{"id":8003,"date":"2024-03-14T11:58:46","date_gmt":"2024-03-14T02:58:46","guid":{"rendered":"https:\/\/www.osakac.ac.jp\/whoslab\/?post_type=research&#038;p=8003"},"modified":"2025-07-02T17:48:54","modified_gmt":"2025-07-02T08:48:54","slug":"koyanagi","status":"publish","type":"research","link":"https:\/\/www.osakac.ac.jp\/whoslab\/research\/koyanagi\/","title":{"rendered":"<strong>\u904b\u52d5\u5668\u30a8\u30b3\u30fc\u3092\u6d3b\u7528\u3057\u3066<\/strong><br><strong>\u7406\u5b66\u7642\u6cd5\u3092\u53ef\u8996\u5316\uff01<\/strong>"},"content":{"rendered":"\n<p class=\"lead\">\u30b1\u30ac\u3084\u305d\u308c\u306b\u4f34\u3046\u624b\u8853\u3092\u3057\u305f\u30a2\u30b9\u30ea\u30fc\u30c8\u306f\u3001\u3067\u304d\u308b\u3060\u3051\u65e9\u304f\u5fa9\u5e30\u3057\u305f\u3044\u3068\u9858\u3044\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u671b\u307f\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u306e\u304c\u7406\u5b66\u7642\u6cd5\u58eb\u3067\u3059\u3002\u5fa9\u5e30\u306b\u306f\u3001\u8eab\u4f53\u306e\u72b6\u614b\u306b\u5bfe\u3059\u308b\u6b63\u3057\u3044\u8a55\u4fa1\u3068\u3001\u533b\u5b66\u7684\u306a\u7ba1\u7406\u306b\u57fa\u3065\u3044\u305f\u30ea\u30cf\u30d3\u30ea\u304c\u4e0d\u53ef\u6b20\u3060\u304b\u3089\u3067\u3059\u3002<br>\u5c0f\u67f3\u6559\u6388\u306f\u3001\u3053\u3046\u3057\u305f\u30ea\u30cf\u30d3\u30ea\u3092\u3088\u308a\u5b89\u5168\u304b\u3064\u52b9\u7387\u7684\u306b\u884c\u3046\u305f\u3081\u3001\u8d85\u97f3\u6ce2\u8a3a\u65ad\u88c5\u7f6e\uff08\u30a8\u30b3\u30fc\uff09\u3092\u99c6\u4f7f\u3057\u305f\u8a55\u4fa1\u6cd5\u3084\u30ea\u30cf\u30d3\u30ea\u306e\u305f\u3081\u306e\u5668\u5177\u306e\u958b\u767a\u3001\u3055\u3089\u306b\u30b1\u30ac\u4e88\u9632\u306e\u305f\u3081\u306e\u30b5\u30dd\u30fc\u30bf\u30fc\u958b\u767a\u306b\u3082\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u8eab\u4f53\u90e8\u4f4d\u3092\u8a55\u4fa1\u3057\u306a\u304c\u3089\u30ea\u30cf\u30d3\u30ea\u3067\u304d\u308b<\/strong><br><strong>\u30a8\u30b3\u30fc\u3092\u6d3b\u7528\u3057\u305f\u65b0\u3057\u3044\u624b\u6cd5\u3092\u958b\u767a<\/strong><\/h2>\n\n\n\n<p>\u30b1\u30ac\u3084\u624b\u8853\u304b\u3089\u306e\u5fa9\u5e30\u3092\u3081\u3056\u3059\u30a2\u30b9\u30ea\u30fc\u30c8\u304c\u5fc5\u305a\u884c\u3046\u306e\u304c\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3002\u30ea\u30cf\u30d3\u30ea\u3092\u884c\u3046\u306b\u306f\u3001\u8eab\u4f53\u306e\u72b6\u614b\u3092\u6b63\u3057\u304f\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u3068\u3053\u308d\u304c\u3001\u3053\u308c\u307e\u3067\u8eab\u4f53\u5185\u90e8\u306b\u3042\u308b\u640d\u50b7\u90e8\u4f4d\u306e\u72b6\u614b\u306f\u76f4\u63a5\u306b\u306f\u78ba\u8a8d\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u8ab2\u984c\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u5c0f\u67f3\u6559\u6388\u306f\u3001\u3053\u3046\u3057\u305f\u8eab\u4f53\u5185\u90e8\u306e\u72b6\u614b\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u628a\u63e1\u3057\u3001\u6b63\u78ba\u306b\u8a55\u4fa1\u3067\u304d\u308c\u3070\u3001\u5b89\u5168\u304b\u3064\u52b9\u7387\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u8a08\u753b\u304c\u7acb\u3066\u3089\u308c\u308b\u306e\u3067\u306f\u3068\u8003\u3048\u3001\u30a8\u30b3\u30fc\u3092\u6d3b\u7528\u3057\u305f\u65b0\u3057\u3044\u624b\u6cd5\u3092\u7814\u7a76\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6ce8\u76ee\u3057\u305f\u306e\u306f\u819d\u306e\u524d\u5341\u5b57\u9771\u5e2f\uff08ACL\uff09\u640d\u50b7\u3002\u30d0\u30b9\u30b1\u30c3\u30c8\u30dc\u30fc\u30eb\u3084\u30cf\u30f3\u30c9\u30dc\u30fc\u30eb\u7b49\u3001\u7740\u5730\u65b9\u5411\u8ee2\u63db\u306e\u591a\u3044\u30b9\u30dd\u30fc\u30c4\u3067\u7279\u306b\u30b1\u30ac\u3092\u3057\u3084\u3059\u3044\u90e8\u4f4d\u3067\u3059\u3002ACL\u640d\u50b7\u3092\u624b\u8853\u7b49\u3067\u518d\u5efa\u3057\u305f\u9078\u624b\u304c\u30ea\u30cf\u30d3\u30ea\u3092\u884c\u3046\u3068\u304d\u91cd\u8981\u306b\u306a\u308b\u306e\u306f\u3001\u4e0b\u817f\u306e\u3069\u3053\u3092\u652f\u3048\u308b\u306e\u304b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5c0f\u67f3\u6559\u6388\u306f\u75c5\u9662\u7b49\u3067\u84c4\u7a4d\u3055\u308c\u305f\u30c7\u30fc\u30bf\u3092\u691c\u8a3c\u3057\u3001\u819d\u306e\u8fd1\u304f\u306b\u652f\u70b9\u3092\u7f6e\u304f\u3068\u4e0b\u817f\u304c\u524d\u65b9\u306b\u305a\u308c\u308b\u73fe\u8c61\u3092\u6291\u3048\u3089\u308c\u308b\u3053\u3068\u3092\u7a81\u304d\u6b62\u3081\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u4e0b\u817f\u3092\u652f\u3048\u308b\u5c02\u7528\u30c7\u30d0\u30a4\u30b9\u3092\u958b\u767a\u3057\u3001\u677f\u30d0\u30cd\u69d8\u306b\u904b\u52d5\u3092\u884c\u3046\u753b\u671f\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u6cd5\uff08Leaf spring exercise\uff09\u3092\u8003\u6848\uff08\u4e0b\u56f3\u53c2\u7167\uff09\u3002\u307e\u305f\u30a8\u30b3\u30fc\u3092\u4f7f\u3046\u3053\u3068\u3067\u3001\u30ea\u30cf\u30d3\u30ea\u4e2d\u306b\u4e0b\u817f\u304c\u524d\u65b9\u306b\u305a\u308c\u3066\u3044\u306a\u3044\u304b\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3002\u5b89\u5168\u6027\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u7b4b\u529b\u5f37\u5316\u3092\u306f\u304b\u308b\u3053\u3068\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"564\" src=\"https:\/\/www.osakac.ac.jp\/whoslab\/app\/uploads\/2024\/01\/koyanagi_01-1024x564.jpg\" alt=\"\" class=\"wp-image-8006\"\/><figcaption class=\"wp-element-caption\">\uff08\u5de6\uff09\u4e0b\u817f\u306e\u9060\u4f4d\u652f\u70b9\u3067\u306f\u4e0b\u817f\u304c\u524d\u65b9\u3078\u305a\u308c\u308b\u306e\u306b\u5bfe\u3057\u3001\uff08\u53f3\uff09\u8fd1\u4f4d\u3067\u652f\u3048\u308b\u3068\u6291\u3048\u3089\u308c\u308b<\/figcaption><\/figure>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"283\" src=\"https:\/\/www.osakac.ac.jp\/whoslab\/app\/uploads\/2024\/01\/koyanagi_02-1024x283.jpg\" alt=\"\" class=\"wp-image-8007\"\/><figcaption class=\"wp-element-caption\">ACL\u518d\u5efa\u819d\u306e\u5b89\u5168\u306a\u819d\u4f38\u5c55\u57df\u306e\u819d\u4f38\u7b4b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0 <span style=\"color:#008000;\"><strong>\uff3b1\uff3d<\/strong><\/span><\/figcaption><\/figure>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"\u3010\u5927\u962a\u96fb\u6c17\u901a\u4fe1\u5927\u5b66 WHO\u2019S LABO\u3011\u7406\u5b66\u7642\u6cd5\u5b66\u79d1\u3000\u5c0f\u67f3\u5148\u751f  \uff031\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/uGcJbRYckMk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">ACL\u518d\u5efa\u819d\u306e\u5b89\u5168\u306a\u819d\u4f38\u7b4b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3002\u819d\u3092\u4f38\u5c55\u57df\u3067\u4f38\u3070\u3059\u969b\u306b\u3001\u4e0b\u817f\u3092\u5f8c\u308d\uff08\u4e0a\uff09\u3078\u62bc\u3057\u8fbc\u3080<\/figcaption><\/figure>\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u5c11\u5e74\u91ce\u7403\u304b\u3089\u3042\u306e\u30e1\u30b8\u30e3\u30fc\u306e\u5927\u7269\u6295\u624b\u307e\u3067!?\u3000<br>\u6295\u7403\u6642\u306e\u30b9\u30c8\u30ec\u30b9\u304b\u3089\u9078\u624b\u3092\u5b88\u308a\u305f\u3044<\/strong><\/h2>\n\n\n\n<p>\u5c0f\u67f3\u6559\u6388\u306f\u3001\u30b9\u30dd\u30fc\u30c4\u306b\u3088\u308b\u640d\u50b7\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306e\u30b5\u30dd\u30fc\u30bf\u30fc\u306e\u958b\u767a\u306b\u3082\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u300c\u5185\u5074\u578b\u91ce\u7403\u8098\u300d\u3068\u547c\u3070\u308c\u308b\u640d\u50b7\u306f\u3001\u6295\u7403\u52d5\u4f5c\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30b9\u30c8\u30ec\u30b9\u306b\u3088\u308a\u3001\u30dc\u30fc\u30eb\u3092\u6295\u3052\u308b\u3068\u304d\u3084\u6295\u3052\u305f\u5f8c\u306b\u3001\u8098\u306e\u5185\u5074\u306b\u75db\u307f\u3092\u611f\u3058\u307e\u3059\u3002\u8098\u306e\u5185\u5074\u304c\u5e83\u304c\u3063\u3066\u4e0d\u5b89\u5b9a\u306b\u306a\u308b\u3068\u3001\u5fa9\u5e30\u306b\u306f\u624b\u8853\u3084\u5c02\u9580\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5c0f\u67f3\u6559\u6388\u306f\u5185\u5074\u578b\u91ce\u7403\u8098\u306e\u4e88\u9632\u306b\u5411\u3051\u3066\u3001\u300c\u30a8\u30e9\u30b9\u30c8\u30de\u30fc\u300d\u3068\u547c\u3070\u308c\u308b\u67d4\u3089\u304b\u304f\u5f3e\u529b\u306e\u3042\u308b\u65b0\u7d20\u6750\u3092\u4f7f\u3044\u3001EEB\uff08Elastomeric Elbow Brace\uff09\u3092\u958b\u767a\u3002\u5f93\u6765\u54c1\u306e\u3088\u3046\u306a\u91d1\u5c5e\u88fd\u306e\u652f\u67f1\u306f\u306a\u304f\u3001\u539a\u3055\uff12mm\u306e\u67d4\u3089\u304b\u3044\u7d20\u6750\u3092\u4f7f\u3063\u3066\u3001\uff14\u70b9\u3067\u8098\u3092\u3057\u3063\u304b\u308a\u3068\u652f\u6301\u3002\u3057\u304b\u3082\u88c5\u7740\u3057\u305f\u307e\u307e\u30a8\u30b3\u30fc\u3067\u8098\u306e\u72b6\u614b\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3067\u304d\u308b\u3001\u753b\u671f\u7684\u306a\u30b5\u30dd\u30fc\u30bf\u30fc\u3067\u3059\uff08\u52d5\u753b\u53c2\u7167\uff09\u3002<\/p>\n\n\n\n<p>EEB\u3092\u88c5\u7740\u3057\u3066\u3044\u308b\u6642\u3068\u305d\u3046\u3067\u306a\u3044\u6642\u3092\u6bd4\u3079\u3066\u307f\u308b\u3068\u3001\u88c5\u7740\u6642\u306b\u306f\u8098\u306e\u5e83\u304c\u308a\u3092\u793a\u3059\u6307\u6a19\uff08HUSO\uff09\u304c\u6e1b\u5c11\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002\u307e\u305fEEB\u306b\u306f\u3001\u88c5\u7740\u3057\u3066\u3082\u8098\u95a2\u7bc0\u306e\u52d5\u304d\u3092\u5236\u9650\u305b\u305a\u3001\u7403\u901f\u306b\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u306a\u3044\u3068\u3044\u3046\u30e1\u30ea\u30c3\u30c8\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u91ce\u7403\u3067\u306f\u7279\u306b\u6295\u624b\u304c\u8098\u3092\u75db\u3081\u308b\u30b1\u30fc\u30b9\u304c\u591a\u304f\u3001\u91ce\u7403\u8098\u306f\u6210\u9577\u671f\u306e\u5b50\u3069\u3082\u306b\u591a\u3044\u3053\u3068\u3067\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u5b50\u3069\u3082\u305f\u3061\u304c\u8098\u306e\u6545\u969c\u3084\u75db\u307f\u306b\u60a9\u3080\u3053\u3068\u306a\u304f\u91ce\u7403\u3092\u697d\u3057\u3080\u305f\u3081\u306e\u30a2\u30a4\u30c6\u30e0\u3068\u3057\u3066\u671f\u5f85\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"\u3010\u5927\u962a\u96fb\u6c17\u901a\u4fe1\u5927\u5b66 WHO\u2019S LABO\u3011\u7406\u5b66\u7642\u6cd5\u5b66\u79d1\u3000\u5c0f\u67f3\u5148\u751f  \uff032\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/JcjsyPAgdLA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">\u958b\u767a\u3057\u305fElastomeric Elbow Brace\uff08EEB\uff09<\/figcaption><\/figure>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"371\" src=\"https:\/\/www.osakac.ac.jp\/whoslab\/app\/uploads\/2024\/01\/koyanagi_06-1024x371.jpg\" alt=\"\" class=\"wp-image-8009\"\/><figcaption class=\"wp-element-caption\">EEB\u306e\u88c5\u7740\u6642\u306b\u8098\u5185\u5074\u306e\u5b89\u5b9a\u6027\u306e\u6307\u6a19\u3067\u3042\u308b\u2194\uff08HUSO\uff09\u304c\u6e1b\u5c11\u3059\u308b<span style=\"color:#008000;\"><strong>\uff3b2\uff3d<\/strong><\/span><\/figcaption><\/figure>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group group-potential is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong>\u30a2\u30f3\u30c0\u30fc\u30b7\u30e3\u30c4\u3068\u88c5\u5177\u304c\u5408\u4f53\uff01<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><br><strong>\u7740\u308b\u3060\u3051\u3067\u640d\u50b7\u304b\u3089\u5b88\u308b\u30b9\u30dd\u30fc\u30c4\u30a6\u30a7\u30a2\u304c\u8a95\u751f\uff01<\/strong><\/h3>\n\n\n\n<p>\u30b9\u30dd\u30fc\u30c4\u3092\u59cb\u3081\u308b\u5b50\u3069\u3082\u306e\u9803\u304b\u3089\u3001\u640d\u50b7\u3092\u4e88\u9632\u3059\u308b\u30b5\u30dd\u30fc\u30bf\u30fc\u3092\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u3067\u624b\u8853\u306a\u3069\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br>\u73fe\u5728\u3001\u5c0f\u67f3\u7814\u7a76\u5ba4\u306f\u30b9\u30dd\u30fc\u30c4\u30e1\u30fc\u30ab\u30fc\u3068\u60c5\u5831\u4ea4\u63db\u3057\u306a\u304c\u3089\u3001\u30b5\u30dd\u30fc\u30bf\u30fc\u3068\u4e00\u4f53\u5316\u3057\u305f\u30a2\u30f3\u30c0\u30fc\u30b7\u30e3\u30c4\u306e\u958b\u767a\u3092\u69cb\u60f3\u4e2d\u3002\u30e6\u30cb\u30d5\u30a9\u30fc\u30e0\u611f\u899a\u3067\u8eab\u4f53\u3092\u5b88\u308c\u308b\u306a\u3089\u3001\u30b9\u30dd\u30fc\u30c4\u306e\u697d\u3057\u3055\u304c\u3055\u3089\u306b\u5e83\u304c\u308a\u305d\u3046\u3067\u3059\u3002<\/p>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u51fa\u5178<br><span style=\"color:#008000;\">\uff3b1\uff3d<\/span> \u9aa8\u95a2\u7bc0\u7406\u5b66\u7642\u6cd5\u5b66\uff08\u7b2c2\u7248\uff09\u798f\u4e95\u52c9\u30fb\u5c0f\u67f3\u78e8\u6bc5\uff08\u7de8\uff09\u819d\u976d\u5e2f\u534a\u6708\u677f\u640d\u50b7\u306e\u7406\u5b66\u7642\u6cd5\u3001\u533b\u5b66\u66f8\u9662 \u6771\u4eac2021 p91\u56f312B<br><span style=\"color:#008000;\">\uff3b2\uff3d<\/span> \u91ce\u7403\u8098\u306b\u5bfe\u3059\u308b\u8098\u5916\u53cd\u52d5\u63fa\u6027\u306e\u5b9a\u91cf\u8a55\u4fa1\u3068\u8098\u88c5\u5177\u306e\u5236\u52d5\u52b9\u679c \u904b\u52d5\u5668\u7406\u5b66\u7642\u6cd5\u8d85\u97f3\u6ce2\u30d5\u30ed\u30f3\u30c6\u30a3\u30a2 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