Complementary therapies in medicine最新文献

{"title":"The effects of Sitting Baduanjin intervention based on the COM-B model for elderly patients with osteoporosis after vertebroplasty: A randomized controlled trial","authors":"Lidan Yang ,&nbsp;Fang Lu ,&nbsp;Jing Chen ,&nbsp;Jiali Wu ,&nbsp;Jia Li ,&nbsp;Jiangtao OuYang ,&nbsp;Can Zheng ,&nbsp;Jingbei Zhang ,&nbsp;Xujuan Zheng","doi":"10.1016/j.ctim.2025.103275","DOIUrl":"10.1016/j.ctim.2025.103275","url":null,"abstract":"<div><h3>Background</h3><div>Osteoporosis and osteoporotic vertebral fractures can cause decreased quality of life and increased hospitalization, morbidity, and mortality for older people. Sitting Baduanjin (SBDJ) is suitable for frail elderly patients, but its application to elderly osteoporosis patients after vertebroplasty has not yet been explored.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 123 participants from a hospital in China. Participants were randomly assigned to one of three groups: control (n = 41, routine care), SBDJ (n = 41, routine care plus five weekly 30-minute sessions of SBDJ), and SBDJ-based on the COM-B model (SBDJ-CB, n = 41). The SBDJ-CB group received additional interventions, including monthly 30-minute face-to-face lectures, daily practice videos via a WeChat group, weekly online instructions, and monthly 30-minute focus group meetings. The primary outcomes were osteoporosis self-efficacy, measured using the Osteoporosis Self-efficacy Scale (OSES), and quality of life, assessed by the 12-item Short-Form Health Survey (SF-12). Secondary outcomes included bone mineral density (BMD), measured via dual-energy X-ray absorptiometry (DXA), and biochemical markers of bone metabolism analyzed from blood samples. Data were collected at baseline (T0), three-month intervention (T1), and six-month intervention (T2). Statistical analyses were performed using Generalized Estimating Equation (GEE) and Analysis of Variance (ANOVA) to evaluate intervention effects.</div></div><div><h3>Results</h3><div>Both intervention groups showed higher osteoporosis self-efficacy, physical, and mental scores at T1 and T2 (all <em>P</em> &lt; 0.001), and greater BMD and osteogenic activity at T2 compared to the control group. The SBDJ-CB group had significantly better outcomes than the SBDJ group (all <em>P</em> &lt; 0.05). At T2, only the SBDJ-CB group exhibited significantly lower osteoclastic activity than the control group (<em>P</em> &lt; 0.001). The SBDJ-CB group also had a higher rate of osteoporosis remission and practice compliance at T2 than the SBDJ group (all <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The SBDJ intervention demonstrated efficacy in enhancing self-efficacy, psychophysical health, and bone health among elderly osteoporosis patients post-vertebroplasty. Notably, the SBDJ-CB achieved superior outcomes and is recommended as a priority intervention for postoperative rehabilitation.</div><div>Trial registration: ChiCTR2500095266, registration date:2025.01.03</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103275"},"PeriodicalIF":3.5,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145408344","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 combined effect of myofascial release and hip strength training on iliotibial band syndrome: A preliminary randomized controlled trial","authors":"Ziwei Ming ,&nbsp;Gengxin Dong ,&nbsp;Liyu Luo ,&nbsp;Lei Yuan ,&nbsp;Yutang Li","doi":"10.1016/j.ctim.2025.103274","DOIUrl":"10.1016/j.ctim.2025.103274","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the short-term outcomes and maintenance effects of myofascial release therapy (MFR) combined with hip strength training versus hip strength training alone on pain, patellofemoral function, and iliotibial band (ITB) thickness in patients with iliotibial band syndrome (ITBS).</div></div><div><h3>Design</h3><div>Double-blind, randomized controlled trial.</div></div><div><h3>Participants</h3><div>16 patients (mean age 22.2 ± 1.6 years) with ITBS randomly assigned to an experimental group (MFR combined with hip strength training, n = 8) or a control group (hip strength training alone, n = 8).</div></div><div><h3>Main outcome measures</h3><div>VAS and Kujala scale was measured at baseline, week 2, week 4 and week 8 during intervention. ITB thickness was measured at week 4.</div></div><div><h3>Results</h3><div>The experimental group demonstrated significantly greater reductions in pain (VAS) at week 2 (mean difference = −1.25 cm, 95 % CI: [−2.10 cm, −0.40 cm]) and ITB thickness at week 4 (mean difference = −0.66 mm, 95 % CI: [−1.15 mm, −0.16 mm]) compared to the control group. However, no significant between-group differences were observed in Kujala scale at any follow-up time point (p &gt; 0.05 for all comparisons).</div></div><div><h3>Conclusions</h3><div>Preliminary evidence suggests MFR may accelerate early pain relief and ITB structural normalization when combined with hip strengthening. Future trials with larger samples,broader functional outcome measures, and longer follow-up are needed to confirm clinical relevance.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103274"},"PeriodicalIF":3.5,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145408422","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":"Meta analysis of the intervention of Baduanjin in middle-aged and elderly patients with essential hypertension","authors":"Tianhao Zhang,&nbsp;Li Chen,&nbsp;Mingang Guo","doi":"10.1016/j.ctim.2025.103258","DOIUrl":"10.1016/j.ctim.2025.103258","url":null,"abstract":"<div><h3>Purpose</h3><div>We systematically evaluated Baduanjin efficacy for improving blood pressure, lipid metabolism, and heart rate in middle-aged and elderly patients with essential hypertension, explored its physiological mechanisms, and assessed evidence quality using GRADE criteria.</div></div><div><h3>Methods</h3><div>We searched CNKI, PubMed, and Web of Science (January 2010–March 2025) for randomized controlled trials (RCTs). Twenty-four RCTs (1994 participants, aged 35–80 years, interventions: 3–12 months) met inclusion criteria. Primary outcomes: systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides (TG), total cholesterol (TC), heart rate (HR). We assessed risk of bias using Cochrane/PEDro tools and performed meta-analysis using random-effects models. Sensitivity analyses excluded studies with high bias risk, non-standard interventions, or inconsistent control groups.</div></div><div><h3>Results</h3><div>Baduanjin significantly reduced SBP by 8.3 mmHg (3 months), 11.4 mmHg (6 months), and 5.4 mmHg (12 months); DBP by 3.9 mmHg (3 months), 6.2 mmHg (6 months), and 4.1 mmHg (12 months). It improved TG (SMD = −0.34 [95 % CI: −0.49, −0.19]), TC (SMD = −0.92 [−1.49, −0.34]; high heterogeneity), and HR (SMD = −1.07 [−1.76, −0.38]). GRADE rated evidence quality as moderate (most BP outcomes), low (TG), and very low (TC), primarily due to methodological limitations.</div></div><div><h3>Conclusion</h3><div>Baduanjin is an effective, low-cost adjunct intervention for essential hypertension, particularly reducing blood pressure within 3–6 months. We recommend implementing 3–6-month Baduanjin programs (5–6 sessions/week) in clinical practice. Benefits on lipid metabolism and heart rate require confirmation via higher-quality trials. Future research should standardize protocols and explore mechanisms.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103258"},"PeriodicalIF":3.5,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145387359","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":"Switching minds: A theoretical model of cognitive speed gaps, emotional reactivity, and behavioural self-regulation","authors":"Aloysius Tay","doi":"10.1016/j.ctim.2025.103273","DOIUrl":"10.1016/j.ctim.2025.103273","url":null,"abstract":"<div><h3>Objectives</h3><div>Although emotional dysregulation and behavioural impulsivity are common traits across clinical and non-clinical populations; current cognitive models frequently overlook the timing dynamics underlying such phenomena. This paper introduces the Tay Reactive-Reflective Processing Model (T-RRPM) to address this gap.</div></div><div><h3>Methods</h3><div>T-RRPM is a theoretical framework based on the mind-body interaction. It is a novel mechanism of emotional regulation failure: a cognitive speed mismatch between the fast-reacting subconscious mind and the slower, deliberative conscious mind. The model conceptualises the subconscious as a developmentally younger, emotionally reactive system akin to a “5 –10 year-old child”, and the conscious mind viewed as a rational Chief Executive Officer (CEO). When emotionally-salient stimuli are experienced, the subconscious responds rapidly with patterned emotional impulses, often before the conscious mind can reflect and intervene.</div></div><div><h3>Results</h3><div>This regulatory lag results in emotional flooding, impulsive behaviours, and internal conflict—even in individuals with insight or self-awareness. By foregrounding cognitive timing and subconscious age, T-RRPM contributes a mechanistic explanation of how emotional regulation often fails in real time.</div></div><div><h3>Conclusions</h3><div>The model offers testable hypotheses and practical applications across the fields of psychotherapy, education, trauma recovery, and behavioural coaching. T-RRPM also supports the development of timing-based self-regulation strategies, reframing reactive behaviour not as moral failure but as a remediable misalignment between inner systems. This paper contributes a novel conceptual mechanism for emotional regulation failure based on cognitive latency. This theoretical model has broad relevance across psychotherapy, trauma-informed practice, behavioural coaching, and integrative health modalities.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103273"},"PeriodicalIF":3.5,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145414216","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":"Efficacy and safety of acupressure for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials","authors":"Xiaohan Yu ,&nbsp;Bohong Liu ,&nbsp;Jiaxin Li ,&nbsp;Yuanjie Gao ,&nbsp;Jianpeng Chen ,&nbsp;Rongming Qi ,&nbsp;Yuxuan Yuan ,&nbsp;Yaru Liu","doi":"10.1016/j.ctim.2025.103272","DOIUrl":"10.1016/j.ctim.2025.103272","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aimed to evaluate the existing randomized controlled trials (RCTs) for evidence of the association between using acupressure and reducing pain and related symptoms of primary dysmenorrhea (PD).</div></div><div><h3>Methods</h3><div>Six electronic databases were searched for published reports on RCTs—from database inception until May 2025—that compared the use of acupressure with that of placebo acupressure, oral medication, or usual treatment and measured the intensity of menstrual pain and related symptoms. Two independent reviewers extracted and assessed the data. Risk of bias was assessed for each article; the meta-analysis was conducted according to the type of control. Results are presented as mean differences (MDs) or standardised mean differences (SMDs) and 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>In total, 23 RCTs were included in the systematic review and data from 20 RCTs were evaluated in the meta-analysis. Most studies showed a low or unclear risk of bias. We found that using acupressure was more effective in reducing menstrual pain than using placebo acupressure (MD = −1.58; 95 % CI, [−1.96, −1.20]), oral medication (MD = −1.11; 95 % CI, [−1.79, −0.43]), or usual treatment (MD = −1.29; 95 % CI, [−1.77, −0.80]). The adverse events, reported in only two studies, were mild.</div></div><div><h3>Conclusion</h3><div>Acupressure can effectively reduce the pain and related symptoms of PD, though the current evidence is of low quality. Future studies with rigorous designs and larger sample sizes are warranted to verify the efficacy and safety of acupressure. Subsequent findings should be incorporated into clinical practice and nursing care to refine the treatment strategies for PD.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103272"},"PeriodicalIF":3.5,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145360721","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":"Porcine placenta peptides as a complementary functional food for skin rejuvenation: A 12-week randomized, double-blind, placebo-controlled trial","authors":"Ngoc Ha Nguyen ,&nbsp;Young In Lee ,&nbsp;Nam Hao Chau ,&nbsp;Sung Jun Lee ,&nbsp;Inah Kim ,&nbsp;Jinhak Kim ,&nbsp;Kwang-soo Baek ,&nbsp;Ju Hee Lee","doi":"10.1016/j.ctim.2025.103271","DOIUrl":"10.1016/j.ctim.2025.103271","url":null,"abstract":"<div><div>Skin aging is characterized by the deterioration of collagen and elastin in the dermis, leading to wrinkles, dryness, and pigmentation irregularities. Porcine placenta peptides (PPP), a bioactive ingredient commonly used in complementary functional foods and rich in collagen and growth factors, have demonstrated regenerative properties that may counteract these aging effects. This randomized, double-blind, placebo-controlled trial aimed to evaluate the efficacy of oral PPP supplementation in improving signs of skin aging. Ninety participants aged 35–60 with dry skin and visible periorbital wrinkles were randomly assigned to receive either PPP or a placebo twice daily for 12 weeks. Skin parameters, including wrinkle depth, hydration, transepidermal water loss (TEWL), elasticity, pigmentation, and gloss, were assessed at baseline and at 4, 8, and 12 weeks. Compared to the placebo group, the PPP group showed significant reductions in wrinkle depth, melanin index, erythema index, and TEWL, alongside notable improvements in skin hydration, elasticity, and gloss. Importantly, no adverse events were reported, and investigator evaluations supported the objective findings. Taken together, PPP may serve as a safe and effective complementary therapy to conventional dermatological treatments, offering a non-invasive strategy to promote skin health and counteract photoaging. Given its origin as a functional food and its role in traditional East Asian medicine, PPP may also be integrated into holistic anti-aging regimens or wellness programs. Further studies in diverse populations are warranted to confirm these benefits and explore underlying mechanisms.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103271"},"PeriodicalIF":3.5,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145370159","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":"Effects of yoga facial massage on computer vision syndrome and ocular motor function: A randomised controlled trial","authors":"Hongxiu Chen ,&nbsp;Tanapat Ratanapakorn ,&nbsp;Manichaya Sukonpatip ,&nbsp;Somkiat Asawaphureekorn ,&nbsp;Wilaiphorn Thinkhamrop ,&nbsp;Xingze Wang ,&nbsp;Wichai Eungpinichpong","doi":"10.1016/j.ctim.2025.103270","DOIUrl":"10.1016/j.ctim.2025.103270","url":null,"abstract":"<div><div>Computer vision syndrome (CVS), resulting from prolonged screen use, is characterised by visual fatigue and may exacerbate pre-existing refractive errors. This randomised controlled trial aimed to evaluate the effects of Specialised Thai Yoga Facial Massage (STYFM) on visual fatigue, accommodative function, refractive status, and musculoskeletal parameters in 32 young adults with CVS. Participants were randomly assigned to either the Specialised Thai Yoga Facial Massage Group (FMG, n = 16), receiving 10–15 min of STYFM, or the Control Group (CTG, n = 16), resting with eyes closed for 15 min. Computer Vision Syndrome Questionnaire (CVS-Q), near point of convergence (NPC), amplitude of accommodation (AMP), visual acuity (VA), spherical equivalent refraction (SE), handgrip strength (HS), and cervical range of motion (CROM) were assessed at baseline, week 2, and week 4. By week 4, the FMG showed significantly greater improvement in CVS-Q (-27.6 points), NPC (-3.6 cm), AMP (+1.3 D), and VA (+7.3 points), all p &lt; 0.001. The SE changes were minimal in both groups, with no significant differences observed between them (p = 0.065). Musculoskeletal parameters also improved in the FMG, with significant increases in CROM and HS (p &lt; 0.001). This study provides supportive evidence that STYFM may effectively alleviate visual fatigue symptoms, improve accommodative function, enhance convergence ability, and improve related musculoskeletal health in patients with CVS.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103270"},"PeriodicalIF":3.5,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367646","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":"Long-term farming lifestyle strongly associated with lower sarcopenia prevalence in older Adults: A cross-sectional study in an urban-rural transition zone","authors":"Yang Zhoujian ,&nbsp;Zhang Haihong ,&nbsp;Zhao Hui ,&nbsp;Zhou Qi ,&nbsp;Wu Zhufeng ,&nbsp;Shen Haihong ,&nbsp;Lv Jun ,&nbsp;Li Aihua ,&nbsp;Zhang Huan ,&nbsp;Li Hong ,&nbsp;Wang Jiachen ,&nbsp;Wang Shanjin","doi":"10.1016/j.ctim.2025.103268","DOIUrl":"10.1016/j.ctim.2025.103268","url":null,"abstract":"<div><h3>Objective</h3><div>In the context of rapid urbanization and escalating population aging, lifestyle factors play a critical role in sarcopenia development. This study aimed to clarify the prevalence of sarcopenia in elderly adults in the urban-rural transition zone of southern Pudong, Shanghai, and explore the association between lifestyle factors (with a focus on long-term farming history) and sarcopenia.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between January and November 2024, recruiting 654 community-dwelling individuals aged ≥ 60 years (mean age 69.43 ± 3.42 years) via convenience sampling from local health centers. Sarcopenia was diagnosed according to the 2023 Chinese Consensus criteria, based on assessments of muscle mass using bioelectrical impedance analysis (BIA), grip strength, and gait speed. Information on demographics, comorbidities, and pre-retirement primary occupation (categorized as farming vs. other non-farming) was collected through structured interviews. A farming lifestyle was defined as having engaged in agriculture as a primary occupation for at least 20 years. Multivariate logistic regression was used to identify independent factors associated with sarcopenia.</div></div><div><h3>Results</h3><div>The overall prevalence of sarcopenia was 6.42 % (42/654), with no significant difference between sexes (6.21 % in men vs. 6.63 % in women, <em>P</em> = 0.841). In univariate analysis, a history of farming (<em>P</em> &lt; 0.001) and diabetes (<em>P</em> &lt; 0.001) were significantly associated with sarcopenia. After adjusting for potential confounders in the multivariate logistic regression model, a long-term farming history emerged as a strong, independent protective factor against sarcopenia (adjusted Odds Ratio aOR = 0.050, 95 % Confidence Interval CI: 0.021–0.119, <em>P</em> &lt; 0.001). The association between diabetes and sarcopenia was no longer statistically significant in the adjusted model (aOR = 0.749, 95 % CI: 0.293–2.088, <em>P</em> = 0.545).</div></div><div><h3>Conclusion</h3><div>The prevalence of sarcopenia in this urban-rural transition zone is lower than in highly urbanized centers in China. A long-term farming lifestyle is strongly and independently associated with a reduced risk of sarcopenia in this population. This finding highlights the potential protective effects of traditional agricultural lifestyle patterns and suggests that public health strategies for sarcopenia prevention should prioritize integrated, activity-diverse, and culturally relevant interventions.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103268"},"PeriodicalIF":3.5,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336480","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":"Corrigendum to “The need for increasing pediatric obesity advocacy.” [Volume 80 (2024) 1–2]","authors":"Eric M. Bomberg ,&nbsp;Theodore K. Kyle ,&nbsp;Fatima C. Stanford","doi":"10.1016/j.ctim.2025.103267","DOIUrl":"10.1016/j.ctim.2025.103267","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"94 ","pages":"Article 103267"},"PeriodicalIF":3.5,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318306","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":"A systematic review of the chronic effects of self-myofascial release on athletic performance","authors":"Qi Yang ,&nbsp;Kim Geok Soh ,&nbsp;Mohamad Aris Bin Mohd Moklas ,&nbsp;Mengjiao Wang ,&nbsp;Xiaoyang Pan ,&nbsp;Kui Ma","doi":"10.1016/j.ctim.2025.103263","DOIUrl":"10.1016/j.ctim.2025.103263","url":null,"abstract":"<div><h3>Background</h3><div>Self-myofascial release (SMR) is widely used by athletes and coaches during warm up and recovery to increase joint range of motion. Its long term effects on performance are less clear.</div></div><div><h3>Objective</h3><div>To evaluate the chronic effects, defined as at least 4 weeks, of SMR interventions on athletes physical fitness and sport specific performance, focusing on flexibility, strength, balance, and skill execution.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Data sources</h3><div>PubMed, SPORTDiscus, Web of Science, and Scopus were searched in February 2025 in line with PRISMA.</div></div><div><h3>Eligibility criteria</h3><div>Experimental studies in peer reviewed English journals that examined SMR for 4 weeks or longer and reported performance related outcomes in athletes.</div></div><div><h3>Results</h3><div>Of 1391 records screened, 12 studies met inclusion, totaling 388 athletes aged 12–30 from soccer, tennis, water polo, volleyball, and mixed sports. Most studies reported significant gains in joint mobility, especially hip and shoulder flexibility. Several studies also showed moderate improvements in strength, such as maximal voluntary contraction and jump height, and in dynamic balance measured by the Y-Balance Test. Effects on static balance, isokinetic strength across all planes, and sport specific skills such as serve speed or sprint swimming were variable and often non significant.</div></div><div><h3>Conclusion</h3><div>Chronic SMR appears effective for improving flexibility and dynamic balance in athletes and may confer additional benefits for strength and motor control. Heterogeneity in protocols, comparators, and outcome measures, along with modest methodological quality, limits firm conclusions. More high quality, sport specific trials are needed to define optimal SMR parameters across training phases.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"95 ","pages":"Article 103263"},"PeriodicalIF":3.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145312576","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}