Complementary therapies in medicine最新文献

{"title":"Exploring the Bob Ross effect: A psychophysiological investigation","authors":"Elena Shostak,&nbsp;Farouq Yusuf,&nbsp;Noa Schabes,&nbsp;Brian Lora,&nbsp;Anna Churchill,&nbsp;Maleeha Farzansyed,&nbsp;Seraya Makle,&nbsp;Megan White,&nbsp;Lauren M. Greaves,&nbsp;Oliver E. Blum,&nbsp;Justin A. DeBlauw,&nbsp;Stephen J. Ives","doi":"10.1016/j.ctim.2024.103022","DOIUrl":"10.1016/j.ctim.2024.103022","url":null,"abstract":"<div><p>Watching news broadcasts is known to elicit psychological stress. Conversely, the iconic painter Bob Ross (BR) has risen to pop culture status and amassed a following, as many find the messages and sounds of BR to be soothing and relaxing. Though, it has yet to be directly tested if such exposure can confer psychological or physiological benefit. The purpose of this study was to compare the effects of watching BR versus streaming news on markers of cardiovascular health and profile of mood states (POMS). It was hypothesized that watching BR would increase POMS scores and heart rate variability (HRV). It was also hypothesized that watching the news would increase blood pressure (BP), vascular stiffness (VS), and heart rate (HR).</p></div><div><h3>Methods</h3><p>In a randomized, controlled, crossover design, 18 young (21 ± 1 yrs, 9 female, 9 male) healthy participants (172.6 ± 9.9 cm, 69 ± 18 kg) were assessed for BP, VS, HR, HRV, and POMS before and after watching an episode of BR or the News matched for time (∼27 mins). <strong>Results:</strong> A significant interaction effect on POMS scores were observed for, anxiety (p = 0.01), anger (p = 0.008), depression (p = 0.003), fatigue (p = 0.001), and confusion (p = 0.01) domains after watching BR. The LF/HF ratio, an HRV marker of sympathovagal balance, was significantly lower after watching BR (p = 0.04). There were no significant time, condition, or interaction effects on systolic BP, mean arterial pressure, and diastolic BP.</p></div><div><h3>Conclusion</h3><p>The “Bob Ross Effect” reduces overall mood disturbance, though appears to exert little influence on the cardiovascular system in this acute paradigm.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000104/pdfft?md5=1de5d15484d9d2fc612b764127135896&pid=1-s2.0-S0965229924000104-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139376244","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}

{"title":"Acupuncture for the Treatment of Neuropsychiatric Symptoms in Parkinson's Disease: A Systematic Review and Meta-Analysis","authors":"Anxin Zhang ,&nbsp;Zefeng Song ,&nbsp;Anqi Di ,&nbsp;Zelin Zhou ,&nbsp;Liang Zheng ,&nbsp;Lixing Zhuang","doi":"10.1016/j.ctim.2024.103020","DOIUrl":"10.1016/j.ctim.2024.103020","url":null,"abstract":"<div><h3>Background</h3><p>Neuropsychiatric symptoms (NPSs) of Parkinson's disease (PD) have received increasing attention, but effective treatment options remain limited. Acupuncture may have clinical benefits for NPSs in PD patients, but high-quality evidence supporting this possibility still needs to be discovered. Therefore, we conducted a meta-analysis to evaluate the effect of acupuncture treatment on NPSs in PD patients.</p></div><div><h3>Methods</h3><p>Randomized controlled trials (RCTs) of acupuncture treatment for PD retrieved from the following electronic databases: PubMed, Embase, Cochrane Library, Web of Science, and Scopus, were used to evaluate NPSs of PD patients. The Cochrane Intervention System Evaluation Manual assessed the methodological quality.</p></div><div><h3>Results</h3><p>A total of 13 RCTs involving 719 patients were included. The results showed that compared with medication alone or sham acupuncture, acupuncture improved sleep quality in PD patients, with Parkinson's Disease Sleep Scale (PDSS) [standardized mean difference (SMD)= 0.48, 95% confidence interval (CI)= 0.242 to 0.793, <em>P</em> = 0.001]. The I scores and total scores on Unified Parkinson's Disease Rating Scale (UPDRS) indicated acupuncture treatment was effective (SMD=−0.66, 95%CI=−0.66 to −0.18, <em>P</em> = 0.042; SMD=−0.77, 95%CI=−1.31 to −0.23, <em>P</em> = 0.005). Results of the Epworth Sleepiness Scale (ESS) and Parkinson's Disease Questionnaire-39 (PDQ-39) showed no statistically significant differences (SMD=−0.27, 95%CI=−0.08 to 0.62, <em>P</em> = 0.128; SMD=−0.20, 95%CI=−0.42 to 0.01, <em>P</em> = 0.554). Anxiety and depression research had no significant differences due to the excessive inter-study bias.</p></div><div><h3>Conclusion</h3><p>Acupuncture treatment can improve sleep quality, psychological and behavioral alterations, and the overall condition of PD patients. However, the study revealed no significant positive intervention effects on anxiety, depression, and quality of life, underscoring the necessity for continued research to elucidate these domains' intricacies and develop productive therapeutic approaches.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000086/pdfft?md5=6b48bb4253b2527a39303f47ec94d26f&pid=1-s2.0-S0965229924000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139376246","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}

{"title":"The effectiveness of cupping therapy on low back pain: A systematic review and meta-analysis of randomized control trials","authors":"Zixin Zhang ,&nbsp;Mahesh Pasapula ,&nbsp;Zelu Wang ,&nbsp;Kimberley Edwards ,&nbsp;Alan Norrish","doi":"10.1016/j.ctim.2024.103013","DOIUrl":"10.1016/j.ctim.2024.103013","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aims to investigate the effectiveness of cupping therapy on low back pain (LBP).</p></div><div><h3>Methods</h3><p>Medline, Embase, Scopus and WANFANG databases were searched for relevant cupping RCTs on low back pain articles up to 2023. A complementary search was manually made on 27 September for update screening. Full-text English and Chinese articles on all ethnic adults with LBP of cupping management were included in this study. Studies looking at acute low back pain only were excluded. Two independent reviewers screened and extracted data, with any disagreement resolved through consensus by a third reviewer. The methodological quality of the included studies was evaluated independently by two reviewers using an adapted tool. Change-from-baseline outcomes were treated as continuous variables and calculated according to the Cochrane Handbook. Data were extracted and pooled into the meta-analysis by Review Manager software (version 5.4, Nordic Cochrane Centre).</p></div><div><h3>Results</h3><p>Eleven trials involving 921 participants were included. Five studies were assessed as being at low risk of bias, and six studies were of acceptable quality. High-quality evidence demonstrated cupping significantly improves pain at 2–8 weeks endpoint intervention (d=1.09, 95% CI: [0.35–1.83], p = 0.004). There was no continuous pain improvement observed at one month (d=0.11, 95% CI: [−1.02–1.23], p = 0.85) and 3–6 months (d=0.39, 95% CI: [−0.09–0.87], p = 0.11). Dry cupping did not improve pain (d=1.06, 95% CI: [−0.34, 2.45], p = 0.14) compared with wet cupping (d=1.5, 95% CI: [0.39–2.6], p = 0.008) at the endpoint intervention. There was no evidence indicating the association between pain reduction and different types of cupping (p = 0.2). Moderate- to low-quality evidence showed that cupping did not reduce chronic low back pain (d=0.74, 95% CI: [−0.67–2.15], p = 0.30) and non-specific chronic low back pain (d=0.27, 95% CI: [−1.69–2.24], p = 0.78) at the endpoint intervention. Cupping on acupoints showed a significant improvement in pain (d=1.29, 95% CI: [0.63–1.94], p &lt; 0.01) compared with the lower back area (d=0.35, 95% CI: [−0.29–0.99], p = 0.29). A potential association between pain reduction and different cupping locations (p = 0.05) was found. Meta-analysis showed a significant effect on pain improvement compared to medication therapy (n = 8; d=1.8 [95% CI: 1.22 – 2.39], p &lt; 0.001) and usual care (n = 5; d=1.07 [95% CI: 0.21- 1.93], p = 0.01). Two studies demonstrated that cupping significantly mediated sensory and emotional pain immediately, after 24 h, and 2 weeks post-intervention (d= 5.49, 95% CI [4.13–6.84], p &lt; 0.001). Moderate evidence suggested that cupping improved disability at the 1–6 months follow-up (d=0.67, 95% CI: [0.06–1.28], p = 0.03). There was no immediate effect observed at the 2–8 weeks endpoint (d=0.40, 95% CI: [−0.51–1.30], p = 0.39). A high degree of heterogeneity was noted in t","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000013/pdfft?md5=6d8c16c9bd8b430ea11d221a2fddaa30&pid=1-s2.0-S0965229924000013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139102322","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}

{"title":"Chinese patent medicine as a complementary and alternative therapy for type 2 diabetes mellitus: A scoping review","authors":"Hai-Zhu Zheng ,&nbsp;Tian-Ying Chang ,&nbsp;Bo Peng ,&nbsp;Shi-Qi Ma ,&nbsp;Zhen Zhong ,&nbsp;Jia-Zhen Cao ,&nbsp;Lin Yao ,&nbsp;Meng-Yuan Li ,&nbsp;Hong-Feng Wang ,&nbsp;Xing Liao","doi":"10.1016/j.ctim.2024.103014","DOIUrl":"10.1016/j.ctim.2024.103014","url":null,"abstract":"<div><h3>Objective</h3><p>This scoping review aims to document Chinese Patent Medicines (CPMs) for Type 2 Diabetes Mellitus, explore whether CPMs can improve patients’ health outcomes, and set priorities in addressing research gaps in this area.</p></div><div><h3>Methods</h3><p>Following the framework of PRISMA-SCr, we proposed the research questions based on PICOS principle, and searched the CPMs for T2DM from three drug lists, followed by a systematic search of the literature in eight databases from their inception to June 22, 2023. Then, we developed the eligibility criteria and systematically reviewed the relevant studies, retained the studies about CPMs for T2DM, extracted the related data, and identified the differences across studies in structured charts.</p></div><div><h3>Results</h3><p>A total of 25 types of CPMs were extracted from the three drug lists. Radix astragali appeared most frequently (19 times) among the herbal medicinal ingredients of CPMs. A total of 449 articles were included in the full-paper analysis ultimately, all of which were about 20 types of CPMs, and there were no related reports on the remaining five CPMs. Except about a quarter (25.39 %, 114/449) using CPMs alone, the remaining studies all involved the combination with oral hypoglycemics for T2DM. Biguanides are the most common drugs used in combination with CPMs (50.14 %, 168/335). Fasting plasma glucose (FPG) is the most frequently reported outcomes in efficacy evaluation (82.41 %, 370/449).</p></div><div><h3>Conclusion</h3><p>There are a total of 25 types of CPMs currently available for T2DM patients. However, the volume of related evidence on these CPMs varies. It is necessary to standardize the combined use of CPMs and conventional medicine and select appropriate outcomes in future studies.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000025/pdfft?md5=c27d2f4eaf9dee601b4b70473b16c395&pid=1-s2.0-S0965229924000025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139096060","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}

{"title":"The need for increasing pediatric obesity advocacy","authors":"Eric M. Bomberg,&nbsp;Theodore K. Kyle,&nbsp;Fatima C. Stanford","doi":"10.1016/j.ctim.2023.103012","DOIUrl":"10.1016/j.ctim.2023.103012","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000997/pdfft?md5=a5e7f9205c6480af431e6ea83390b888&pid=1-s2.0-S0965229923000997-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139064914","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}

{"title":"Self-stretching exercises with kinesio taping for management of chronic nonspecific neck pain in taxi drivers: A single-blind, randomized controlled trial","authors":"Jae-Jung Jeon ,&nbsp;Sun-Hee Jeon ,&nbsp;Keun-Jung Yang ,&nbsp;Han Choi ,&nbsp;Hwi-young Cho ,&nbsp;Suk-Chan Hahm","doi":"10.1016/j.ctim.2023.103010","DOIUrl":"https://doi.org/10.1016/j.ctim.2023.103010","url":null,"abstract":"<div><h3>Objectives</h3><p>Taxi drivers experience chronic neck pain owing to their posture while driving. The aim of this study was to investigate the effect of self-stretching exercises with kinesio taping on pain, stress, pressure pain threshold (PPT), disability, cervical range of motion (CROM) in this population.</p></div><div><h3>Design</h3><p>A single-blind, randomized controlled trial</p></div><div><h3>Setting</h3><p>Forty-three taxi drivers with nonspecific chronic nonspecific neck pain were randomly assigned to experimental (n = 22) and control (n = 21) groups.</p></div><div><h3>Methods</h3><p>In the experimental group, self-stretching exercises were performed 3 times a day, 5 days per week, for 4 weeks, with kinesio taping applied while driving. In the control group, only kinesio taping was applied while driving for 4 weeks. Pain intensity, stress intensity, PPT, neck disability, and CROM were assessed pre-intervention, post-intervention, and at 4 weeks post-intervention.</p></div><div><h3>Results</h3><p>Significant time and group interactions were observed in pain intensity at rest (<em>p</em> = 0.048) and while driving (<em>p</em> = 0.001). In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.41 (4.14 to 4.68) - 3.82 (3.57 to 4.07) - 3.78 (3.55 to 3.99). In the control group, the Pre - Post - Follow-up mean (95% CI) was 4.29 (4.01 to 4.56) - 3.86 (3.60 to 4.11) - 4.05 (3.82 to 4.27) for pain at rest. In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.91 (4.63 to 5.19) - 4.00 (3.76 to 4.24) - 3.69 (3.69 to 4.22), while in the control group, the Pre - Post - Follow-up mean (95% CI) was 4.81 (4.53 to 5.09) - 4.38 (4.13 to 4.63) - 4.57 (4.30 to 4.85) for pain while driving. PPT on the right (<em>p</em> = 0.029) and left (<em>p</em> &lt; 0.001) sides, and neck disability (<em>p</em> = 0.001) also showed significant time and group interactions. NDI was not clinically significant based on the minimum clinically important difference. All CROM showed significant time and group interactions (flexion, <em>p</em> = 0.008; right lateral flexion, <em>p</em> = 0.009; left lateral flexion, <em>p</em> = 0.004; right rotation, <em>p</em> = 0.001; left rotation, <em>p</em> = 0.001), except for extension.</p></div><div><h3>Conclusion</h3><p>This study showed that self-stretching exercises with kinesio taping provided benefits over kinesio taping alone on pain intensity, PPT, disability, and CROM in taxi drivers with nonspecific chronic neck pain.</p></div><div><h3>Clinical trial registration</h3><p>This study registered with the Clinical Research Information Service (WHO International Clinical Trials Registry Platform) on September 22, 2020 (KCT0005406).</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000973/pdfft?md5=5e08e7107faf9153629ae27bf63c465f&pid=1-s2.0-S0965229923000973-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138713457","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}

{"title":"Advances in acupuncture regulation on the autonomic nervous system from 2013 to 2022: A bibliometric analysis via citespace","authors":"Li Yan-qiu,&nbsp;Yao Jun-peng,&nbsp;Yan Xiang-yun,&nbsp;Wang Wen,&nbsp;Zhang Yu-peng,&nbsp;Yuan Lu,&nbsp;Hou Yu-jun,&nbsp;Li Ying","doi":"10.1016/j.ctim.2023.103009","DOIUrl":"10.1016/j.ctim.2023.103009","url":null,"abstract":"<div><h3>Objective</h3><p>To understand research advances and frontiers of acupuncture regulation on the autonomic nervous system (ANS) over the past decade through a bibliometric analysis.</p></div><div><h3>Methods</h3><p>Publications related to acupuncture regulation on the ANS were retrieved from the Web of Science Core Collection (WoSCC) database. CiteSpace software was used to analyze the datasets and generate knowledge maps.</p></div><div><h3>Results</h3><p>A total of 445 relevant publications published between 2013 and 2022 were included in this bibliometric analysis. The number of annual publications fluctuated from 2013 to 2016 but increased gradually from 2016 to 2022. China produced the highest number of publications, while the USA established the most extensive cooperation relationships. <em>China Academy of Chinese Medical Science</em> was the most productive institution. Chen Jiande D.Z. was the most prolific author and Rong Peijing holds the most extensive cooperation network. Han Jisheng was the most co-cited author. Relevant research involved mechanism exploration and clinical efficacy research, and “anti-inflammatory effect” was the most active research topic, especially cholinergic anti-inflammatory mechanisms. The most cited references mainly focused on inflammation. Gastrointestinal and cardiovascular disorders were the most active medical conditions studied in this field.</p></div><div><h3>Conclusions</h3><p>Research related to acupuncture regulation on the ANS mainly focused on anti-inflammation, and regulating gastrointestinal and cardiovascular function over the past decade. However, the mechanisms of the autonomic effects of acupuncture need further investigation. High-quality clinical studies are required to determine the optimal parameters of acupuncture for clinical application.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000961/pdfft?md5=7e1cb69f4b76dff4fe7cb18fbee37a61&pid=1-s2.0-S0965229923000961-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138567099","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}

{"title":"Editorial: Time to treat the climate and nature crisis as one indivisible global health emergency","authors":"Kamran Abbasi,&nbsp;Parveen Ali ,&nbsp;Virginia Barbour ,&nbsp;Thomas Benfield ,&nbsp;Kirsten Bibbins-Domingo ,&nbsp;Stephen Hancocks ,&nbsp;Richard Horton ,&nbsp;Laurie Laybourn-Langton ,&nbsp;Robert Mash ,&nbsp;Peush Sahni ,&nbsp;Wadeia Mohammad Sharief,&nbsp;Paul Yonga ,&nbsp;Chris Zielinski","doi":"10.1016/j.ctim.2023.102998","DOIUrl":"10.1016/j.ctim.2023.102998","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000857/pdfft?md5=8f339d002b622d3175ff1dfa6ad7c80f&pid=1-s2.0-S0965229923000857-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61561385","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}

{"title":"Obesity in children and youth: Public health emergency? Or opportunity for research, education, and advocacy?","authors":"Kathi J. Kemper","doi":"10.1016/j.ctim.2023.103004","DOIUrl":"10.1016/j.ctim.2023.103004","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000912/pdfft?md5=fea149029413e0716f55ce5298aa5db7&pid=1-s2.0-S0965229923000912-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72208766","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}

{"title":"Incidence of nerve injury following acupuncture treatments in Taiwan","authors":"Chia-Lin Lin ,&nbsp;Andy Chern ,&nbsp;Ming-Jen Wang ,&nbsp;Shun-Ku Lin","doi":"10.1016/j.ctim.2023.103007","DOIUrl":"10.1016/j.ctim.2023.103007","url":null,"abstract":"<div><h3>Objective</h3><p>Acupuncture, a widely employed traditional therapeutic modality known for its efficacy in pain alleviation and diverse condition management, may inadvertently result in mechanical nerve injury due to its invasive nature. This research aimed to ascertain the incidence of nerve injuries post-acupuncture, identify associated risk factors, and map the distribution of nerve injury sites.</p></div><div><h3>Methods</h3><p>A case-control study nested in the National Health Insurance Research Database (NHIRD) 2000–2018 two million cohort was conducted. Patients previously diagnosed with nerve injury, surgery, or degeneration before acupuncture were excluded. Cases were defined as patients receiving acupuncture and seeking medical attention for nerve injury (ICD9-CM code 950–957) within 14 days post-procedure, while control groups comprised patients undergoing acupuncture without subsequent adverse events. Invasive treatments prior to adverse events and adverse events occurring more than 14 days post-acupuncture were excluded. To ensure case-control comparability, factors such as age, gender, socioeconomic status, and medical facility environment were controlled using propensity score matching.</p></div><div><h3>Results</h3><p>The study encompassed 14,507,847 acupuncture treatments administered to 886,753 patients, with 8361 instances of post-acupuncture nerve injury identified, representing an incidence rate of approximately 5.76 per 10,000 procedures. Age emerged as a significant risk factor, with the adjusted odds ratios escalating with age. Several comorbidities including diabetes, hypothyroidism, liver cirrhosis, chronic kidney disease, herpes zoster, hepatitis virus, rheumatoid arthritis, systemic lupus erythematosus, dementia, and cerebrovascular accidents were associated with an elevated risk of nerve injury post-acupuncture.</p></div><div><h3>Conclusion</h3><p>This study underscores the importance of meticulous patient profiling and cautious therapeutic approach in acupuncture, considering the evident influence of various demographic, systemic, and treatment-related factors on the incidence of nerve injuries.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229923000948/pdfft?md5=b00405d34ffa09ffb064af98e5e929f5&pid=1-s2.0-S0965229923000948-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470044","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}