{"id":"https://openalex.org/W4391968560","doi":"https://doi.org/10.1038/s41598-024-54815-1","title":"Comparison of tendon and muscle belly vibratory stimulation in the treatment of post-stroke upper extremity spasticity: a retrospective observational pilot study","display_name":"Comparison of tendon and muscle belly vibratory stimulation in the treatment of post-stroke upper extremity spasticity: a retrospective observational pilot study","publication_year":2024,"publication_date":"2024-02-20","ids":{"openalex":"https://openalex.org/W4391968560","doi":"https://doi.org/10.1038/s41598-024-54815-1","pmid":"https://pubmed.ncbi.nlm.nih.gov/38378862","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10879534"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-024-54815-1","doi":"https://doi.org/10.1038/s41598-024-54815-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-024-54815-1","pdf_url":"https://www.nature.com/articles/s41598-024-54815-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-024-54815-1.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102973906","display_name":"Kenta Takeuchi","orcid":"https://orcid.org/0009-0009-2516-075X","observed_orcids":["https://orcid.org/0009-0009-2516-075X"]},"institutions":[{"id":"https://openalex.org/I15807432","display_name":"Osaka Prefecture University","ror":"https://ror.org/02cf1je33","country_code":"JP","type":"education","lineage":["https://openalex.org/I15807432","https://openalex.org/I4387152983"]},{"id":"https://openalex.org/I4405255964","display_name":"Itami Kousei Neurosurgical Hospital","ror":"https://ror.org/03m8f4963","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405255964"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Kenta Takeuchi","raw_affiliation_strings":["Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan. thnkks0304@gmail.com","Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, 1-300-1, Nishino, Itami, Hyogo, Japan. thnkks0304@gmail.com","Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan","Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, 1-300-1, Nishino, Itami, Hyogo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan. thnkks0304@gmail.com","institution_ids":["https://openalex.org/I15807432"]},{"raw_affiliation_string":"Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, 1-300-1, Nishino, Itami, Hyogo, Japan. thnkks0304@gmail.com","institution_ids":["https://openalex.org/I4405255964"]},{"raw_affiliation_string":"Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan","institution_ids":["https://openalex.org/I15807432"]},{"raw_affiliation_string":"Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, 1-300-1, Nishino, Itami, Hyogo, Japan","institution_ids":["https://openalex.org/I4405255964"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090130485","display_name":"Takashi Takebayashi","orcid":"https://orcid.org/0000-0002-7130-5528","observed_orcids":["https://orcid.org/0000-0002-7130-5528"]},"institutions":[{"id":"https://openalex.org/I4387152983","display_name":"Osaka Metropolitan University","ror":"https://ror.org/01hvx5h04","country_code":"JP","type":"education","lineage":["https://openalex.org/I4387152983"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takashi Takebayashi","raw_affiliation_strings":["Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Metropolitan University, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Graduate School of Comprehensive Rehabilitation, Osaka Metropolitan University, Osaka, Japan","institution_ids":["https://openalex.org/I4387152983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093963552","display_name":"Daiki Hanioka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405255446","display_name":"Tsukazaki Hospital","ror":"https://ror.org/030vsyx86","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405255446"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Daiki Hanioka","raw_affiliation_strings":["Department of Rehabilitation, Tsukazaki Hospital, Himeji, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Tsukazaki Hospital, Himeji, Japan","institution_ids":["https://openalex.org/I4405255446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037604031","display_name":"Yuho Okita","orcid":"https://orcid.org/0000-0002-8455-3301","observed_orcids":["https://orcid.org/0000-0002-8455-3301"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yuho Okita","raw_affiliation_strings":["Soaring Health Sport, Wellness & Community Centre, Melbourne, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Soaring Health Sport, Wellness & Community Centre, Melbourne, Australia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050551745","display_name":"Shinichi Shimada","orcid":"https://orcid.org/0009-0004-4428-8744","observed_orcids":["https://orcid.org/0009-0004-4428-8744"]},"institutions":[{"id":"https://openalex.org/I4405255964","display_name":"Itami Kousei Neurosurgical Hospital","ror":"https://ror.org/03m8f4963","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405255964"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shinichi Shimada","raw_affiliation_strings":["Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami, Japan","institution_ids":["https://openalex.org/I4405255964"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5102973906"],"corresponding_institution_ids":["https://openalex.org/I15807432","https://openalex.org/I4405255964"],"apc_list":{"value":2590,"currency":"USD","value_usd":2590},"apc_paid":{"value":2590,"currency":"USD","value_usd":2590},"fwci":3.3189,"has_fulltext":true,"cited_by_count":9,"citation_normalized_percentile":{"value":0.90587521,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"14","issue":"1","first_page":"4151","last_page":"4151"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.7964000105857849,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.7964000105857849,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11274","display_name":"Botulinum Toxin and Related Neurological Disorders","score":0.19760000705718994,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vibratory-stimulation","display_name":"vibratory stimulation","score":0.9079999923706055},{"id":"https://openalex.org/keywords/tendon-vibration","display_name":"tendon vibration","score":0.8679999709129333},{"id":"https://openalex.org/keywords/post-stroke-spasticity","display_name":"post-stroke spasticity","score":0.9520000219345093},{"id":"https://openalex.org/keywords/upper-limb-spasticity","display_name":"upper limb spasticity","score":0.9580000042915344},{"id":"https://openalex.org/keywords/stretching-therapy","display_name":"stretching therapy","score":0.652999997138977},{"id":"https://openalex.org/keywords/stroke-rehabilitation","display_name":"stroke rehabilitation","score":0.6700000166893005}],"concepts":[{"id":"https://openalex.org/C2779012798","wikidata":"https://www.wikidata.org/wiki/Q117060","display_name":"Spasticity","level":2,"score":0.9404801726341248},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8435602188110352},{"id":"https://openalex.org/C2778216619","wikidata":"https://www.wikidata.org/wiki/Q185706","display_name":"Wrist","level":2,"score":0.7127889394760132},{"id":"https://openalex.org/C2781375409","wikidata":"https://www.wikidata.org/wiki/Q1147377","display_name":"Muscle tone","level":2,"score":0.6756329536437988},{"id":"https://openalex.org/C2780566999","wikidata":"https://www.wikidata.org/wiki/Q25098821","display_name":"Modified Ashworth scale","level":3,"score":0.6470051407814026},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.624681293964386},{"id":"https://openalex.org/C2780105995","wikidata":"https://www.wikidata.org/wiki/Q232358","display_name":"Tendon","level":2,"score":0.6138916015625},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5859086513519287},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5002505779266357},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.39792516827583313},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2620200514793396},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09264734387397766},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000071939","descriptor_name":"Stroke Rehabilitation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009128","descriptor_name":"Muscle Spasticity","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D009128","descriptor_name":"Muscle Spasticity","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013710","descriptor_name":"Tendons","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014732","descriptor_name":"Vibration","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018482","descriptor_name":"Muscle, Skeletal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D034941","descriptor_name":"Upper Extremity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1038/s41598-024-54815-1","doi":"https://doi.org/10.1038/s41598-024-54815-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-024-54815-1","pdf_url":"https://www.nature.com/articles/s41598-024-54815-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10879534","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10879534","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10879534/pdf/41598_2024_Article_54815.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sci Rep","raw_type":"Text"},{"id":"pmid:38378862","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38378862","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific reports","raw_type":"Observational Study"},{"id":"pmh:oai:doaj.org/article:82a7d122e7214f329a6a6cd7ab12a527","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/82a7d122e7214f329a6a6cd7ab12a527","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scientific Reports, Vol 14, Iss 1, Pp 1-8 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41598-024-54815-1","doi":"https://doi.org/10.1038/s41598-024-54815-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-024-54815-1","pdf_url":"https://www.nature.com/articles/s41598-024-54815-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320326474","display_name":"Teijin Pharma","ror":"https://ror.org/001144c36"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4391968560.pdf","grobid_xml":"https://content.openalex.org/works/W4391968560.grobid-xml"},"referenced_works_count":23,"referenced_works":["https://openalex.org/W336413702","https://openalex.org/W1497548916","https://openalex.org/W1967426583","https://openalex.org/W1974708996","https://openalex.org/W1976314774","https://openalex.org/W1989131408","https://openalex.org/W1990414991","https://openalex.org/W2016185513","https://openalex.org/W2026463515","https://openalex.org/W2036085592","https://openalex.org/W2056135747","https://openalex.org/W2078724959","https://openalex.org/W2089012705","https://openalex.org/W2092393869","https://openalex.org/W2105267890","https://openalex.org/W2130873978","https://openalex.org/W2292286235","https://openalex.org/W2346795597","https://openalex.org/W2529113183","https://openalex.org/W2811417759","https://openalex.org/W2996007992","https://openalex.org/W3036015596","https://openalex.org/W3039713856"],"related_works":["https://openalex.org/W3116797709","https://openalex.org/W4386293946","https://openalex.org/W4413867336","https://openalex.org/W2107574029","https://openalex.org/W2007500404","https://openalex.org/W7204267440","https://openalex.org/W4301142205","https://openalex.org/W1989131408","https://openalex.org/W4412827974","https://openalex.org/W2772127423"],"abstract_inverted_index":{"Previous":[0],"studies":[1],"have":[2],"reported":[3],"the":[4,19,23,36,91,120,147,161,165,173,186],"effects":[5],"of":[6,22,83,172,185],"vibratory":[7],"stimulation":[8],"(VS)":[9],"therapy":[10],"in":[11,25,43,62,116,119,146],"reducing":[12,44],"upper":[13,59],"extremity":[14,60],"spasticity":[15,61,171,184],"after":[16,99,104],"stroke.":[17],"However,":[18],"effective":[20,42,167],"location":[21,38,168],"VS":[24,37,141,179],"patients":[26,55],"with":[27,56],"stroke":[28,57],"remains":[29],"unclear.":[30],"This":[31],"study":[32],"aimed":[33],"to":[34,152],"determine":[35],"that":[39,160,178],"is":[40],"most":[41,166],"post-stroke":[45],"finger":[46,106,174],"and":[47,58,73,97,102,127,134,177],"wrist":[48,148,187],"flexor":[49,117,149,175],"spasticity.":[50],"We":[51],"enrolled":[52],"27":[53],"consecutive":[54],"this":[63],"retrospective":[64],"observational":[65],"study.":[66],"The":[67],"participants":[68,123],"received":[69,110,125],"stretching,":[70],"tendon":[71,111,162],"vibration,":[72],"muscle":[74,128],"belly":[75,129],"vibration":[76,112,130],"for":[77,169],"5":[78],"min":[79],"over":[80],"a":[81],"period":[82],"3":[84],"days.":[85],"To":[86],"evaluate":[87],"spasticity,":[88],"we":[89],"assessed":[90],"Modified":[92],"Ashworth":[93],"Scale":[94],"score":[95],"before":[96],"immediately":[98,103],"each":[100],"treatment":[101],"voluntary":[105],"flexion.":[107],"Participants":[108,138],"who":[109,124,139,154],"showed":[113,142],"greater":[114],"improvement":[115,145],"tone":[118,150],"fingers":[121],"than":[122,190],"stretching":[126],"(P":[131],"<":[132,135],"0.05":[133],"0.001,":[136],"respectively).":[137],"underwent":[140,155],"no":[143],"significant":[144],"compared":[151],"those":[153],"stretching.":[156,191],"Our":[157],"results":[158],"suggest":[159],"may":[163,180],"be":[164],"treating":[170],"muscles":[176],"not":[181],"significantly":[182],"improve":[183],"flexors":[188],"more":[189]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2024-02-21T00:00:00"}