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Wang, C.; Wang, B.; Liang, J.; Niu, Z.; Lu, A. Multi-Task Mode on Cognition and Lower Limb Function. Encyclopedia. Available online: https://encyclopedia.pub/entry/52435 (accessed on 02 July 2024).
Wang C, Wang B, Liang J, Niu Z, Lu A. Multi-Task Mode on Cognition and Lower Limb Function. Encyclopedia. Available at: https://encyclopedia.pub/entry/52435. Accessed July 02, 2024.
Wang, Cenyi, Bingqing Wang, Jiling Liang, Ziru Niu, Aming Lu. "Multi-Task Mode on Cognition and Lower Limb Function" Encyclopedia, https://encyclopedia.pub/entry/52435 (accessed July 02, 2024).
Wang, C., Wang, B., Liang, J., Niu, Z., & Lu, A. (2023, December 06). Multi-Task Mode on Cognition and Lower Limb Function. In Encyclopedia. https://encyclopedia.pub/entry/52435
Wang, Cenyi, et al. "Multi-Task Mode on Cognition and Lower Limb Function." Encyclopedia. Web. 06 December, 2023.
Multi-Task Mode on Cognition and Lower Limb Function
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This entry is adapted from the peer-reviewed paper 10.3390/healthcare11233012

The application of multi-tasking (MT), especially dual-tasking (DT), in frail older adults is currently gaining attention. DT can be used as a test to assess cognitive and lower limb function in the frail population and that an MT (DT) training program with an intervention period of ≥3 months or a duration of ≥60 min per session could improve cognitive and lower limb function in the frail population, thereby reducing the risk of falls.

frail older adults multi-task dual-task cognition

1. Introduction

Frailty is a complex clinically relevant syndrome characterized by the deterioration of multiple physiological systems associated with reduced organ function due to sarcopenia, malnutrition and altered hormone levels [1][2]. Frailty has not yet been directly defined as a disease. In clinical studies, the Fried criteria, Kihon checklist, frailty index and other measurement tools are widely used to assess frailty [3][4][5]. However, the weakened stress-regulating capacity of the body caused by frailty, such as reduced activity, fatigue and physical performance, greatly increases the risk of adverse events in the elderly population [6]. Studies have shown that the global population of older adults over the age of 65 suffering from frailty, sarcopenia and cognitive impairment is projected to increase from 700 million in 2019 to 1.5 billion in 2050 [7]. As human life expectancy increases, aging and age-related conditions such as frailty and muscle atrophy have a significant impact on the function and quality of daily life in the elderly population [8][9]. How to effectively detect or prevent the aging process of the organism through various interventions and enhance the physical activity capacity of the elderly population has become the focus of scientific attention.
In daily life, people are commonly faced with multiple tasks at the same time, such as talking while walking and walking while holding a glass of water, mobile phone, or food. Conventional rehabilitation training or assessment measures are mostly physical function rehabilitation and testing under single task conditions, which only aim to improve or check the movement ability of elderly patients in a real-time environment while ignoring the movement or cognitive dysfunction that may exist in elderly patients under multi-task (MT) conditions [10]. Simply returning elderly patients to community life after a period of single-task testing or training may not effectively improve the quality of daily life in the elderly population but rather increase the incidence of elderly patients who fall in MT situations due to overconfidence in their ability to perform physical activity. Tombu et al. [11] suggested that the dual-task (DT) mode may distract the participants’ attention from the first task and that the behavioral ability in this environment might be more representative. Raffegeau et al. [12] showed that various types of DT modes can seriously deteriorate the gait performance of Parkinson’s disease (PD) patients. MT training can improve the postural control of older adults in daily activities, thus enabling them to cope better with complex living environments, which is vital for preventing falls and improving the quality of life of older individuals in the future. A systematic review of PD found that adding DT to gait and balance training can further benefit the gait and balance function in patients with mild to moderate PD compared with a single task [13]. Another study also showed that DT training can improve gait speed, stride length and cognitive function in patients with neurological impairment, thereby contributing to increased patient independence [14]. At the current time, the application of the DT mode in PD, Alzheimer’s disease and other neurological disorders has been widely reported, and in recent years, some scholars in the fields of psychology and geriatrics have started to concentrate on the larger population of frail older people.
Previous studies have demonstrated that a significant age-related decline in muscle mass and strength in frail older adults produces a large number of patients with sarcopenia [15]. Similar to frailty, sarcopenia is strongly associated with decreased physical activity, fractures and even falls in older adults [16]. As the global population ages, frailty and sarcopenia are becoming more prevalent in elderly individuals. Unless detected early and treated effectively, this condition will have a significant adverse impact on the health and quality of life of the elderly population. Studies have shown that skeletal muscle activity has powerful immune and redox effects that can alter brain function and reduce muscle metabolism, and that aging may play an essential role in the deterioration of skeletal muscle function and cognitive decline [17]. Simultaneously, gait performance and cognition share common neural pathways and DT training at different intensities can improve performance, such as cognitive function and gait performance [18][19]. Studies have shown that DT exercise training can significantly improve physical weakness and cognitive function, reduce the risk of falls and even reverse the development of sarcopenia in the elderly population [20]. However, current evidence on the effects of the MT mode on skeletal muscle strength and function is limited, and the relationship between cognition and skeletal muscle function has not been fully elucidated [21].

2. Efficacy of MT Testing in Assessing Balance, Muscle and Cognitive Function in Frail Older Adults

MT and especially DT are now widely recognized and used in neuropsychology and have been used to study the degree of independence between different independent task processes or the process of sharing neural resources between different tasks where there are interactions. The DT paradigm requires the body to perform multiple tasks simultaneously, which requires the optimization of “neural resources” compared to a single task; thus, the DT paradigm is considered an evolutionary advantage in the development of the human nervous system, which is reflected in various types of activities in our daily lives [22].
Maintaining the postural stability of the human body during various physical activities is a complex process that requires the integration of inputs from multiple sensory systems, such as vision, vestibular and proprioception; these sensory inputs are combined with appropriate neuromuscular responses and the flexibility of joint movements to achieve postural balance [23]. Studies have shown that the extent to which a DT task affects postural stabilization depends on factors such as age and task type [24]. Of the dual-task testing studies, all subjects were over 70 years of age, with the exception of the study by Zheng et al. [25]. All studies used cognitive-motor DT as a test protocol to assess motor function in a population of frail older adults, with only one study using an additional walking-with-a-glass-of-water DT to assess gait cadence. Considering that motor DTs, such as walking with a glass of water, do not demand much of the subjects’ functional brain resources and require fewer cognitive resources compared to cognitive tasks, DTs such as counting and naming may be more challenging for the elderly population, especially those with physical or cognitive dysfunctions [26]. Safe walking is an attention-demanding task for older adults, requiring high levels of mobility and cognitive flexibility to adapt to a range of environmental demands, such as controlling the walking direction and visual target recognition and tracking [27]. Walking was chosen as the motor task in the DT in almost all of the included DT study protocols, and the results of the study indicated that, compared with the older adult population without frailty or physical and cognitive decline, the frail older adult population completed the DT with a reduced gait speed, an increase in the number of steps, a support phase, a double-support phase, a total walking time and a turning duration, as well as a significantly higher percentage of lateral line stepping over and stops. Functional activity performance in DT walking may more accurately reflect the ability of the frail individual to perform multiple tasks simultaneously and could be more valuable for identifying postural control and the risk of falling in the elderly population.
However, it is noteworthy that one study [28] found no significant differences in gait performance and call accuracy between older adults at risk of falling with mild cognitive impairment and older adults with preserved cognition in completing the TUGT and calling a telephone number for the DT. In clinical studies, commonly used outcome measures for DT gait analysis are readily available parameters such as gait speed and step frequency. Nevertheless, simple timing devices and manually recognized information may not provide a complete picture of the true gait performance of a debilitated population. Clinical assessment of patients using DTC parameters, which can quantify DT and thereby reduce physiological differences in gait between individuals, may be advantageous [29]. Two of the current included studies [25][30] used DTC parameters to analyze various commonly used gait metrics and showed that the DTC was significantly higher in frail older adults than in the non-frail population. Laurence et al. [31] suggested that the mechanisms of aging not only affect sensory and motor systems but also that executive functions, cortical information processing, attentional resource allocation and attentional capacity are all altered in older adults as the body ages. Therefore, the exploration of physical functioning in frail older adults requires consideration of the influence of multiple factors from motor, cognitive and other sources.

3. Effects of MT Training on Balance, Muscle and Cognitive Function in Frail Older Adults

Falls are severe adverse events that affect the safety and quality of life of the elderly population, and while muscle function and proprioception decline in the debilitated elderly population, the impact of cognitive function-related mechanisms such as executive function and attention on falls cannot be ignored. The older female population comprised a very large proportion of subjects in the current inclusion of studies related to MT testing and training. Considering that the loss of skeletal muscle mass and bone mass may be more pronounced in women than in older men due to the postmenopausal decline in estrogen, older women are at a significantly higher risk of developing sarcopenia and osteoporosis in old age, and the risk of falls in older women is greatly increased compared to that in men [32][33].
At present, a large amount of evidence has confirmed that cognitive-motor DT exercise training can significantly improve physical activity function in people with cognitive dysfunction, such as those with Alzheimer’s disease [34][35]. According to Varela-Vasquez et al. [36], simultaneous DT exercise training is an effective way to improve motor performance and body coordination. All included studies used cognitive-motor MT for intervention training in a population of frail older adults. The specifics of the intervention training methods varied, but the types of exercise training chosen were mostly focused on balance, aerobic and resistance exercises. Although only three studies [37][38][39] mentioned the intensity of the intervention training, the descriptions of the study protocols from all the included literature showed that the exercise intensity was mostly low to moderate. Meanwhile, in terms of intervention duration, most of the studies reported an intervention duration of more than 3 months, and the interventions were effective on cognitive, muscle and balance function in the frail older population. However, three studies [40][41][42] with intervention cycles of less than 3 months and less than 60 min per session showed that MT training did not significantly improve handgrip strength and gait speed in frail older adults compared to conventional exercise interventions. Considering shorter cycles and training durations, fewer than three weekly doses of cognitive-motor MT exercises may not be sufficient to improve human motor performance in multi--tasking. An important principle of motor learning is the frequent and repetitive training of specific motor tasks to continuously improve motor performance; hence, repetitive practice of sufficient frequency and duration is required to fully develop cerebral neuroplasticity [43].
Additionally, Trombetti et al. [44] investigated the effects of music-based MT training on muscle and balance function in an elderly population at high risk of falling, and their results showed that MT training for more than 6 months significantly reduced gait variability and improved postural balance in older adults performing single-task and DT tasks. It has been suggested that this factor of improved gait variability in the elderly population through a period of MT or DT practice could be related to the development of more automated tasks and task coordination skills [41][45]. Additionally, the effects of MT on cognitive function still require adequate assessment through more detailed work, such as neuropsychological batteries. Interestingly, Mak et al. [46] chose analogy training (i.e., “imagine you are kicking a ball”) for their study of an elderly population at high risk of falling and found that analogy training appeared to have a more favorable effect on walking performance than single-task and DT effects.
The fixed and variable priority of DT training has also been the focus of many researchers. Because the transferability performance of DT training may be limited, it is clearly crucial for MT training to select and evaluate whether the training task is more in line with the intended skill or motor performance of the tested subject. Silsupadol et al. [41] reported the effects of 4 weeks of fixed-priority and variable-priority DT training on a community-based group of older adults with balance impairment. The results of the study indicated that a variable priority training strategy was more effective in improving balance and cognitive performance in an older population than singletasking and a fixed priority. Silsupadol and colleagues also noted that the positive effects of variable priority training could be a result of the development of walking task automation and task integration skills [47].

References

  1. Fried, L.P.; Tangen, C.M.; Walston, J.; Newman, A.B.; Hirsch, C.; Gottdiener, J.; Seeman, T.; Tracy, R.; Kop, W.J.; Burke, G.; et al. Frailty in older adults: Evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 2001, 56, M146–M156.
  2. Johansen, K.L. The frail dialysis population: A growing burden for the dialysis community. Blood Purif. 2015, 40, 288–292.
  3. Altintas, H.K.; Coban, S.A.; Cantekin, I. Relationship between frailty and loneliness among community-dwelling Turkish older people. Psychogeriatrics 2023, 23, 243–251.
  4. Sato, K.; Ikeda, T.; Watanabe, R.; Kondo, N.; Kawachi, I.; Kondo, K. Intensity of community-based programs by long-term care insurers and the likelihood of frailty: Multilevel analysis of older Japanese adults. Soc. Sci. Med. 2020, 245, 112701.
  5. Dury, S.; De Roeck, E.; Duppen, D.; Fret, B.; Hoeyberghs, L.; Lambotte, D.; Van der Elst, M.; van der Vorst, A.; Schols, J.; Kempen, G.; et al. Identifying frailty risk profiles of home-dwelling older people: Focus on sociodemographic and socioeconomic characteristics. Aging Ment. Health 2017, 21, 1031–1039.
  6. Cesari, M.; Calvani, R.; Marzetti, E. Frailty in Older Persons. Clin. Geriatr. Med. 2017, 33, 293–303.
  7. Fadzil, S.N.M.; Osman, I.; Ismail, S.; Hashim, M.J.; Khamis, M.R. Does financial support improve the well-being of the elderly? In Proceedings of the 8th International Conference on Advanced Materials Engineering & Technology (ICAMET), Langkawi, Malaysia, 21 July 2021.
  8. Liu, H.X.; Ding, G.; Yu, W.J.; Liu, T.F.; Yan, A.Y.; Chen, H.Y.; Zhang, A.H. Association between frailty and incident risk of disability in community-dwelling elder people: Evidence from a meta-analysis. Public Health 2019, 175, 90–100.
  9. Kojima, G. Frailty as a predictor of nursing home placement among community-dwelling older adults: A systematic review and meta-analysis. J. Geriatr. Phys. Ther. 2018, 41, 42–48.
  10. Ghai, S.; Ghai, I.; Effenberg, A.O. Effects of dual tasks and dual-task training on postural stability: A systematic review and meta-analysis. Clin. Interv. Aging 2017, 12, 557–577.
  11. Tombu, M.; Jolicoeur, P. A central capacity sharing model of dual-task performance. J. Exp. Psychol. Hum. Percept. Perform. 2003, 29, 3–18.
  12. Raffegeau, T.E.; Krehbiel, L.M.; Kang, N.; Thijs, F.J.; Altmann, L.J.P.; Cauraugh, J.H.; Hass, C.J. A meta-analysis: Parkinson’s disease and dual-task walking. Parkinsonism Relat. Disord. 2019, 62, 28–35.
  13. De Freitas, T.B.; Leite, P.H.W.; Doná, F.; Pompeu, J.E.; Swarowsky, A.; Torriani-Pasin, C. The effects of dual task gait and balance training in Parkinson’s disease: A systematic review. Physiother. Theory Pract. 2020, 36, 1088–1096.
  14. Fritz, N.E.; Cheek, F.M.; Nichols-Larsen, D.S. Motor-cognitive dual-task training in persons with neurologic disorders: A systematic review. J. Neurol. Phys. Ther. 2015, 39, 142–153.
  15. Roberts, S.; Collins, P.; Rattray, M. Identifying and managing malnutrition, frailty and sarcopenia in the community: A narrative review. Nutrients 2021, 13, 2316.
  16. Lee, D.; Kim, M.; Won, C.W. Common and different characteristics among combinations of physical frailty and sarcopenia in community-dwelling older adults: The Korean frailty and aging cohort study. Geriatr. Gerontol. Int. 2022, 22, 42–49.
  17. Sui, S.X.; Williams, L.J.; Holloway-Kew, K.L.; Hyde, N.K.; Pasco, J.A. Skeletal muscle health and cognitive function: A narrative review. Int. J. Mol. Sci. 2020, 22, 255.
  18. Grande, G.; Triolo, F.; Nuara, A.; Welmer, A.K.; Fratiglioni, L.; Vetrano, D.L. Measuring gait speed to better identify prodromal dementia. Exp. Gerontol. 2019, 124, 110625.
  19. Montero-Odasso, M.M.; Barnes, B.; Speechley, M.; Muir Hunter, S.W.; Doherty, T.J.; Duque, G.; Gopaul, K.; Sposato, L.A.; Casas-Herrero, A.; Borrie, M.J.; et al. Disentangling cognitive-frailty: Results from the gait and brain study. J. Gerontol. A Biol. Sci. Med. Sci. 2016, 71, 1476–1482.
  20. Merchant, R.A.; Chan, Y.H.; Hui, R.J.Y.; Lim, J.Y.; Kwek, S.C.; Seetharaman, S.K.; Au, L.S.Y.; Morley, J.E. Possible sarcopenia and impact of dual-task exercise on gait speed, handgrip strength, falls, and perceived health. Front. Med. 2021, 8, 660463.
  21. Peng, T.C.; Chen, W.L.; Wu, L.W.; Chang, Y.W.; Kao, T.W. Sarcopenia and cognitive impairment: A systematic review and meta-analysis. Clin. Nutr. 2020, 39, 2695–2701.
  22. Piqueres-Juan, I.; Tirapu-Ustárroz, J.; García-Sala, M. Dual performance paradigms: Their conceptual aspects. Rev. Neurol. 2021, 72, 357–367.
  23. De Cock, A.M.; Fransen, E.; Perkisas, S.; Verhoeven, V.; Beauchet, O.; Remmen, R.; Vandewoude, M. Gait characteristics under different walking conditions: Association with the presence of cognitive impairment in community-dwelling older people. PLoS ONE 2017, 12, e0178566.
  24. Omana, H.; Madou, E.; Montero-Odasso, M.; Payne, M.W.; Viana, R.; Hunter, S.W. The effect of dual-task testing on the balance and gait of people with lower limb amputations: A systematic review. PM&R 2023, 15, 94–128.
  25. Zheng, Y.; Lang, S.; Liang, J.; Jiang, Y.; Zhao, B.; Chen, H.; Huang, D.; Li, Q.; Liu, H.; Chen, S.; et al. Effects of motor-cognitive interaction based on dual-task gait analysis recognition in middle age to aging people with normal cognition and mild cognitive impairment. Front. Aging. Neurosci. 2022, 14, 969822.
  26. Tsang, C.S.; Wang, S.; Miller, T.; Pang, M.Y. Degree and pattern of dual-task interference during walking vary with component tasks in people after stroke: A systematic review. J. Physiother. 2022, 68, 26–36.
  27. Wang, C.; Wang, G.; Lu, A.; Zhao, Y. Effects of attentional control on gait and inter-joint coordination during dual-task walking. Front. Psychol. 2021, 12, 665175.
  28. Ansai, J.H.; Andrade, L.P.; Rossi, P.G.; Takahashi, A.C.M.; Vale, F.A.C.; Rebelatto, J.R. Gait, dual task and history of falls in elderly with preserved cognition, mild cognitive impairment, and mild Alzheimer’s disease. Braz. J. Phys. Ther. 2017, 21, 144–151.
  29. Bayot, M.; Dujardin, K.; Tard, C.; Defebvre, L.; Bonnet, C.T.; Allart, E.; Delval, A. The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning. Neurophysiol. Clin. 2018, 48, 361–375.
  30. Piche, E.; Chorin, F.; Gerus, P.; Jaafar, A.; Guerin, O.; Zory, R. Effects of age, sex, frailty and falls on cognitive and motor performance during dual-task walking in older adults. Exp. Gerontol. 2023, 171, 112022.
  31. Laurence, B.D.; Michel, L. The fall in older adults: Physical and cognitive problems. Curr. Aging Sci. 2017, 10, 185–200.
  32. Thouverey, C.; Caverzasio, J. Ablation of p38α MAPK signaling in osteoblast lineage cells protects mice from bone loss induced by estrogen deficiency. Endocrinology 2015, 156, 4377–4387.
  33. Arnold, C.M.; Busch, A.J.; Schachter, C.L.; Harrison, L.; Olszynski, W. The relationship of intrinsic fall risk factors to a recent history of falling in older women with osteoporosis. J. Orthop. Sports Phys. Ther. 2005, 35, 452–460.
  34. Parvin, E.; Mohammadian, F.; Amani-Shalamzari, S.; Bayati, M.; Tazesh, B. Dual-task training affect cognitive and physical performances and brain oscillation ratio of patients with Alzheimer’s disease: A randomized controlled trial. Front. Aging. Neurosci. 2020, 12, 605317.
  35. Liu, W.; Zhang, J.; Wang, Y.; Li, J.; Chang, J.; Jia, Q. Effect of physical exercise on cognitive function of Alzheimer’s disease patients: A systematic review and meta-analysis of randomized controlled trial. Front. Psychiatry 2022, 13, 927128.
  36. Varela-Vásquez, L.A.; Minobes-Molina, E.; Jerez-Roig, J. Dual-task exercises in older adults: A structured review of current literature. J. Frailty Sarcopenia Falls 2020, 5, 31–37.
  37. Merchant, R.A.; Au, L.; Seetharaman, S.; Ng, S.E.; Nathania, J.; Lim, J.Y.; Koh, G.C. Association of pain and impact of dual-task exercise on function, cognition and quality of life. J. Nutr. Health Aging 2021, 25, 1053–1063.
  38. Rezola-Pardo, C.; Arrieta, H.; Gil, S.M.; Zarrazquin, I.; Yanguas, J.J.; López, M.A.; Irazusta, J.; Rodriguez-Larrad, A. Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: The Ageing-ONDUAL-TASK randomized controlled study. Age Ageing 2019, 48, 817–823.
  39. Zhao, Y.; Wang, L.; Zhang, T.; Wang, D.; Chen, Z. Effects of cognitive-motor dual task training on cognitive and limb function in elderly patients with sarcopenia. Chin. J. Rehabil. Med. 2021, 36, 1118–1122.
  40. Kwan, R.Y.C.; Liu, J.Y.W.; Fong, K.N.K.; Qin, J.; Leung, P.K.; Sin, O.S.K.; Hon, P.Y.; Suen, L.W.; Tse, M.K.; Lai, C.K. Feasibility and effects of virtual reality motor-cognitive training in community-dwelling older people with cognitive frailty: Pilot randomized controlled trial. JMIR Serious Games 2021, 9, e28400.
  41. Silsupadol, P.; Lugade, V.; Shumway-Cook, A.; van Donkelaar, P.; Chou, L.S.; Mayr, U.; Woollacott, M.H. Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial. Gait Posture 2009, 29, 634–639.
  42. Szturm, T.; Betker, A.L.; Moussavi, Z.; Desai, A.; Goodman, V. Effects of an interactive computer game exercise regimen on balance impairment in frail community-dwelling older adults: A randomized controlled trial. Phys. Ther. 2011, 91, 1449–1462.
  43. Spampinato, D.; Celnik, P. Multiple motor learning processes in humans: Defining their neurophysiological bases. Neuroscientist 2021, 27, 246–267.
  44. Trombetti, A.; Hars, M.; Herrmann, F.R.; Kressig, R.W.; Ferrari, S.; Rizzoli, R. Effect of music-based multitask training on gait, balance, and fall risk in elderly people: A randomized controlled trial. Arch. Intern. Med. 2011, 171, 525–533.
  45. Silsupadol, P.; Shumway-Cook, A.; Lugade, V.; van Donkelaar, P.; Chou, L.S.; Mayr, U.; Woollacott, M.H. Effects of single-task versus dual-task training on balance performance in older adults: A double-blind, randomized controlled trial. Arch. Phys. Med. Rehabil. 2009, 90, 381–387.
  46. Mak, T.C.T.; Capio, C.M.; Wong, T.W.L. Effects of single-task, dual-task and analogy training during gait rehabilitation of older adults at risk of falling: A randomized controlled trial. Int. J. Environ. Res. Public Health 2022, 20, 315.
  47. Kramer, A.F.; Larish, J.F.; Strayer, D.L. Training for attentional control in dual task settings: A comparison of young and old adults. J. Exp. Psychol. Appl. 1995, 1, 50–76.
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Cenyi Wang
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Bingqing Wang
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Jiling Liang
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Ziru Niu
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Aming Lu
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