Complementary Therapies in Clinical Practice最新文献_第4页

Is physical activity associated with lower risk of social network problematic use or addiction? A systematic review and meta-analysis 体育活动是否与较低的社交网络问题使用或成瘾风险相关？系统回顾和荟萃分析

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-19 DOI: 10.1016/j.ctcp.2025.101995

Adrián Rodríguez-Castaño , Javier Fernández-Sánchez , Daniel Trujillo-Colmena , Ana Myriam Lavín-Pérez , Christel García-Ortiz , Daniel Collado-Mateo

Background and Purpose

The global rise in social media usage has led to an increasing prevalence of social network problematic use or addiction (SNPUA). Although previous research has identified a negative association between physical activity (PA) levels and some problematic digital behaviors, the relationship between PA and SNPUA remains unclear. Thus, the aim of this systematic review and meta-analysis was to examine possible associations between PA and SNPUA.

Methods

The search was registered in OSF and was conducted in November 2024 using the following search terms: (‘Physical activity’ or exercise) and (addiction or ‘problematic use’) and (‘social network’ or ‘social media’ or Instagram or Facebook or ‘Tik Tok’). It was carried out in PubMed and Web of Science databases. A total of 255 articles were retrieved and 24 of them met the inclusion criteria. Meta-analysis was conducted using Review Manager 5.4 software.

Results

The majority of studies included university students (n = 14) and primary or secondary school students (n = 7). The participants' mean age ranged from 13.9 to 27.43 years. Female participants accounted for 50.8 % of the total sample. The meta-analysis involving 150,000+ participants revealed that PA is inversely related to SNPUA. Most of the included studies (14/24), involving 94 % of the sample, reported that those participants who engage in a higher amount of PA had lower levels of SNPUA.

Conclusion

PA could be an effective tool to prevent or reduce social network addiction levels. However, inconsistency in collecting data on PA and SNPUA makes it difficult to draw solid conclusions.

背景和目的全球社交媒体使用率的上升导致社交网络问题性使用或成瘾（SNPUA）的发生率越来越高。尽管之前的研究已经发现体力活动（PA）水平与一些问题数字行为之间存在负相关，但PA与SNPUA之间的关系仍不明确。因此，本系统综述和荟萃分析的目的是研究 PA 与 SNPUA 之间可能存在的关联。方法该检索已在 OSF 中注册，并于 2024 年 11 月使用以下检索词进行了检索：（"体育锻炼 "或 "运动"）和（成瘾或 "问题性使用"）和（"社交网络 "或 "社交媒体 "或 Instagram 或 Facebook 或 "Tik Tok"）。研究在 PubMed 和 Web of Science 数据库中进行。共检索到 255 篇文章，其中 24 篇符合纳入标准。结果大多数研究的参与者为大学生（14 人）和中小学生（7 人）。参与者的平均年龄从 13.9 岁到 27.43 岁不等。女性参与者占样本总数的 50.8%。涉及 15 万多名参与者的荟萃分析表明，PA 与 SNPUA 成反比。大多数纳入的研究（14/24）（涉及 94% 的样本）都报告说，参与较多 PA 的参与者的 SNPUA 水平较低。然而，由于收集的 PA 和 SNPUA 数据不一致，因此很难得出可靠的结论。

{"title":"Is physical activity associated with lower risk of social network problematic use or addiction? A systematic review and meta-analysis","authors":"Adrián Rodríguez-Castaño , Javier Fernández-Sánchez , Daniel Trujillo-Colmena , Ana Myriam Lavín-Pérez , Christel García-Ortiz , Daniel Collado-Mateo","doi":"10.1016/j.ctcp.2025.101995","DOIUrl":"10.1016/j.ctcp.2025.101995","url":null,"abstract":"<div><h3>Background and Purpose</h3><div>The global rise in social media usage has led to an increasing prevalence of social network problematic use or addiction (SNPUA). Although previous research has identified a negative association between physical activity (PA) levels and some problematic digital behaviors, the relationship between PA and SNPUA remains unclear. Thus, the aim of this systematic review and meta-analysis was to examine possible associations between PA and SNPUA.</div></div><div><h3>Methods</h3><div>The search was registered in OSF and was conducted in November 2024 using the following search terms: (‘Physical activity’ or exercise) and (addiction or ‘problematic use’) and (‘social network’ or ‘social media’ or Instagram or Facebook or ‘Tik Tok’). It was carried out in PubMed and Web of Science databases. A total of 255 articles were retrieved and 24 of them met the inclusion criteria. Meta-analysis was conducted using Review Manager 5.4 software.</div></div><div><h3>Results</h3><div>The majority of studies included university students (n = 14) and primary or secondary school students (n = 7). The participants' mean age ranged from 13.9 to 27.43 years. Female participants accounted for 50.8 % of the total sample. The meta-analysis involving 150,000+ participants revealed that PA is inversely related to SNPUA. Most of the included studies (14/24), involving 94 % of the sample, reported that those participants who engage in a higher amount of PA had lower levels of SNPUA.</div></div><div><h3>Conclusion</h3><div>PA could be an effective tool to prevent or reduce social network addiction levels. However, inconsistency in collecting data on PA and SNPUA makes it difficult to draw solid conclusions.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101995"},"PeriodicalIF":2.2,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850697","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}

引用次数: 0

Effect of music therapy on relieving the pain and distress of children undergoing venipuncture: A systematic review and meta-analysis 音乐治疗对缓解儿童静脉穿刺疼痛和苦恼的效果：系统回顾和荟萃分析

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-19 DOI: 10.1016/j.ctcp.2025.101994

Qi Zhuang , Yushuang Yin , Zheng Liu , Lijuan Zhang , Hui Li

Background

Venipuncture is a routine procedure in pediatrics that often elicits pain and triggers adverse emotional responses. The stress, both psychological and physiological, that accompanies this procedure can significantly impair pediatric patients' compliance with medical regimens. To mitigate these effects, music therapy as a non-pharmacological approach known for its safety has been increasingly employed in pediatric settings. There is empirical evidence supporting the efficacy of music therapy in reducing procedural pain and in easing negative emotions experienced by pediatric patients.

Objective

This study aimed to evaluate the effectiveness of music therapy in managing pain, anxiety and distress in pediatric patients undergoing venipuncture procedures.

Methods

A comprehensive search was conducted on PubMed, Embase, Web of Science, Cochrane Library, Scopus, CINAHL, EBSCO and FMRS databases for articles published up to December 20, 2024. Two reviewers independently selected studies and extracted articles that met strict inclusion and exclusion criteria. Quality assessments of the included studies were performed according to the Cochrane risk assessment tool, data analysis was performed using RevMan 5.3 software.

Results

A total of 16 studies including 657 participants in the intervention group and 707 participants in the control group were selected for the final analysis. The results demonstrated a significant difference between the music groups and control groups for children's self-reported pain (standard mean difference SMD = −0.42, 95 % CI −0.58 to −0.27, P < 0.05), observer-reported pain (SMD = −0.52, 95 % CI −0.87 to −0.17, P < 0.05) and distress (SMD = −0.70, 95 % CI −1.27 to −0.13, P = 0.02). However, no significant difference was observed in anxiety (SMD = −0.10, 95 % CI −0.32 to 0.13, P = 0.41).

Conclusions

Pediatric patients undergoing venipuncture procedures would benefit from music interventions for pain and distress relief. However, no statistically significant effect was found on anxiety.

Trial registration

PROSPERO International Prospective Register of Systematic Reviews CRD42024509600.

背景静脉穿刺是儿科的常规手术，经常引起疼痛并引发不良情绪反应。伴随这一过程的心理和生理压力会严重损害儿科患者对医疗方案的依从性。为了减轻这些影响，音乐治疗作为一种以其安全性而闻名的非药物治疗方法已越来越多地用于儿科设置。有实证证据支持音乐治疗在减少小儿手术疼痛和缓解儿童负性情绪方面的疗效。目的探讨音乐疗法对小儿静脉穿刺患者疼痛、焦虑和苦恼的治疗效果。方法在PubMed、Embase、Web of Science、Cochrane Library、Scopus、CINAHL、EBSCO和FMRS数据库中检索截止到2024年12月20日发表的论文。两位审稿人独立地选择了符合严格的纳入和排除标准的研究和提取的文章。采用Cochrane风险评估工具对纳入的研究进行质量评价，采用RevMan 5.3软件进行数据分析。结果共纳入16项研究，干预组657人，对照组707人。结果显示，音乐组和对照组在儿童自我报告疼痛方面存在显著差异(标准平均差异SMD = - 0.42, 95% CI = - 0.58至- 0.27,P <；0.05)，观察者报告的疼痛(SMD = - 0.52, 95% CI = - 0.87 ~ - 0.17, P <；0.05)和痛苦(SMD =−0.70,95% CI 1.27−−0.13,P = 0.02)。然而，在焦虑方面没有观察到显著差异（SMD = - 0.10, 95% CI = - 0.32至0.13,P = 0.41）。结论音乐干预能有效缓解儿科静脉穿刺患者的疼痛和痛苦。然而，在焦虑方面没有发现统计学上显著的影响。试验注册号prospero国际前瞻性系统评价注册号CRD42024509600。

{"title":"Effect of music therapy on relieving the pain and distress of children undergoing venipuncture: A systematic review and meta-analysis","authors":"Qi Zhuang , Yushuang Yin , Zheng Liu , Lijuan Zhang , Hui Li","doi":"10.1016/j.ctcp.2025.101994","DOIUrl":"10.1016/j.ctcp.2025.101994","url":null,"abstract":"<div><h3>Background</h3><div>Venipuncture is a routine procedure in pediatrics that often elicits pain and triggers adverse emotional responses. The stress, both psychological and physiological, that accompanies this procedure can significantly impair pediatric patients' compliance with medical regimens. To mitigate these effects, music therapy as a non-pharmacological approach known for its safety has been increasingly employed in pediatric settings. There is empirical evidence supporting the efficacy of music therapy in reducing procedural pain and in easing negative emotions experienced by pediatric patients.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effectiveness of music therapy in managing pain, anxiety and distress in pediatric patients undergoing venipuncture procedures.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted on PubMed, Embase, Web of Science, Cochrane Library, Scopus, CINAHL, EBSCO and FMRS databases for articles published up to December 20, 2024. Two reviewers independently selected studies and extracted articles that met strict inclusion and exclusion criteria. Quality assessments of the included studies were performed according to the Cochrane risk assessment tool, data analysis was performed using RevMan 5.3 software.</div></div><div><h3>Results</h3><div>A total of 16 studies including 657 participants in the intervention group and 707 participants in the control group were selected for the final analysis. The results demonstrated a significant difference between the music groups and control groups for children's self-reported pain (standard mean difference SMD = −0.42, 95 % CI −0.58 to −0.27, <em>P</em> < 0.05), observer-reported pain (SMD = −0.52, 95 % CI −0.87 to −0.17, <em>P</em> < 0.05) and distress (SMD = −0.70, 95 % CI −1.27 to −0.13, <em>P</em> = 0.02). However, no significant difference was observed in anxiety (SMD = −0.10, 95 % CI −0.32 to 0.13, <em>P</em> = 0.41).</div></div><div><h3>Conclusions</h3><div>Pediatric patients undergoing venipuncture procedures would benefit from music interventions for pain and distress relief. However, no statistically significant effect was found on anxiety.</div></div><div><h3>Trial registration</h3><div>PROSPERO International Prospective Register of Systematic Reviews CRD42024509600.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101994"},"PeriodicalIF":2.2,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858891","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}

引用次数: 0

Implementation considerations of aquatic therapy post-stroke: A qualitative study from Ontario, Canada 卒中后水中治疗的实施考虑：来自加拿大安大略省的一项定性研究

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-09 DOI: 10.1016/j.ctcp.2025.101984

Andresa R. Marinho-Buzelli , Abirami Vijayakumar , Marina B. Wasilewski , Elizabeth Linkewich , Sander L. Hitzig

Background and purpose

Aquatic therapy is an effective alternative approach to therapy on land in facilitating mobility and independence after a stroke. Despite the evidence reporting on the effectiveness of many aquatic interventions, there is a lack of studies elucidating essential implementation factors for aquatic therapy post-stroke.

Materials and methods

A purposive sample of people with lived experience of stroke and healthcare providers participated in semi-structured interviews about their experiences with aquatic therapy. A deductive content analysis approach using the Consolidated Framework for Implementation Research (CFIR) was used to identify the essential aspects of aquatic therapy implementation post-stroke.

Results

Twenty-three participants (9 people with stroke experience and 14 healthcare providers) participated in the study, from across the province of Ontario in Canada. The interview data were all relevant to the five main CFIR constructs and to some of the sub-constructs. Although participants were highly favorable to aquatic therapy, several implementation considerations in terms of costs, program structure, provider qualifications, and pool access were identified at the patient, provider, and system level.

Conclusion

The CFIR proved valuable in identifying contextual factors relevant to implementing aquatic therapy with the stroke population. These factors included the importance of education, barriers to accessing aquatic therapy in rehabilitation and community settings, and internal and external factors influencing the application of aquatic therapy post-stroke.

背景和目的水中治疗是一种有效的替代陆地治疗的方法，可以促进中风后的行动能力和独立性。尽管有证据表明许多水生干预措施的有效性，但缺乏阐明中风后水生治疗的基本实施因素的研究。材料和方法对有中风生活经历的患者和医疗保健提供者进行半结构化访谈，了解他们对水疗法的体验。采用综合实施研究框架（CFIR）的演绎内容分析方法来确定中风后水生治疗实施的基本方面。结果来自加拿大安大略省的23名参与者（9名卒中患者和14名医疗服务提供者）参与了这项研究。访谈数据均与五个主要构念及部分子构念相关。尽管参与者非常赞成水上疗法，但在成本、项目结构、提供者资格和池访问方面，在患者、提供者和系统层面确定了几个实施考虑因素。结论cir在确定与卒中人群实施水疗法相关的背景因素方面证明是有价值的。这些因素包括教育的重要性，在康复和社区环境中获得水生疗法的障碍，以及影响中风后水生疗法应用的内部和外部因素。

{"title":"Implementation considerations of aquatic therapy post-stroke: A qualitative study from Ontario, Canada","authors":"Andresa R. Marinho-Buzelli , Abirami Vijayakumar , Marina B. Wasilewski , Elizabeth Linkewich , Sander L. Hitzig","doi":"10.1016/j.ctcp.2025.101984","DOIUrl":"10.1016/j.ctcp.2025.101984","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Aquatic therapy is an effective alternative approach to therapy on land in facilitating mobility and independence after a stroke. Despite the evidence reporting on the effectiveness of many aquatic interventions, there is a lack of studies elucidating essential implementation factors for aquatic therapy post-stroke.</div></div><div><h3>Materials and methods</h3><div>A purposive sample of people with lived experience of stroke and healthcare providers participated in semi-structured interviews about their experiences with aquatic therapy. A deductive content analysis approach using the Consolidated Framework for Implementation Research (CFIR) was used to identify the essential aspects of aquatic therapy implementation post-stroke.</div></div><div><h3>Results</h3><div>Twenty-three participants (9 people with stroke experience and 14 healthcare providers) participated in the study, from across the province of Ontario in Canada. The interview data were all relevant to the five main CFIR constructs and to some of the sub-constructs. Although participants were highly favorable to aquatic therapy, several implementation considerations in terms of costs, program structure, provider qualifications, and pool access were identified at the patient, provider, and system level.</div></div><div><h3>Conclusion</h3><div>The CFIR proved valuable in identifying contextual factors relevant to implementing aquatic therapy with the stroke population. These factors included the importance of education, barriers to accessing aquatic therapy in rehabilitation and community settings, and internal and external factors influencing the application of aquatic therapy post-stroke.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101984"},"PeriodicalIF":2.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858890","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}

引用次数: 0

Understanding the role of the animal in animal-assisted therapy: A qualitative study 理解动物在动物辅助治疗中的作用：一项定性研究

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-04 DOI: 10.1016/j.ctcp.2025.101983

Dovile Dixon, Ceri Jones, Robin Green

Background

The popularity of adjunctive psychological therapies, such as animal-assisted therapy (AAT), continues to grow. However, there is a lot of inconsistency and uncertainty regarding the mechanism of AAT and, more specifically, the role of the therapy animal. This study aimed to better understand the animals’ role in AAT from the perspective of those who deliver it.

Method

Fifteen professionals from a wide range of mental health backgrounds completed 1-h semi-structured interviews online. Reflexive Thematic Analysis was used to analyse the data.

Results

The analysis resulted in four main themes and 12 subthemes, representing the various aspects of the animals’ role in therapy. The four main themes were: Providing experiential learning, developing an alternative relationship, offering a different way of processing and collaborating in therapeutic activities.

Conclusions

This study demonstrates that the role of the therapy animal is complex and tightly linked to the relational aspect of human-animal interactions. It shows their presence is valuable even when the animals are not directly involved in therapeutic interventions. The challenge of balancing training and socialising the animals and allowing them to display natural behaviours is highlighted. The findings are discussed in the broader context of existing AAT research and theories, considering clinical implications and directions for future research.

辅助心理治疗的普及，如动物辅助治疗（AAT），持续增长。然而，关于AAT的机制，更具体地说，治疗动物的作用，存在很多不一致和不确定性。这项研究旨在更好地了解动物在AAT中的作用，从那些提供AAT的人的角度来看。方法对15名不同心理健康背景的专业人员进行1小时半结构化在线访谈。采用反身性主题分析法对数据进行分析。结果分析得出4个主题和12个副主题，代表了动物在治疗中作用的各个方面。四个主要主题是：提供体验式学习，发展另一种关系，在治疗活动中提供不同的处理和合作方式。本研究表明，治疗动物的作用是复杂的，与人与动物互动的关系方面密切相关。这表明，即使动物没有直接参与治疗干预，它们的存在也是有价值的。平衡动物的训练和社会化以及让它们表现出自然行为的挑战是突出的。研究结果在现有AAT研究和理论的大背景下进行了讨论，并考虑了临床意义和未来研究的方向。

{"title":"Understanding the role of the animal in animal-assisted therapy: A qualitative study","authors":"Dovile Dixon, Ceri Jones, Robin Green","doi":"10.1016/j.ctcp.2025.101983","DOIUrl":"10.1016/j.ctcp.2025.101983","url":null,"abstract":"<div><h3>Background</h3><div>The popularity of adjunctive psychological therapies, such as animal-assisted therapy (AAT), continues to grow. However, there is a lot of inconsistency and uncertainty regarding the mechanism of AAT and, more specifically, the role of the therapy animal. This study aimed to better understand the animals’ role in AAT from the perspective of those who deliver it.</div></div><div><h3>Method</h3><div>Fifteen professionals from a wide range of mental health backgrounds completed 1-h semi-structured interviews online. Reflexive Thematic Analysis was used to analyse the data.</div></div><div><h3>Results</h3><div>The analysis resulted in four main themes and 12 subthemes, representing the various aspects of the animals’ role in therapy. The four main themes were: Providing experiential learning, developing an alternative relationship, offering a different way of processing and collaborating in therapeutic activities.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that the role of the therapy animal is complex and tightly linked to the relational aspect of human-animal interactions. It shows their presence is valuable even when the animals are not directly involved in therapeutic interventions. The challenge of balancing training and socialising the animals and allowing them to display natural behaviours is highlighted. The findings are discussed in the broader context of existing AAT research and theories, considering clinical implications and directions for future research.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101983"},"PeriodicalIF":2.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834902","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}

引用次数: 0

Knowledge, attitude, practice, and perceived barriers to antenatal yoga among obstetricians and gynecologists in Bangladesh: A cross-sectional survey 孟加拉国妇产科医生对产前瑜伽的知识、态度、实践和感知障碍：一项横断面调查

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-03 DOI: 10.1016/j.ctcp.2025.101981

Farhana Sultana Karim , Satyapriya Maharana , Sayeba Akhter , Shahin Rahman Chowdhury

Aim

To examine obstetricians' and gynecologists’ knowledge, attitudes, and practices regarding antenatal yoga and to explore the factors contributing to their hesitancy in recommending it.

Methods

A cross-sectional survey was conducted among 71 obstetricians and gynecologists in Bangladesh using online and offline modes. Demographic data, professionals’ knowledge, attitudes, practices, and perceived barriers to antenatal yoga were collected. Descriptive statistics and correlation matrix analyses were performed.

Results

83.1 % of respondents recognised the benefits of antenatal yoga; however, only 50 % routinely recommended it to pregnant women. Key barriers identified included a lack of standardised training, insufficient knowledge of antenatal yoga practices, and cultural resistance. Despite these challenges, all participants (100 %) expressed interest in attending antenatal yoga-related workshops and training.

Conclusion

While obstetricians and gynecologists in Bangladesh were optimistic about the benefits of antenatal yoga (AY), a lack of standardised guidelines and training, insufficient family support, and cultural factors hinder its widespread recommendation. To enhance the integration of AY into maternal care, this study recommends developing a standardised protocol for AY practices and incorporating specialised training for obstetricians and gynecologists to improve awareness and competency.

目的研究妇产科医生对产前瑜伽的认识、态度和实践，并探讨导致他们对推荐产前瑜伽犹豫不决的因素。方法采用在线和离线模式对孟加拉国的 71 名妇产科医生进行了横断面调查。调查收集了人口统计学数据、专业人员对产前瑜伽的认识、态度、实践和感知障碍。结果83.1% 的受访者认识到产前瑜伽的益处，但只有 50% 的受访者向孕妇例行推荐产前瑜伽。发现的主要障碍包括缺乏标准化培训、对产前瑜伽练习的了解不足以及文化抵触。结论虽然孟加拉国的妇产科医生对产前瑜伽（AY）的益处持乐观态度，但缺乏标准化指南和培训、家庭支持不足以及文化因素阻碍了产前瑜伽的广泛推荐。为加强产前瑜伽在产妇护理中的应用，本研究建议制定产前瑜伽的标准化操作规程，并对妇产科医生进行专门培训，以提高他们的认识和能力。

{"title":"Knowledge, attitude, practice, and perceived barriers to antenatal yoga among obstetricians and gynecologists in Bangladesh: A cross-sectional survey","authors":"Farhana Sultana Karim , Satyapriya Maharana , Sayeba Akhter , Shahin Rahman Chowdhury","doi":"10.1016/j.ctcp.2025.101981","DOIUrl":"10.1016/j.ctcp.2025.101981","url":null,"abstract":"<div><h3>Aim</h3><div>To examine obstetricians' and gynecologists’ knowledge, attitudes, and practices regarding antenatal yoga and to explore the factors contributing to their hesitancy in recommending it.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 71 obstetricians and gynecologists in Bangladesh using online and offline modes. Demographic data, professionals’ knowledge, attitudes, practices, and perceived barriers to antenatal yoga were collected. Descriptive statistics and correlation matrix analyses were performed.</div></div><div><h3>Results</h3><div>83.1 % of respondents recognised the benefits of antenatal yoga; however, only 50 % routinely recommended it to pregnant women. Key barriers identified included a lack of standardised training, insufficient knowledge of antenatal yoga practices, and cultural resistance. Despite these challenges, all participants (100 %) expressed interest in attending antenatal yoga-related workshops and training.</div></div><div><h3>Conclusion</h3><div>While obstetricians and gynecologists in Bangladesh were optimistic about the benefits of antenatal yoga (AY), a lack of standardised guidelines and training, insufficient family support, and cultural factors hinder its widespread recommendation. To enhance the integration of AY into maternal care, this study recommends developing a standardised protocol for AY practices and incorporating specialised training for obstetricians and gynecologists to improve awareness and competency.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101981"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786162","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}

引用次数: 0

Clinician views on acupuncture for acute pain care in a busy urban emergency department 在繁忙的城市急诊科针灸治疗急性疼痛的临床观点

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-03 DOI: 10.1016/j.ctcp.2025.101982

Lisa A. Seaman , Dana LaVergne , Angela L. Walden , Dennis P. Watson , Frank A. Yurasek , Michelle Hudson , Casey Sarapas , Benjamin Nguyen , Anita Hollins , Lisa Taylor , Mark B. Mycyk

Introduction

Opioid misuse and dependence remain critical public health issues in the U.S., contributing significantly to reduced life expectancy. Emergency departments (EDs) are key settings for implementing opioid reduction strategies when treating acute pain, such as nonpharmacologic treatment options like acupuncture. This study explored clinician-related factors influencing the integration of the Pain Elimination through Acupuncture Research and Learning (PEARL) program for pain reduction within a high-volume urban ED.

Methods

This study employed a sequential mixed methods design, involving surveys and interviews with ED clinicians. An 11-item electronic survey was administered annually to assess clinician attitudes related to appropriateness and effectiveness of integrating acupuncture into the ED's comprehensive care plan for treatment of pain. Near the end of the 3rd year of the PEARL program, semi-structured interviews were conducted to gather in-depth insights into clinician knowledge and perceptions of the program.

Results

Quantitative survey data from 99 eligible ED clinicians indicated positive perceptions of the program's appropriateness and effectiveness, and improved understanding of acupuncture referral procedures. Analysis of qualitative interviews conducted with 16 ED clinicians revealed five key themes: acupuncture as an acceptable analgesic strategy to reduce the use of opioids, patient benefits, program presence in the ED, integration challenges, and the need for continued education.

Conclusion

Strong acceptance of acupuncture as a feasible nonpharmacologic addition to the comprehensive pain care plan used in the ED was observed. Dedicated space, expanded acupuncture staff and hours, and ongoing training of ED staff will require institutional support to sustain acupuncture as a nonpharmacologic treatment option for ED patients.

导言阿片类药物滥用和依赖仍然是美国严重的公共卫生问题，严重缩短了人们的预期寿命。急诊科（ED）是治疗急性疼痛时实施阿片类药物减量策略的关键场所，例如针灸等非药物治疗方案。本研究探讨了影响针灸研究与学习（PEARL）项目整合的临床医生相关因素，该项目用于在高流量的城市急诊室减少疼痛。方法本研究采用顺序混合方法设计，包括对急诊室临床医生进行调查和访谈。每年进行一次由 11 个项目组成的电子调查，以评估临床医生对将针灸纳入急诊室综合治疗计划以治疗疼痛的适当性和有效性的态度。在 PEARL 计划实施的第三年接近尾声时，进行了半结构化访谈，以深入了解临床医生对该计划的认识和看法。结果来自 99 名符合条件的急诊室临床医生的定性调查数据显示，他们对该计划的适宜性和有效性有积极的看法，对针灸转诊程序的理解也有所提高。对 16 名急诊室临床医生进行的定性访谈分析表明了五个关键主题：针灸是一种可接受的镇痛策略，可减少阿片类药物的使用；患者受益；项目在急诊室的存在；整合挑战；以及继续教育的必要性。要使针灸作为急诊室病人的非药物治疗方案得以持续，需要有专门的场所、扩大针灸人员和时间以及对急诊室工作人员进行持续培训。

{"title":"Clinician views on acupuncture for acute pain care in a busy urban emergency department","authors":"Lisa A. Seaman , Dana LaVergne , Angela L. Walden , Dennis P. Watson , Frank A. Yurasek , Michelle Hudson , Casey Sarapas , Benjamin Nguyen , Anita Hollins , Lisa Taylor , Mark B. Mycyk","doi":"10.1016/j.ctcp.2025.101982","DOIUrl":"10.1016/j.ctcp.2025.101982","url":null,"abstract":"<div><h3>Introduction</h3><div>Opioid misuse and dependence remain critical public health issues in the U.S., contributing significantly to reduced life expectancy. Emergency departments (EDs) are key settings for implementing opioid reduction strategies when treating acute pain, such as nonpharmacologic treatment options like acupuncture. This study explored clinician-related factors influencing the integration of the Pain Elimination through Acupuncture Research and Learning (PEARL) program for pain reduction within a high-volume urban ED.</div></div><div><h3>Methods</h3><div>This study employed a sequential mixed methods design, involving surveys and interviews with ED clinicians. An 11-item electronic survey was administered annually to assess clinician attitudes related to appropriateness and effectiveness of integrating acupuncture into the ED's comprehensive care plan for treatment of pain. Near the end of the 3rd year of the PEARL program, semi-structured interviews were conducted to gather in-depth insights into clinician knowledge and perceptions of the program.</div></div><div><h3>Results</h3><div>Quantitative survey data from 99 eligible ED clinicians indicated positive perceptions of the program's appropriateness and effectiveness, and improved understanding of acupuncture referral procedures. Analysis of qualitative interviews conducted with 16 ED clinicians revealed five key themes: acupuncture as an acceptable analgesic strategy to reduce the use of opioids, patient benefits, program presence in the ED, integration challenges, and the need for continued education.</div></div><div><h3>Conclusion</h3><div>Strong acceptance of acupuncture as a feasible nonpharmacologic addition to the comprehensive pain care plan used in the ED was observed. Dedicated space, expanded acupuncture staff and hours, and ongoing training of ED staff will require institutional support to sustain acupuncture as a nonpharmacologic treatment option for ED patients.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101982"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786089","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}

引用次数: 0

Perceptions of complementary health approaches: A cross-sectional comparison of clinical practice and research only trainees 对补充保健方法的看法：临床实践和研究的横向比较，仅限学员

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-04-03 DOI: 10.1016/j.ctcp.2025.101980

Delaney C. Bilodeau, Victoria A. Shivy, Suzanne E. Mazzeo

Background and Purpose

Complementary health approaches (CHAs) encompass a diverse range of practices used both independently and alongside conventional medical treatments. Understanding how graduate students across disciplines perceive CHAs is important because these trainees will occupy roles as clinical practitioners, medical researchers, healthcare policy makers, and consumers. The purpose of this research was to (a) explore differences in perceptions of CHAs across disciplines, (b) examine differences between medical versus mental health trainees’ willingness to recommend CHAs, and (c) determine whether an association exists between descriptive terminology and willingness to recommend CHAs.

Materials and methods

Ratings of familiarity, perceptions of legitimacy, and willingness to recommend CHAs were examined among graduate trainees (N = 416). Responses from (a) clinical practice versus (b) research only trainees; and, within clinical fields, (c) medical versus (d) mental health trainees were compared via sequential rank agreement.

Results

Clinical practice trainees were more familiar with CHAs than research only trainees. Mental health trainees were most familiar with CHAs and perceived them as more legitimate than medical trainees. Perceptions of CHA legitimacy positively correlated with willingness to recommend across disciplines. Medical trainees associated CHAs with the term “alternative; ” mental health trainees characterized them as “complementary.” Association with “complementary” correlated with increased willingness to recommend.

Conclusion

Mental health trainees characterize CHAs as “complementary; ” they are also most likely to perceive CHAs as legitimate and to recommend them in practice. Clinical trainees and providers might be more likely to integrate CHAs into practice if characterized as “legitimate” and “complementary.”

背景和目的补充保健方法（CHAs）包括独立使用和与传统医学治疗一起使用的各种实践。了解跨学科的研究生如何看待CHAs是很重要的，因为这些学员将担任临床从业人员、医学研究人员、医疗保健政策制定者和消费者的角色。本研究的目的是(a)探索不同学科对健康评价的认知差异，(b)检验医学与心理健康受训人员推荐健康评价意愿的差异，以及(c)确定描述性术语与推荐健康评价意愿之间是否存在关联。材料和方法对研究生受训人员（N = 416）的熟悉度、合法性认知和推荐CHAs的意愿进行了调查。(a)临床实践与(b)仅限研究的受训者的反应；并且，在临床领域，(c)医学与(d)心理健康受训人员通过顺序秩一致进行比较。结果临床实习实习生对CHAs的熟悉程度高于单纯科研实习实习生。心理健康培训生对健康评估最熟悉，认为健康评估比医学培训生更合理。对CHA合法性的认知与跨学科推荐意愿正相关。实习医生将健康照护与“替代”一词联系起来；心理健康培训学员将它们描述为“互补”。与“互补性”的关联与推荐意愿的增加相关。结论心理健康受训人员将CHAs描述为“互补的；他们也最有可能认为CHAs是合法的，并在实践中推荐它们。临床受训者和提供者可能更有可能将CHAs纳入实践，如果被描述为“合法”和“互补”。

{"title":"Perceptions of complementary health approaches: A cross-sectional comparison of clinical practice and research only trainees","authors":"Delaney C. Bilodeau, Victoria A. Shivy, Suzanne E. Mazzeo","doi":"10.1016/j.ctcp.2025.101980","DOIUrl":"10.1016/j.ctcp.2025.101980","url":null,"abstract":"<div><h3>Background <em>and Purpose</em></h3><div>Complementary health approaches (CHAs) encompass a diverse range of practices used both independently and alongside conventional medical treatments. Understanding how graduate students across disciplines perceive CHAs is important because these trainees will occupy roles as clinical practitioners, medical researchers, healthcare policy makers, and consumers. The purpose of this research was to (a) explore differences in perceptions of CHAs across disciplines, (b) examine differences between medical versus mental health trainees’ willingness to recommend CHAs, and (c) determine whether an association exists between descriptive terminology and willingness to recommend CHAs.</div></div><div><h3>Materials and methods</h3><div>Ratings of familiarity, perceptions of legitimacy, and willingness to recommend CHAs were examined among graduate trainees (<em>N</em> = 416). Responses from (a) clinical practice versus (b) research only trainees; and, within clinical fields, (c) medical versus (d) mental health trainees were compared via sequential rank agreement.</div></div><div><h3>Results</h3><div>Clinical practice trainees were more familiar with CHAs than research only trainees. Mental health trainees were most familiar with CHAs and perceived them as more legitimate than medical trainees. Perceptions of CHA legitimacy positively correlated with willingness to recommend across disciplines. Medical trainees associated CHAs with the term “alternative; ” mental health trainees characterized them as “complementary.” Association with “complementary” correlated with increased willingness to recommend.</div></div><div><h3>Conclusion</h3><div>Mental health trainees characterize CHAs as “complementary; ” they are also most likely to perceive CHAs as legitimate and to recommend them in practice. Clinical trainees and providers might be more likely to integrate CHAs into practice if characterized as “legitimate” and “complementary.”</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101980"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799958","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}

引用次数: 0

Efficacy and safety of moxibustion for knee osteoarthritis: A systematic review and meta-analysis 艾灸治疗膝骨关节炎的疗效和安全性：一项系统综述和荟萃分析

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-03-28 DOI: 10.1016/j.ctcp.2025.101979

Shun Chen , Weiting Liu , Changhao Liang , Hanjiang Liu , Pei Wang , Qinwei Fu

Background and purpose

Although several reviews have examined moxibustion for knee osteoarthritis (KOA), they have some methodological limitations. This systematic review aims to synthesize current evidence on various moxibustion interventions for KOA pain relief.

Methods

We conducted a comprehensive search across seven databases up to June 2024. The Cochrane risk of bias tool (ROB2) was used to assess the risk of bias, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criterion approach was employed to evaluate the certainty of evidence for primary outcomes. Primary outcomes included Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), stiffness, physical function, and total effective rate. Secondary outcomes encompassed adverse events (AEs) and treatment regimen of moxibustion for KOA. Meta-analysis was performed using STATA 17.0 and RevMan 5.4.1.

Results

A total of 43 studies with 4008 participants were included in this review. Moxibustion significantly reduced WOMAC (−0.91, 95 % CI: −1.12, −0.70) and VAS scores (−0.95, 95 % CI: −1.18, −0.73). Electronic moxibustion was the most effective intervention. Treatment frequencies exceeding three times per week were more effective than fewer sessions. The total effective rate was 93.11 % for the moxibustion group versus 76.41 % for the controls. AEs were reported in sixteen studies, with one serious AE.

Conclusion

Moxibustion is more effective for pain relief than other treatments and has a lower incidence of AEs. Further high-level evidence is warranted to validate these findings.

背景和目的虽然有几篇综述研究了艾灸治疗膝骨关节炎（KOA），但它们在方法学上存在一些局限性。这篇系统综述的目的是综合目前关于艾灸干预缓解KOA疼痛的证据。方法对截至2024年6月的7个数据库进行全面检索。采用Cochrane偏倚风险工具（ROB2）评估偏倚风险，采用推荐、评估、发展和评价分级（GRADE）标准方法评估主要结局证据的确定性。主要结果包括视觉模拟量表（VAS）、西安大略大学和麦克马斯特大学骨关节炎指数（WOMAC）、僵硬度、身体功能和总有效率。次要结局包括不良事件（ae）和艾灸治疗KOA的治疗方案。meta分析采用STATA 17.0和RevMan 5.4.1进行。结果本综述共纳入43项研究，涉及4008名受试者。艾灸显著降低WOMAC （- 0.91, 95% CI: - 1.12, - 0.70）和VAS评分（- 0.95,95% CI: - 1.18, - 0.73）。电子灸是最有效的干预手段。每周超过三次的治疗频率比更少的疗程更有效。艾灸组总有效率为93.11%，对照组为76.41%。16项研究报告了AE，其中1例为严重AE。结论艾灸镇痛效果明显优于其他治疗方法，且不良反应发生率较低。需要进一步的高水平证据来证实这些发现。

{"title":"Efficacy and safety of moxibustion for knee osteoarthritis: A systematic review and meta-analysis","authors":"Shun Chen , Weiting Liu , Changhao Liang , Hanjiang Liu , Pei Wang , Qinwei Fu","doi":"10.1016/j.ctcp.2025.101979","DOIUrl":"10.1016/j.ctcp.2025.101979","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Although several reviews have examined moxibustion for knee osteoarthritis (KOA), they have some methodological limitations. This systematic review aims to synthesize current evidence on various moxibustion interventions for KOA pain relief.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search across seven databases up to June 2024. The Cochrane risk of bias tool (ROB2) was used to assess the risk of bias, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criterion approach was employed to evaluate the certainty of evidence for primary outcomes. Primary outcomes included Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), stiffness, physical function, and total effective rate. Secondary outcomes encompassed adverse events (AEs) and treatment regimen of moxibustion for KOA. Meta-analysis was performed using STATA 17.0 and RevMan 5.4.1.</div></div><div><h3>Results</h3><div>A total of 43 studies with 4008 participants were included in this review. Moxibustion significantly reduced WOMAC (−0.91, 95 % CI: −1.12, −0.70) and VAS scores (−0.95, 95 % CI: −1.18, −0.73). Electronic moxibustion was the most effective intervention. Treatment frequencies exceeding three times per week were more effective than fewer sessions. The total effective rate was 93.11 % for the moxibustion group versus 76.41 % for the controls. AEs were reported in sixteen studies, with one serious AE.</div></div><div><h3>Conclusion</h3><div>Moxibustion is more effective for pain relief than other treatments and has a lower incidence of AEs. Further high-level evidence is warranted to validate these findings.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101979"},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Needling trigger points for treating myofascial pain syndrome: A systematic review and meta-analysis 针刺触发点治疗肌筋膜疼痛综合征：系统回顾和荟萃分析

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-03-26 DOI: 10.1016/j.ctcp.2025.101978

Yuwei Zhao , Yun Yang , Xiehe Kong , Jie Liu , Jue Hong , Yanting Yang , Yue Zhao , Xinyun Huang , Xiaopeng Ma

Background

Myofascial pain syndrome (MPS) is a widespread musculoskeletal disorder characterized by myofascial trigger points. Needling trigger points is one of the most common therapeutic interventions to treat MPS. However, it is unclear whether needling trigger points is superior to other non-pharmacological interventions.

Methods

Randomized clinical trials (RCTs) which compared the effectiveness of needling trigger points and other non-pharmacological therapies for treating MPS, were searched in the databases of PubMed, Web of Science, Embase, Cochrane Library, CNKI, WanFang, VPCS, and Sinomed, from their inception to August 25th, 2024. Two independent reviewers extracted relevant data on study characteristics and assessed the risk of bias using the Cochrane Risk of Bias Tool.

Results

Of the 1968 articles initially screened, 13 RCTs were included. Needling trigger points treatment were more efficacious than non-pharmacological therapies in reducing Visual Analog Scale (VAS) scores (MD = −1.32; 95 % CI = −1.84 to −0.81; P < 0.0001) and the Roland-Morris Disability Questionnaire (RMDQ) scores (MD = −2.77; 95 % CI = −3.58 to −1.97; P < 0.0001).

Conclusion

This systematic review has shown that needling trigger points could be a more effective option than other non-pharmacological therapies to improve the symptoms of MPS. Clinical trials of robust quality are required to promote further the evidence-based application of needling trigger points for MPS.

背景：肌筋膜疼痛综合征（MPS）是一种以肌筋膜触发点为特征的广泛的肌肉骨骼疾病。针刺触发点是治疗MPS最常见的治疗干预措施之一。然而，针刺触发点是否优于其他非药物干预尚不清楚。方法检索PubMed、Web of Science、Embase、Cochrane Library、中国知网（CNKI）、万方、VPCS、中国医学信息网（Sinomed）等数据库自成立至2024年8月25日的随机临床试验（RCTs），比较针刺触发点与其他非药物治疗MPS的疗效。两名独立审稿人提取了研究特征的相关数据，并使用Cochrane偏倚风险工具评估偏倚风险。结果在最初筛选的1968篇文章中，纳入了13项随机对照试验。针刺触发点治疗在降低视觉模拟量表（VAS）评分方面比非药物治疗更有效(MD = - 1.32；95% CI = - 1.84 ~ - 0.81；P & lt;0.0001)和Roland-Morris残疾问卷（RMDQ）得分(MD = - 2.77；95% CI =−3.58 ~−1.97；P & lt;0.0001)。结论本系统综述显示针刺触发点可能是一种比其他非药物治疗更有效的改善MPS症状的选择。需要高质量的临床试验来进一步促进针刺触发点治疗MPS的循证应用。

{"title":"Needling trigger points for treating myofascial pain syndrome: A systematic review and meta-analysis","authors":"Yuwei Zhao , Yun Yang , Xiehe Kong , Jie Liu , Jue Hong , Yanting Yang , Yue Zhao , Xinyun Huang , Xiaopeng Ma","doi":"10.1016/j.ctcp.2025.101978","DOIUrl":"10.1016/j.ctcp.2025.101978","url":null,"abstract":"<div><h3>Background</h3><div>Myofascial pain syndrome (MPS) is a widespread musculoskeletal disorder characterized by myofascial trigger points. Needling trigger points is one of the most common therapeutic interventions to treat MPS. However, it is unclear whether needling trigger points is superior to other non-pharmacological interventions.</div></div><div><h3>Methods</h3><div>Randomized clinical trials (RCTs) which compared the effectiveness of needling trigger points and other non-pharmacological therapies for treating MPS, were searched in the databases of PubMed, Web of Science, Embase, Cochrane Library, CNKI, WanFang, VPCS, and Sinomed, from their inception to August 25th, 2024. Two independent reviewers extracted relevant data on study characteristics and assessed the risk of bias using the Cochrane Risk of Bias Tool.</div></div><div><h3>Results</h3><div>Of the 1968 articles initially screened, 13 RCTs were included. Needling trigger points treatment were more efficacious than non-pharmacological therapies in reducing Visual Analog Scale (VAS) scores (MD = −1.32; 95 % CI = −1.84 to −0.81; P < 0.0001) and the Roland-Morris Disability Questionnaire (RMDQ) scores (MD = −2.77; 95 % CI = −3.58 to −1.97; P < 0.0001).</div></div><div><h3>Conclusion</h3><div>This systematic review has shown that needling trigger points could be a more effective option than other non-pharmacological therapies to improve the symptoms of MPS. Clinical trials of robust quality are required to promote further the evidence-based application of needling trigger points for MPS.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101978"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791627","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}

引用次数: 0

Changes in body awareness in yoga interventions: A systematic review 瑜伽干预中身体意识的改变：一项系统综述

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-03-25 DOI: 10.1016/j.ctcp.2025.101977

Camille L. Garnsey, Katherine E. Gnall, Erika K. Osherow, Crystal L. Park

Background& purpose

Research increasingly highlights associations between body awareness and health. Yoga has been described as enhancing body awareness. The goal of this systematic review is to examine changes in body awareness subsequent to yoga interventions.

Methods

A systematic search of PubMed, PsycINFO, Scopus, and CINAHL was conducted from database inception to September 2024. English language intervention studies evaluating the effect of yoga interventions on body awareness were included.

Results

Thirty-three studies met inclusion criteria. Eighteen (72 %) of the 25 studies that reported the results of within-group tests found significant increases in body awareness at some point following the yoga intervention. Three-quarters (76 %) of the 21 studies that examined differences in body awareness between a yoga group and a control group reported significant differences in favor of yoga. Studies that reported changes in body awareness did not systematically differ from those that did not in terms of the sample size or population , the type of control or comparison group used, or the duration and design of the yoga intervention. Studies that assessed body awareness as a multi-dimensional construct more consistently reported changes in body awareness.

Discussion

Results from this review are mixed, but there is evidence trending towards suggesting that yoga improves body awareness. Recommendations for future research include developing greater consensus on the conceptualization/measurement of body awareness in yoga interventions and conducting more rigorous trials with larger sample sizes and active comparison groups.

Background&研究越来越强调身体意识与健康之间的联系。瑜伽被描述为增强身体意识。本系统综述的目的是检查瑜伽干预后身体意识的变化。方法系统检索PubMed、PsycINFO、Scopus、CINAHL数据库自建库至2024年9月。包括英语语言干预研究，评估瑜伽干预对身体意识的影响。结果33项研究符合纳入标准。25项研究中有18项（72%）报告了小组内测试的结果，发现在瑜伽干预后的某个时刻，身体意识显著增强。在21项研究中，有四分之三（76%）的研究调查了瑜伽组和对照组在身体意识方面的差异，结果显示，瑜伽组和对照组在身体意识方面存在显著差异。报告身体意识变化的研究与没有报告身体意识变化的研究在样本量或人群、使用的对照组或对照组的类型、瑜伽干预的持续时间和设计方面没有系统的不同。将身体意识评估为多维结构的研究更一致地报告了身体意识的变化。讨论这篇综述的结果好坏参半，但有证据表明瑜伽可以提高身体意识。对未来研究的建议包括对瑜伽干预中身体意识的概念化/测量达成更大的共识，并以更大的样本量和积极的对照组进行更严格的试验。

{"title":"Changes in body awareness in yoga interventions: A systematic review","authors":"Camille L. Garnsey, Katherine E. Gnall, Erika K. Osherow, Crystal L. Park","doi":"10.1016/j.ctcp.2025.101977","DOIUrl":"10.1016/j.ctcp.2025.101977","url":null,"abstract":"<div><h3>Background& purpose</h3><div>Research increasingly highlights associations between body awareness and health. Yoga has been described as enhancing body awareness. The goal of this systematic review is to examine changes in body awareness subsequent to yoga interventions.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, PsycINFO, Scopus, and CINAHL was conducted from database inception to September 2024. English language intervention studies evaluating the effect of yoga interventions on body awareness were included.</div></div><div><h3>Results</h3><div>Thirty-three studies met inclusion criteria. Eighteen (72 %) of the 25 studies that reported the results of within-group tests found significant increases in body awareness at some point following the yoga intervention. Three-quarters (76 %) of the 21 studies that examined differences in body awareness between a yoga group and a control group reported significant differences in favor of yoga. Studies that reported changes in body awareness did not systematically differ from those that did not in terms of the sample size or population , the type of control or comparison group used, or the duration and design of the yoga intervention. Studies that assessed body awareness as a multi-dimensional construct more consistently reported changes in body awareness.</div></div><div><h3>Discussion</h3><div>Results from this review are mixed, but there is evidence trending towards suggesting that yoga improves body awareness. Recommendations for future research include developing greater consensus on the conceptualization/measurement of body awareness in yoga interventions and conducting more rigorous trials with larger sample sizes and active comparison groups.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101977"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739517","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}

引用次数: 0