COMPLEJO POLIDEPORTIVO MISAEL DELGADO
LUIGI CARLO ALBERTO FIORE CANZINE
RICARDO JULIO LIMONGI CAMMARANO
San Diego, Abri !"#!
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UNIVERSIDAD ARTURO MICHELENA
FACULTAD CIENCIAS DE LA SALUD
ESCUELA FISIOTERAPIA
APLICACIN DEL BALN SUIZO COMO MTODOPREVENTIVO A LA APARICIN DE LESIONES MUSCULO
ESQUELTICAS DE HOMBRO EN LOS NADADORES DEL
COMPLEJO POLIDEPORTIVO MISAEL DELGADO
LUIGI CARLO ALBERTO FIORE CANZINE
RICARDO JULIO LIMONGI CAMMARANO
LCDA$ NANC% JUDITH OJEDA NU&EZ$
San Diego, Vene'(e a$ Abri !"#!
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UNIVERSIDAD ARTURO MICHELENA
FACULTAD CIENCIAS DE LA SALUD
ESCUELA FISIOTERAPIA
APLICACIN DEL BALN SUIZO COMO MTODO
PREVENTIVO A LA APARICIN DE LESIONES MUSCULO
ESQUELTICAS DE HOMBRO EN LOS NADADORES DEL
COMPLEJO POLIDEPORTIVO MISAEL DELGADO
L(igi Car o A ber)o Fiore Can'ine
Ri*ar+o J( io Li ongi Ca arano
San Diego, Abri !"#!
Resumen
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DEDICATORIA
Este tr ! "# $e %r $# se $e$'(# )r'mer mente D'#s * +ue n#s $'# &,'$ * n#s )erm't'- ,','r t#$# este (#n"unt# $e e.)er'en(' s * s'tu ('#nes +ue n#s
*u$ n (re(er m s (#m# )ers#n s/ t m!'0n se & $e$'(# m's ) $res *
1erm n#s +ue (#n su r$u# tr ! "#/ es2uer3# * $e$'( ('-n %r r#n 'm)u&s rme
1 st este )unt# en $#n$e me en(uentr# 1#r / m's )r#2es#res * m'%#s +ue
s'em)re estu,'er#n (er( *u$4n$#me * (#rr'%'0n$#me en +ue ne(es't r /
m' (#m) 5er# $e tes's )#r s !uen#s m#ment#s * s m s t m!'0n )er# +ue
s#n !uen#s & 2'n & * m' m'sm# * +ue est es un met $e mu(1 s m s
&( n3 r t#$#s mu(1 s %r (' s6
Lu'%' C r A&!ert# 7'#re C n3'ne
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8NDICE GENERAL
In)ro+(**i-n........................ # / 0
Ma)eria e1 2 M3)o+o1....................$ 4 / ##
Re1( )a+o1........................
.
#! / #0
Di1*(1i-n.........................
$
#4 / !#
Con* (1ione1 2
Re*o en+a*ione1...............$$
!! / !5
Agra+e*i ien)o1......................$
$
!5
Re6eren*ia1
Bib iogr76i*a1..................$$
!8
Ane9o1..........................
$
!:
Tab a1..........................$$ #5 / #0
O;era i'a*i-n +e
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5
Pro;(e1)a 2 A; i*a*i-n...................$ 50 > ::
8NDICE DE TABLAS
Tab a N? #.......................$ #5Tab a N? !....................... #8Tab a N? 5.......................$ #:
Tab a N? 8....................... #@Tab a N? :....................... #=Tab a N? @....................... #0
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8NDICE DE 7OTOGRA78AS : 7IGURAS
C(e1)ionario N? #....................$$ !0 > !4
C(e1)ionario N? !....................$$ 5" > 5#
E58
A; i*a*i-n Fa1e I.................... 84
A; i*a*i-n Fa1e II...................$$ 84 > :"
A; i*a*i-n Fa1e III...................$$ :"
A; i*a*i-n Fa1e IV...................$$ :#
A; i*a*i-n Fa1e V.................... :! > :8
A; i*a*i-n F a1e VI...................$ :: > :@
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#
INTRODUCCIN
En ;ri er (gar a na)a*i-n e1 e ar)e +e 1o1)ener1e 2 a
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a1)a (e Mar2 (in)on, (na 6i1io)era;e()a bri)7ni*a (e )raba aba en 1(i'a,
e ;e'ara a (1ar o1 ba one1 en 1(1 ;rogra a1 +e )ra)a ien)o *on re*i3n na*i+o1 2
ni o1, 1(*e1i
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5
bra'o1 1e (e
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8
+eben ;er ane*er +eba o +e ag(a, en (n Ang( o +e 4"?$ E1 e e1)i o 71 en)o en e
na+o *o ;e)i)i
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A1 )a bi3n (na in
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in*en)i
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#"
La )3*ni*a ()i i'a+a en ;ri era in1)an*ia *o o 3)o+o ;re
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##
ANE O ! , a a (e1)ra 1e e**iona+a ANE O : $ Po1)erior en)e 1e a; i*- (n
1eg(n+o *(e1)ionario *on a 6ina i+a+ +e +e)er inar o1 *ono*i ien)o1 2 erra ien)a1
a+ (iri+a1 +e o1 a) e)a1 ANE O ! $ Por o)ra ;ar)e a
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#!
RESULTADOS
Lo1 re1( )a+o1 ob)eni+o1 a )ra
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#5
T !& N? @
Resu&t $#s #!ten'$#s entre e& )r'mer * e& se%un$# (uest'#n r'# (#n res)e(t#
s (#n#('m'ent#s $e & s )re%unt s N? @ * N? $e& %ru)# A * B
Gr 2'(# N? @
C#m) r ('-n entre e& )r'mer * e& se%un$# (uest'#n r'# (#n res)e(t# s
(#n#('m'ent#s $e & s )re%unt s N? @ * N? $e& %ru)# A * B
"
!
8
@
0
#"
#!
#8
#@
#0
13
6
2
16
18
0
18
0
C(e1)ionario # C(e1)ionario !
En +i* o gra6i*o 1e a;re*ia *o o a ini*io +e a a; i*a*i-n e 5! +e o1 a) e)a1
+e1*ono* an a1 ;o1ib e1 e1ione1 (e ;(e+en ;a+e*er en 1( a*)i
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#8
)a bi3n e +e1*ono*i ien)o +e ba -n 1(i'o en (n ## +e o1 a) e)a1 (e a 6ina i'ar
e e1)(+io, 1e a;re*ia (e e #"" *ono*en o1 bene6i*io1 2 (1o +e i1 o$
T !& N? =
Resu&t $#s #!ten'$#s entre e& )r'mer * se%un$# (uest'#n r'#s s#!re s
e"er('('#s 2 s'(#s +ue (#rres)#n$en & s )re%unt s N? = * & N? $e m!#s %ru)#s
Gr 2'(# N? =
C#m) r ('-n entre e& )r'mer * se%un$# (uest'#n r'# s#!re s e"er('('#s
2 s'(#s +ue (#m)ren$en & s )re%unt s N? = * & N? $e m!#s %ru)#s
"
!
8
@
0
#"
#!
#8
#@
#0
10
8
3
15
18
0
18
0
C(e1)ionario # C(e1)ionario !
Pre%unt s N? = N? Re1;(e1)a1 1i no 1i no
C(e1)ionario # #" :@ 0 88 5 #= #: 05C(e1)ionario ! #0 #"" " " #0 #"": " "
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#:
Da+o1 o1 re1( )a+o1 1e ob1er
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#@
C#m) r ('-n entre e& )r'mer * se%un$# (uest'#n r'#s s#!re &es'#nes $e & s
)re%unt s N? F * N? $e& %ru)# A
"
!
8
@
0
#"
#!
4
!
:@
"
##
"
##
C(e1)ionario #C(e1)ionario !
Da+o1 o1 re1( )a+o1 1e ob1er
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#=
Resu&t $#s entre e& )r'mer * se%un$# (uest'#n r'#s s#!re &es'#nes $e & s
)re%unt s N? F * & N? $e& %ru)# B
Pre%unt s N?F N?Re1;(e1)a1 1i no 1i noC(e1)ionario # : =# ! !4 : =# ! !4C(e1)ionario ! # #8 @ 0@ " " = #""
Gr 2'(# N?
C#m) r ('-n entre e& )r'mer * se%un$# (uest'#n r'#s s#!re &es'#nes $e & s
)re%unt s N? F * & N? $e& %ru)# B
"
#
!
5
8
:
@
=
:
!
:
!
#
@
"
=
C(e1)ionario #
C(e1)ionario !
Da+o o1 re1( )a+o1 *on re1;e*)o a gr(;o B 1e +e1)a*a (e (no # +e 1ie)e =
a) e)a1 (e no a; i*o e ;rogra a +e e er*i*io1, ob)(
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#0
Resu&t $#s entre e& )r'mer * se%un$# (uest'#n r'#s (#n res)e(t# & s
)re%unt s N? * N? $e& %ru)# A
Pre%unt s N? N?Re1;(e1)a1 1i no 1i noC(e1)ionario # : 8: @ :: = @8 8 5@C(e1)ionario ! 4 0! ! #0 " " ## #""
T !& N? F
Resu&t $#s entre e& )r'mer * se%un$# (uest'#n r'#s (#n res)e(t# & s
)re%unt s N? * N? $e& %ru)# A
"
!
8
@
0
#"
#!
:
@
=
8
4
!
"
##
C(e1)ionario # C(e1)ionario !
Da+o o1 re1( )a+o1 1e ob1er
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!"
A *( inar e an7 i1i1 +e o1 re1( )a+o1, 1e ;(+o *on* (ir (e e =" +e o1
a) e)a1 en*(e1)a+o1 no 1ab an (e 1e ;o+ an e1ionar o1 o bro1 en o1 a )o1en)rena ien)o1 +e na)a*i-n, +on+e e 4: +e o1 a) e)a1 no 1aben (e e er*i*io1
;(e+en 2 +eben rea i'ar, ;ara an)ener o1 o bro1 en b(ena1 *on+i*ione1 2 a1
;re
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!#
E ob e)i*o +e a in
e
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!!
ara
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!5
a) e)a1 1i +e1ean *on)in(ar *on e en)rena ien)o e1)3n *on a *a;a*i+a+ +e ;o+er
a*er o ()i i'7n+o o$
E ob e)i
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!8
AGRADECIMIENTOS
Me en(uentr# sum mente %r $e('$# (#n D'#s )#r t#$# ,','$# * )#r
)erm't'rme ,','r/ (#n & )r#2es#r Ines A&!#rn#3 +ue n#s *u$# en s
m#ment#s (r t'(#s (u n$# n# (#nse%u m#s tut#r ( $em'(#/ & )r#2es#rMer(e$es R#" s %r (' s e&& (#nse%u'm#s tut#r / & )r#2es#r G u$'s
G#n3 &e3 )#r su *u$ #2re('$ ) r este tr ! "#/ P'er'm )#r sus )#rtes
'nte&e(tu &es/ & 2 m'&' L'm#n%' )#r t#$ & *u$ #2re('$ en t#$# s)e(t#
mu(1 s'm s %r (' s su *u$ 2ue 2un$ ment & m' %r $e('m'ent# 1 (' uste$es
es 'nmens#/ se &es +u'ere
Lu'%' C r A&!ert# 7'#re C n3'ne
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RE7ERENCIAS BIBLIOGR97ICAS
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!@
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ANE=:*
U)i i'a+o ;araare abi i)a*i-n2 een)rena ien)o
;re
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!=
ANE
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!0
N?Pre%unt s SI NO
#
Sabia (1)e+ (e *on o1 a )o1 ni
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5"
EVALUACIN 7ISIOTERAPUTICA
DATOS DEL PACIENTE6
Fe* aK ] ]
No bre % A;e i+o +e o1 In
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Flexin
Extensin
Flexin
Extensin
5#
No bre 2 A;e i+oK \\\\\\\\\\\\\\\\\\\\\\\ C$I$K\\\\\\\\\\\\\\
E+a+K \\\\\ Fe* a +e na*i ien)oK ] ] Se9oK \\\\F$C$K\\\\\\\\\\\\ F$R$K\\\\\\\\\\\\\\ T$A$K\\\\\\\\\\\\\\\\
@6 Ante(e$entes
Per1ona e1K \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
Fa i iare1K \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
Far a*o -gi*o1K \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
=6 OBSERVACIN \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ 6 PALPACIN
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
6 AMPLITUD ARTICULAR
MIEMBRO SUPERIOR DERECHO MIEMBRO SUPERIOR IZQUIERDO
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Abduccin
Aduccin
Abduccin
Aduccin
Rotacin interna
Rotacin Externa
Rotacin interna
Rotacin Externa
5!
F6 7UERZA MUSCULAR
H#m!r# I' (ier+a Dere* aF e9i-nE9)en1i-nAb+(**i-nA+(**i-nRo)a*i-n In)ernaRo)a*i-n E9)ernaAn)e;( 1i-nRe)ro;( 1i-n
Cue& I' (i
er+a
Dere
* aRo)a*io
ne1In6 e9io
ne1F e9i-nE9)en1i
-nAn)e;(
1i-nRe)ro;(
1i-n
C#$# I' (ier+a Dere* aF e9i-nE9)en1i-nProna*i-nS(;ina*i-n
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55
ANE
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58
Aut#res #$ Ri*ar+o J( io Li ongi Ca arano
!$ L(igi Car o A ber)o Fiore Can'ine
E9;er)o N? # N? ! N? 5 S( a)oria Por*en)a e ;or )e 1Cri)erio1 Cri)erio1 Cri)erio1
Y)e 1 Per)inen*ia C ari+a+ Co eren*ia Per)inen*ia C ari+a+ Co eren*ia Per)inen*ia C ari+a+ Co eren*ia# # # # # # # # # # 4 #""! # # # # # # # # # 4 #""5 # # # # # # # # # 4 #""8 # # # # # # # # # 4 #"": # # # # # # # # # 4 #""@ # # # # # # # # # 4 #""= # # # # # # # # # 4 #""0 # # # # # # # # # 4 #""
Le2en+aK A+e*(a+o ^ # ] Ina+e*(a+o ^ "
C#n(&us'-n De a*(er+o a a o;ini-n +e )re1 e9;er)o1, e *(e1)ionario +i1e a+o
)iene (n #"" +e
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5@
ANE
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5=
INTRODUCCIN
En a a*)(a i+a+ a ;ob a*i-n +e a) e)a1 na+a+ore1 +e *o ; e o ;o i+e;or)i
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50
D(ran)e e1)e ;erio+o 1e ;ro+(*e a 6a)iga (1*( ar (ni+a a ago)a ien)o +e a1
re1er
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54
6(er'a, re1i1)en*ia 2 6 e9ibi i+a+, )a bi3n e ora a e1)abi i+a+, a *on*ien*ia 2 a
a*)i)(+ ;o1)(ra re* a an+o e (i ibrio, *oor+ina*i-n e in)egra*i-n en)re o1 1*( o1
e1;e*ia en)e a ni
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8"
+e;or)i
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8#
MISIN
Dar a *ono*er a1 ;o1ib e1 e1ione1 (1*( o e1 (e 3)i*a1 (e ;(e+en ;a+e*er o1
a) e)a1 na+a+ore1 2 *o o ;(e+en ;re
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8!
Re*(r1o1 H( ano1K Fi1io)era;e()a en*arga+o +e a in)er
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85
En a 1eg(n+a 6a1e 1e 1o i*i)o a o1 a) e)a1 a 6ir a +e *on1en)i ien)o in6or a+o a
o1 a) e)a1 (e 1e o6re*ieron +e anera
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88
(na e9; i*a*i-n +e igiene ;o1)(ra 1obre e ba -n 2 *o o ;o1i*ionar1e +e anera
*orre*)a 1obre e , 1e rea i'o )raba o +e e1)ira ien)o1 en a (1*( a)(ra +e o bro,
*a en)a ien)o ;re
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8:
e1)abi i+a+ ar)i*( ar, ;ro;io*e;*ion 2 e (i ibrio, a*)i
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8=
7 se II
D a #5]"!]!"#!
C#nsent'm'ent# 'n2#rm $# $e s t&et s
Entre% $e& (uest'#n r'# D'(#t-m'(# (err $#
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80
7 se III
D a #:]"!]!"#!
Entre% $e 2#&&et#s 'n2#rm t',#s
7 se IV
D a #@]"!]!"#!
E, &u ('-n 7's'#ter )0ut'(
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84
7 se V
D a1 !"]"!]!"#! Ha1)a !0]"5]!"#!
Est'r m'ent#s
Est'r m'ent#s %! &es ntes $e & )&'( ('-n $e s e"er('('#s
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:"
Est'r m'ent#s $e H#m!r#
C &ent m'ent#s
C &ent m'ent#s $e 1#m!r# ntes $e $ r 'n'('# s e"er('('#s (#n e& ! &-n
su'3#
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:#
A)&'( ('-n $e s e"er('('#s
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:!
7 se VI
D a !4]"!]!"#! / "8]"8]!"#!
Ree, &u ('-n 2's'#ter )0ut'(
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:5
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:8
Entre% $e& (uest'#n r'# =