Complementary Therapies in Clinical Practice最新文献_第6页

Farm-based therapy: An innovative treatment approach for children, adolescents and young adults 农场治疗：一种针对儿童、青少年和年轻人的创新治疗方法

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-03-07 DOI: 10.1016/j.ctcp.2025.101967

Megan Moran , Chelsea Brown , Antonietta Alvarez Hernandez , Ingrid R. Hsu , Sarah Douglas , Louisa G. Sylvia

Purpose

To describe the rationale and components of Farm-based Therapy (FBT) as well as examine its preliminary efficacy.

Methods

FBT consists of five empirically supported components, or hands-on experience, sustainability, the life cycle, community, and mindfulness, that were developed in collaboration with clients, their caregivers, and clinicians. We explored the preliminary efficacy of FBT for improving anxiety and mood in new clients, and their parents, using the Revised Child Anxiety and Depression Scale (RCADS).

Results

We found that participants (N = 45) reported that their overall depression and anxiety (i.e., total RCADS score) improved after three months of FBT as well as the following RCADS subscales: social phobia, general anxiety, and obsessive and compulsive disorder, but not on separation anxiety, panic disorder, and low mood subscales. Parents reported that their children, or clients of FBT, improved on overall depression and anxiety (i.e., total RCADS score) as well as all subscales of the RCADS with the exception of separation anxiety.

Conclusion

Our preliminary findings suggest that FBT may be an effective treatment for depression and anxiety and especially for social phobia, general anxiety, and obsessive and compulsive disorder. Future studies are needed to replicate these findings in larger samples, with longer follow-up and compared to other active treatments.

目的介绍农场疗法（FBT）的基本原理和组成部分，并检查其初步疗效。方法sfbt由五个经验支持的组成部分组成，即实践经验、可持续性、生命周期、社区和正念，这些都是与客户、他们的护理人员和临床医生合作开发的。我们使用修订儿童焦虑和抑郁量表（RCADS）探讨了FBT在改善新来访者及其父母的焦虑和情绪方面的初步功效。结果我们发现，参与者（N = 45）报告说，他们的总体抑郁和焦虑（即RCADS总分）在FBT三个月后有所改善，以及以下RCADS分量表：社交恐惧症、一般焦虑和强迫症，但在分离焦虑、恐慌障碍和情绪低落分量表上没有改善。家长报告说，他们的孩子或FBT的客户在总体抑郁和焦虑（即RCADS总分）以及RCADS的所有亚量表上都有所改善，但分离焦虑除外。结论FBT可能是治疗抑郁和焦虑的有效方法，尤其对社交恐惧症、一般性焦虑和强迫症有较好的疗效。未来的研究需要在更大的样本中复制这些发现，随访时间更长，并与其他积极治疗相比较。

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引用次数: 0

Decreasing edema with platysma exercises following third molar extraction surgery: A randomized controlled trial 第三磨牙拔牙术后颈阔肌运动减少水肿：一项随机对照试验

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-03-02 DOI: 10.1016/j.ctcp.2025.101963

Sevim Beyza Olmez , Gokhan Yazici , Merve Onder , Melek Volkan-Yazici , Nihan Kafa , Cengiz Evli , Mert Ozlu , Kaan Orhan

Background and purpose

The extraction of lower third molars is a routine procedure in dental practice however, it can lead to complications such as pain, edema and trismus. The aim of this study is to investigate the effects of platysma exercises applied after lower third molar tooth extraction on edema, while observing the differences in pain and trismus.

Materials and methods

This randomized controlled trial was conducted at the Faculty of Dentistry, Ankara University. Thirty-one participants, aged 18–40, requiring impacted lower third molar extraction were randomly assigned to an intervention group following surgery (receiving platysma exercises and pharmacological treatment) or a control group (receiving pharmacological treatment only). Postoperative outcomes, including edema, pain, and trismus, were evaluated at four time points: preoperatively, and on postoperative days 1, 3 and 7. Edema was assessed via standardized facial measurements, pain using a visual analog scale, and trismus by measuring maximum inter-incisal distance.

Results

The intervention group exhibited a significant reduction in edema compared to the control group by the seventh postoperative day (p < 0.05). No significant differences were observed in trismus or pain levels between the groups, although a trend towards lower pain scores was noted in the intervention group.

Conclusion

Platysma exercises effectively reduce postoperative facial edema without exacerbating pain or trismus. This simple, cost-effective approach can be considered a valuable adjunct in the postoperative management of lower third molar extractions.

背景与目的下三磨牙的拔除是牙科临床的常规手术，但它会导致疼痛、水肿和牙关紧闭等并发症。本研究旨在探讨下第三磨牙拔牙后颈阔肌运动对水肿的影响，同时观察疼痛和牙关的差异。材料和方法本随机对照试验在安卡拉大学牙科学院进行。31名年龄在18-40岁之间，需要阻生下第三磨牙拔牙的患者被随机分配到手术后干预组（接受颈斜肌锻炼和药物治疗）或对照组（仅接受药物治疗）。在术前、术后第1天、第3天和第7天四个时间点评估术后结果，包括水肿、疼痛和牙关紧闭。通过标准化的面部测量评估水肿，使用视觉模拟量表评估疼痛，通过测量最大切间距离评估牙关。结果干预组术后第7天水肿较对照组明显减轻(p <；0.05)。两组间牙关和疼痛程度无显著差异，但干预组疼痛评分有降低的趋势。结论颈阔肌运动能有效减轻术后面部水肿，不加重疼痛和牙关。这种简单、经济有效的方法可以被认为是下第三磨牙拔除术后管理的一种有价值的辅助方法。

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引用次数: 0

Associations of objectively measured physical activity and sedentary behavior with sleep quality in college students 客观测量的体育活动和久坐行为与大学生睡眠质量的关系

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-25 DOI: 10.1016/j.ctcp.2025.101964

Yangyi Huang , Kefeng Zheng , Teck Cheng Tan , Jiaxin Zheng , Tianle Chen , Tao Huang , Kun Wang

Background

Sleep disorders are prevalent in college students and are often exacerbated by academic pressures. Accumulating evidence indicates that physical activity and sedentary behaviors exert divergent effects on sleep quality. This study aimed to investigate the associations of objectively measured physical activity and sedentary behavior with sleep quality in college students. The potential effects of substituting sedentary behavior with physical activity on sleep quality were also examined.

Methods

This cross-sectional study included 349 college students (age range: 17–25 years; 57.6 % female) recruited from Shanghai, China. Light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and sedentary behavior were objectively measured using wrist-worn accelerometers for 7 days. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. A single-factor model was used to examine independent associations, whereas an isotemporal substitution model (ISM) was used to estimate the effects of replacing sedentary behavior with physical activity on sleep quality.

Results

Higher levels of LPA (B = −0.007, 95 % CI = −0.013 to −0.001, p < 0.05) and MVPA (B = −0.013, 95 % CI = −0.022 to −0.003, p < 0.05) were associated with better sleep quality. Conversely, sedentary time was negatively associated with sleep quality (B = 0.007, 95 % CI = 0.002 to 0.012, p < 0.05). In the ISM, replacing 30 min of sedentary behavior with an equivalent duration of MVPA was associated with improved sleep quality (B = −0.322, 95 % CI = −0.624 to −0.021, p < 0.05).

Conclusions

The findings indicated that physical activity was positively associated with sleep quality, whereas sedentary time was negatively associated with sleep quality in college students. Replacing sedentary behavior with an equivalent duration of MVPA positively affected sleep quality.

睡眠障碍在大学生中很普遍，并且常常因学业压力而加剧。越来越多的证据表明，体力活动和久坐行为对睡眠质量的影响是不同的。本研究旨在探讨客观测量的体育活动和久坐行为与大学生睡眠质量的关系。用体育活动代替久坐行为对睡眠质量的潜在影响也进行了研究。方法对349名大学生进行横断面研究，年龄17 ~ 25岁；57.6%女性)，来自中国上海。轻体力活动（LPA）、中高强度体力活动（MVPA）和久坐行为用腕带加速度计客观测量7天。使用匹兹堡睡眠质量指数评估睡眠质量。使用单因素模型来检验独立关联，而使用等时间替代模型（ISM）来估计用体育活动取代久坐行为对睡眠质量的影响。结果较高的LPA水平(B = - 0.007, 95% CI = - 0.013 ~ - 0.001, p <；0.05)和MVPA (B =−0.013,95% CI =−0.022−0.003,p & lt;0.05)与更好的睡眠质量相关。相反，久坐时间与睡眠质量呈负相关(B = 0.007, 95% CI = 0.002 ~ 0.012, p <；0.05)。在ISM中，用相同时间的MVPA代替30分钟的久坐行为与改善睡眠质量相关(B = - 0.322, 95% CI = - 0.624至- 0.021,p <；0.05)。结论体育锻炼与睡眠质量呈正相关，而久坐时间与睡眠质量呈负相关。用同等时间的MVPA代替久坐行为对睡眠质量有积极影响。

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引用次数: 0

Physical activity and cognitively difficulties in adolescents: A cross-sectional study of 13,677 participants 青少年体育活动与认知困难：一项13677名参与者的横断面研究

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-24 DOI: 10.1016/j.ctcp.2025.101965

Qian Sun , Zehan Xu , Dongye Lyu , Xiao Xu , Lei Wang , Tingkai Yan , Jin Yan

Background

Physical activity (PA) has been shown to improve cognitive ability in adolescents. However, there is evidence for the impact of different PA characteristics (e.g., intensity, frequency, type). Therefore, we used national surveillance data to assess the impact of PA characteristics and cognitive impairment in adolescents.

Methods

This study included 13,677 high school students from the 2019 Youth Risk Behavior Survey. The dependent variable was the presence of cognitive impairment due to physical, mental, or emotional problems. The independent variables related to PA were muscle strengthening, sports team participation, and physical education attendance. We used weighted binary logistic regression to evaluate the association of PA with cognitive impairment while controlling for demographic characteristics.

Results

This study includes 13,677 participants. Ages range from 12 or younger (0.4 %) to 18 or older (11.9 %), with a nearly equal gender distribution (49.0 % female, 51.0 % male). Significant odds ratios (OR) include muscle strengthening for four days vs. 0 days (OR = 1.471) and sports team participation for 1 team vs. 0 teams (OR = 1.281). Males show higher ORs in muscle strengthening and sports participation, while females show significant ORs for one day (OR = 1.344) and six days (OR = 1.387) of muscle strengthening. Physical education attendance shows no significant differences across groups.

Conclusion

Approximately 55.6 % of adolescents were physically inactive, did not engage in muscle-strengthening exercises, did not participate in physical education attendance, and did not engage in sports teams. Participation in PE three or five times per week has a significant impact on cognitive impairment in adolescents.

体育活动（PA）已被证明可以提高青少年的认知能力。然而，有证据表明不同的PA特征（例如，强度，频率，类型）的影响。因此，我们使用国家监测数据来评估青少年PA特征和认知障碍的影响。方法本研究包括2019年青少年危险行为调查中的13677名高中生。因变量是由于身体、精神或情绪问题导致的认知障碍的存在。与PA相关的自变量为肌肉强化、运动队参与和体育出勤率。在控制人口统计学特征的情况下，我们使用加权二元逻辑回归来评估PA与认知障碍的关系。结果本研究共纳入13677名参与者。年龄范围从12岁以下（0.4%）到18岁以上（11.9%），性别分布几乎相等（女性49.0%，男性51.0%）。显著优势比（OR）包括4天对0天的肌肉强化（OR = 1.471）和1队对0队的运动队参与（OR = 1.281）。男性在肌肉强化和运动参与方面的OR值较高，女性在肌肉强化1天（OR = 1.344）和6天（OR = 1.387）的OR值显著。体育出勤率在各组间无显著差异。结论：大约55.6%的青少年缺乏体育锻炼，没有参加肌肉强化锻炼，没有参加体育课程，也没有参加运动队。每周参加三到五次体育锻炼对青少年认知障碍有显著影响。

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引用次数: 0

Effects of mindfulness yoga during pregnancy on psychological and pregnancy outcomes in multiparous women of advanced maternal age 怀孕期间正念瑜伽对高龄产妇的心理和妊娠结局的影响

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-16 DOI: 10.1016/j.ctcp.2025.101962

Feifan Lu , Zhizhi Deng , Xinxin Ji , Tian Li , Weihao Yang , Guimei Li , Xia Li

Background

Multiparous women of advanced maternal age are more susceptible to psychological stress.

Objective

This study examined the impact of mindfulness yoga on psychological well-being (anxiety and sleep quality) and pregnancy outcomes (Apgar scores and adverse perinatal events) in aging multiparous women.

Study design

Participants meeting the criteria were randomly assigned to a control or a mindfulness yoga intervention group. The Chinese version of the Childbirth Attitudes Questionnaire, the Chinese version of the Pregnancy-Related Anxiety Questionnaire, and the Self-Rating Scale of Sleep were utilized to assess fear of childbirth, anxiety levels, and sleep quality, respectively. Maternal and neonatal outcomes, including vaginal delivery rates, labor analgesic use, duration of labor, postpartum bleeding volume, fetal anomaly rates, and Apgar scores, were analyzed.

Results

A total of 148 multiparous women of advanced maternal age participated in the study. No significant differences in baseline characteristics were observed between the two groups. Participants in the mindfulness yoga group exhibited significantly lower scores on the C-CAQ, PRAQ, and SRSS scales compared to those in the control group. Additionally, higher vaginal delivery rates, reduced analgesic use, and shorter durations across all three stages of labor were observed in the mindfulness yoga group, contributing to an overall reduction in total labor duration. Neonatal outcomes demonstrated notable differences, with higher Apgar scores and lower incidences of adverse perinatal events in the mindfulness yoga group.

Conclusion

Engagement in mindfulness yoga during pregnancy may contribute to improved psychological well-being and enhanced pregnancy outcomes in older multiparous women.

背景高龄产妇更容易产生心理压力。目的探讨正念瑜伽对高龄多胎妇女心理健康（焦虑和睡眠质量）和妊娠结局（Apgar评分和不良围产期事件）的影响。研究设计符合标准的参与者被随机分配到对照组或正念瑜伽干预组。采用中文版《分娩态度问卷》、中文版《妊娠焦虑问卷》和中文版《睡眠自评量表》分别评估分娩恐惧程度、焦虑程度和睡眠质量。分析产妇和新生儿结局，包括阴道分娩率、分娩镇痛药使用、分娩持续时间、产后出血量、胎儿异常率和Apgar评分。结果148名高龄产妇参与了本研究。两组患者的基线特征无显著差异。正念瑜伽组的参与者在C-CAQ、PRAQ和SRSS量表上的得分明显低于对照组。此外，在正念瑜伽组中，观察到更高的阴道分娩率，更少的止痛药使用，以及分娩三个阶段的持续时间更短，有助于减少总分娩持续时间。新生儿结局表现出显著差异，正念瑜伽组的阿普加评分较高，不良围产期事件发生率较低。结论孕期练习正念瑜伽有助于改善高龄多胎妇女的心理健康状况，提高妊娠结局。

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引用次数: 0

A study on the effectiveness of hypnotherapy on the quality of life in patients with sleep disorders 催眠治疗对睡眠障碍患者生活质量的影响研究

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-14 DOI: 10.1016/j.ctcp.2025.101959

Feng-Huang Yang , Huei-Lin Hsieh

Background and purpose

Sleep disorders often affect work efficiency and interpersonal relationships, leading to a decline in quality of life. Hypnotherapy has shown potential in effectively improving sleep disorders with fewer side effects. The purpose of this study was to explore the effectiveness of hypnotherapy on the quality of life of patients with sleep disorders.

Materials and methods

A single-group pre- and post-test design with purposive sampling was used to invite 120 patients from the sleep center of a teaching hospital in central Taiwan to participate in the study. Participants were interviewed before and after hypnotherapy using a quality of life questionnaire and an open-ended question.

Results

The quality of life of the 72 participants significantly improved after listening to hypnosis with music (p < .05). Content analysis of the open-ended responses revealed that the hypnosis with music helped participants generate positive emotions, sleep better, and maintain good spirits.

Conclusion

Listening to hypnosis with music can improve the quality of life for patients with sleep disorders. Patients can listen to the hypnosis with music at home or in a quiet place to fall asleep more easily. This study provides an innovative and effective intervention to alleviate sleep disorders and enhance the quality of life for patients.

背景与目的睡眠障碍常影响工作效率和人际关系，导致生活质量下降。催眠疗法在有效改善睡眠障碍和减少副作用方面显示出潜力。本研究的目的是探讨催眠治疗对睡眠障碍患者生活质量的影响。材料与方法采用目的抽样的单组前测和后测设计，邀请台湾中部某教学医院睡眠中心的120例患者参与研究。参与者在催眠治疗前后接受了生活质量问卷和开放式问题的采访。结果72名受试者在听音乐催眠后生活质量显著提高(p <；. 05)。对开放式回答的内容分析显示，音乐催眠有助于参与者产生积极情绪，睡得更好，保持良好的精神状态。结论音乐催眠能提高睡眠障碍患者的生活质量。患者可以在家中或安静的地方伴着音乐听催眠，这样更容易入睡。本研究为缓解睡眠障碍和提高患者生活质量提供了一种创新有效的干预方法。

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引用次数: 0

Moderate intensity continuous training, combined moderate-intensity continuous training vs combined high-intensity interval training in adults with hypertension: Randomized controlled trial 成人高血压患者中强度连续训练、联合中强度连续训练vs联合高强度间歇训练：随机对照试验

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-13 DOI: 10.1016/j.ctcp.2025.101960

Isabel López-Ruiz , Fernando Lozano Ruiz-Poveda , María Dolores Masía , Juan Ramón Heredia-Elvar , Noelia González-Gálvez

Background and purpose

Despite all efforts to treat hypertension, it is still responsible for 10.8 million deaths annually. The aim of this study was to compare the effects of continuous moderate-intensity training, strength training combined with continuous moderate-intensity training and strength training combined with high-intensity interval training in adults with high blood pressure.

Methods

A 12-week randomized control trial was performed. A total of 100 volunteers, 51 women and 49 men with hypertension participated. The sample was randomly assigned into three intervention groups and one control group.

Results

All intervention groups significantly improved their hemodynamic parameters, body composition, lipid profile, glucose, and physical fitness as compared to the control group. Both combined training groups showed greater improvements than the moderate-intensity continuous training group. However, the strength group combined with the moderate-intensity continuous group showed the greatest benefits in systolic, diastolic and mean arterial pressure, of −13.4 mmHg, −6.8 mmHg and −8.9 mmHg respectively, abdominal circumference, upper and lower limb strength and VO₂peak, versus the continuous moderate-intensity group; it also achieved greater reductions in systolic and mean blood pressure, up to −6.8 mmHg and 4.3 mmHg respectively, than the strength group combined with the high intensity interval group.

Conclusion

Performing a strength training program combined with continuous moderate intensity training, 2 days per week for 12 weeks, produces significant improvements in cardiometabolic biomarkers, body composition, and physical condition of adults with hypertension, with these adaptations being superior to those produced by continuous moderate-intensity training and strength training combined with high-intensity intervallic training.

背景和目的尽管人们努力治疗高血压，但每年仍有1080万人死于高血压。本研究的目的是比较持续中等强度训练、力量训练结合持续中等强度训练和力量训练结合高强度间歇训练对高血压成人的影响。方法采用为期12周的随机对照试验。共有100名志愿者参加了这项研究，其中51名女性和49名男性患有高血压。样本被随机分为三个干预组和一个对照组。结果与对照组相比，所有干预组患者的血流动力学参数、体成分、血脂、血糖和体能均有显著改善。两个联合训练组都比中等强度连续训练组表现出更大的改善。然而，与持续中等强度组相比，力量组联合中等强度连续组在收缩压、舒张压和平均动脉压（分别为- 13.4 mmHg、- 6.8 mmHg和- 8.9 mmHg）、腹围、上肢和下肢力量以及VO₂峰值方面的益处最大；与强度组和高强度间歇组相比，收缩压和平均血压分别下降了- 6.8 mmHg和4.3 mmHg。结论：将力量训练与持续中等强度训练相结合，每周2天，持续12周，可以显著改善成人高血压患者的心脏代谢生物标志物、身体成分和身体状况，这些适应性优于持续中等强度训练和力量训练与高强度间歇训练相结合。

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引用次数: 0

Effects of Optimal Tai Chi forms in alleviating knee pain among Hispanic people with knee osteoarthritis: A case series 最佳太极形式在缓解西班牙裔膝关节骨关节炎患者膝关节疼痛中的作用：一个病例系列

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-12 DOI: 10.1016/j.ctcp.2025.101961

Feng Yang , Kyriakos Markides , Timothy A. Reistetter , Alison A. Moore , Wei Liu

Background

Despite the similar knee osteoarthritis (KOA) prevalence among races and ethnicities, Hispanic patients with KOA are 30%–40 % less likely to receive treatments compared with their White counterparts. Tai Chi (TC) could be an accessible and affordable intervention for Hispanic individuals with KOA. This case series explored the effect of four optimal TC forms (OTC) on reducing KOA pain in Hispanic individuals.

Methods

Seven Hispanic adults with mild to moderate KOA were recruited. Their knee pain level during walking was evaluated before and after a two-week OTC training using the Visual Analog Scale and compared between assessments.

Results

The 2-week OTC training course was well received by our participants. The training reduced pain with a large effect size (4.14 ± 1.21 vs. 1.29 ± 1.70 cm, p < 0.027, Wilcoxon's r = -0.833).

Conclusion

Our pilot results suggested that the 2-week, 4-form-based OTC program can significantly reduce the knee pain in Hispanic people with KOA. Our OTC program appears to be about 20% more effective in reducing knee pain than the existing TC-based program, which uses 10 TC forms over 12 weeks (1.27 vs. 1.06 in Hedge's g). The findings implied that the OTC program could be a promising alternative paradigm for Hispanic people with KOA to lower their pain. This case series could provide vital information for the design and execution of future large-scale and rigorous clinical trials to further test the effects of the OTC program in altering pain for Hispanic people with KOA.

Clinicaltrials gov registration id

NCT03621631.

背景：尽管不同种族的膝关节骨性关节炎（KOA）患病率相似，但西班牙裔KOA患者接受治疗的可能性比白人患者低30% - 40%。太极拳（TC）可能是西班牙裔KOA患者可获得和负担得起的干预措施。本病例系列探讨了四种最佳TC形式（OTC）对减少西班牙裔个体KOA疼痛的影响。方法招募7名轻中度KOA的西班牙裔成年人。在两周OTC训练之前和之后，使用视觉模拟量表评估他们行走时的膝盖疼痛水平，并比较评估之间的差异。结果为期两周的OTC培训课程获得了参与者的一致好评。训练减轻疼痛，效果显著(4.14±1.21 vs. 1.29±1.70 cm, p <；0.027, Wilcoxon’s r = -0.833)。我们的试验结果表明，为期2周、以4种形式为基础的OTC方案可以显著减轻西班牙裔KOA患者的膝关节疼痛。在减轻膝关节疼痛方面，我们的OTC方案似乎比现有的基于TC的方案（在12周内使用10种TC形式）有效约20% （Hedge's g为1.27 vs 1.06）。研究结果表明，OTC方案可能是西班牙裔KOA患者减轻疼痛的一种有希望的替代方案。该病例系列可以为未来大规模和严格的临床试验的设计和执行提供重要信息，以进一步测试OTC方案在改变西班牙裔KOA患者疼痛方面的效果。Clinicaltrials gov注册号nct03621631。

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引用次数: 0

Transcutaneous electrical acupoint stimulation combined with core stability training in postpartum women with diastasis rectus abdominis 经皮穴位电刺激联合核心稳定性训练治疗产后移位性腹直肌

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2025-02-03 DOI: 10.1016/j.ctcp.2025.101958

Jinxia Li , Jingjun Xie , Xiaoqing Guo , Ruiyang Fu , Zhongqiang Pan , Zengchen Zhao

Background

Diastasis rectus abdominis (DRA) women experience discomfort signs, which had a negative impact like an impairment of the quality of life and functional capacities of women. Transcutaneous electrical acupoint stimulation (TEAS) and core muscle training (CMT) have provided increasing evidence as an important strategy for DRA. Here, we aimed to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with core muscle training (TEAS + CMT) in postpartum women with DRA.

Methods

A total of 96 postpartum women with DRA were randomly assigned to three groups: control (waiting-list group), treatment group 1 (CMT), and treatment group 2 (TEAS + CMT), with 32 participants in each group. Ultimately, 90 participants completed the study (30 in each group). The control group received conventional postpartum natural recovery. Treatment group 1 underwent CMT once daily, five times per week, for four consecutive weeks (one treatment course). Treatment group 2 received TEAS + CMT following the same schedule. Changes in interrectus distance (IRD), waistline (WL), body mass index (BMI), lumbago (measured by the Short-Form McGill Pain Questionnaire [SF-MPQ]), and quality of life (assessed via SF-36) were evaluated before and after treatment.

Results

At the end of treatment, each group showed notable reductions in IRD, WL, and BMI(P < 0.05), in with the most significant improvements observed in treatment group 2 (P < 0.05). Lumbago scores (SF-MPQ) distinctly decreased each group (P < 0.05), while quality of life scores (SF-36) evidently improved (P < 0.05), with treatment group 2 showing the most pronounced effects (P < 0.05).

Conclusion

TEAS + CMT may improve DRA of postpartum women, reduce WL and BMI, alleviate lumbago, and improve quality of life.

背景腹直肌移位（DRA）女性会出现不适症状，这对女性的生活质量和功能能力造成了负面影响。经皮穴位电刺激（TEAS）和核心肌群训练（CMT）作为治疗DRA的重要策略已得到越来越多的证据。在这里，我们旨在评估经皮穴位电刺激（TEAS）联合核心肌训练（TEAS + CMT）对产后DRA妇女的影响。方法将96例产后DRA患者随机分为对照组（等候名单组）、治疗组1 （CMT）和治疗组2 (TEAS + CMT)，每组32例。最终，90名参与者完成了这项研究（每组30人）。对照组采用常规产后自然恢复。治疗组1每日1次，每周5次，连续4周（1个疗程）。治疗组2按照相同的时间表接受TEAS + CMT治疗。评估治疗前后患者的腹间肌距离（IRD）、腰围（WL）、体重指数（BMI）、腰痛（用短格式McGill疼痛问卷[SF-MPQ]测量）和生活质量（用SF-36评估）的变化。结果治疗结束时，各组IRD、WL、BMI均显著降低(P <；0.05)，以治疗组2改善最为显著(P <；0.05)。腰痛评分（SF-MPQ）各组明显降低(P <；生活质量评分（SF-36）明显改善(P <；0.05)，治疗组2疗效最显著(P <；0.05)。结论tea + CMT可改善产后妇女的DRA，降低WL和BMI，减轻腰痛，提高生活质量。

{"title":"Transcutaneous electrical acupoint stimulation combined with core stability training in postpartum women with diastasis rectus abdominis","authors":"Jinxia Li , Jingjun Xie , Xiaoqing Guo , Ruiyang Fu , Zhongqiang Pan , Zengchen Zhao","doi":"10.1016/j.ctcp.2025.101958","DOIUrl":"10.1016/j.ctcp.2025.101958","url":null,"abstract":"<div><h3>Background</h3><div>Diastasis rectus abdominis (DRA) women experience discomfort signs, which had a negative impact like an impairment of the quality of life and functional capacities of women. Transcutaneous electrical acupoint stimulation (TEAS) and core muscle training (CMT) have provided increasing evidence as an important strategy for DRA. Here, we aimed to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with core muscle training (TEAS + CMT) in postpartum women with DRA.</div></div><div><h3>Methods</h3><div>A total <strong>of</strong> 96 postpartum women with DRA were randomly assigned to three groups: control (waiting-list group), treatment group 1 (CMT), and treatment group 2 (TEAS + CMT), with 32 participants in each group. Ultimately, 90 participants completed the study (30 in each group). The control group received conventional postpartum natural recovery. Treatment group 1 underwent CMT once daily, five times per week, for four consecutive weeks (one treatment course). Treatment group 2 received TEAS + CMT following the same schedule. Changes in interrectus distance (IRD), waistline (WL), body mass index (BMI), lumbago (measured by the Short-Form McGill Pain Questionnaire [SF-MPQ]), and quality of life (assessed via SF-36) were evaluated before and after treatment.</div></div><div><h3>Results</h3><div>At the end of treatment, each group showed notable reductions in IRD, WL, and BMI(<em>P</em> < 0.05), in with the most significant improvements observed in treatment group 2 (<em>P</em> < 0.05). Lumbago scores (SF-MPQ) distinctly decreased each group (<em>P</em> < 0.05), while quality of life scores (SF-36) evidently improved (<em>P</em> < 0.05), with treatment group 2 showing the most pronounced effects (<em>P</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>TEAS + CMT may improve DRA of postpartum women, reduce WL and BMI, alleviate lumbago, and improve quality of life.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101958"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143291718","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

Effects of aromatherapy on discomfort in mothers undergoing cesarean section: A systematic review and meta-analysis of randomized controlled trials 芳香疗法对剖腹产产妇不适感的影响：随机对照试验的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 : 2025-02-01 DOI: 10.1016/j.ctcp.2024.101935

Xiaohan Wang , Yurong Liu , Yanan Yan , Jinghe Mao , Zhiping Wang

Background and Purpose

Aromatherapy, a non-pharmacological intervention involving essential oils, has been suggested as a complementary therapy for perioperative discomfort. This study seeks to systematically examine the efficacy of aromatherapy in alleviating pain and other discomforts in mothers undergoing cesarean sections.

Methods

A systematic search of PubMed, the Cochrane Library, and Embase was conducted from inception to September 2024. Inclusion criteria involved mothers undergoing cesarean section, aromatherapy as an intervention, and outcomes such as pain, anxiety, nausea and vomiting. Subgroup analyses explored the effects of distinct control groups, essential oil, dosage, number of sessions, and session length of aroma preparations. Statistical analysis was conducted using RevMan 5.3, with heterogeneity assessed using the Q test and I² statistic.

Results

Seventeen studies involving 1490 participants were included. Aromatherapy significantly reduced post-cesarean pain (SMD = −1.19, 95 % CI [-1.93, −0.45], p = 0.002). Chamomile oil, low dosage (≤2 drops), single session and sessions lasting 20 min or less were more effective in relieving pain. Aromatherapy significantly decreased nausea incidence (RR = 0.52, 95 % CI [0.33, 0.81], p = 0.004), reduced analgesic requirements (RR = 0.60, 95 % CI [0.49, 0.73], p < 0.00001), and improved patient satisfaction (RR = 1.64, 95 % CI [1.26, 2.12], p = 0.0002).

Conclusion

Aromatherapy effectively reduces post-cesarean pain, nausea, analgesic use, and improves patient satisfaction. Chamomile oil, low doses (≤2 drops), single session and short length (≤20 min) seems to be the most effective method for alleviating post-cesarean pain.

背景和目的：芳香疗法是一种涉及精油的非药物干预方法，已被建议作为围手术期不适的辅助疗法。本研究旨在系统研究芳香疗法在减轻剖腹产产妇疼痛及其他不适症状方面的疗效：方法：从开始到 2024 年 9 月，对 PubMed、Cochrane 图书馆和 Embase 进行了系统检索。纳入标准包括接受剖腹产手术的产妇、作为干预措施的芳香疗法以及疼痛、焦虑、恶心和呕吐等结果。分组分析探讨了不同对照组、精油、剂量、疗程次数和芳香疗法疗程长度的影响。统计分析采用 RevMan 5.3 进行，异质性采用 Q 检验和 I2 统计量进行评估：结果：共纳入 17 项研究，涉及 1490 名参与者。芳香疗法可明显减轻剖腹产后疼痛（SMD = -1.19, 95 % CI [-1.93, -0.45]，p = 0.002）。洋甘菊精油、低剂量（≤2 滴）、单次治疗和持续 20 分钟或更短时间的治疗对缓解疼痛更有效。芳香疗法明显降低了恶心的发生率（RR = 0.52，95 % CI [0.33，0.81]，p = 0.004），减少了镇痛药的需求量（RR = 0.60，95 % CI [0.49，0.73]，p 结论：芳香疗法可有效降低术后恶心的发生率（RR = 0.52，95 % CI [0.33，0.81]，p = 0.004）：芳香疗法可有效减少剖腹产后疼痛、恶心和镇痛药的使用，并提高患者满意度。小剂量（≤2 滴）、单次、短时间（≤20 分钟）的洋甘菊精油似乎是缓解剖腹产后疼痛最有效的方法。

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引用次数: 0