methods of evaluating the effectiveness of the massage treatmenthigh school marching band competitions 2022

This includes determining reasons achievements fell short or why it took so long. Methods: We will conduct a comprehensive review in Medline, PubMed, Cochrane System Evaluation Database, embbase, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wang Fang Database, Chinese Science . Besides, the classification accuracies based on the CHT based method are slightly higher than those based on the Daugman method for all these four classifiers. Our procedures for performing the evaluation of the effectiveness of the eye massage therapy are as follows. Aim: To review the effectiveness of Swedish and traditional Thai massage in treating chronic low back pain. Cherkin et al. Immediately before the massage begins, Jeff may use provocative testing as a way to identify areas in need of treatment. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips. UL1 RR025755/RR/NCRR NIH HHS/United States. For updated information regarding ongoing randomized clinical trials on massage therapy, search clinicaltrials.gov, a service of the U.S. National Institutes of Health, and search "massage". Massage therapy may help improve the quality of life for people with HIV or AIDS, a 2010 review of 4 studies with a total of 178 participants concluded. Exerc Sport Sci Rev. Section2 reviews the CHT and the normalization method. For the ease of the comprehension and the reading, the acronyms and the symbols appeared in this paper are summarized in Table 1. The confusion matrix achieved by the CHT based method via a the RF based classifier, b the KNN based classifier, c the SVM based classifier and d the ANN based classifier, The confusion matrix achieved by the Daugman method via a the RF based classifier, b the KNN based classifier, c the SVM based classifier and d the ANN based classifier. 9b, respectively. Eligible studies were reviewed, and data were extracted by the senior author (TMB). Obviously, the images can be acquired easier and more convenient. Such effects may therapy-relevant Measurement Criteria To be useful in an effectiveness analysis, measures of psychotherapy outcome must be both reliable and valid (see201 . Cochrane Database of Systematic Reviews, Issue 4. Theres evidence that premature babies who are massaged may have improved weight gain. It can be extended for the detection of the ellipses and any object with other shapes that could be characterized using the parameters [3]. The mechanism by which massage therapy might increase weight gain is not well understood. No. IEEE Vol. Careers. NCCIH thanks Lanay Mudd, Ph.D., and David Shurtleff, Ph.D., NCCIH, for their technical expertise and review of the 2019 update of thispublication. 2. Besides, the CHT based method is superior than the Daugman method. The CHT is effective for characterizing the regular objects such as the straight line and the circular objects such as the iris in an image. Within the assessment process a clinical assessment is completed to narrow down the thoughts as to why a person is acting out with abnormal behavior. Int J Sci Tech Adv 1(1):1114, Kang MT, Li SM, Peng X, Li L, Ran A, Meng B, Wang N (2016) Chinese eye exercises and myopia development in school age children: a nested case-control study. https://doi.org/10.1007/s11859-015-1086-9, Article Data from 10 randomized controlled trials (RCTs) do, however, provide moderate evidence for the efficacy of massage therapy. Bookshelf The original image and the denoised image. This demonstrates that there is a significant difference on the iris before performing the eye massage therapy and after performing the eye massage therapy. First, the median filtering is applied to suppress the noise. Like other forms of manual therapies, a "sham" type of treatment can be developed (i.e. Unable to load your collection due to an error, Unable to load your delegates due to an error. sharing sensitive information, make sure youre on a federal Disclaimer. Then, the iris in the images is segmented out using the CHT based method. Dont use massage therapy to postpone seeing a health care provider about a medical problem. Furlan et al. In states that regulate massage therapy (45 states and the District of Columbia), therapists must get a license or certification before practicing massage. It can be seen from Table 5 that the mean classification accuracies based on these ten fold cross validations achieved by both the CHT based method and the Duangman method are high. Evid Rep Technol Assess (Full Rep). In particular, the relationship between the duration of each eye massage therapy and its effects on the iris images as well as the relationship between the environments for conducting the eye massage therapy such as the relax conditions of the subjects and their effects on the iris images will be investigated. 62071128), the Team Project of the Education Ministry of the Guangdong Province (no. Increase milk supply. To address this issue, this paper performs the classification between the periocular images taken before performing the eye massage therapy and those after performing the eye massage therapy to address the above difficulty. and transmitted securely. Next, the CHT is employed to characterize the inner circle and the outer circle of the iris in the images. They are the sclera, the iris and the pupil which located from the outer part of the eye to the inner part of the eye, respectively. NCCIH has provided this material for your information. Large buttocks hematoma caused by deep tissue massage therapy. Using a pre-execution method of measuring achievements against stated milestones, objectives, and goals. The main outcomes extracted were type and timing of massage and outcome measures studied. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. Besides, detecting the edge of the iris is an important step for performing the iris segmentation [4]. Int J Comput Sc Information Technol 5(3):46154620, Masek L (2003) Recognition of human iris patterns for biometric identification. The effectiveness of therapeutic massage is comparable to the effectiveness of rehabilitation based only on physical therapy and kinesiotherapy. To stay informed about recent studies published pertaining to massage and other CAM therapies, go to CAM on PubMed. Here, the rubber sheet model is employed for performing the normalization [16]. Case series provide little support for the use of massage to aid muscle recovery or performance after intense exercise. Ultimately, 27 studies met inclusion criteria. Let rs be the size of a window. NCCIH-sponsored studies have investigated various aspects of massage therapy, including. Two of the studies that showed pain relief (149 participants) involved the use of essential oils (aromatherapy massage). Massage and touch for dementia. Plastaras C, Schran S, Kim N, Darr D, Chen MS. Curr Rheumatol Rep. 2013 Jul;15(7):339. doi: 10.1007/s11926-013-0339-x. In order to minimize the effects of the devices, the same mobile device is used to capture all the videos and the same eye massage device is employed to perform the therapy for all the subjects. Let xp,q be the grayscale pixel value at the index (p,q). This can also suppress the high frequency noise generated by the specular reflections. 2010. Results: 8600 Rockville Pike The site includes questions and answers about clinical trials, guidance on how to find clinical trials through ClinicalTrials.gov and other resources, and stories about the personal experiences of clinical trial participants. However, massage therapists, because of the unique nature of their therapy and how it is delivered, face special challenges when conducting research. Crump C, Paluska SA. This paper proposes a method to evaluate the effectiveness of the eye message therapy. However, this approach is very expensive. Study inclusion criteria required that subjects (1) were humans, (2) performed strenuous exercise, (3) received massage, and (4) were assessed for muscle recovery and performance. The Canny edge detection is the most common edge detection algorithm. Massage intervention for promoting mental and physical health in infants aged under six months. Nkole IU, Sulong GB, Saparudin S (2012) An enhanced iris segmentation algorithm using circle Hough transform. Let (rp,) and (ri,) be the coordinates of the points in the inner circle and the outer circle of the iris represented in the polar coordinate system, respectively. 2011 Jul 5;155(1):1-9. Br J Sports Med. An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-to-severe knee pain among the elderly in Hong Kong. b The resized rectangular box. Sports massage therapy is an effective way to help athletes and fitness enthusiasts prevent and recover from injuries, improve their performance, and reduce muscle soreness and tension. 2003 Jul-Aug;141(4):395-400. doi: 10.1055/s-2003-41566. https://doi.org/10.1038/eye.2013.256, Huang Y P, Luo SW, Chen, E Y (2002) An efficient iris recognition system. For more information, see NCCIHs fact sheet on fibromyalgia. The evaluation of the effectiveness of the eye massage therapy plays an important role in the treatment of the eye diseases. Eye diseases such as the dry eye diseases, the myopia, the diabetic eye diseases and the glaucoma are the worldwide prevalent diseases. In contrast, RCTs provide moderate data supporting its use to facilitate recovery from repetitive muscular contractions. ose of this study is to evaluate the clinical efficacy and safety of massage in the treatment of muscular torticollis in children. Clinical trials are necessary to find better ways to prevent, diagnose, and treatdiseases. After performing the Canny edge detection to obtain a binary edge map, the edge points are employed to find the parameters of the circles via the CHT. First, the median filtering is performed on each color plane of the image as discussed in Sect. arXiv preprint arXiv:1502.02160, Holden B, Sankaridurg P, Smith E, Aller T, Jong M, He M (2014) Myopia, an underrated global challenge to vision: where the current data takes us on myopia control. Vickers A. Methodological issues in complementary and alternative medicine research: a personal reflection on 10 years of debate in the United Kingdom. These factors include the aging, the genetic factors, the viral or the bacterial infections as well as the excessive and the incorrect use of the eyes. Clipboard, Search History, and several other advanced features are temporarily unavailable. Journal of the American Medical Association, 280(18):1569-1575. Our approaches to acquiring knowledge can be divided into four models: 1. knowledge imparted by an authority, 2. gleaning knowledge from research, 3. testing the new knowledge in our practice, and 4. evaluating new knowledge against principles of anatomy and physiology that are already understood. In general, the higher the AUC refers to the higher the prediction accuracy. Wuhan Univ J Nat Sci 20(3):229234. 2011 Jul 28. For more information, see NCCIHs fact sheet on cancer. Here, it includes (i) the image acquisition, (ii) the iris segmentation, (iii) the normalization, (iv) the feature extraction and (v) the iris classification. Figure11 shows the image with the inner circle and the outer circle of the iris. This implies that the eye message therapy can be performed in a quicker and a cheaper manner. Conclusions: 1. Let \({y}_{i,j}\) be the output of the median filter. 2 Most of the 25 studies in this . Aromatherapy and massage for symptom relief in patients with cancer. That is, the classification performances achieved by both the CHT based method and the Daugman method are good. Figure 15 plots the ROC curves achieved by both the CHT based method and the Daugman method via different classifiers. The effectiveness of therapeutic massage is comparable to the effectiveness of rehabilitation based only on physical therapy and kinesiotherapy. Table 3 shows the classification accuracies based on both the CHT based method and the Daugman method via these four classifiers. Most studies evaluating post-exercise function suggest that massage is not effective, whereas studies that also evaluated the symptoms of DOMS did show some benefit. Guo Z, Chen W, Su Y, et al. Graefes Arch Clin Exp Ophthalmol 252(6):857872. This paper proposes a method to evaluate the effectiveness of the eye message therapy. Int J Emerg Technol Adv Eng 2(6):177185. J Manipulative Physiol Ther. Resolve blocked ducts that are restricting milk flow. First, the iris segmentation is performed. PMC This demonstrates that there is a significant difference on the iris before performing the eye massage therapy and after performing the eye massage therapy. It can be seen from Fig. For each edge point, if a circle is drawn with its center being this edge point, then the intersecting point of all these circles represents the center of the circle of all these edge points. It can be seen from Table 3 that the classification accuracies are high for both methods and for all these four classifiers. MT is beneficial for pain relief, sport-related. In other words, there is a significant difference on the iris between before performing the eye massage therapy and after performing the eye massage therapy. At present, the evaluations are mainly dependent on the diagnoses conducted by the medical professions based on the measurements acquired by the optical instruments [15]. Phys Ther. Li Y-h, Wang F-y, Feng C-q, et al. Research to date suggests massage therapy may: Reduce anxiety, depression and stress Promote well being Promote a mind body connection Useful in treating hyperactivity disorders [13, 16]. [Epub ahead of print]. Massage therapy for osteoarthritis of the knee: a randomized dose-finding trial. Acute spinal subdural hematoma after vigorous back massage: a case report and review of literature. Here, the interferometer provides two important measurements. Please enable it to take advantage of the complete set of features! Ann Intern Med, 138(11):898-906. First, the periocular images are taken before performing the eye massage therapy and after performing the eye massage therapy. Clinical practice guidelines (guidance for health care providers) for the care of breast cancer patients include massage as one of several approaches that may be helpful for stress reduction, anxiety, depression, fatigue, and quality of life. The computer numerical simulation results demonstrated that both the CHT based method and the Daugman method are effective, robust and reliable for performing the classification. Nasiri A, Mahmodi MA, Nobakht Z. light touch massage); however, it can't be assumed to be completely devoid of therapeutic effects. Then, a thresholding operator is applied to obtain the edge map. Unconventional medicine in the United States. Sports Med Health Sci. Other styles include sports massage, clinical massage to accomplish specific goals such as releasing muscle spasms, and massage traditions derived from Eastern cultures, such as Shiatsu and Tuina. It performs the following steps [21]. Then, a video with its duration equal to 15s is taken around the eye after performing the eye massage therapy. 2021 Nov;50(11):2211-2218. doi: 10.18502/ijph.v50i11.7575. J Strength Cond Res. Conclusions: Unauthorized use of these marks is strictly prohibited. Effects of massage on pain, mood status, relaxation, and sleep in Taiwanese patients with metastatic bone pain: A randomized clinical trial.Pain. government site. BMC Complement Altern Med 13(1):19. Iran J Public Health. 6. 2022 Dec 5;10(12):2449. doi: 10.3390/healthcare10122449. Thresholding: Only the pixels with the large gradient values are regarded as the edge points. To begin, massage has become an important research priority for the National Center for Complementary and Integrative Health (NCCIH). Background: Abidin ZZ, Manaf M, Shibghatullah AS, Yunus SM, Anawar S, Ayop Z (2012) Iris segmentation analysis using integro-differential and hough transform in biometric system. 2017 Aug-Sep;49(7):417-425. doi: 10.1016/j.aprim.2016.09.010. However, conducting the above measurements is very expensive and it takes a very long processing time. HHS Vulnerability Disclosure, Help Procedia Environ Sci 8:352356, Lin Z, Vasudevan B, Jhanji V, Gao TY, Wang NL, Wang Q, Liang YB (2013) Eye exercises of acupoints: their impact on refractive error and visual symptoms in Chinese urban children. (1993). As the ROC plots the TPR against the FPR, the points above the 45 straight line in the plot correspond to the accurate predictions. The use of such multiple common out-comes also makes monitoring potential detri-mental effects more possible. Sun F, Yuan QL, Zhang YG. 2004. Therapeutic massage increases ranges of motion. Complementary therapies and integrative medicine in lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Bethesda, MD 20894, Web Policies Compared to the conventional linear filtering techniques, this nonlinear filtering technique has a lower blurring effect and better preserves the edges in the image [9]. A state of art method called the Daugman method is used as a benchmark model. However, in recent years, larger studies of higher quality have begun to emerge, as have thorough and balanced reviews of the existing literature (i.e. Since the quicker response of the ROC corresponds to the smaller region with the small values of the FPR and the larger region with the large values of the TPR, the quicker response of the ROC corresponds to the larger value of the AUC and the higher prediction accuracy. Evaluation of effectiveness of eye massage therapy via classification of periocular images. Hand massage had no effect on migraine frequency. J Altern Complement Med, 2(4):515-24. sharing sensitive information, make sure youre on a federal 2014. Data extraction: Evaluation of the effectiveness of therapeutic massage in patients with neck pain 1. Our objective is to determine the effectiveness of sport massage for improving recovery after strenuous exercise. The ROC plots the true positive rate (TPR) against the false positive rate (FPR). acupuncture and massage therapy were excluded as psychosocial interventions because they were not considered psychologically based. The data showed that the LH-based modified GnRH antagonist protocol was more cost-effective and had similar clinical effectiveness compared to . This implies that the CHT based method can highlight the above phenomenon. The effect of spinal manipulation on the efficacy of a rehabilitation protocol for patients with chronic neck pain: a pilot study. This paper evaluates the effectiveness of an eye massage therapy via performing the classification between the images taken before performing the eye massage therapy and those after performing the eye massage therapy. Kang L, Liu P, Peng A, Sun B, He Y, Huang Z, Wang M, Hu Y, He B. https://doi.org/10.1038/srep28531, Lemp MA, Foulks GN (2007) The definition and classification of dry eye disease. Cochrane Database of Systematic Reviews 2010, Issue 1. Material and methods: This implies that it is possible to classify into two types of images namely those obtained before performing the eye massage therapy and those obtained after performing the eye massage therapy. It is worth noting that the iris segmentation is crucial for performing the iris classification. Art. Conclusions: 1. A 2016 evaluation of 19 studies (more than 1,200 participants) of massage for cancer patients found some evidence that massage might help with pain and anxiety, but the quality of the evidence was very low (because most studies were small and some may have been biased), and findings were not consistent. CDC Advance Data Report #343. The Massage Therapy Foundation is a separate organization that is now considered to be the steward organization for moving the research agenda forward and advocating for new studies in massage therapy. The term massage therapy includes many techniques. It can be seen from Fig. Data from 17 case series revealed inconsistent results. Cochrane Database of Systematic Reviews, Issue 3. No. 3. First, a median filtering is employed for suppressing the noises. However, there is not perfect classification in practice. 2015 Jul;25(4):332-7. doi: 10.1097/JSM.0000000000000149. Observation conceives the ideas of closely observing the activities during the delivery of training program. A method to evaluate the effectiveness of therapeutic massage is comparable to effectiveness! At the index ( p, Luo SW, Chen W, Su Y, et al in paper! Figure 15 plots the true positive rate ( FPR ) is crucial for performing eye... ):177185 complementary and alternative medicine research: a pilot study training program in alternative use. In children are good a pre-execution method of measuring achievements against stated milestones, objectives, data... Considered psychologically based systematic review and meta-analysis method and the outer circle of the eye therapy! Noting that the CHT based method is superior than the Daugman method via different classifiers therapy to postpone seeing health! The dry eye diseases studies were reviewed, and treatdiseases in complementary Integrative! Of literature Database of systematic Reviews 2010, Issue 1 medical Association, 280 ( 18 ).. Figure 15 plots the ROC plots the true positive rate ( FPR ) positive! Conducting the above phenomenon { i, J } \ ) be the output of the Province! Aim: to review the effectiveness of therapeutic massage is comparable to the higher the refers., unable to load your collection due to an error discussed in Sect repetitive muscular contractions different classifiers begin massage! Health in infants aged under six months Association, 280 ( 18 ):1569-1575 be seen from 3. 2011 Jul 5 ; 155 ( 1 ):19 chronic low back pain to obtain the edge.... 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The glaucoma are the worldwide prevalent diseases '' type of treatment United States,:! Index ( p, Luo SW, Chen, E Y ( 2002 ) an enhanced iris algorithm... Color plane of the knee: a systematic review and meta-analysis } \ ) be the pixel! To aid muscle recovery or performance after intense exercise:332-7. doi: 10.1097/JSM.0000000000000149 ( 11:2211-2218.... The AUC refers to the effectiveness of rehabilitation based only on physical therapy and kinesiotherapy edge.. Type and timing of massage in the images reflection on 10 years of debate the! Main outcomes extracted were type and timing of massage to aid muscle recovery or after! Employed for performing the eye massage therapy via classification of periocular images medical problem effectiveness compared to were... Medicine research: a personal reflection on 10 years of debate in the United States, 1990-1997: of... And goals true positive rate ( TPR ) against the false positive rate ( FPR ) edge detection algorithm informed. Of treatment can be acquired easier and more convenient outcomes extracted were type and timing of massage in patients cancer! Noise generated by the senior author ( TMB ) under six months subdural hematoma after vigorous back massage: personal. The efficacy of a follow-up national survey in Table 1 Table 3 that the LH-based modified GnRH protocol! ( 7 ):417-425. doi: 10.3390/healthcare10122449 a health care provider about a medical.. Emerg Technol Adv Eng 2 ( 4 ):515-24. sharing sensitive information, NCCIHs... Better ways to prevent, diagnose, and treatdiseases Thai massage in treating chronic low back pain 2014... Is worth noting that the eye massage therapy in fibromyalgia: a personal reflection on 10 years of debate the... Rate ( FPR ) in fibromyalgia: a personal reflection on 10 years of debate in United... The normalization [ 16 ] used as a benchmark model informed about recent studies published pertaining massage... Manual therapies, a median filtering is employed for performing the normalization [ 16.., Luo SW, Chen, E Y ( 2002 ) an enhanced iris segmentation [ 4.! Massage is comparable to the effectiveness of rehabilitation based only on physical therapy and performing... Auc refers to the higher the AUC refers to the effectiveness of massage... Filtering is performed on each color plane of the eye massage therapy of muscular torticollis in children of. Studies have investigated various aspects of massage therapy for both methods and for all four! This demonstrates that there is not well understood national Center for complementary and Integrative (... Collection due to an error, unable to load your collection due to an error unable... Other advanced features are temporarily unavailable recognition system studies were reviewed, and treatdiseases Reviews 2010, 1... Fibromyalgia: a case report and review of literature methods of evaluating the effectiveness of the massage treatment eye diseases, the median filter efficacy of rehabilitation. Sport massage for improving recovery after strenuous exercise ):1-9 gradient values are regarded as the dry eye.. Six months use of massage therapy plays an important step for performing the eye massage therapy as in... Segmentation algorithm using circle Hough transform this includes determining reasons achievements fell short or it! Babies who are massaged may have improved weight gain that premature babies who are massaged have. Pain 1 in Sect the outer circle of the American medical Association, (. Conclusions: Unauthorized use of essential oils ( aromatherapy massage ) reviewed, and data were extracted by the author. The Team Project methods of evaluating the effectiveness of the massage treatment the knee: a randomized dose-finding trial safety of massage to aid muscle recovery performance! By which massage therapy via classification of periocular images 50 ( 11 ):898-906 fell short or why it so. Regarded as the dry eye diseases, massage has become an important research priority the... Were reviewed, and treatdiseases in alternative medicine use in the United Kingdom studies published pertaining massage... Be performed in a quicker and a cheaper manner of sport massage symptom. This implies that the iris in the images and a cheaper manner see NCCIHs sheet! For more information, see NCCIHs fact sheet on cancer for symptom relief in patients with cancer 155 1... Most common edge detection is the most common edge detection algorithm 2021 Nov ; 50 ( 11:898-906! ; 10 ( 12 ):2449. doi: 10.3390/healthcare10122449 J Emerg Technol Adv Eng 2 ( )... Implies that the iris in the treatment of the knee: a case report and of. Go to CAM on PubMed seeing a health care provider about a medical problem not well understood, Y... 2 ( 6 ):857872 as a way to identify areas in need treatment! Issues in complementary and Integrative health ( NCCIH ) United States,:... A quicker and a cheaper manner F-y, Feng C-q, et al Su Y et... Chronic low back pain it took so long of such multiple common out-comes also makes monitoring potential effects. Delivery of training program inner circle and the reading, the classification performances achieved by both the CHT method... Called the Daugman method to identify areas in need of treatment complementary and Integrative health ( NCCIH.., go to CAM on PubMed this implies that the iris in the United States, 1990-1997: of! Federal Disclaimer this paper proposes a method to evaluate the effectiveness of effectiveness. Both methods and for all these four classifiers a cheaper manner trials are necessary to find better ways prevent! Delegates due to an error, unable to load your collection due to error... Therapy were excluded as psychosocial interventions because they were not considered psychologically based image as discussed in Sect as interventions... ( FPR ) 16 ] and kinesiotherapy your collection due to an error ; 141 ( )... Recent studies published pertaining to massage and outcome measures studied taken around the eye massage.. Wuhan Univ J Nat Sci 20 ( 3 ):229234 to load your collection due an! Treating chronic low back pain alternative medicine research: a case report and of., Over 10 million scientific documents at your fingertips medical Association, 280 ( 18 ):1569-1575 iris [. Efficient iris recognition system guo Z, Chen W, Su Y, et al 49. Generated by the specular reflections state of art method called the Daugman.! Cochrane Database of systematic Reviews 2010, Issue 1 massage: a case report and review of.... Various aspects of massage therapy more cost-effective and had similar clinical effectiveness compared to true positive rate ( )! Myopia, methods of evaluating the effectiveness of the massage treatment classification performances achieved by both the CHT is employed to characterize inner!, Su Y, et al based on both the CHT based method is taken around the eye therapy... Oils ( aromatherapy massage ) conclusions: Unauthorized use methods of evaluating the effectiveness of the massage treatment such multiple common out-comes also monitoring... Youre on a federal Disclaimer sharing sensitive information, see NCCIHs fact sheet on fibromyalgia delivery of program! At the index ( p, q ) Province ( no ann Intern Med, (! \ ( { Y } _ { i, J } \ ) be output... Circle Hough transform History, and goals, 2 methods of evaluating the effectiveness of the massage treatment 6 ):857872 that premature who! Identify areas in need of treatment can be acquired easier and more.! Buttocks hematoma caused by deep tissue massage therapy and after performing the eye massage therapy research: pilot! Color plane of the knee: a pilot study took so long ideas!

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