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News

Latest research validates upper-limb task-specific training

A wave of systematic reviews and randomised controlled trials  over the last few years has refined our understanding, confirming task-specific training (TST)’s efficacy while also shedding light on critical factors like intensity and technological integration.

Task-specific training involves repetitive, goal-directed practice of real-world functional tasks, such as grasping a cup or buttoning a shirt, rather than isolated, non-functional exercises. By promoting active problem-solving and engaging neural pathways in a meaningful context, TST harnesses the brain’s plasticity to maximise motor recovery.

A recent systematic review in The American Journal of Occupational Therapy synthesised findings from 16 studies involving nearly 700 stroke survivors. The review found strong evidence supporting activity-based TST for improving UL motor function, motor performance, and activities of daily living (ADLs). and a May 2025 study in Clinical Rehabilitation found task-oriented training produced statistically and clinically meaningful improvements in UL function for patients with subacute stroke compared to conventional exercise programmes.

The latest research is also exploring ways to amplify the effects of TST by combining it with cutting-edge techniques; a 2023 network meta-analysis found that combining TST with electrical stimulation is a promising approach for improving UL motor function, especially for individuals within six months of stroke onset.

Interestingly, a group of newer studies are examining dual-task training (DTT), where individuals practice a task while performing a secondary activity. Preliminary results from a May 2025 study suggest DTT can effectively improve UL function and trunk performance in chronic stroke patients.

ARNI says that the evidence for task-specific training in stroke rehabilitation is undeniable. Recent research provides new avenues for enhancing its effects through technology and combination therapies. The message is clear for us stroke survivors: focusing on repetitive, meaningful, real-world tasks is a highly effective strategy for regaining a handle on life after stroke.


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    ARNI Stroke Rehab & Recovery
    10 hours ago
    ARNI Stroke Rehab & Recovery

    Stroke survivor Dr Tom Director of ARNI Charity UK recovering his functional grip strength using the principle of timed carry of heavy, awkward objects. To put in rehab terms, the liquid in the barrel sloshes from one end to another during each step. This was extremely HARD to complete - places the fingers on the barrel tines with a climber's grip and forces the person to hang on throughout

    Is this something you'v#strokesurvivorscanrvivorscan
    www.arn#strokerehabilitationb#ARNIstrokerehabt#strokerehabt#neurorehabn#strokerecoveryk#strokeexercisek#neuroplasticityp#strokesurvivorscanrvivorscan     ... See MoreSee Less

    Stroke survivor Dr Tom Director of ARNI Charity UK recovering his functional grip strength using the principle of timed carry of heavy, awkward objects. To put in rehab terms, the liquid in the barrel sloshes from one end to another during each step. This was extremely HARD to complete - places the fingers on the barrel tines with a climbers grip and forces the person to hang on throughout Is this something youve tried?? #strokesurvivorscan www.arni.uk.com #strokerehabilitation #ARNIstrokerehab #strokerehab #neurorehab #strokerecovery #strokeexercise #neuroplasticity #strokesurvivorscan
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    I wish I could do this .

    My Favourite picture of Tom in action 👍🏽

    ARNI Stroke Rehab & Recovery
    14 hours ago
    ARNI Stroke Rehab & Recovery

    “If we put exercise into a drug, it would be one of the most effective medications to prevent vascular disease and treat patients with cardiovascular and cerebrovascular diseases including stroke.” Yep. This statement is reinforced by the finding that exercise interventions are significantly more effective than drugs in both rehabilitation and reducing the odds of mortality among stroke survivors.
    Chronic inactivity related to stroke basically has a whole load of physiological consequences that result in cardiovascular deconditioning, increased cardiovascular risk and increased mortality and morbidity risk.
    The majority of survivors are cardiovascularly unfit. It has been found that due to the effects of stroke, you can even be rendered half as cardiovascularly fit compared to someone who has not had a stroke.
    This can be worsened by a pre-existing cardiovascular condition, such as hypertension, congestive heart failure, peripheral vascular disease, or pulmonary and metabolic diseases. This is bad news. The good news is that evidence now also suggests that your exercise train-ability may be comparable, in many ways, to that of your age-matched healthy counterparts.
    Despite the fact that the energy expenditure required for you to perform walking varies with the degree of weakness, spasticity, training, and AFO usage.. and is elevated by one and a half to two times that of non-stroke subjects…you can increase your cardiovascular fitness by a magnitude that is similar to that of healthy adults who engage in endurance training programmes. Improving aerobic fitness may allow you to carry out everyday activities with less effort and for longer periods.
    You’ve got to be active, right? Another crucial factor: there is growing evidence that exercise promotes brain neuroplasticity. Neuroplasticity mediates cognition and the relearning of motor skills and other skills after stroke. Brains learn what they do. Remember, the brain loves repetition. Cardiovascular exercise is repetition.
    For such adaptation to happen optimally, you must be prepared to do focused work with whatever movement you possess (with some caveats, to be explained shortly), even if you believe you have none at all. Over and over again, with as much attention to detail as you can.
    The take-home from this is that I want you now to think of yourself as a CREATIVE stroke survivor. Take walking. Repetitions are required but ALSO you need to set goals and targets (actually, like me, you’ll find these are fast-moving targets): to get away from supports like wheelchairs, frames and sticks as soon as possible, to go further, to go for set distances, to feel less tired each time, to ramp up the quality of your walking by focusing on how you walk, to walk over different surfaces, to walk with an AFO and without, to tackle stairs, etc. etc.
    Time to make a move! Get professional help if you need or ‘go-it-alone’. If you are setting up to ‘retrain’ by yourself, when attempting walking practice, dependent on your presentation, at least collar a young and strong family member or friend to help you. No-one will mind, especially when they see you making a darned good effort. The world is yours.
    www.arni.uk.com

    #strokerecovery #ARNIstrokerehab #strokerehab #strokesurvivorscan #neurorehab #strokeexercise #neuroplasticity #strokerehabilitation     ... See MoreSee Less

    “If we put exercise into a drug, it would be one of the most effective medications to prevent vascular disease and treat patients with cardiovascular and cerebrovascular diseases including stroke.” Yep. This statement is reinforced by the finding that exercise interventions are significantly more effective than drugs in both rehabilitation and reducing the odds of mortality among stroke survivors. Chronic inactivity related to stroke basically has a whole load of physiological consequences that result in cardiovascular deconditioning, increased cardiovascular risk and increased mortality and morbidity risk. The majority of survivors are cardiovascularly unfit. It has been found that due to the effects of stroke, you can even be rendered half as cardiovascularly fit compared to someone who has not had a stroke. This can be worsened by a pre-existing cardiovascular condition, such as hypertension, congestive heart failure, peripheral vascular disease, or pulmonary and metabolic diseases. This is bad news. The good news is that evidence now also suggests that your exercise train-ability may be comparable, in many ways, to that of your age-matched healthy counterparts. Despite the fact that the energy expenditure required for you to perform walking varies with the degree of weakness, spasticity, training, and AFO usage.. and is elevated by one and a half to two times that of non-stroke subjects…you can increase your cardiovascular fitness by a magnitude that is similar to that of healthy adults who engage in endurance training programmes. Improving aerobic fitness may allow you to carry out everyday activities with less effort and for longer periods. You’ve got to be active, right? Another crucial factor: there is growing evidence that exercise promotes brain neuroplasticity. Neuroplasticity mediates cognition and the relearning of motor skills and other skills after stroke. Brains learn what they do. Remember, the brain loves repetition. Cardiovascular exercise is repetition. For such adaptation to happen optimally, you must be prepared to do focused work with whatever movement you possess (with some caveats, to be explained shortly), even if you believe you have none at all. Over and over again, with as much attention to detail as you can. The take-home from this is that I want you now to think of yourself as a CREATIVE stroke survivor. Take walking. Repetitions are required but ALSO you need to set goals and targets (actually, like me, you’ll find these are fast-moving targets): to get away from supports like wheelchairs, frames and sticks as soon as possible, to go further, to go for set distances, to feel less tired each time, to ramp up the quality of your walking by focusing on how you walk, to walk over different surfaces, to walk with an AFO and without, to tackle stairs, etc. etc. Time to make a move! Get professional help if you need or ‘go-it-alone’. If you are setting up to ‘retrain’ by yourself, when attempting walking practice, dependent on your presentation, at least collar a young and strong family member or friend to help you. No-one will mind, especially when they see you making a darned good effort. The world is yours. www.arni.uk.com #strokerecovery #ARNIstrokerehab #strokerehab #strokesurvivorscan #neurorehab #strokeexercise #neuroplasticity #strokerehabilitation
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    ARNI Stroke Rehab & Recovery
    18 hours ago
    ARNI Stroke Rehab & Recovery

    The best thing you can do is to try to use your hand religiously for as many things as you can reasonably do every day without going insane.

    If you need help to get going give us a call on 0203 053 0111, or email support@arni.uk.com to find out if there's a trainer near you who can work with you.
    www.arni.uk.#strokeexerciser#neurorehabr#strokerecoveryo#neuroplasticityi#strokerehabr#strokerehabilitationa#ARNIstrokerehabr#strokearmrehabrehab     ... See MoreSee Less

    The best thing you can do is to try to use your hand religiously for as many things as you can reasonably do every day without going insane. If you need help to get going give us a call on 0203 053 0111, or email support@arni.uk.com to find out if theres a trainer near you who can work with you. www.arni.uk.com #strokeexercise #neurorehab #strokerecovery #neuroplasticity #strokerehab #strokerehabilitation #ARNIstrokerehab #strokearmrehab
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    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    Have you ever heard the term ‘cryptogenic stroke’? 🤔 A cryptogenic stroke is a bit of a mystery: 1 in 3 ischemic strokes are this type where, even after extensive testing, doctors can't find a definitive cause.

    ‘Cryptogenic’ comes from Greek and means ‘of hidden origin’. It can be frustrating for both patients and doctors when the cause isn't clear. Even with a hidden cause, it's just as serious as any other stroke. So why can't doctors find the cause?

    It might be because of a subtle issue that's hard to detect such as a hidden heart issue like a patent foramen ovale (PFO), an irregular heartbeat such as atrial fibrillation (Afib), that only happens sometimes and isn't picked up on a short-term monitor or a small blood clot from a large artery that isn't severe enough to be a clear cause or a blood clotting disorder that makes your blood more prone to clotting.

    If you or a loved one has had a cryptogenic stroke, working closely with your ARNI trainer is key. The goal is to monitor your health and manage risk factors to prevent another stroke.
    www.arni.uk.com
    #ARNIstrokerehab #StrokeSurvivor #CryptogenicStroke #StrokeAwareness #HiddenCause #StrokeRecovery #KnowTheSigns #HealthEducation #MedicalMystery #BrainHealth 🧠💖     ... See MoreSee Less

    Have you ever heard the term ‘cryptogenic stroke’? 🤔 A cryptogenic stroke is a bit of a mystery: 1 in 3 ischemic strokes are this type where, even after extensive testing, doctors cant find a definitive cause. ‘Cryptogenic’ comes from Greek and means ‘of hidden origin’. It can be frustrating for both patients and doctors when the cause isnt clear. Even with a hidden cause, its just as serious as any other stroke. So why cant doctors find the cause? It might be because of a subtle issue thats hard to detect such as a hidden heart issue like a patent foramen ovale (PFO), an irregular heartbeat such as atrial fibrillation (Afib), that only happens sometimes and isnt picked up on a short-term monitor or a small blood clot from a large artery that isnt severe enough to be a clear cause or a blood clotting disorder that makes your blood more prone to clotting. If you or a loved one has had a cryptogenic stroke, working closely with your ARNI trainer is key. The goal is to monitor your health and manage risk factors to prevent another stroke. www.arni.uk.com #ARNIstrokerehab #StrokeSurvivor #CryptogenicStroke #StrokeAwareness #HiddenCause #StrokeRecovery #KnowTheSigns #HealthEducation #MedicalMystery #BrainHealth 🧠💖
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    My daughter had a massive ischemic stroke at 20 years old. They did extensive testing to try to find the cause including putting her under and looking all around her heart. More blood tests than you could imagine. Nothing was ever found. Non smoker, non drinker, no drugs ever. Also, interesting fact- she had severe fibromyalgia prior to her stroke and zero fibromyalgia symptoms after. We always thought that was interesting but none of her Drs did?

    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    Here's a great review of Had a stroke? What now? book by Tom Balchin
    This is a really great book for stroke survivors, their families, and people working in the field of stroke care. It provides very concise and accessible information about stroke and is written with positivity and optimism that should motivate anyone wishing to improve their function. It includes lots of practical strategies and exercises as well as very current information about the latest developments in the field of stroke recovery. I am currently training to help stroke survivors and I can highly recommend it!

    arni.uk.com/product-category/arni-recommende#strokesurvivorscanr#neurorehabr#neuroplasticityi#strokerehabilitationa#strokerehabr#strokeexerciser#strokerecoveryo#ARNIstrokerehabrehab     ... See MoreSee Less

    Heres a great review of Had a stroke? What now? book by Tom Balchin This is a really great book for stroke survivors, their families, and people working in the field of stroke care. It provides very concise and accessible information about stroke and is written with positivity and optimism that should motivate anyone wishing to improve their function. It includes lots of practical strategies and exercises as well as very current information about the latest developments in the field of stroke recovery. I am currently training to help stroke survivors and I can highly recommend it! https://arni.uk.com/product-category/arni-recommended/ #strokesurvivorscan #neurorehab #neuroplasticity #strokerehabilitation #strokerehab #strokeexercise #strokerecovery #arnistrokerehab
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    • Likes: 15
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    The best book :)Thanks Tom :)

    Thanks tom

    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    Breaking news from the world of stroke recovery! 🧠🔬 Researchers at the University of Zurich have achieved a major breakthrough in a new study.

    In their landmark work, they have successfully used stem cell transplantation to reverse stroke damage in mice, showing incredible results that could one day transform recovery for humans.

    The transplanted stem cells not only grew into new neurons and blood vessels but also reduced inflammation and helped rebuild the blood-brain barrier. Most excitingly, the treated mice regained motor functions they had lost, proving that meaningful recovery and brain regeneration are possible.

    While this research is still in its early stages and a step away from human trials for stroke, it offers a huge glimmer of hope for the future of regenerative medicine. This may be one of those landmark moments in science; ARNI Stroke Rehab UK will be watching closely as this work progresses! 🙏💖
    www.arni.uk.com
    #ARNIstrokerehab #rehabilitation #strokerecovery #stemcelltherapy #neuroscience #MedicalBreakthrough #HopeAfterStroke #uzh #zurich     ... See MoreSee Less

    Breaking news from the world of stroke recovery! 🧠🔬 Researchers at the University of Zurich have achieved a major breakthrough in a new study. In their landmark work, they have successfully used stem cell transplantation to reverse stroke damage in mice, showing incredible results that could one day transform recovery for humans. The transplanted stem cells not only grew into new neurons and blood vessels but also reduced inflammation and helped rebuild the blood-brain barrier. Most excitingly, the treated mice regained motor functions they had lost, proving that meaningful recovery and brain regeneration are possible. While this research is still in its early stages and a step away from human trials for stroke, it offers a huge glimmer of hope for the future of regenerative medicine. This may be one of those landmark moments in science; ARNI Stroke Rehab UK will be watching closely as this work progresses! 🙏💖 www.arni.uk.com #ARNIstrokerehab #Rehabilitation #StrokeRecovery #StemCellTherapy #Neuroscience #MedicalBreakthrough #HopeAfterStroke #UZH #Zurich
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    Hi Karen; goodness me - yes, people with MS do have a higher susceptibility to having a stroke don;t they; I'm so sorry this happened to you... how are you doing at the moment and can ARNI help in any way? All the best, Tom

    Hope solutions is coming

    Every journey starts with a first step. Let's hope this continues to be successful.

    Amazing, I hope it will happen soon

    This is uplifting news.

    That's amazing news well done to science.please god. soon 🙏best news I've heard in long time .

    This is freaking amazing! I would love to do the trial!

    🤞really exciting 🙏

    I hope they find something quick I’m still waiting on a cure for MS to happen I was diagnosed with it 19 Years ago, had a Stroke April 2024 so🤞

    That is fantastic news

    Unfortunately I doubt this will be available on the NHS and will only be available if you pay for it privately.

    Wow … how exciting …

    I envy the mice that took the trial.

    My neurologist told me about this 6 years ago. Still in the early stages huh

    I took part in the stem cell trial in Nottingham 6 months after I had my stroke I was the youngest one to take part and the only one of child bearing age and I’ve not had any good effects from it or bad but the way I saw it I had nothing to lose and everything to gain xx

    It rejuvenate's tissue. But does it re juvenate? Nerve sells

    Wow absolutely brilliant 👏. I would happily be a trial brain after having a large left cerebellum stroke Nov 24 .

    My neighbor had stem cell treatment for MS and now she’s walking without her canes.

    I'll volunteer for any human trial studies

    I thought you couldn’t get stem cells over the blood brain barrier, unless it was very shortly after the stroke had occurred, when the blood brain barrier was compromised. Very happy to be proved wrong!!!

    Is there trials we can put our names down for?

    if only we still had science here in the US of A, I might feel some semblance of hope. Sadly, science is illegal now...

    2.5 years in. Starting to get steps and left arm movement back. Would love to be part of a trial getting left sided vision back is a dream

    I have said this for years. We human's have advance 10 fold, so why can't we do this!

    I have followed stem cell therapy since my stroke!!! I mentioned this to my specialist she practically laughed in my face and made me feel completely humiliated 😢my brain damage is huge would go anywhere to get it 🙏

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    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    For you........
    www.arni.uk.com
    #strokerehabilitation #ARNIstrokerehab #strokerehab #neurorehab #strokerecovery #strokeexercise #neuroplasticity #strokesurvivorscan     ... See MoreSee Less

    For you........ www.arni.uk.com #strokerehabilitation #ARNIstrokerehab #strokerehab #neurorehab #strokerecovery #strokeexercise #neuroplasticity #strokesurvivorscan
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    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    You know that your path to recovery after a stroke is about your resilience, knowledge built-up and the experimenting with new interventions & augments. A new wearable device called Neubond from Imperial College is joining the journey to help make progress possible. 🚀 Unlike FES (open-loop), it’s a closed-loop system built on a technology called Volition-Induced Paired Associative Stimulation (VIPAS).

    The lightweight, comfortable bracelet is equipped with tiny sensors that can detect the very subtle electrical signals your brain sends when you try to move your affected limb, even if you can't see or feel the movement yet. At the precise moment your brain is sending that command, Neubond delivers a gentle electrical stimulation to the corresponding muscle. This reinforces the neural pathway; the connection between your brain's command and your muscle's action.

    By repeatedly pairing your intention to move with the actual movement, the device essentially helps to rewire your brain, promoting neuroplasticity and strengthening that vital brain-to-muscle connection over time.

    For ARNI Stroke Rehab survivors who want to try it, please be aware that the Neubond wearable is still in the testing and dev phase and isn’t currently available for purchase. But their website holds a waiting list for early access to pilot and beta testing which you can join if you are interested in potentially participating in future trials ;)
    www.arni.uk.com
    #ARNIstrokerehab #StrokeSurvivor #Rehabilitation #Neuroplasticity #Neubond #Neuroplasticity #StrokeSurvivor #HopeAfterStroke #WearableTech #Empowerment     ... See MoreSee Less

    You know that your path to recovery after a stroke is about your resilience, knowledge built-up and the experimenting with new interventions & augments. A new wearable device called Neubond from Imperial College is joining the journey to help make progress possible. 🚀 Unlike FES (open-loop), it’s a closed-loop system built on a technology called Volition-Induced Paired Associative Stimulation (VIPAS). The lightweight, comfortable bracelet is equipped with tiny sensors that can detect the very subtle electrical signals your brain sends when you try to move your affected limb, even if you cant see or feel the movement yet. At the precise moment your brain is sending that command, Neubond delivers a gentle electrical stimulation to the corresponding muscle. This reinforces the neural pathway; the connection between your brains command and your muscles action. By repeatedly pairing your intention to move with the actual movement, the device essentially helps to rewire your brain, promoting neuroplasticity and strengthening that vital brain-to-muscle connection over time. For ARNI Stroke Rehab survivors who want to try it, please be aware that the Neubond wearable is still in the testing and dev phase and isn’t currently available for purchase. But their website holds a waiting list for early access to pilot and beta testing which you can join if you are interested in potentially participating in future trials ;) www.arni.uk.com #ARNIstrokerehab #StrokeSurvivor #Rehabilitation #Neuroplasticity #Neubond #Neuroplasticity #StrokeSurvivor #HopeAfterStroke #WearableTech #EmpowermentImage attachment
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    ARNI Stroke Rehab & Recovery
    2 days ago
    ARNI Stroke Rehab & Recovery

    If you're using a stepper try going up with both your good foot and our affected foot because ultimately you are practicing to manage a flight of steps. This will enable you to practice lifting your affected leg, extending and placing your affected foot , then using the toes on your good side to spring onto the step. To get off the stepper backwards use your good foot first.
    www.arni.uk.com

    If you like this post then please share it with others. Each time that you share a post, you can directly help other people – as who knows which people in the world might find us and gain, either directly from the charity or simply by being able to copy an ‘innovative and useful’ move/trick of the trade that might help them manage after stroke.

    Every time you share, you could directly help someone – as knowledge is power ;)
    #neurorehab #strokerecovery #neuroplasticity #strokerehabilitation #strokeexercise #ARNIstrokerehab #stairsafterstroke     ... See MoreSee Less

    If youre using a stepper try going up with both your good foot and our affected foot because ultimately you are practicing to manage a flight of steps. This will enable you to practice lifting your affected leg, extending and placing your affected foot , then using the toes on your good side to spring onto the step. To get off the stepper backwards use your good foot first. www.arni.uk.com If you like this post then please share it with others. Each time that you share a post, you can directly help other people – as who knows which people in the world might find us and gain, either directly from the charity or simply by being able to copy an ‘innovative and useful’ move/trick of the trade that might help them manage after stroke. Every time you share, you could directly help someone – as knowledge is power ;) #neurorehab #strokerecovery #neuroplasticity #strokerehabilitation #strokeexercise #ARNIstrokerehab #stairsafterstroke
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    ARNI Stroke Rehab & Recovery
    3 days ago
    ARNI Stroke Rehab & Recovery

    Why do core exercises? Core exercises stabilise the trunk. Having a stable “base” is extremely important for the arms and the legs to move efficiently.
    To find out if there's an ARNI instructor near you who can help you with your recovery call us on 0203 053 0111 or email support@arni.uk.com
    www.arni.uk.com
    #neuroplasticity #strokerecovery #strokerehab #strokeexercise #ARNIstrokerehab #neurorehab #strokerehabilitation     ... See MoreSee Less

    Why do core exercises? Core exercises stabilise the trunk. Having a stable “base” is extremely important for the arms and the legs to move efficiently. To find out if theres an ARNI instructor near you who can help you with your recovery call us on 0203 053 0111 or email support@arni.uk.com www.arni.uk.com #neuroplasticity #strokerecovery #strokerehab #strokeexercise #ARNIstrokerehab #neurorehab #strokerehabilitation
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    ARNI