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Sep
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to
a
lo
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f
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n
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ab
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[
1
]
.
T
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b
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n
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ly
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[
2
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.
T
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"su
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[
5
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As
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Evaluation Warning : The document was created with Spire.PDF for Python.
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I
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b
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Hea
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Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
1
2
6
7
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p
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C
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[
7
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.
T
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Sev
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m
,
i
n
ju
r
ies,
an
d
ad
d
itio
n
al
w
o
r
k
f
o
r
th
e
h
ea
lth
ca
r
e
s
y
s
tem
.
So
m
e
o
f
th
e
ef
f
e
cts
in
clu
d
e
lim
ited
m
o
v
em
en
t.
T
h
e
o
cc
u
r
r
e
n
ce
o
f
p
r
ess
u
r
e
s
o
r
es
an
d
ev
en
t
u
al
d
ea
th
[
9
]
.
Mo
s
t
s
tu
d
ies
s
h
o
w
t
h
at
im
p
r
o
v
in
g
th
e
p
h
y
s
ical
h
e
alth
o
f
th
e
eld
er
ly
is
im
p
o
r
tan
t.
Peo
p
le'
s
o
v
er
all
h
e
alth
an
d
well
-
b
ein
g
a
r
e
g
r
ea
tly
im
p
r
o
v
e
d
th
r
o
u
g
h
e
x
er
cise
[
1
0
]
.
T
o
s
u
cc
ess
f
u
lly
r
ed
u
ce
th
e
r
is
k
o
f
f
alls
.
I
t
is
im
p
o
r
tan
t
to
f
o
c
u
s
o
n
im
p
r
o
v
in
g
s
elf
-
ca
r
e
an
d
b
alan
ce
s
k
il
ls
in
o
ld
er
ad
u
lts
.
Ho
wev
er
,
ex
e
r
cise
tr
ain
in
g
wa
s
ab
le
to
lo
wer
p
a
r
ticip
an
ts
'
b
lo
o
d
p
r
ess
u
r
e.
T
h
is
m
ea
n
s
p
u
s
h
in
g
f
o
r
p
o
licies
th
at
p
r
o
m
o
te
h
ea
lth
y
ag
in
g
,
s
u
ch
a
s
m
ak
in
g
e
x
er
cise
a
s
u
s
tain
ab
l
e
h
ab
it
to
k
ee
p
y
o
u
h
ea
lth
y
as
y
o
u
ag
e
as
well
as
p
r
o
m
o
tin
g
m
o
r
e
ex
er
cise [
1
1
]
.
E
ld
er
ly
p
eo
p
le
liv
in
g
in
t
h
e
c
o
m
m
u
n
ity
s
h
o
u
ld
b
e
p
r
ep
a
r
ed
to
ex
er
cise
s
o
as
n
o
t
to
d
eter
i
o
r
ate
th
eir
p
h
y
s
ical
co
n
d
itio
n
.
E
x
er
cise
t
r
ain
in
g
s
h
o
u
l
d
b
e
d
o
n
e
f
o
r
th
i
r
ty
m
in
u
tes.
T
h
r
ee
t
o
f
iv
e
d
a
y
s
a
wee
k
f
o
r
th
r
ee
m
o
n
th
s
.
T
o
r
ed
u
ce
th
e
r
is
k
o
f
f
allin
g
.
T
h
e
o
b
j
ec
tiv
e
o
f
t
h
is
s
tu
d
y
was
to
ex
am
i
n
e
th
e
ef
f
e
cts
o
f
T
h
ai
E
-
s
ar
n
d
an
ce
o
n
b
alan
ce
an
d
m
u
s
cle
s
tr
en
g
th
in
el
d
er
ly
wo
m
en
at
r
is
k
o
f
f
allin
g
.
T
h
e
h
ea
lth
o
f
s
en
io
r
s
d
ete
r
m
in
es
th
eir
ca
r
d
io
v
ascu
lar
en
d
u
r
a
n
c
e,
b
alan
ce
,
an
d
m
u
s
cle
s
tr
en
g
th
.
Sev
er
al
s
tu
d
ies
h
a
v
e
s
h
o
w
n
th
at
r
e
g
u
lar
y
o
g
a
ex
er
cises
s
ig
n
if
ican
tly
r
ed
u
ce
th
e
r
is
k
o
f
f
alls
in
eld
er
ly
wo
m
en
[
1
2
]
.
Stu
d
ies h
av
e
s
h
o
wn
th
at
r
eg
u
la
r
p
r
ac
tice
o
f
T
ai
C
h
i
im
p
r
o
v
es
b
alan
ce
in
th
e
eld
er
ly
[
1
3
]
.
Mo
r
e
o
v
er
,
th
ese
s
tu
d
ies
s
h
o
w
th
at
r
esis
tan
ce
tr
ain
in
g
h
elp
s
s
tr
en
g
th
en
th
e
leg
s
o
f
o
ld
er
ad
u
lts
an
d
im
p
r
o
v
e
b
alan
ce
[
1
4
]
,
b
u
t
ea
ch
ty
p
e
o
f
ex
er
cise
ab
o
v
e
r
eq
u
ir
es
d
if
f
er
en
t
tr
ain
in
g
m
eth
o
d
s
.
T
h
is
in
clu
d
es
co
m
p
lex
b
o
d
y
m
o
v
em
e
n
ts
th
at
ca
n
b
e
d
if
f
icu
lt
f
o
r
o
l
d
er
ad
u
lts
to
r
em
em
b
er
an
d
co
r
r
ec
t.
T
h
is
s
h
o
ws
th
at
eld
er
ly
p
eo
p
le
ar
e
es
p
ec
ially
at
r
is
k
f
o
r
f
allin
g
,
ce
r
tain
d
em
o
g
r
ap
h
ic
g
r
o
u
p
s
,
an
d
th
is
is
esp
ec
ially
tr
u
e
f
o
r
t
h
o
s
e
wh
o
ar
e
m
is
s
in
g
a
lo
t
o
f
ac
tio
n
.
W
h
o
b
elo
n
g
s
to
a
p
ar
ticu
lar
g
r
o
u
p
?
T
h
is
wo
r
k
o
u
t
p
lan
f
o
c
u
s
es
o
n
s
im
p
le
m
o
v
e
m
en
ts
ea
s
ily
r
em
em
b
er
ed
.
T
h
e
p
lan
co
n
s
is
ts
o
f
8
ex
er
cises
,
d
o
n
e
4
tim
es
ev
e
r
y
1
0
m
in
u
tes,
aim
ed
at
im
p
r
o
v
in
g
b
alan
ce
an
d
lo
wer
ex
tr
em
ity
s
tr
en
g
th
i
n
o
l
d
er
a
d
u
lts
.
So
as
n
o
t
to
f
all,
a
n
d
m
o
r
e
th
an
th
at.
R
eg
u
lar
e
x
er
cise
will
m
ak
e
th
e
eld
er
l
y
walk
.
T
h
e
p
h
y
s
ical
m
o
v
em
en
t
is
ea
s
y
en
o
u
g
h
.
An
d
th
e
o
v
er
all
p
er
f
o
r
m
an
ce
is
b
etter
[
1
5
]
.
2.
M
E
T
H
O
D
2
.
1
.
Study
des
ig
n
T
h
is
s
tu
d
y
aim
ed
to
in
v
esti
g
ate
th
e
im
p
ac
t
o
f
T
h
ai
E
-
s
ar
n
d
a
n
ce
o
n
th
e
f
all
r
is
k
am
o
n
g
s
en
i
o
r
wo
m
en
in
th
e
v
icin
ity
o
f
Kh
o
k
Si
Hea
lth
Pro
m
o
tin
g
Ho
s
p
ital.
T
h
e
s
t
u
d
y
em
p
lo
y
e
d
a
q
u
asi
-
ex
p
er
i
m
en
tal
d
esig
n
.
T
h
e
o
b
jectiv
e
was
to
in
v
esti
g
ate
th
e
im
p
ac
t
o
f
t
h
e
in
ter
v
e
n
tio
n
.
T
h
e
s
tu
d
y
was
co
n
d
u
cted
in
th
e
Mu
ea
n
g
Dis
tr
ict
o
f
Kh
o
n
Kae
n
Pr
o
v
in
ce
,
T
h
ailan
d
.
W
e
s
ch
ed
u
led
th
e
s
tu
d
y
to
co
m
m
en
ce
o
n
Sep
tem
b
e
r
1
,
2
0
2
3
.
T
h
e
s
ch
ed
u
led
co
n
clu
s
io
n
d
ate
was
Dec
em
b
e
r
3
0
,
2
0
2
3
.
T
h
e
m
eth
o
d
o
l
o
g
y
e
n
co
m
p
ass
ed
two
s
ets
o
f
p
ar
ticip
an
ts
.
E
v
er
y
g
r
o
u
p
p
ar
ticip
ated
in
b
o
th
p
r
e
-
test
an
d
p
o
s
t
-
test
d
esig
n
.
2
.
2
.
Resea
rc
h su
bje
ct
s
T
h
e
s
tu
d
y
d
eter
m
i
n
ed
th
e
s
am
p
le
s
ize
r
eq
u
ir
ed
f
o
r
ev
alu
atin
g
m
ea
n
d
if
f
er
en
ce
s
[
1
6
]
.
T
h
e
v
alu
es
wer
e
f
ix
ed
at
β
=
0
.
2
0
a
n
d
α
=
0
.
0
5
.
T
h
e
tr
ea
tm
en
t
g
r
o
u
p
'
s
m
ea
n
was
8
.
0
4
with
a
s
tan
d
ar
d
d
e
v
i
atio
n
(
SD.)
o
f
1
.
1
4
,
wh
er
ea
s
th
e
co
n
tr
o
l
g
r
o
u
p
'
s
m
ea
n
was
9
.
5
5
with
an
SD
o
f
2
.
9
4
,
ac
co
r
d
in
g
to
p
r
e
v
io
u
s
s
tu
d
ies
[
1
7
]
.
Af
ter
tak
in
g
th
ese
th
in
g
s
in
to
ac
co
u
n
t
,
we
d
ec
id
ed
th
at
ea
ch
g
r
o
u
p
wo
u
l
d
n
ee
d
3
5
in
d
iv
i
d
u
als.
W
e
ca
r
ef
u
lly
s
elec
ted
th
r
ee
co
m
m
u
n
ities
th
at
p
o
s
s
ess
ed
co
m
p
ar
ab
le
d
em
o
g
r
ap
h
ic
an
d
g
eo
g
r
a
p
h
ic
tr
aits
,
p
a
r
ticu
la
r
ly
in
r
elatio
n
to
th
eir
s
en
io
r
p
o
p
u
latio
n
s
,
to
m
in
im
i
ze
co
n
f
o
u
n
d
i
n
g
f
ac
to
r
s
.
em
p
l
o
y
in
g
a
m
eth
o
d
o
f
r
a
n
d
o
m
s
elec
tio
n
.
On
e
h
am
let
s
er
v
ed
as
th
e
co
n
tr
o
l
g
r
o
u
p
,
an
d
an
o
t
h
er
as
th
e
ex
p
er
im
en
tal
g
r
o
u
p
.
W
e
em
p
lo
y
e
d
th
e
m
eth
o
d
o
f
r
an
d
o
m
s
am
p
lin
g
to
ar
r
iv
e
at
th
is
co
n
clu
s
io
n
.
T
h
e
s
tu
d
y
ap
p
lies
th
e
f
o
llo
win
g
s
tan
d
ar
d
s
to
d
eter
m
in
e
in
clu
s
io
n
an
d
ex
clu
s
io
n
.
a.
I
n
clu
s
io
n
c
r
iter
ia
:
-
Old
er
ad
u
lts
r
esid
in
g
in
th
e
s
tu
d
y
ar
ea
f
o
r
m
o
r
e
th
an
o
n
e
y
e
ar
.
-
Old
er
ad
u
lts
at
r
is
k
o
f
f
allin
g
a
r
e
id
en
tifie
d
b
ased
o
n
t
h
e
tim
e
d
u
p
a
n
d
g
o
test
s
co
r
e
≥
1
2
s
ec
o
n
d
s
.
b
.
E
x
clu
s
io
n
c
r
iter
ia:
-
Old
er
ad
u
lts
wh
o
h
a
v
e
s
u
s
tain
ed
f
r
ac
tu
r
es
o
r
o
th
e
r
in
ju
r
ies
with
in
th
e
p
ast y
ea
r
.
-
Old
er
ad
u
lts
with
s
ig
n
if
ican
t
b
alan
ce
is
s
u
es
m
ay
e
n
co
u
n
ter
d
i
f
f
icu
lties
in
s
af
ely
p
ar
ticip
atin
g
in
th
e
ex
er
cise
p
r
o
g
r
a
m
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
Th
a
i E
-
s
a
r
n
d
a
n
ce
o
n
b
a
la
n
ce
a
n
d
mu
s
cle
s
tr
en
g
th
in
el
d
erly wo
men
…
(
Wa
r
a
n
g
ka
n
a
C
h
o
mp
o
o
p
a
n
)
1269
2
.
3
.
I
nte
rv
ent
io
n
Aim
o
f
th
is
s
tu
d
y
was
to
i
n
v
esti
g
ate
im
p
ac
t
o
f
T
h
ai
E
-
s
ar
n
d
an
ce
ex
er
cise
o
n
b
alan
ce
an
d
m
u
s
cle
s
tr
en
g
th
in
eld
er
ly
w
o
m
en
wit
h
f
alls
r
is
k
.
T
h
r
ee
-
m
o
n
th
p
r
o
g
r
am
estab
lis
h
ed
b
y
th
e
Min
is
tr
y
o
f
Pu
b
lic
Hea
lth
.
T
h
e
p
r
o
g
r
am
ap
p
lies
b
etwe
en
T
h
ai
E
-
s
ar
n
d
an
ce
an
d
s
tan
d
ar
d
ex
er
cise.
T
r
ad
itio
n
al
s
o
n
g
7
0
b
ea
t
was
u
s
e
in
ex
er
cise
p
r
o
g
r
am
.
T
h
e
s
u
b
jec
ts
wer
e
s
ch
ed
u
led
to
m
ee
t
at
th
e
v
illag
e
h
all.
On
ce
e
v
er
y
o
n
e
was
p
r
esen
t,
th
e
ex
er
cise
lead
er
led
th
e
eld
e
r
ly
in
ex
er
cises
.
Par
ticip
an
ts
in
ex
er
cise
p
r
o
g
r
am
e
n
g
ag
e
d
in
4
0
-
mi
n
u
te
ex
er
cise
s
ess
io
n
s
,
tak
in
g
p
lace
f
iv
e
d
a
y
s
a
wee
k
,
f
r
o
m
5
:0
0
PM
to
6
:0
0
PM.
T
h
e
p
r
o
g
r
a
m
is
p
r
o
v
id
e
d
in
th
e
f
o
llo
win
g
:
T
h
e
p
ar
ticip
an
ts
in
ex
p
er
im
en
tal
g
r
o
u
p
r
ec
ei
v
ed
1
0
-
m
in
u
te
war
m
-
u
p
ex
e
r
cise
p
r
io
r
to
co
m
m
en
cin
g
th
eir
tr
ain
in
g
s
ch
ed
u
le.
T
h
e
p
r
o
v
id
ed
r
o
u
tin
e
co
m
p
r
is
es
to
tal
o
f
ei
g
h
t
-
s
tep
e
x
er
cises
,
wh
er
e
in
ea
ch
e
x
er
cise
is
ex
ec
u
ted
in
ei
g
h
t step
s
.
R
esu
ltin
g
in
to
tal
d
u
r
at
io
n
o
f
1
0
m
in
u
tes.
a.
Sq
u
at
an
d
ar
m
s
win
g
s
:
Alig
n
f
ee
t
e
q
u
id
is
tan
tly
with
th
e
b
r
ea
d
th
o
f
y
o
u
r
s
h
o
u
ld
er
s
,
ass
u
m
e
a
c
r
o
u
c
h
in
g
p
o
s
itio
n
,
a
n
d
s
tr
etch
ar
m
s
f
o
r
war
d
.
W
h
ile
m
ai
n
tain
in
g
an
u
p
r
ig
h
t
p
o
s
itio
n
,
p
e
r
f
o
r
m
u
p
war
d
an
d
later
al
r
o
tatio
n
s
o
f
y
o
u
r
ar
m
s
.
E
x
ec
u
t
e
8
iter
atio
n
s
; a
lter
n
ate
b
etwe
e
n
s
id
es.
b.
Ar
m
r
aises
an
d
leg
r
aises
: I
n
s
u
p
in
e
p
o
s
itio
n
,
th
e
f
ee
t sh
o
u
l
d
b
e
p
o
s
itio
n
ed
s
h
o
u
ld
er
-
wid
t
h
ap
ar
t,
wh
ile
th
e
ar
m
s
s
h
o
u
ld
b
e
h
eld
at
th
e
s
id
e
s
.
R
aise
o
n
e
ar
m
in
v
er
tical
p
o
s
itio
n
wh
ile
s
im
u
ltan
eo
u
s
ly
el
ev
atin
g
th
e
o
th
er
leg
with
a
f
lex
ed
k
n
ee
.
Ma
in
t
ain
th
is
p
o
s
itio
n
m
o
m
e
n
tar
ily
b
ef
o
r
e
r
ev
er
tin
g
b
ac
k
to
th
e
in
itial
p
o
s
itio
n
.
Per
f
o
r
m
a
to
tal
o
f
eig
h
t r
ep
etit
io
n
s
b
y
alter
n
atin
g
s
id
es.
c.
T
o
r
s
o
twis
t
lu
n
g
es
:
Star
t
with
o
n
e
leg
e
x
ten
d
e
d
o
u
t
b
eh
in
d
y
o
u
an
d
lo
wer
i
n
to
a
lu
n
g
e
w
h
ile
twis
tin
g
y
o
u
r
u
p
p
er
b
o
d
y
to
m
atc
h
th
e
d
ir
ec
tio
n
th
at
le
g
is
p
o
in
tin
g
.
Stan
d
u
p
an
d
r
ep
ea
t
with
th
e
o
p
p
o
s
i
te
leg
ex
te
n
d
ed
.
Do
8
r
ep
s
to
tal,
alter
n
atin
g
leg
s
ea
ch
tim
e.
d.
Hig
h
k
n
ee
s
:
Stan
d
with
y
o
u
r
f
ee
t
s
h
o
u
ld
er
-
wid
th
a
p
ar
t
an
d
r
u
n
-
in
p
lace
,
b
r
in
g
in
g
y
o
u
r
k
n
ee
s
u
p
to
war
d
s
y
o
u
r
c
h
est.
C
o
n
tin
u
e
f
o
r
3
0
s
ec
o
n
d
s
.
e.
Ar
m
cir
cles
an
d
h
ip
ci
r
cles
:
Alig
n
o
n
eself
b
y
p
lacin
g
th
e
f
ee
t
at
a
d
is
tan
ce
eq
u
i
v
alen
t
to
th
e
b
r
ea
d
th
o
f
o
n
e'
s
s
h
o
u
ld
er
s
an
d
e
x
ten
d
in
g
th
e
ar
m
s
later
ally
.
Ma
k
e
litt
le
cir
cu
lar
m
o
v
e
m
en
ts
u
s
in
g
b
o
th
ar
m
s
,
an
d
th
e
n
alter
n
ate
b
etwe
en
th
e
m
.
Fo
llo
win
g
th
at,
p
lace
y
o
u
r
h
an
d
s
o
n
y
o
u
r
h
ip
s
an
d
co
n
s
tr
u
ct
s
m
all
p
atter
n
s
u
s
in
g
y
o
u
r
h
ip
s
.
E
x
ec
u
te
a
s
eq
u
en
ce
o
f
alter
n
atin
g
ar
m
a
n
d
h
i
p
cir
cles f
o
r
a
p
er
i
o
d
o
f
3
0
s
ec
o
n
d
s
p
er
cy
cle.
f.
Ar
m
s
win
g
s
an
d
to
e
tap
s
:
Po
s
itio
n
y
o
u
r
s
elf
with
y
o
u
r
f
ee
t
p
o
s
itio
n
ed
at
th
e
wid
th
o
f
y
o
u
r
s
h
o
u
ld
er
s
an
d
r
o
tate
y
o
u
r
ar
m
s
in
a
b
ac
k
war
d
d
ir
ec
tio
n
,
th
en
r
o
tate
t
h
em
f
o
r
war
d
wh
ile
ta
p
p
in
g
y
o
u
r
t
o
e
s
o
n
th
e
g
r
o
u
n
d
.
Per
f
o
r
m
th
e
task
ei
g
h
t tim
es.
g.
J
u
m
p
in
g
jack
s
an
d
ar
m
s
win
g
s
:
Stan
d
with
f
ee
t
clo
s
e
to
g
eth
er
an
d
ar
m
s
ap
ar
t.
Sp
r
ea
d
y
o
u
r
f
ee
to
th
e
wid
th
o
f
y
o
u
r
s
h
o
u
ld
er
s
wh
ile
liftin
g
y
o
u
r
ar
m
s
a
b
o
v
e
y
o
u
r
h
ea
d
.
T
h
en
b
r
i
n
g
y
o
u
r
f
ee
t
to
g
eth
er
an
d
ar
m
s
t
o
th
e
s
id
e.
Do
th
is
ac
tio
n
eig
h
t tim
e
s
.
h.
Kn
ee
r
aises
with
ar
m
clap
s
:
St
an
d
in
g
with
f
ee
t
ab
o
u
t
s
h
o
u
l
d
er
-
wid
th
ap
ar
t
an
d
ar
m
s
f
u
lly
ex
ten
d
ed
o
u
t
to
th
e
s
id
e,
r
aise o
n
e
k
n
ee
u
p
to
war
d
s
th
e
ch
est an
d
clap
th
e
h
an
d
s
ab
o
v
e
th
e
h
ea
d
.
R
ep
ea
t w
ith
th
e
o
th
er
leg
.
C
o
n
tin
u
e
th
e
m
o
tio
n
b
ac
k
an
d
f
o
r
th
f
o
r
3
0
s
ec
o
n
d
s
.
-
Fo
llo
w
s
tep
ii o
n
ce
f
o
r
a
d
u
r
at
io
n
o
f
1
0
m
i
n
u
tes.
-
T
ak
e
a
5
-
m
in
u
te
b
r
ea
k
.
-
Fo
llo
w
s
tep
ii twice
f
o
r
a
d
u
r
a
tio
n
o
f
2
0
m
in
u
tes.
-
Fo
llo
win
g
th
e
ex
er
cise sess
io
n
,
p
ar
ticip
an
ts
wer
e
p
r
o
v
id
e
d
w
ith
a
ten
-
m
in
u
te
co
o
l
-
d
o
wn
p
e
r
io
d
.
T
h
e
co
n
tr
o
l
g
r
o
u
p
r
em
ain
e
d
i
n
th
eir
u
s
u
al
h
ab
its
,
th
e
r
eb
y
e
s
tab
lis
h
in
g
a
s
tan
d
ar
d
a
g
ain
s
t
wh
ich
th
e
o
th
er
g
r
o
u
p
s
co
u
l
d
b
e
ass
ess
e
d
.
T
h
e
p
ar
ticip
a
n
ts
wer
e
d
elib
er
ately
d
ep
r
iv
ed
o
f
ac
ce
s
s
to
i
n
f
o
r
m
atio
n
an
d
wer
e
n
o
t
in
clu
d
ed
i
n
an
y
d
elib
e
r
atio
n
s
r
elate
d
to
th
e
e
x
p
er
im
e
n
tal
wo
r
k
o
u
t
r
o
u
tin
e.
Ad
d
itio
n
ally
,
th
is
m
ea
s
u
r
e
en
s
u
r
ed
th
at
th
eir
ac
tio
n
s
r
em
a
in
ed
u
n
c
h
an
g
e
d
d
esp
ite
th
e
e
f
f
ec
ts
o
f
th
e
p
r
o
g
r
am
.
2
.
4
.
M
ea
s
urem
ent
t
o
o
ls
a
nd
m
a
t
er
ia
ls
Me
asu
r
em
en
t
to
o
ls
in
clu
d
e
d
:
i)
Sto
p
watc
h
an
d
au
to
m
atic
d
ig
ital
b
lo
o
d
p
r
ess
u
r
e
m
o
n
ito
r
u
n
d
e
r
g
o
ca
lib
r
atio
n
ev
er
y
s
ix
m
o
n
th
s
t
o
g
u
ar
a
n
tee
p
r
ec
is
io
n
.
ii)
T
h
e
tim
ed
u
p
an
d
g
o
test
(
T
UG)
:
T
h
is
test
h
as
a
h
ig
h
r
eliab
ilit
y
s
co
r
e
i
n
tr
ac
lass
co
r
r
elatio
n
co
ef
f
icien
t
(
I
C
C
)
o
f
0
.
9
7
f
o
r
ass
ess
in
g
m
o
b
ilit
y
in
o
l
d
er
a
d
u
lts
liv
in
g
in
th
e
co
m
m
u
n
ity
[
1
8
]
.
T
h
e
cr
iter
io
n
v
alid
ity
b
etwe
en
th
e
T
U
G
an
d
B
er
g
B
alan
ce
Scale
was
a
s
tr
o
n
g
n
eg
ativ
e
co
r
r
elatio
n
(
Sp
ea
r
m
a
n
ρ
=
-
0
.
7
5
6
)
[
1
9
]
.
An
in
ter
p
r
etatio
n
o
f
g
r
ea
ter
th
an
1
2
s
ec
o
n
d
s
in
d
i
ca
tes
an
in
cr
ea
s
ed
r
is
k
o
f
f
allin
g
.
iii)
T
h
e
3
0
-
Seco
n
d
C
h
air
Stan
d
T
est
(
3
0
C
ST)
d
e
m
o
n
s
tr
ates
h
ig
h
r
eliab
ilit
y
wit
h
an
in
tr
ac
lass
I
C
C
o
f
0
.
9
7
[
2
0
]
.
T
h
e
3
0
C
ST
d
em
o
n
s
tr
ated
co
n
cu
r
r
en
t
v
alid
it
y
with
th
e
M
o
d
if
ied
3
0
-
Seco
n
d
Sit
-
to
-
Stan
d
T
est
(
m
3
0
STS)
,
with
a
Sp
e
ar
m
an
ρ
=
0
.
7
3
7
[
2
1
]
.
A
s
co
r
e
o
f
less
th
an
8
r
ep
etitio
n
s
is
co
n
s
id
e
r
ed
in
d
icativ
e
o
f
an
in
cr
ea
s
ed
r
is
k
o
f
f
alls
.
iv
)
C
ase
R
ep
o
r
t
Fo
r
m
:
A
f
o
r
m
is
u
s
ed
to
c
o
llect
d
etailed
p
ar
ti
cip
an
t
in
f
o
r
m
atio
n
,
in
clu
d
in
g
:
d
em
o
g
r
a
p
h
ics:
g
en
d
er
,
ag
e,
m
ar
ital
s
tatu
s
,
ed
u
ca
tio
n
lev
el,
an
d
o
cc
u
p
atio
n
;
T
UG
r
esu
lts
;
3
0
C
ST
r
esu
lts
; a
n
d
b
lo
o
d
p
r
ess
u
r
e
an
d
h
ea
r
t r
ate
m
o
n
ito
r
i
n
g
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
1
2
6
7
-
1
2
7
5
1270
2
.
5
.
Da
t
a
c
o
llect
io
n
Par
ticip
an
ts
v
is
ited
a
h
ea
lth
ce
n
ter
f
o
r
d
ata
co
llectio
n
p
r
i
o
r
to
an
d
f
o
llo
win
g
a
th
r
ee
-
m
o
n
th
i
n
ter
v
en
tio
n
as
p
ar
t
o
f
th
e
s
tu
d
y
.
Par
ticip
an
t
s
wer
e
in
ter
v
iewe
d
b
r
ief
ly
t
o
g
ath
er
d
em
o
g
r
ap
h
ic
in
f
o
r
m
atio
n
,
in
clu
d
in
g
b
u
t
n
o
t
lim
ited
to
ag
e,
m
ar
ital
s
tatu
s
,
l
ev
e
l
o
f
ed
u
ca
tio
n
,
an
d
o
cc
u
p
a
tio
n
.
An
ev
alu
atio
n
o
f
p
h
y
s
ica
l
p
er
f
o
r
m
a
n
ce
was
ca
r
r
ied
o
u
t
b
y
a
r
eg
is
ter
ed
n
u
r
s
e.
T
h
e
T
UG
co
m
p
r
is
ed
a
c
h
a
ir
an
d
a
tim
er
,
d
u
r
i
n
g
wh
ich
p
ar
ticip
an
ts
r
o
tated
,
ascen
d
ed
,
an
d
r
etu
r
n
e
d
to
a
s
e
ated
p
o
s
itio
n
.
T
h
e
3
0
C
S
T
e
n
t
a
i
l
e
d
a
l
t
e
r
n
a
t
i
n
g
b
e
t
w
e
e
n
s
i
t
t
i
n
g
s
a
n
d
s
t
a
n
d
i
n
g
f
o
r
3
0
s
e
c
o
n
d
s
;
t
h
e
n
u
m
b
e
r
o
f
r
e
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h
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d
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m
t
h
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t
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t
i
o
n
g
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u
p
,
a
n
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s
u
b
s
e
q
u
e
n
t
l
y
,
t
h
e
f
o
l
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o
w
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n
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d
a
y
,
d
a
t
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w
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s
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f
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o
m
t
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m
p
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i
v
e
g
r
o
u
p
.
2
.
6
.
Da
t
a
a
na
ly
s
is
T
h
e
Sh
ap
ir
o
-
W
ilk
test
was
em
p
lo
y
ed
to
ev
alu
ate
th
e
co
n
f
o
r
m
ity
o
f
co
n
tin
u
o
u
s
v
ar
iab
les
to
th
e
n
o
r
m
al
d
is
tr
ib
u
tio
n
.
STAT
A
Ver
s
io
n
1
6
was
u
tili
ze
d
f
o
r
d
ata
an
aly
s
is
.
T
h
e
an
aly
s
is
in
co
r
p
o
r
ated
d
escr
ip
tiv
e
s
tati
s
tics
an
d
d
em
o
g
r
ap
h
ic
d
ata.
An
in
d
ep
en
d
e
n
t
t
-
test
was
em
p
lo
y
ed
to
co
m
p
a
r
e
th
e
b
aselin
e
v
ar
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les
an
d
o
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tco
m
e
ch
ar
ac
ter
is
tics
b
etwe
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th
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e
x
p
er
im
en
tal
a
n
d
co
n
tr
o
l
g
r
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u
p
s
.
A
p
air
ed
t
-
test
is
u
s
ed
to
ass
es
s
v
ar
iatio
n
s
in
o
u
tco
m
e
v
ar
iab
les with
in
g
r
o
u
p
s
.
Statis
tical
s
ig
n
if
ican
ce
was d
eter
m
in
ed
u
s
in
g
a
s
ig
n
if
i
ca
n
ce
lev
el
o
f
0
.
0
5
.
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
3
.
1
.
Resul
t
s
T
h
e
d
em
o
g
r
ap
h
ic
d
ata
f
o
r
p
a
r
ticip
an
ts
is
d
iv
id
ed
in
to
two
g
r
o
u
p
s
: tr
ea
tm
en
t (
T
x
)
a
n
d
co
n
tr
o
l (
C
ON)
.
T
h
e
m
ajo
r
ity
o
f
p
ar
ticip
a
n
ts
ar
e
b
etwe
en
6
0
an
d
6
9
y
ea
r
s
o
ld
,
with
6
2
.
8
6
% in
th
e
T
x
g
r
o
u
p
an
d
7
1
.
4
3
% in
th
e
C
ON
g
r
o
u
p
.
B
o
th
g
r
o
u
p
s
ar
e
m
ar
r
ied
,
with
9
1
.
4
3
%
in
th
e
T
x
g
r
o
u
p
an
d
8
5
.
7
1
% in
t
h
e
C
ON
g
r
o
u
p
.
E
d
u
ca
tio
n
is
p
r
ed
o
m
in
an
tly
p
r
im
ar
y
s
ch
o
o
l,
with
a
s
m
aller
p
er
ce
n
t
ag
e
atten
d
in
g
h
ig
h
s
ch
o
o
l.
Ho
u
s
ewiv
es
ar
e
th
e
m
ajo
r
ity
,
with
a
s
m
aller
p
er
ce
n
tag
e
en
g
ag
ed
in
f
ar
m
in
g
.
T
h
e
d
is
tr
ib
u
tio
n
o
f
o
cc
u
p
atio
n
s
is
s
im
ilar
b
etwe
en
th
e
two
g
r
o
u
p
s
,
s
ee
T
ab
le
1
.
T
h
e
b
aselin
e
ch
ar
ac
ter
is
tics
o
f
th
e
T
x
g
r
o
u
p
an
d
t
h
e
C
ON
g
r
o
u
p
wer
e
f
o
u
n
d
to
b
e
s
im
ilar
f
o
r
m
a
n
y
m
ea
s
u
r
es
p
r
io
r
to
t
h
e
co
m
m
e
n
ce
m
en
t
o
f
th
e
in
v
esti
g
atio
n
.
T
h
er
e
wer
e
n
o
s
tatis
tically
s
ig
n
if
ican
t
d
if
f
er
en
ce
s
o
b
s
er
v
ed
in
th
e
av
er
ag
e
s
co
r
e
s
o
f
b
o
th
co
h
o
r
ts
in
p
h
y
s
ical
e
x
am
in
atio
n
s
,
i
n
clu
d
in
g
th
e
T
UG
an
d
th
e
3
0
C
ST.
Mo
r
eo
v
er
,
th
er
e
wer
e
n
o
s
ig
n
if
ican
t
d
if
f
er
e
n
ce
s
id
en
tifie
d
ac
r
o
s
s
th
e
g
r
o
u
p
s
in
ter
m
s
o
f
s
y
s
to
lic
an
d
d
iast
o
lic
b
lo
o
d
p
r
ess
u
r
e
an
d
h
ea
r
t r
ate
d
ata,
s
ee
T
ab
le
2
.
T
h
e
av
er
a
g
e
T
UG
s
co
r
e
d
ec
r
e
ased
in
th
e
T
x
g
r
o
u
p
,
r
esu
ltin
g
in
a
s
tatis
tically
s
ig
n
if
ican
t
r
e
d
u
ctio
n
t
o
1
1
.
5
6
s
ec
o
n
d
s
.
On
th
e
o
th
er
h
an
d
,
th
e
co
n
tr
o
l
g
r
o
u
p
ex
h
ib
ited
a
co
n
s
tan
t
T
UG
s
co
r
e
o
f
1
3
.
4
7
s
ec
o
n
d
s
(
p
=
0
.
0
0
3
,
9
5
%
C
I
:
0
.
6
7
t
o
3
.
1
6
s
e
co
n
d
s
)
.
T
h
e
T
x
g
r
o
u
p
also
h
ad
m
u
ch
b
etter
lo
wer
leg
s
tr
en
g
t
h
,
as
s
h
o
wn
b
y
th
eir
av
er
ag
e
s
co
r
e
o
f
1
7
.
0
6
o
n
th
e
3
0
C
ST,
co
m
p
ar
ed
to
th
e
c
o
n
t
r
o
l
g
r
o
u
p
'
s
s
co
r
e
o
f
1
3
.
9
1
(
p
=
0
.
0
0
2
,
9
5
%
C
I
:
-
5
.
0
4
to
-
1
.
2
4
)
.
Ad
d
itio
n
ally
,
t
h
e
T
x
g
r
o
u
p
s
h
o
wed
a
s
ig
n
if
ica
n
t
r
ed
u
ctio
n
in
s
y
s
to
lic
an
d
d
iast
o
lic
b
lo
o
d
p
r
ess
u
r
e
an
d
h
ea
r
t
r
ate,
s
ee
T
ab
le
3
.
T
ab
le
1
.
Dem
o
g
r
ap
h
ic
ch
ar
ac
t
er
is
tics
o
f
p
ar
ticip
an
ts
C
h
a
r
a
c
t
e
r
i
s
t
i
c
s
Tx
g
r
o
u
p
C
O
N
g
r
o
u
p
n
=
3
5
%
n
=
3
5
%
A
g
e
60
-
69
22
6
2
.
8
6
25
7
1
.
4
3
70
-
79
11
3
1
.
4
3
9
2
5
.
7
1
80
-
89
2
5
.
7
1
1
2
.
8
6
M
a
r
i
t
a
l
s
t
a
t
u
s
M
a
r
r
i
e
d
32
9
1
.
4
3
30
8
5
.
7
1
W
i
d
o
w
e
d
3
8
.
5
7
5
1
4
.
2
9
Ed
u
c
a
t
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o
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n
e
d
u
c
a
t
e
d
2
5
.
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1
1
2
.
8
6
P
r
i
mary
sc
h
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o
l
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2
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6
H
i
g
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sc
h
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l
4
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1
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4
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t
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f
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.
7
1
F
a
r
mer
6
1
7
.
1
4
5
1
4
.
2
9
T
ab
le
2
.
A
co
m
p
ar
is
o
n
b
etwe
en
th
e
T
x
g
r
o
u
p
a
n
d
th
e
C
ON
g
r
o
u
p
b
ef
o
r
e
th
e
ex
p
er
im
en
t
V
a
r
i
a
b
l
e
s
M
e
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n
±
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f
f
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c
e
9
5
%
C
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p
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v
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l
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e
Tx
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r
o
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p
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u
p
Lo
w
e
r
U
p
p
e
r
TU
G
1
3
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7
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±
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1
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6
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±
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0
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-
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r
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8
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mu
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(
Wa
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1271
A
co
m
p
ar
is
o
n
b
etwe
en
th
e
T
x
g
r
o
u
p
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d
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s
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n
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n
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ec
o
n
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f
ter
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o
n
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0
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9
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% C
I
:
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.
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9
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3
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,
s
u
g
g
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n
g
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etter
m
o
b
ilit
y
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I
n
a
s
im
ilar
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ein
,
th
e
3
0
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ST
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h
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ited
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n
o
tewo
r
th
y
r
is
e
in
th
e
av
er
ag
e
s
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r
e
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o
n
g
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h
e
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x
g
r
o
u
p
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I
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ig
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ess
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ab
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ab
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3
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V
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2
.
Dis
cus
s
io
n
T
h
e
o
b
jectiv
e
o
f
th
is
s
tu
d
y
was
to
in
v
esti
g
ate
th
e
im
p
ac
t
o
f
T
h
ai
E
-
s
ar
n
d
an
ce
o
n
th
e
eq
u
ilib
r
iu
m
s
k
ills
o
f
eld
er
ly
ad
u
lts
in
th
e
co
m
m
u
n
ity
.
T
h
e
f
in
d
in
g
s
d
em
o
n
s
tr
ated
n
o
tab
le
en
h
an
ce
m
en
ts
in
b
alan
ce
,
co
n
co
m
ita
n
t
with
h
eig
h
ten
e
d
m
u
s
cu
lar
s
tr
e
n
g
th
,
as
well
a
s
d
ec
r
ea
s
es
in
b
o
th
b
lo
o
d
p
r
ess
u
r
e
an
d
h
ea
r
t
r
ate.
T
h
e
d
is
cu
s
s
io
n
will p
r
o
g
r
ess
in
th
e
f
o
llo
win
g
o
r
d
er
:
b
alan
cin
g
a
b
ilit
y
,
s
tr
en
g
th
o
f
m
u
s
cles,
b
lo
o
d
p
r
ess
u
r
e,
an
d
h
ea
r
t
r
ate.
3
.
2
.
1
.
B
a
la
nce
a
bil
it
y
Af
ter
a
th
r
ee
-
m
o
n
t
h
p
ar
ticip
a
tio
n
in
th
e
ex
er
cise
p
r
o
g
r
am
,
th
e
EX
-
g
r
o
u
p
ex
h
ib
ited
a
s
t
atis
tically
s
ig
n
if
ican
t
d
ec
r
ea
s
e
in
th
e
av
er
ag
e
T
UG
test
co
m
p
letio
n
ti
m
e
in
co
m
p
ar
is
o
n
to
th
e
C
ON
g
r
o
u
p
.
I
n
k
ee
p
in
g
with
th
e
f
in
d
in
g
s
o
f
p
r
ev
io
u
s
s
tu
d
y
co
n
d
u
cted
b
y
B
u
r
an
s
r
i
an
d
Ph
an
p
h
en
g
[
2
2
]
,
wh
ich
also
d
is
co
v
er
ed
th
at
a
tr
ad
itio
n
al
Sric
h
ian
g
m
ai
d
an
c
e
p
r
o
g
r
am
th
at
last
ed
f
o
r
tw
elv
e
wee
k
s
led
to
a
s
ig
n
i
f
ican
t
im
p
r
o
v
em
en
t
in
b
alan
ce
am
o
n
g
eld
er
ly
citizen
s
wh
o
r
esid
ed
in
th
e
co
m
m
u
n
it
y
.
T
h
e
r
esu
lts
o
f
th
is
s
tu
d
y
ar
e
co
n
s
is
ten
t
with
th
e
r
esu
l
ts
o
f
p
r
ev
io
u
s
s
tu
d
ies.
I
m
p
lem
en
tatio
n
o
f
t
h
is
in
ter
v
en
ti
o
n
h
as
th
e
p
o
ten
tial
to
r
e
d
u
ce
ag
e
-
r
elate
d
d
ef
icits
in
m
o
b
ilit
y
a
n
d
b
alan
ce
.
As
a
r
esu
lt,
th
e
ch
a
n
ce
o
f
f
allin
g
is
r
ed
u
ce
d
.
T
h
is
wo
u
ld
b
e
a
g
o
o
d
r
esu
lt,
ac
c
o
r
d
in
g
to
No
o
p
u
d
et
a
l.
[
2
3
]
.
Ou
r
s
tu
d
y
f
o
u
n
d
th
at
in
c
r
ea
s
in
g
th
e
p
er
f
o
r
m
a
n
ce
o
f
o
l
d
er
wo
m
e
n
in
T
UG
th
r
o
u
g
h
p
ar
ticip
atio
n
in
T
h
ai
d
an
ce
.
T
h
e
p
o
ten
tial
m
ec
h
an
is
m
o
f
T
h
ai
E
-
s
ar
n
d
an
ce
in
v
o
l
v
es
s
tep
s
4
–
8
.
T
h
ese
ex
er
cises
f
o
cu
s
o
n
m
o
r
e
co
n
tr
o
lled
m
o
v
em
en
t.
T
h
is
will
allo
w
f
o
r
a
g
r
ea
ter
r
an
g
e
o
f
m
o
v
em
en
t
an
d
r
eq
u
ir
es
co
o
r
d
in
atio
n
b
etwe
en
d
if
f
e
r
en
t
p
ar
ts
o
f
th
e
b
o
d
y
,
in
cr
ea
s
in
g
f
lex
ib
ilit
y
an
d
co
o
r
d
in
atio
n
b
etwe
en
d
if
f
e
r
e
n
t
p
ar
ts
o
f
th
e
b
o
d
y
.
T
h
is
ex
er
cise
will
h
elp
im
p
r
o
v
e
th
e
d
ev
el
o
p
m
en
t
o
f
n
e
u
r
o
m
u
s
cu
lar
co
o
r
d
i
n
atio
n
[
2
4
]
.
I
n
ad
d
itio
n
,
th
e
u
s
e
o
f
ch
an
g
e
s
R
h
y
th
m
in
d
an
ce
r
o
u
tin
es
also
in
cr
ea
s
es
co
g
n
itiv
e
en
g
ag
e
m
en
t
a
n
d
s
tim
u
lates
r
ef
lex
es
[
2
5
]
.
Als
o
,
d
an
ce
r
elies
h
ea
v
ily
o
n
weig
h
t
tr
an
s
f
er
.
T
h
is
in
cr
ea
s
es
m
u
s
cle
s
tr
en
g
th
an
d
p
r
o
m
o
tes
b
alan
ce
[
2
6
]
.
Ad
d
itio
n
ally
,
d
an
ci
n
g
im
p
r
o
v
es
ag
ilit
y
,
allo
win
g
a
p
er
s
o
n
to
m
ain
tain
q
u
ick
an
d
p
r
ec
is
e
m
o
v
em
en
ts
.
Fin
ally
,
d
an
cin
g
in
cr
ea
s
es
au
to
n
o
m
ic
a
war
en
ess
.
T
h
is
m
ea
n
s
p
e
r
ce
iv
i
n
g
th
e
s
p
atial
o
r
ien
tatio
n
o
f
th
e
b
o
d
y
.
T
h
is
r
esu
lts
in
im
p
r
o
v
ed
co
n
s
cio
u
s
n
ess
an
d
im
p
r
o
v
ed
m
o
to
r
c
o
o
r
d
in
atio
n
[
2
7
]
.
3
.
2
.
2
.
M
us
cle
s
t
re
ng
t
h
T
h
e
EX
-
g
r
o
u
p
s
h
o
wed
a
s
ig
n
if
ican
t
in
cr
ea
s
e
in
p
er
f
o
r
m
a
n
ce
d
u
r
in
g
th
e
3
0
C
ST,
a
test
ass
es
s
in
g
m
u
s
cle
s
tr
en
g
th
.
T
h
er
e
was
a
s
ig
n
if
ica
n
t
in
cr
ea
s
e
in
th
e
EX
-
g
r
o
u
p
c
o
m
p
ar
ed
to
th
e
C
ON
g
r
o
u
p
,
i
n
lin
e
with
th
e
f
in
d
in
g
s
o
f
Vac
ca
r
o
et
a
l.
[
2
8
]
,
d
em
o
n
s
tr
atin
g
th
e
b
en
ef
its
o
f
d
an
ce
th
er
ap
y
.
T
h
e
EX
-
g
r
o
u
p
in
th
e
cu
r
r
en
t
s
tu
d
y
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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6
I
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t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
1
2
6
7
-
1
2
7
5
1272
p
ar
ticip
ated
in
a
d
an
ce
th
er
ap
y
p
r
o
g
r
a
m
.
Dan
ce
d
f
o
u
r
tim
e
s
a
wee
k
f
o
r
s
ix
m
o
n
th
s
.
Acc
o
r
d
in
g
to
3
0
C
ST'
s
f
in
d
in
g
s
,
th
e
in
ter
v
e
n
tio
n
s
ig
n
if
ican
tly
im
p
r
o
v
e
d
p
er
f
o
r
m
an
ce
.
Mo
b
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m
p
ar
ed
to
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o
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t
r
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l
m
u
s
cle
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g
r
o
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p
wo
r
k
in
g
d
y
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am
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in
th
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s
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ic
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g
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a
n
c
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o
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er
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lts
at
3
0
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ST
[
2
9
]
.
Ad
d
itio
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ally
,
a
r
ep
o
r
t
b
y
Do
u
k
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et
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l.
[
3
0
]
f
o
u
n
d
th
at
p
ar
ticip
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in
tr
ad
i
ti
o
n
al
d
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ce
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ty
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lted
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cr
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er
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m
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ce
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ST.
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h
ai
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s
ar
n
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n
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p
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ically
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tep
s
1
-
4
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h
is
ex
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cise
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s
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th
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b
o
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y
'
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atu
r
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esis
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tim
u
late
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tio
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in
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ea
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e
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u
s
cle
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tr
en
g
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[
3
1
]
a
n
d
an
im
p
r
o
v
em
en
t
in
n
eu
r
o
m
u
s
cu
lar
e
f
f
icien
cy
[
3
2
]
.
3
.
2
.
3
.
B
lo
o
d pre
s
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ure
a
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o
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l
.
[
3
3
]
,
t
h
i
s
s
t
u
d
y
f
o
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d
t
h
a
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w
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p
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l
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p
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n
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h
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t
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e
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e
[
3
4
]
.
I
t
a
l
s
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s
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i
m
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la
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t
h
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l
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as
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i
t
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c
o
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i
d
e
(
N
O
)
,
w
h
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c
h
i
n
c
r
e
as
e
s
v
as
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at
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p
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s
u
r
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a
n
d
h
e
a
r
t
r
a
t
e
[
3
5
]
.
T
h
e
s
tu
d
y
r
ec
o
m
m
en
d
s
th
at
ed
u
ca
tio
n
al
awa
r
e
n
ess
in
itiativ
es
b
e
im
p
lem
en
ted
with
s
p
ec
ialized
tr
ain
in
g
p
r
o
g
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am
s
.
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m
p
lem
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f
co
m
m
u
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ased
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r
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p
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s
with
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lth
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r
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r
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f
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als
ar
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also
im
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o
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t.
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im
p
lem
en
tin
g
th
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m
ea
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r
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we
ar
e
co
n
f
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t
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at
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en
io
r
T
h
ai
E
-
s
ar
n
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s
will m
ain
tain
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eir
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co
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to
p
ar
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in
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is
tr
ad
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al
h
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4.
CO
NCLU
SI
O
N
T
h
ai
E
-
s
an
d
an
ce
i
m
p
r
o
v
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s
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en
g
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lo
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d
p
r
ess
u
r
e,
an
d
r
esti
n
g
h
ea
r
t
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ate.
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h
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f
in
d
in
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s
s
u
g
g
est
th
at
h
ea
lth
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ar
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p
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ca
n
in
co
r
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at
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T
h
ai
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-
s
ar
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d
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ce
in
to
tr
ea
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en
t
p
r
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am
s
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s
p
ec
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th
e
eld
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ly
wh
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ar
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at
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k
o
f
f
allin
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h
ai
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-
s
ar
n
d
an
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'
s
lo
n
g
-
ter
m
u
s
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ess
as
a
p
r
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tativ
e
h
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in
ter
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f
o
r
th
e
el
d
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ly
n
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f
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th
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s
tu
d
y
.
ACK
NO
WL
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DG
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Scien
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t
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T
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,
f
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r
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h
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RE
F
E
R
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NC
E
S
[
1
]
L.
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m
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t
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“
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c
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:
ti
v
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p
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n
@s
c
p
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k
k
.
a
c
.
t
h
.
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