Complementary therapies in medicine最新文献

{"title":"Beyond the ‘Crack’: Reframing thrust manipulation through neurophysiology, perception, and context","authors":"Álvaro Romero Rosado , Oliver Martínez Pozas , Samuel Fernández Carnero , Juan Nicolás Cuenca Zaldívar , Eleuterio A. Sánchez Romero , Rob Sillevis","doi":"10.1016/j.ctim.2025.103316","DOIUrl":"10.1016/j.ctim.2025.103316","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103316"},"PeriodicalIF":3.5,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent trends and disparities in movement behaviors and internalizing symptoms among U.S. youth with chronic pain","authors":"Honghui Le ,&nbsp;Zewen Zhang ,&nbsp;Yuanping Gao","doi":"10.1016/j.ctim.2025.103315","DOIUrl":"10.1016/j.ctim.2025.103315","url":null,"abstract":"<div><h3>Background</h3><div>Temporal dynamics and sociodemographic disparities (e.g., age, sex, ethnicity, and household income) in movement behaviors—such as adherence to physical activity (PA) and screen time (ST) guidelines—and internalized symptoms, including anxiety and depression, remain largely understudied. Therefore, we aimed to investigate recent trends and sociodemographic disparities in movement behaviors and internalizing problems among youth with chronic pain.</div></div><div><h3>Methods</h3><div>Cross-sectional analyses were conducted using data from the National Survey of Children’s Health (NSCH) which includes U.S. youth aged 6–17 years with chronic pain. In this study, survey data covering the period between 2018 and 2022, was used to investigate temporal trends in movement behaviors and Internalizing symptoms, followed by sub-group analyses (i.e., age group, sex, ethnicity, household poverty level, and the education level of primary caregivers).</div></div><div><h3>Results</h3><div>Data from 11,362 participants with chronic pain (mean age = 11.55 years [SD, 3.41]; 4866 [41.86 %] boys) were analyzed. Regarding movement behaviors, mean ST duration increased from 2.8 h in 2018–2.9 h in 2022 (<em>P</em> for trend = 0.02). Meanwhile, the estimated prevalence of meeting PA guideline decreased from 18.3 % to 11.5 % (<em>P</em> for trend = 0.001). Regarding internalizing problems, significant increases were observed in the prevalence estimates of anxiety (27.8 % to 35.0 %, <em>P</em> for trend = 0.001) and depression (15.9 % to 21.6 %, <em>P</em> for trend = 0.004). Relative to their peers, both adolescent and girl participants exhibited a lower estimated prevalence of adherence to movement behaviors guidelines, as well as a higher prevalence of internalizing problems. By contrast, White participants reported higher estimated prevalence rates for both adherence to movement behaviors guidelines and internalizing problems.</div></div><div><h3>Discussion</h3><div>This study investigated temporal trends in movement behavior and internalized problems among youth with chronic pain in the United States and identified significant differences across age, sex, and ethnic subgroups. Findings underscore the importance of continuous monitoring of movement behavior and internalized problems and underscore the need for relevant stakeholders (e.g., policymakers) to account for the influence of sociodemographic factors when aiming to promote a healthy lifestyle in such a vulnerable population.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103315"},"PeriodicalIF":3.5,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effects of static, classical, and sham dry needling on muscle properties and autonomic nervous system activity in cervical myofascial pain syndrome","authors":"Gracjan Olaniszyn ,&nbsp;Adrian Kużdżał ,&nbsp;Jakub Taradaj ,&nbsp;Robert Trybulski","doi":"10.1016/j.ctim.2025.103314","DOIUrl":"10.1016/j.ctim.2025.103314","url":null,"abstract":"<div><h3>Background</h3><div>Dry needling is frequently used for managing myofascial pain, yet the influence of needle manipulation technique on physiological responses remains uncertain.</div></div><div><h3>Objective</h3><div>To compare the short-term effects of classical dynamic (pistoning) dry needling (CDN), static dry needling (SDN), and sham needling (shamN) on mechanical and microcirculatory properties of the upper trapezius muscle.</div></div><div><h3>Methods</h3><div>In this randomized, single-blind, sham-controlled trial, 45 participants with upper-trapezius myofascial trigger points were allocated to CDN (n = 15), SDN (n = 15), or shamN (n = 15). CDN involved multiple fast in–out needle insertions to elicit local twitch responses, SDN consisted of a single needle insertion retained for 60 s without manipulation, and shamN simulated insertion without skin penetration. Outcomes included pressure pain threshold (PPT, N/m²), muscle stiffness (N/m), tone (Hz), elasticity (D), and perfusion (PU), recorded at baseline, immediately, 60 min, 24 h, and 7 days post-intervention. Data were analyzed with mixed (Group × Time) ANCOVA models using baseline as covariate.</div></div><div><h3>Results</h3><div>A significant main effect of time was observed for PPT (p = 0.039, η²ₚ = 0.071) and a significant Time × Group interaction for elasticity (p &lt; 0.001, η²ₚ = 0.974) and perfusion (p &lt; 0.001, η²ₚ = 0.483). Post hoc comparisons showed higher PPT and perfusion and lower stiffness and tone in CDN compared with SDN and shamN across most time points (p &lt; 0.05). No significant differences were found between SDN and shamN.</div></div><div><h3>Conclusions</h3><div>CDN induced greater short-term improvements in mechanical and perfusion outcomes of the upper trapezius than static or sham procedures, suggesting that needle manipulation intensity modulates physiological responses. Long-term studies are warranted to confirm sustained clinical relevance. Trial registration: ISRCTN16484644</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103314"},"PeriodicalIF":3.5,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145733220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yoga-Nidra as a complementary therapy for reducing psychological distress and enhancing quality of life in cancer patients: A randomized controlled trial","authors":"Mili Baruah ,&nbsp;CU Poovamma ,&nbsp;Prasad Narayanan ,&nbsp;P. Harish ,&nbsp;Rithika Keshav ,&nbsp;Natesh Babu ,&nbsp;Mangesh Pandey","doi":"10.1016/j.ctim.2025.103313","DOIUrl":"10.1016/j.ctim.2025.103313","url":null,"abstract":"<div><h3>Purpose</h3><div>Intensive cancer treatments, including surgery, chemotherapy, and radiation, are physically and emotionally taxing, often causing psychological distress and reduced quality of life. Complementary therapies are increasingly explored to mitigate these effects. Yoga-Nidra, a non-invasive, low-cost, low-effort relaxation technique, may benefit patients with limited mobility during treatment. This study examines its impact on psychological distress and quality of life in cancer patients.</div></div><div><h3>Methods</h3><div>This randomized controlled trial included 40 cancer patients (ages 25–55) undergoing chemotherapy, radiation, hormone, or immunotherapy. After informed consent, participants were randomly assigned to the Yoga-Nidra (n = 20) or control group (n = 20). The intervention involved 25-minute sessions, twice daily, five days a week for one month. Psychological distress and quality of life, including functioning, symptoms, and global health were assessed pre- and post-intervention using the NCCN Distress Thermometer and EORTC QLQ-C30.</div></div><div><h3>Results</h3><div>Yoga-Nidra demonstrated significant improvements over the control group across multiple quality-of-life domains, including psychological distress (<em>p</em> = .001), global health (<em>p</em> = .010), emotional-functioning (<em>p</em> = .028), social-functioning (<em>p</em> &lt; .001), and symptoms of fatigue (<em>p</em> = .003), pain (<em>p</em> = .002), dys<em>p</em>nea (<em>p</em> &lt; .001), and diarrhea (<em>p</em> = .015). Post-hoc analyses confirmed greater benefits for distress (<em>p</em> = .005), emotional-functioning (<em>p</em> = .004), and dyspnea (<em>p</em> = .008).</div></div><div><h3>Conclusion</h3><div>Yoga-Nidra reduces psychological distress and improves quality of life in cancer patients. As an accessible complementary therapy, it supports emotional well-being and symptom management during intensive treatments. Further research is needed to assess its effects on less responsive domains, related symptoms, long-term efficacy, and applicability across diverse patient populations.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103313"},"PeriodicalIF":3.5,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The progress and application of hot spring hydrotherapy in medical fields: A narrative review","authors":"Yulan Lv ,&nbsp;Dongyun Li ,&nbsp;Ruina Liu ,&nbsp;Yongsheng He","doi":"10.1016/j.ctim.2025.103312","DOIUrl":"10.1016/j.ctim.2025.103312","url":null,"abstract":"<div><div>Natural hot spring water has been known for its healing and wellness properties for thousands of years. Hot spring hydrotherapy a form of natural therapy, the medical effects of it mainly involves a comprehensive effect of multiple aspects such as physics, chemistry, biology and psychology. This paper starts from the current stage of the application of hot spring hydrotherapy in the field of medicine, analyses the recent research on hot spring hydrotherapy in the medical field in order to form a comprehensive understanding of hot spring hydrotherapy. The recent literature and systematic reviews were surveyed and summarized, hot spring hydrotherapy is very effective in solving skin diseases, rheumatism, digestive system diseases, respiratory system diseases, nervous system diseases and cardiovascular diseases. In addition, the selection of hot spring and treatments should be considered for different conditions as hot spring hydrotherapy is not suitable for all diseases. Hot spring hydrotherapy can be considered a safe and generally well-accepted intervention in health care to alleviate symptoms and improve quality of life, and hopes that it can provide a certain reference basis for the research of the relevant content in the future.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103312"},"PeriodicalIF":3.5,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duration of music listening in music-induced analgesia: A pilot randomized controlled trial","authors":"Emy S. van der Valk Bouman ,&nbsp;Antonia S. Becker ,&nbsp;Melissa Smienk ,&nbsp;Mirte M.B. Horstink ,&nbsp;Cecile C. de Vos ,&nbsp;Hans Jeekel ,&nbsp;Chris I. De Zeeuw ,&nbsp;Markus Klimek","doi":"10.1016/j.ctim.2025.103311","DOIUrl":"10.1016/j.ctim.2025.103311","url":null,"abstract":"<div><h3>Background</h3><div>Music is a non-pharmacological treatment that is effective for pain relief. However, the extent to which duration of listening to music influences music-induced analgesia (MIA) is unclear.</div></div><div><h3>Methods</h3><div>In this pilot randomized controlled trial, healthy volunteers (n = 80) were subjected in a parallel design to music for 0, 1, 5 or 20 min. Pain was induced by increasing electric stimuli using the Biopac program Stimusol. MIA was assessed at baseline, at the end of the experimental period with music (intervention), and after a five-minute washout period without music. Data were analyzed using linear mixed models to account for measurement sequences.</div></div><div><h3>Results</h3><div>For the intervention measurement, pain endurance did not differ between groups. However, pain threshold was higher in the 20-minute group (β = 2.5, p &lt; 0.001), but not in the 1-minute and 5-minute groups, compared to the control group. On average, perceived pain intensity and unpleasantness were somewhat lower in all music groups compared to the control group, but none of these differences were significantly different. Emotional valence was higher in the music groups compared to the control group, which was significant only for the 1-minute group (β = 0.6, p = 0.027). Albeit not consistently, heart rate variability indicated more sympathetic activity in all music groups. For the washout measurement, no clear trends were visible.</div></div><div><h3>Conclusion</h3><div>Translating these findings to clinical care, it seems advisable for patients to listen to music for a sufficient amount of time (≥20 min) to achieve effective MIA. Further research is needed to validate these results and determine the optimal “dosage” for MIA.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103311"},"PeriodicalIF":3.5,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging tradition and innovation: Acupuncture for depression through clinical efficacy and neurobiological insights","authors":"Ning Xu ,&nbsp;Siyan Xu ,&nbsp;Long Wang","doi":"10.1016/j.ctim.2025.103307","DOIUrl":"10.1016/j.ctim.2025.103307","url":null,"abstract":"<div><h3>Background</h3><div>To elucidate the research progress on acupuncture therapy as a complementary and alternative medicine treatment for depression by reviewing existing literature.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search across PubMed, Embase, Web of Science, and China National Knowledge Infrastructure databases for relevant literature from inception to October 7, 2024. Additionally, we manually searched medical literature related to Chinese Medicine and acupuncture for pertinent theories and theoretical frameworks.</div></div><div><h3>Results</h3><div>Manual acupuncture (MA) and electroacupuncture (EA) are the most commonly studied forms of acupuncture, demonstrating efficacy in modulating depression both as standalone therapies and as adjunct therapies for antidepressants in the short to medium-term. Other modalities such as auricular acupuncture, laser acupuncture, and warm acupuncture have also shown benefits in managing depression. The therapeutic mechanisms of acupuncture are multifaceted, including modulation of neural networks, regulation of neurotransmitters, neurotrophic factors, and neuropeptides, inhibition of neuroinflammation and Hypothalamic-Pituitary-Adrenal (HPA) axis hyperactivity, restoration of neuroplasticity, modulation of specific gene expression, and regulation of intestinal flora. Recent studies emphasize the need for collaboration between acupuncture, engineering, and modern technology for the future development of acupuncture techniques.</div></div><div><h3>Conclusions</h3><div>Acupuncture has shown efficacy in treating depression through multi-targeted modulation within the body. Moving forward, acupuncture is poised to enhance its practice by cooperating with engineering and digital technologies to offer patients more comprehensive and personalized treatment plans.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103307"},"PeriodicalIF":3.5,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of different mind-body exercise modalities in low back pain: Systematic review and network meta‑analysis","authors":"Qingsong Tian,&nbsp;Dijun Li,&nbsp;Huihui Xiong,&nbsp;Tianbo Zhu,&nbsp;Xinzhi Li,&nbsp;Wei Huang","doi":"10.1016/j.ctim.2025.103309","DOIUrl":"10.1016/j.ctim.2025.103309","url":null,"abstract":"<div><h3>Objective</h3><div>To assess and compare the effectiveness of commonly used mind-body exercise modalities for the treatment of low back pain (LBP), and to provide evidence to inform clinical decision-making and policy development.</div></div><div><h3>Design</h3><div>Systematic review and network meta-analysis.</div></div><div><h3>Literature Searchs</h3><div>PubMed, Embase, Cochrane Library, and Web of Science were searched from inception to May 2025.</div></div><div><h3>Study Selection Criteria</h3><div>Randomised controlled trials comparing mind-body exercise interventions with each other or with control groups in patients with clinically diagnosed low back pain. Studies involving postsurgical patients were excluded.</div></div><div><h3>Data Synthesis</h3><div>Two reviewers independently screened studies, extracted data, and assessed the risk of bias using the Cochrane Risk of Bias 2 tool (RoB2). Certainty of evidence was rated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework. A frequentist network meta-analysis was conducted using standardised mean differences (SMD) for pain outcomes.</div></div><div><h3>Results</h3><div>Thirty-two randomized controlled trials (RCTs) involving 2480 participants were included. Pilates was associated with the greatest reduction in pain compared with usual care (SMD –1.56; 95 % CI –2.10 to –1.02; moderate certainty evidence), followed by taiji and qigong. The pain reduction associated with Pilates exceeded the prespecified minimal clinically important difference. Yoga did not significantly differ from control in follow-up. Surface Under the Cumulative Ranking curve (SUCRA) supported the superiority of Pilates.</div></div><div><h3>Conclusions</h3><div>Mind-body exercises—particularly Pilates—are effective non-pharmacological options for managing low back pain. Pilates may offer the most meaningful short-term pain relief. These findings support the integration of structured mind-body programmes into standard LBP care pathways and highlight the need for further direct comparisons between modalities.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103309"},"PeriodicalIF":3.5,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dance therapy in fibromyalgia: A narrative review","authors":"Camila Andrea Sánchez Salazar ,&nbsp;Stephanie Smith Velasco","doi":"10.1016/j.ctim.2025.103306","DOIUrl":"10.1016/j.ctim.2025.103306","url":null,"abstract":"<div><h3>Importance</h3><div>Fibromyalgia (FM) is a significant public health issue, particularly prevalent among women aged 20–55, with prevalence rates ranging from 2 % to 8 %. It is characterized by widespread musculoskeletal pain and is associated with various comorbidities, making it a complex and costly condition to treat. Non-pharmacological interventions, such as dance therapy, emerge as promising alternatives to address both the physical symptoms and psychosocial aspects of FM.</div></div><div><h3>Observations</h3><div>Literature review indicates that dance therapy offers multiple benefits, including improvements in mobility, quality of life, and emotional well-being for FM patients. This form of therapy has been shown to help reduce pain and enhance coping through self-expression and social connection. However, limitations in the research persist, such as a lack of standardization in intervention methods and a scarcity of studies evaluating the safety of these practices.</div></div><div><h3>Conclusions and relevance</h3><div>Dance-based interventions may represent an effective therapeutic tool for managing fibromyalgia, promoting both physical health and emotional well-being. As the evidence base grows, it is crucial to continue investigating different modalities of dance therapy to determine their specific benefits and standardize interventions. This could not only improve the quality of life for FM patients but also contribute to a more holistic and effective approach in treating this complex condition.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103306"},"PeriodicalIF":3.5,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a yoga intervention over 6, 12, and 24 months in sedentary climacteric women with metabolic syndrome","authors":"Laura Alves Cota e Souza ,&nbsp;Renata Guerra-Sá ,&nbsp;Angélica Alves Lima","doi":"10.1016/j.ctim.2025.103308","DOIUrl":"10.1016/j.ctim.2025.103308","url":null,"abstract":"<div><div>Metabolic syndrome (MetS) and climacteric symptoms often coexist in middle-aged women, increasing cardiovascular risk and reducing quality of life. Yoga shows promise for improving both metabolic and psychological outcomes, but its long-term effects in this population remain understudied. Therefore, this study evaluated the effects of a structured Shivam Yoga training program over 6, 12, and 24 months on metabolic syndrome (MetS) and menopausal symptoms in climacteric women. A total of 102 women with MetS were assigned to a yoga intervention or control group, with assessments at baseline, 6, 12, and 24 months. Primary outcomes included climacteric symptoms, anthropometric data, and biochemical and clinical parameters. The Yoga group showed a significant reduction in MetS frequency at 6 months (−20.8 %; p = 0.028) and 24 months (−46.0 %; p = 0.007) compared to controls. Fasting glucose decreased significantly at all time points (up to −21.54 mg/dL; p = 0.001), and HDL cholesterol increased at 24 months (+20 mg/dL; p = 0.001). At 24 months, waist circumference, systolic blood pressure, and diastolic blood pressure also declined significantly. Climacteric symptoms improved consistently in the Yoga group, with lower Kupperman Index scores and reductions in nervousness at every follow-up (p &lt; 0.05). Additional improvements included insomnia, depressive symptoms, and palpitations at 6 months, with sustained reductions in palpitations (-32.2 %; p = 0.043) and arthralgia/myalgia (-46.0 %; p = 0.007) at 24 months. These findings suggest that Shivam Yoga may offer sustained benefits for both metabolic health and menopausal symptom relief in women with MetS.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"96 ","pages":"Article 103308"},"PeriodicalIF":3.5,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145546449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}