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Balance Board Triggers Favorable Changes in Multiple Sclerosis Patients’ Brains

By MedImaging International staff writers
Posted on 02 Sep 2014

Image: The figure shows the starting point (in red, left image), the ending point (in yellow, center image) and the three-dimensional rendering (in green, right image) of the nerve tracts examined in the study (Photo courtesy of Radiology journal; Radiological Society of North America).

A balance board designed for a widely used video game console has been shown to help patients suffering from multiple sclerosis (MS) to reduce their risk of accidental falls, according to new findings.

Magnetic resonance imaging (MRI) scans revealed that use of the Nintendo (Redmond, WA, USA) Wii balance board system appears to induce favorable changes in brain connections associated with balance and movement.

The study’s findings were published August 26, 2014, online in the journal Radiology. Balance impairment is one of the most typical and incapacitating symptoms of MS, a disorder of the central nervous system in which the body’s immune system attacks the protective sheath around nerve fibers. Physical rehabilitation is often used to preserve balance, and one of the more promising new tools is the Wii balance board system, a battery-powered device approximately the size and shape of a bathroom scale. Game users stand on the board and shift their weight as they track the action on the television screen during games similar to slalom skiing. Even though Wii balance board rehabilitation has been reported as effective in patients with MS, there is still little understood about the underlying physiologic foundation for any improvements in balance.

Researchers recently used an MRI modality called diffusion tensor imaging (DTI) to assess changes in the brains of 27 MS patients who underwent a 12-week intervention using Wii balance board-based visual feedback training. DTI is a nontraditional MRI technique that allows detailed analysis of the white matter tracts that transmit nervous signals through the brain and body.

MRI scans of the MS patients revealed substantial effects in nerve tracts that are important in balance and movement. The alterations seen on MRI correlated with balance improvements as gauged by an evaluation technique called posturography.

These brain changes in MS patients are likely a manifestation of neural plasticity, or the ability of the brain to adapt and form new connections during a lifetime, according to lead author Luca Prosperini, MD, PhD, from Sapienza University (Rome, Italy). “The most important finding in this study is that a task-oriented and repetitive training aimed at managing a specific symptom is highly effective and induces brain plasticity,” he said. “More specifically, the improvements promoted by the Wii balance board can reduce the risk of accidental falls in patients with MS, thereby reducing the risk of fall-related comorbidities like trauma and fractures.”

Dr. Prosperini noted that similar plasticity has been described in individuals who play video games, but the exact processes behind the phenomenon are still unknown. He theorized that changes can happen at the cellular level within the brain and may be related to myelination, the process of constructing the protective sheath around the nerves.

The rehabilitation-induced enhancements did not continue after the patients discontinued the training protocol, Dr. Prosperini noted, in all probability because specific skills associated with structural changes to the brain after an injury need to be maintained through training. “This finding should have an important impact on the rehabilitation process of patients, suggesting that they need ongoing exercises to maintain good performance in daily living activities,” Dr. Prosperini said.

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60 (245.09429931641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

61 (!!!!! 9731.0543060303): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (924.11041259766): SELECT fid FROM jos_deeppockets WHERE id=294754320 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754320 AND published='1' LIMIT 1

63 (311.13624572754): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (872.85041809082): select jos_twitters.link from jos_twitters where cat=10

65 (303.03001403809): select jos_facebook.link from jos_facebook where cat=10

66 (288.96331787109): select jos_google_plus.link from jos_google_plus where cat=10

67 (43.869018554688): select jos_linkedin.link from jos_linkedin where cat=10

68 (484.94338989258): SELECT fid FROM jos_deeppockets WHERE id=294754320 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754320 AND published='1' LIMIT 1

69 (278.94973754883): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (885.96343994141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (478.98292541504): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (210.04676818848): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (237.94174194336): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (190.97328186035): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (186.92016601562): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (209.09309387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (183.8207244873): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (236.03439331055): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (542.16384887695): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 1389.0266418457): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (133.03756713867): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1284.122467041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

105 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

106 (599.86114501953): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (663.99574279785): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (368.11828613281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

109 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

110 (154.97207641602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1751.8997192383): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (738.85917663574): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (478.02925109863): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

115 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

116 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

117 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

118 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

119 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

120 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

122 (330.92498779297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 29851.913452148): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (631.09397888184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754320 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754320 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (102.04315185547): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (48.87580871582): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (54.121017456055): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (!!!!! 5625.0095367432): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (617.98095703125): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (57.93571472168): SELECT name FROM jos_deeppockets WHERE id=212

138 (39.815902709961): SELECT name FROM jos_deeppockets WHERE id=212

139 (749.11117553711): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (648.97537231445): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

142 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

143 (!!!!! 19118.070602417): TRUNCATE TABLE jos_trademed_module

144 (135.89859008789): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (77.009201049805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754320 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (409.12628173828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (168.80035400391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

150 (!!!!! 1402.1396636963): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

152 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

153 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754320 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754320 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (38.862228393555): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (36.001205444336): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

158 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754320 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754320 AND published='1' LIMIT 1

159 (66.041946411133): select jos_twitters.link from jos_twitters where cat=10

160 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

161 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

163 (304.9373626709): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1086.950302124): insert into jos_banners_delta values (14615,'2025-06-24 01:20:41','216.73.216.120','view'),(14202,'2025-06-24 01:20:41','216.73.216.120','view'),(14203,'2025-06-24 01:20:41','216.73.216.120','view')

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