Complementary therapies in medicine最新文献

{"title":"“It’s not just another task”: Pediatric nurses' perspectives on using lavender oil chest wraps as complementary treatment for infants with bronchiolitis","authors":"Emma Perneger ,&nbsp;Fabiola Stollar ,&nbsp;Tido von Schoen-Angerer ,&nbsp;Patricia Hudelson ,&nbsp;Benedikt M. Huber","doi":"10.1016/j.ctim.2025.103236","DOIUrl":"10.1016/j.ctim.2025.103236","url":null,"abstract":"<div><h3>Background</h3><div>Bronchiolitis is a leading cause of hospitalization during the first year of life, but currently no effective treatment exists. The supportive management of bronchiolitis is therefore often associated with frustration by both caregivers and healthcare professionals. We explored nurses’ perceptions of lavender chest wraps (LCWs) as a complementary approach to routine care.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with pediatric nurses from two Swiss hospitals involved in a clinical trial on LCWs for bronchiolitis. Interview transcripts were analyzed using a qualitative descriptive approach, aimed at providing a rich summary of participants’ ideas, experiences and opinions.</div></div><div><h3>Results</h3><div>Eighteen nurses were interviewed. They identified positive impacts of LCWs on infants, parents and the therapeutic relationship, in the context of limited conventional care for bronchiolitis. However, site-specific differences raised questions regarding how to effectively integrate LCWs into standard care practices while preserving their identity as a complementary therapy. Nurses identified time constraints, organizational issues and specific training needs as important factors for routine integration of LCWs in hospital settings.</div></div><div><h3>Discussion</h3><div>This study contributes to a better understanding of the potential effects of LCWs on infants, parents and the therapeutic relationship, and highlights the added value of LCWs for supporting minimal handling. Our findings also underline nurses’ role in integrating and delivering complementary medicine interventions in hospital settings, while identifying organizational barriers to successful implementation. Methodologically, this study demonstrates the contribution of qualitative research in the context of RCTs, offering context-specific insights that may aid in interpreting clinical outcomes.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103236"},"PeriodicalIF":3.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is acupuncture a viable therapeutic strategy for degenerative eye diseases? a systematic review and meta-analysis","authors":"Kai-Yang Chen ,&nbsp;Hoi-Chun Chan ,&nbsp;Chi-Ming Chan","doi":"10.1016/j.ctim.2025.103235","DOIUrl":"10.1016/j.ctim.2025.103235","url":null,"abstract":"<div><h3>Introduction</h3><div>Degenerative ocular diseases—glaucoma, age-related macular degeneration (AMD), optic atrophy, and retinitis pigmentosa (RP)—are major causes of irreversible vision loss. Acupuncture, a traditional Chinese therapy, has shown promise in improving visual function through neuroprotective and vascular mechanisms.</div></div><div><h3>Methodology</h3><div>A systematic review and meta-analysis were conducted using data from PubMed, Embase, Scopus, Web of Science, Google Scholar, and Cochrane Library. Randomized controlled trials (RCTs), cohort studies, and other observational studies examined acupuncture or electroacupuncture for degenerative ocular diseases. Quality was assessed using RoB 2.0 for RCTs and ROBINS-I for non-randomized studies. Meta-analyses and narrative syntheses were performed using RevMan and rbiostistics.</div></div><div><h3>Results</h3><div>A total of 3362 records were identified, with 21 studies meeting inclusion criteria. Acupuncture shows improvements in visual acuity, ocular blood flow, and intraocular pressure (IOP) across conditions. Meta-analyses showed a significant improvement in total effective rate favoring acupuncture (OR = 3.52; 95 % CI: 2.18–5.68; <em>p</em> &lt; 0.00001), with consistent benefits across RP, AMD, and optic atrophy. However, pooled data revealed no statistically significant improvement in visual acuity (MD = –0.03; <em>p</em> = 0.50) or IOP (MD = –0.86 mmHg; <em>p</em> = 0.11). Randomized controlled trials comparing acupuncture to sham controls also showed non-significant trends. Despite some promising physiological and functional outcomes, results remain mixed, emphasizing the need for larger, well-designed studies.</div></div><div><h3>Conclusion</h3><div>Acupuncture shows potential benefits in treating degenerative eye diseases, especially in improving clinical response rates. However, its effects on visual acuity and IOP remain inconclusive, warranting further rigorous research.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103235"},"PeriodicalIF":3.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Fu's subcutaneous needling on pain and physical function in patients with knee osteoarthritis: A systematic review and meta-analysis","authors":"Tong Liu ,&nbsp;Wenqian Zhi ,&nbsp;Xiaoquan Wang,&nbsp;Qian Pei,&nbsp;Xianfeng Guo,&nbsp;Qiang Huang","doi":"10.1016/j.ctim.2025.103233","DOIUrl":"10.1016/j.ctim.2025.103233","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to evaluate the efficacy of Fu's subcutaneous needling (FSN) for knee osteoarthritis (KOA) via a meta-analysis.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) of FSN for KOA were searched in PubMed, Cochrane Library, Embase, Web of Science, and other databases up to July 20, 2024. Stata 15.0 was leveraged for data analysis.</div></div><div><h3>Results</h3><div>30 RCTs were included, involving 2169 individuals. Compared to electroacupuncture, acupuncture, and other therapies, FSN demonstrated significant benefits in reducing the Western Ontario and McMaster Universities Arthritis Index score (WOMAC, improved physical function) [SMD= -1.69 (-2.15 to −1.23), I² = 89.8 %, P &lt; 0.001] and relieving pain (the visual analog scale) [SMD = -1.77( −2.14 to −1.40); I² = 89.8 %, P &lt; 0.001]. Additionally, FSN was more effective in reducing inflammatory cytokine levels, such as interleukin 1β [SMD = -1.65 (-2.36, −0.94); I² = 91.9 %, P &lt; 0.001], interleukin-6 [SMD = -3.93 (-5.08, −2.78); I² = 96.7 %, P &lt; 0.001], and tumor necrosis factor-α [SMD = -2.65 (-3.46, −1.83); I² = 94.8 %, P &lt; 0.001], and increasing the total effective rate [OR = 4.17, 95 % CI: 3.05–5.68; I² = 0.0 %, P &lt; 0.001].</div></div><div><h3>Conclusions</h3><div>FSN shows promise as an adjuvant therapy for KOA, with moderate-quality evidence supporting its short-term efficacy in pain relief and functional improvement. Further validation through standardized protocols is required to determine its long-term benefits.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103233"},"PeriodicalIF":3.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yoga Nidra for cardiovascular health: a systematic review and meta-analysis of between- and within-group effects","authors":"Shashank Ghai ,&nbsp;Ishan Ghai","doi":"10.1016/j.ctim.2025.103231","DOIUrl":"10.1016/j.ctim.2025.103231","url":null,"abstract":"<div><h3>Introduction</h3><div>Cardiovascular diseases remain a leading cause of morbidity and mortality worldwide, with hypertension being a major risk factor. Yoga Nidra (YGN), a guided meditative practice focused on relaxation, has gained attention for its potential cardiovascular effects. Despite this, a clear understanding of YGN’s efficacy remains limited. This systematic review and meta-analysis assessed the effects of YGN on various cardiovascular parameters.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted across seven academic databases including PubMed, PsycINFO, CINAHL, SPORTDiscus, Scopus, Web of Science, and ProQuest, as well as one trial database, the Cochrane Central Register of Controlled Trials. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2 tool for randomized trials and the Downs and Black checklist for non-randomized studies.</div></div><div><h3>Results</h3><div>A comprehensive literature search across seven databases identified 620 articles, of which 28 met the inclusion criteria for analysis. The quality assessment revealed that most included studies had methodological limitations. The between-group meta-analysis demonstrated significant small-to-large effect improvements in systolic blood pressure (Hedges’ g: −1.65), diastolic blood pressure (−1.01), heart rate (−0.73), and heart rate variability parameters such as low to high frequency ratio (−0.35), when YGN was compared to active control groups. These findings were supported by within-group analyses and leave-one-out sensitivity tests.</div></div><div><h3>Conclusion</h3><div>The results indicate that YGN practice was associated with improvements in cardiovascular health markers across the analyzed studies. However, the methodological limitations identified in the current literature indicates that high-quality, rigorously designed randomized controlled trials are needed to strengthen the evidence base for YGN’s effectiveness in reducing the risk of cardiovascular diseases.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103231"},"PeriodicalIF":3.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and safety of light therapy for treating primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials","authors":"Lin Ang ,&nbsp;Eunhye Song ,&nbsp;Sunmi Choi ,&nbsp;Jihye Kim","doi":"10.1016/j.ctim.2025.103232","DOIUrl":"10.1016/j.ctim.2025.103232","url":null,"abstract":"<div><h3>Objective</h3><div>Primary dysmenorrhea, defined as painful menstrual cramps without identifiable pelvic pathology, is a prevalent gynecological condition that significantly impacts quality of life. Emerging evidence suggests that light-based therapies, including low-level light therapy (LLLT) and high-intensity light therapy (HILT), may offer a non-pharmacological approach to managing menstrual pain. This systematic review aimed to assess the effectiveness and safety of light therapy in individuals with primary dysmenorrhea.</div></div><div><h3>Methods</h3><div>For this systematic review and meta-analysis, we searched twelve electronic databases, including PubMed, Cochrane Library, Embase, Allied and Complementary Medicine Database (AMED), APA PsycINFO, CINAHL Complete, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Scientific Journals Database (VIP), WanFang Data, Research Information Sharing Service (RISS), and Oriental Medicine Advanced Searching Integrated System (OASIS) to identify randomized controlled trials (RCTs) evaluating the effectiveness of light therapy for primary dysmenorrhea. The search was conducted up to February 4, 2025. Two reviewers independently assessed articles for eligibility and extracted data. Disagreements were resolved through discussion. Critical outcomes were pain scales such as the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS). Risk of bias was assessed using the Cochrane Risk of Bias Tool (RoB 2), and meta-analyses were conducted using RevMan software. The study protocol was registered in PROSPERO (CRD420250655437). Available from <span><span>https://www.crd.york.ac.uk/PROSPERO/view/CRD420250655437</span><svg><path></path></svg></span>.</div></div><div><h3>Setting</h3><div>Twelve studies involving 645 participants met the inclusion criteria, highlighting the potential therapeutic role of light therapy.</div></div><div><h3>Results</h3><div>Interventions primarily involved LLLT (n = 6), with some using HILT (n = 2) or polarized light (n = 1). Meta-analysis of three RCTs showed a statistically significant reduction in pain after 12 weeks of LLLT compared to sham treatment (n = 150, mean difference (MD) = -4.02, 95 % confidence interval (CI): −7.21 to −0.82; p = 0.01). Similarly, LLLT also demonstrated greater pain reduction compared to oral contraceptives after 12 weeks (n = 156, MD = 0.91, 95 % CI: 0.49–1.33, p &lt; 0.0001). Most studies were assessed as having some concerns regarding risk of bias. Reported adverse effects were minor and transient, with no serious adverse events noted.</div></div><div><h3>Conclusion</h3><div>Light therapy, particularly LLLT, may represent a safe and effective non-pharmacological intervention for the management of primary dysmenorrhea. Despite promising results, variations in treatment protocols contributed to heterogeneity and hindered identification of optimal parameters. Limited trial numbers and regional concentration also reduce gene","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103232"},"PeriodicalIF":3.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcome of electrical transcutaneous auricular vagal stimulation in patients with stable symptomatic chronic heart failure - A pilot study","authors":"Regina Patricia Schukro ,&nbsp;Christoph Schukro ,&nbsp;Sibylle Pramhas ,&nbsp;Asami Naka ,&nbsp;Sabine Sator-Katzenschlager","doi":"10.1016/j.ctim.2025.103225","DOIUrl":"10.1016/j.ctim.2025.103225","url":null,"abstract":"<div><h3>Introduction and aim of study</h3><div>Chronic heart failure (CHF) is characterized by an autonomic imbalance of vagal activity and increased sympathetic activity. Low-level transcutaneous auricular vagus nerve stimulation (Ta-VNS) may be a safe complementary treatment option for CHF patients.</div></div><div><h3>Methods</h3><div>In this randomized clinical trial, a total of 13 patients with diagnosed CHF and reduced ejection fraction were randomized to receive either low-level Ta-VNS with electrodes applied in the triangular fossa of the ear (amplitude 1 mA, frequency 1 Hz for 40 min, followed by a 20-minute break) or sham intervention.</div><div>The primary endpoint was an increase of 6-minutes walking distance assessed during cardiological screening and closing visits. Secondary endpoints included assessment of New York heart association (NYHA)-classification, a physical examination, electrocardiogram and blood sampling for n-terminal pro-brain natriuretic peptide (NT-proBNP)and C-reactive protein (CRP). Echocardiogram was performed at screening and adverse events were assessed at the closing visit.</div></div><div><h3>Results</h3><div>A total of 12 patients completed the trial. 6-minute-walking-distance increased by 101.1 (94.6) metres in the transcutaneous auricular vagal nerve stimulation group, and by 7.2 (41.8) metres in the sham intervention group (p = 0.04). Concerning the secondary outcome parameters, including CRP and NT-proBNP, no difference was observed between groups. No adverse events were observed.</div></div><div><h3>Conclusion</h3><div>In patients with CHF, Ta-VNS effectively improved 6-minutes walking distance while no such effect was observed in the sham intervention group. Further investigation of this finding in a larger patient collective might be of interest.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103225"},"PeriodicalIF":3.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of physical activity or exercise among individuals with cerebral palsy: An umbrella review of systematic reviews","authors":"Majed M. Alhumaid ,&nbsp;Faris Yahya I. Asiri ,&nbsp;Mohamed A. Said ,&nbsp;Justin A. Haegele","doi":"10.1016/j.ctim.2025.103228","DOIUrl":"10.1016/j.ctim.2025.103228","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebral palsy (CP) is the most common childhood disability, affecting 1.5–3 per 1000 live births. Physical exercises have been shown to improve muscle and limb outcomes in CP. This systematic review critically appraises existing systematic reviews on the effects of physical activity and exercise on physical, functional, and psychosocial outcomes in individuals with CP compared to those without.</div></div><div><h3>Methods</h3><div>Using a PICO framework, the question was: In patients with CP, do physical activity and exercise improve muscle- and limb-related outcomes compared to no intervention or usual care? PubMed, Cochrane, ISI Web of Science, and Embase were searched for systematic reviews meeting inclusion criteria. Seven reviews focusing on exercise-related outcomes in CP were synthesized.</div></div><div><h3>Results</h3><div>Exergaming significantly improved fine motor dexterity (SMD = 3.12) but not gross manual dexterity. Progressive resistance and general physical activity increased muscle strength (SMD = 0.59), while aerobic exercise showed mixed results. Task-oriented training led to large improvements in gross motor function (SMD = 6.04–11.05) and functional independence (SMD = 6.44). VR-based and aerobic interventions had modest or nonsignificant effects on mobility, balance, and walking. Adverse events were infrequently reported and generally mild. Task-oriented and VR-assisted training showed the most consistent benefits, though heterogeneity and incomplete reporting limit conclusions.</div></div><div><h3>Conclusion</h3><div>Physical exercises, particularly task-oriented and VR-assisted training, improve motor and limb functions in CP. Future research with longer follow-up, larger samples, and better safety reporting is needed to confirm clinical impact.</div></div><div><h3>Funding</h3><div>The King Salman Center for Disability Research, Grant/Award Number: KSRG-2024–036. PROSPERO registration number: CRD42025646412.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103228"},"PeriodicalIF":3.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of horticultural therapy on symptoms and functional outcomes in individuals with depressive disorders: A systematic review and meta-analysis of randomized controlled trials","authors":"Yi-Zhen Kuo ,&nbsp;Zih-Shan Yu ,&nbsp;Yi-Zhen Li ,&nbsp;Ming-De Chen ,&nbsp;Yi-Wen Lee ,&nbsp;Pao-Yen Lin ,&nbsp;Tzu-Ting Chen ,&nbsp;Chih-Wei Hsu ,&nbsp;Chyi-Rong Chen","doi":"10.1016/j.ctim.2025.103229","DOIUrl":"10.1016/j.ctim.2025.103229","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the efficacy of horticultural therapy (HT) in improving affective symptoms and functional outcomes in individuals with depressive disorders.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across the PubMed, EMBASE, Cochrane Library, CINAHL, CEPS, CNKI, and Wanfang databases. Randomized controlled trials (RCTs) implementing HT were included. Outcomes assessed included differences between HT and control groups in depression, anxiety, physical function, cognitive function, social function, and quality of life. A random-effects model was used to calculate Hedges’ <em>g</em>. Risk of bias was assessed using the Cochrane Risk of Bias tool, and the certainty of evidence was evaluated using the GRADE approach.</div></div><div><h3>Results</h3><div>Thirteen RCTs (n = 960) were included. HT significantly improved depression (<em>g</em> = 1.050; 95 % CI: 0.663–1.437), anxiety (<em>g</em> = 0.702; 95 % CI: 0.341–1.062), cognition (<em>g</em> = 0.816; 95 % CI: 0.302–1.331), social function (<em>g</em> = 0.806; 95 % CI: 0.295–1.317), and quality of life (<em>g</em> = 0.947; 95 % CI: 0.633–1.260). Only one study reported improvement in physical function. Subgroup analyses revealed greater effects among inpatients with more severe baseline symptoms who received combined indoor-outdoor HT in care-providing settings for more than eight weeks. However, the certainty of evidence across outcomes ranged from very low to low due to risks of bias, inconsistency, and imprecision.</div></div><div><h3>Conclusion</h3><div>This review provides preliminary support for the efficacy of HT in depressive disorders. Given methodological limitations and potential biases, further well-designed trials with registration, blinded assessors, and long-term follow-up are warranted.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103229"},"PeriodicalIF":3.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of 24-hour movement guidelines adherence with social function and academic performance in youth with anxiety problems","authors":"Xiwen Luo ,&nbsp;Shubo Xu ,&nbsp;Yulin Luo ,&nbsp;Siyu Pan ,&nbsp;Ailikute Aikeremu ,&nbsp;Jiaqiao Luo ,&nbsp;Jincheng Lin ,&nbsp;Yusi Wang ,&nbsp;Yanping Gao ,&nbsp;Xiang-qin Song","doi":"10.1016/j.ctim.2025.103227","DOIUrl":"10.1016/j.ctim.2025.103227","url":null,"abstract":"<div><h3>Purpose</h3><div>Anxiety problems are prevalent among children and adolescents (being referred as youth), often impairing their social and academic functioning, while healthy lifestyles as outlined in 24-hour movement (24-HBM) guidelines may offer potential benefits, yet their specific associations remain understudied. This study is to explore the associations between 24-HMB adherence and social and academic functioning in U.S. youth aged 6–17 years with anxiety problems.</div></div><div><h3>Method</h3><div>Data from the 2022–2023 National Survey of Children's Health was utilized in this cross-sectional study, involving 3625 children and adolescents with anxiety problems. 24-HBM guidelines include a daily moderate-to-vigorous physical activity (MVPA) duration of at least 60 min, daily recreational screen time (ST) of ≤ 2 h, and age-specific sleep duration (SP). Statistical analyses were conducted to examine the relationships between 24-HBM adherence and social functioning (e.g., difficulty keeping friends, self-regulation) and academic functioning (e.g., school engagement, grade repetition).</div></div><div><h3>Results</h3><div>Only 5.7 % of participants fully adhered to 24-HBM guidelines. Adhering to one or more components was associated with better social and academic functioning: physical activity (PA) guideline adherence was pivotal for reducing difficulties in making/keeping friends; ST guidline adherence was key for enhancing school engagement. Adherence to combined guidelines (e.g., PA+ST, PA+SP) showed synergistic effects, with full adherence (PA + ST +SP) linked to lower odds of grade repetition and better self-regulation.</div></div><div><h3>Conclusion</h3><div>Promoting 24-HBM guideline adherence, particularly PA and ST components, may enhance specific health aspects in this unique group. Future longitudinal studies should be conducted to further verify study findings.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103227"},"PeriodicalIF":3.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term symptom recurrence and functional outcomes with Chinese ointment massage, Tuina, and combined acupuncture for knee osteoarthritis: A 24-month multicenter real-world study in China","authors":"Xue Bai ,&nbsp;Qingguang Zhu ,&nbsp;Yukui Tian ,&nbsp;Lei Guo ,&nbsp;Junchang Liu ,&nbsp;Mingqiu Shen ,&nbsp;Cheng Wang","doi":"10.1016/j.ctim.2025.103220","DOIUrl":"10.1016/j.ctim.2025.103220","url":null,"abstract":"<div><h3>Purpose</h3><div>Compare long-term efficacy and recurrence of Chinese ointment(Co) massage, Tuina, and combined acupuncture for knee osteoarthritis (KOA).</div></div><div><h3>Method</h3><div>A multicenter, prospective, observational real-world study was conducted in multiple cities in China. 2143 KOA patients (83.76 % female) were prospectively assigned by preference to Co (n = 312), Tuina (n = 403), Co+acupuncture (n = 237), or Tuina+acupuncture (n = 1362) groups. Treatments involved 5–10 sessions. The Visual Analog Scale (VAS) assessed the average degree of knee joint pain, while the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Lequesne Index evaluated knee joint dysfunction in terms of functionality and severity. The 2 years recurrence rate of KOA was also calculated.</div></div><div><h3>Results</h3><div>All groups showed significant post-treatment WOMAC, VAS, and Lequesne score reductions. The Co group had the lowest VAS scores at 2–10 months. Recurrence rates (lowest to highest) were Co group, Tuina group, Tuina+acupuncture group, Co+acupuncture group. The overall maximum recurrence rate was 33.97 % at 2 years, stabilizing after 18 months. KL grade II patients had the best long-term outcomes (recurrence 16.16 %-30.85 % over 2–24 months). No serious adverse events occurred.</div></div><div><h3>Conclusions</h3><div>Traditional Chinese medicine (TCM) conservative treatments (Co therapy, Tuina, and combined acupuncture) demonstrated safety for KOA management. Patients with lower KL grades (0-III) derived greater clinical benefit from longer courses (≥10 sessions), with effects sustained for up to 2 years. Co therapy or acupuncture-integrated regimens provided optimal early improvement (within the first 5 sessions) for pain and mobility. Intensive combination protocols offered no additional cumulative benefit for patients with mild symptoms.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103220"},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803809","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}