Complementary therapies in medicine最新文献

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Effects of traditional Chinese exercises on cardiopulmonary function in stroke patients: A meta-analysis 中国传统运动对脑卒中患者心肺功能的影响:荟萃分析。
IF 3.5 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-24 DOI: 10.1016/j.ctim.2025.103209
Danmeng Tong , Hongyu Li , Wei Zhao , Wang Guo , Bin Chen , Qiang Tang
{"title":"Effects of traditional Chinese exercises on cardiopulmonary function in stroke patients: A meta-analysis","authors":"Danmeng Tong ,&nbsp;Hongyu Li ,&nbsp;Wei Zhao ,&nbsp;Wang Guo ,&nbsp;Bin Chen ,&nbsp;Qiang Tang","doi":"10.1016/j.ctim.2025.103209","DOIUrl":"10.1016/j.ctim.2025.103209","url":null,"abstract":"<div><h3>Background</h3><div>Traditional Chinese exercises may be effective in improving cardiorespiratory fitness in post-stroke patients; however, no study has conducted a meta-analysis to assess their its efficacy in meta.</div></div><div><h3>Objective</h3><div>The purpose of this meta-analysis is to evaluate how traditional Chinese exercises affect post-stroke cardiorespiratory fitness.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search across eight Chinese and English databases, including Wan Fang, VIP, CBM, PubMed, Embase, Web of Science, and the Cochrane Library, from the inception of these databases until May 2025. Our focus was on clinical randomized controlled trials related to stroke, cardiorespiratory function, and traditional Chinese exercises. After assessing the quality of the literature, we utilized Rev Man 5.4 software to analyze the data. Publication bias was assessed using funnel plots as well as Begg's and Egger's tests, employing Stata 17.0 software.</div></div><div><h3>Results</h3><div>A total of 23 studies were included in the analysis, and the results of the meta-analysis indicated that traditional Chinese exercises significantly improved cardiopulmonary function in post-stroke patients: pulmonary function indexes [FVC: SMD = 1.01, 95 %CI(0.66,1.35), I<sup>2</sup>= 88 %,P &lt; 0.00001; FEV1: SMD = 1.22, 95 % CI (0.77,1.66), I<sup>2</sup> = 91 %, P &lt; 0.00001; PEF: SMD = 0.87, 95 % CI (0.53,1.21), I<sup>2</sup>= 83 %, P &lt; 0.00001; MVV: MD = 9.65, 95 % CI (8.60,10.70), I<sup>2</sup>= 0 %, P = 0.55]; respiratory muscle function indexes [MIP: SMD = 0.72, 95 % CI (0.43,1.01) I<sup>2</sup>= 67 %, P = 0.001; MEP: SMD = 0.67, 95 %CI (0.49,0.86),I<sup>2</sup> = 0 %, P = 0.55]; cardiac function index [LVEF: MD = 4.00, 95 % CI (2.28,5.72), I<sup>2</sup> = 72 %, P = 0.01]; exercise endurance index [6MWT: MD = 4.49, 95 % CI (3.55,5.42), I<sup>2</sup> = 0 %, P = 0.77]. No serious adverse events related to traditional Chinese exercises were reported. Only one study documented instances of patients experiencing panic attacks and shortness of breath, which resolved upon rest. Following a physician's examination, it was suggested that these symptoms may have been attributed to the patient's failure to consume breakfast, and no subsequent harm was reported.</div></div><div><h3>Conclusions</h3><div>Traditional Chinese exercise positively influences cardiorespiratory function in stroke patients, demonstrating the most significant improvements in athletic endurance and cardiac function. However, due to methodological flaws in the literature quality included in the study, there is a need for a multi-center, large-sample, and more rigorously designed experiment to validate these findings and ensure the accuracy of the results.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103209"},"PeriodicalIF":3.5,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717660","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 of acupuncture-based treatment in Chronic Obstructive Pulmonary Disease – A systematic review and meta-analysis 针灸治疗慢性阻塞性肺疾病疗效的系统评价与meta分析
IF 3.5 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-23 DOI: 10.1016/j.ctim.2025.103211
Menglin Li , Shengjie Zheng , Ann-Kathrin Lederer , Roman Huber
{"title":"Efficacy of acupuncture-based treatment in Chronic Obstructive Pulmonary Disease – A systematic review and meta-analysis","authors":"Menglin Li ,&nbsp;Shengjie Zheng ,&nbsp;Ann-Kathrin Lederer ,&nbsp;Roman Huber","doi":"10.1016/j.ctim.2025.103211","DOIUrl":"10.1016/j.ctim.2025.103211","url":null,"abstract":"<div><h3>Background</h3><div>The COPD population will steadily increase due to continuous exposure to COPD risk factors and the aging demographics. Acupuncture, as a common modality in complementary medicine, has been widely applied in the treatment of COPD in recent years. However, systematic reviews of the efficacy of acupuncture-based traditional Chinese external treatment in COPD are relatively scarce and when considering the quality of randomized controlled trials evidence remains insufficient.</div></div><div><h3>Objective</h3><div>To provide an updated systematic review and meta-analysis of the effectiveness of acupuncture-based treatment for COPD using the latest data and a rigorous evaluation system.</div></div><div><h3>Methods</h3><div>Randomized controlled trials evaluating any form of acupuncture in COPD in a stable phase or acute exacerbation phase (AECOPD) were selected from Medline, Cochrane Library, Web of Science, Embase, CNKI, the Wanfang database, VIP, and SinoMed, encompassing a publication period from January 1st, 2000, to May 1st, 2025. The completeness of each study was evaluated according to the Consolidated Standards of Reporting Trials (CONSORT) and Standards for Reporting Interventions in Clinical Trials of Acupuncture guidelines (STRICTA). A meta-analysis was conducted using Cochrane RevMan.</div></div><div><h3>Results</h3><div>A total of 1294 articles were retrieved from the selected database and 25 articles meeting the criteria were included. According to CONSORT, 8 studies rated as high quality, 16 studies as moderate quality, and 1 study as low quality. Due to the heterogeneity of outcome parameters and the limited number of AECOPD studies, meta-analysis could only be performed for COPD in the stable phase. In the meta-analysis, acupuncture-based treatments were significantly superior to controls in COPD in the primary outcome 6-minute walk distance (6MWD: p &lt; 0.01) and the secondary outcomes Borg Scale (p &lt; 0.05), forced expiratory volume in 1 s (FEV1: p &lt; 0.01) and forced vital capacity (FVC: p &lt; 0.05); no significant differences were found in the St. George's Respiratory Questionnaire (SGRQ) and the COPD Assessment Test (CAT).</div></div><div><h3>Conclusions</h3><div>Acupuncture-based treatments significantly enhance the 6MWD, Borg Scale, FEV1 and FVC in COPD patients. The predominance of moderate quality studies indicates the ongoing need for improvement to ensure the credibility of data.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103211"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717661","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
Acupuncture as an alternative treatment for polycystic ovary syndrome: Effects on ovulation rate, pregnancy rate and endometrial receptivity 针刺治疗多囊卵巢综合征:对排卵率、妊娠率和子宫内膜容受性的影响
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-22 DOI: 10.1016/j.ctim.2025.103215
Mengdi Ding , Xueying Zhu , Yuxiao Huang , Zilong Tan , Xiaotong Zhu , Shuoshuo Han , Jianwu Shen , Ran Luo
{"title":"Acupuncture as an alternative treatment for polycystic ovary syndrome: Effects on ovulation rate, pregnancy rate and endometrial receptivity","authors":"Mengdi Ding ,&nbsp;Xueying Zhu ,&nbsp;Yuxiao Huang ,&nbsp;Zilong Tan ,&nbsp;Xiaotong Zhu ,&nbsp;Shuoshuo Han ,&nbsp;Jianwu Shen ,&nbsp;Ran Luo","doi":"10.1016/j.ctim.2025.103215","DOIUrl":"10.1016/j.ctim.2025.103215","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the effect of acupuncture treatment as an alternative therapy on ovulation rate, pregnancy rate, and endometrial receptivity in infertile patients with polycystic ovary syndrome (PCOS).</div></div><div><h3>Methods</h3><div>This was a randomized, single-blind, sham acupuncture-controlled clinical trial that included 134 patients who met the inclusion criteria for PCOS infertility. Both groups received letrozole as the base treatment, with the treatment group receiving additional acupuncture treatment twice a week and the control group receiving placebo acupuncture treatment throughout three menstrual cycles. The study collected data collection at baseline, at the end of treatment, looking at ovulation rate, pregnancy rate, sex hormone levels [follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), estradiol (E2), prolactin (PRL)], endometrial receptivity (Salle Score), assessment of uterine using resistance index (RI), pulsatility index (PI) blood flow.</div></div><div><h3>Results</h3><div>The ovulation and pregnancy rate across treatment cycles of women in the treatment group were significantly higher than those in the control group (77.97 % and 49.74 % ovulation rate and 56.72 % and 29.85 % pregnancy rate across treatment cycles, respectively). Comparison of sex hormone levels showed a significant decrease in testosterone (T) levels in the treatment group (<em>P</em> = 0.005). In comparison of endometrial receptivity by Salle score, the total effective rate of the treatment group (86.4 %) was significantly higher than that of the control group (67.2 %), which was different between the two groups (<em>P</em> = 0.005). In comparison of PI and RI, the PI and RI of the treatment group were significantly lower than that of the control group (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Acupuncture treatment can effectively improve ovulation and pregnancy rate across treatment cycles, reduce androgens, and regulate endometrial receptivity in infertile patients with polycystic ovary syndrome, a finding that supports the use of acupuncture as an alternative therapy for treating infertile patients and provides a reference for individualized treatment strategies.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103215"},"PeriodicalIF":3.3,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704204","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
Comment on: Self-stretching exercises with kinesio taping for management of chronic nonspecific neck pain in taxi drivers: A single-blind, randomized controlled trial 点评:一项单盲、随机对照试验:出租车司机慢性非特异性颈部疼痛的自我伸展运动与肌内效贴治疗
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-22 DOI: 10.1016/j.ctim.2024.103120
Wei-Chun He, Jing Luo
{"title":"Comment on: Self-stretching exercises with kinesio taping for management of chronic nonspecific neck pain in taxi drivers: A single-blind, randomized controlled trial","authors":"Wei-Chun He,&nbsp;Jing Luo","doi":"10.1016/j.ctim.2024.103120","DOIUrl":"10.1016/j.ctim.2024.103120","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"92 ","pages":"Article 103120"},"PeriodicalIF":3.3,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678840","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
Effectiveness of music interventions for patients undergoing needle biopsy: A systematic review and meta-analysis 音乐干预对穿刺活检患者的有效性:一项系统回顾和荟萃分析
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-22 DOI: 10.1016/j.ctim.2025.103216
Wenrui Han , Min Zhang , Min Luo , Quanxing Su , Yahui Guan
{"title":"Effectiveness of music interventions for patients undergoing needle biopsy: A systematic review and meta-analysis","authors":"Wenrui Han ,&nbsp;Min Zhang ,&nbsp;Min Luo ,&nbsp;Quanxing Su ,&nbsp;Yahui Guan","doi":"10.1016/j.ctim.2025.103216","DOIUrl":"10.1016/j.ctim.2025.103216","url":null,"abstract":"<div><h3>Introduction</h3><div>Percutaneous biopsy is a routine diagnostic procedure often associated with anxiety and pain. Music intervention, a simple and low-cost non-pharmacological approach, has been widely used to reduce psychological distress in clinical settings. This study evaluates its effectiveness in patients undergoing biopsy.</div></div><div><h3>Methods</h3><div>A comprehensive systematic search was conducted across multiple databases, including PubMed, Embase, the Cochrane Library, Web of Science, MEDLINE, ProQuest, CINAHL, and major Chinese databases (CBM, CNKI, VIP, and Wanfang), from the inception of each database to November 20, 2024. Eligible studies assessing the effects of music interventions on anxiety and pain during biopsy procedures were identified. Two independent reviewers screened titles, abstracts, and full texts, extracted relevant data, and resolved discrepancies through discussion or consultation with a third reviewer. Meta-analysis was conducted using RevMan 5.4.1 and Stata 16.0.</div></div><div><h3>Result</h3><div>A total of 16 studies met the inclusion criteria. Pooled analysis revealed that music interventions significantly reduced both anxiety and pain in patients undergoing biopsy. The anxiolytic effect was particularly significant in prostate biopsy procedures and consistent across various age groups. Regarding pain management, music interventions demonstrated overall efficacy, with especially pronounced effects observed during bone marrow and prostate biopsies. Subgroup analyses indicated pain relief across different age groups.</div></div><div><h3>Conclusion</h3><div>Music intervention is an effective, non-invasive, and drug-free approach to alleviate anxiety and pain associated with biopsy procedures, particularly those that are more invasive. While current findings are promising, further large-scale, high-quality randomized controlled trials are warranted to strengthen the evidence base and inform clinical guidelines.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103216"},"PeriodicalIF":3.3,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704203","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
Can strength training modulate inflammatory markers in postmenopausal women with overweight and obesity? Evidence from a 12-week quasi-experimental study 力量训练能调节绝经后超重和肥胖妇女的炎症标志物吗?证据来自一项为期12周的准实验研究。
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-21 DOI: 10.1016/j.ctim.2025.103214
Liang Tan , Kinga Agnieszka Humińska-Lisowska , Monika Helena Sawczyn , Ewelina Perzanowska , Zbigniew Ossowski
{"title":"Can strength training modulate inflammatory markers in postmenopausal women with overweight and obesity? Evidence from a 12-week quasi-experimental study","authors":"Liang Tan ,&nbsp;Kinga Agnieszka Humińska-Lisowska ,&nbsp;Monika Helena Sawczyn ,&nbsp;Ewelina Perzanowska ,&nbsp;Zbigniew Ossowski","doi":"10.1016/j.ctim.2025.103214","DOIUrl":"10.1016/j.ctim.2025.103214","url":null,"abstract":"<div><h3>Background</h3><div>Many postmenopausal women with overweight and obesity are in a state of low-level chronic inflammation for a long period. This inflammatory state makes them vulnerable to a variety of chronic diseases. Exercise is an important complementary modality for managing inflammation. However, the effect of strength training (ST) on inflammatory markers is controversial. Therefore, this study aimed to investigate the effects of strength training on inflammatory markers in postmenopausal women.</div></div><div><h3>Methods</h3><div>This quasi-experimental study assigned 48 postmenopausal women with overweight/obesity to either a Strength Training group (SG, n = 24) or a Daily Activity group (DG, n = 24). The SG underwent exercise intervention 3 times a week for 12 weeks, and the DG kept their daily life habits unchanged. Serum C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and adiponectin were measured before and after each intervention.</div></div><div><h3>Results</h3><div>After the 12-week ST intervention, a repeated ANOVA showed that CRP (F=16.85, P &lt; 0.001, Partial η²=0.26), TNF-α (F=13.28, P &lt; 0.001, Partial η²=0.22), and in terms of adiponectin (F=5.45, P = 0.02, Partial η²=0.106) There was a significant group × time interaction effect. CRP levels in the SG decreased by 21.30 % compared to the pre (1.69 ± 0.41 vs. 1.33 ± 0.29), which was statistically significant compared to the DG (P &lt; 0.01); TNF-α levels in the SG showed a significant difference compared to the DG (P &lt; 0.01), but within-group analysis showed that there was no significant difference in TNF-α from baseline ( P &gt; 0.05); In the SG, the levels of IL-6 and adiponectin did not show statistically significant differences compared to the DG (P &gt; 0.05). However, adiponectin was significantly decreased in DG (p &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>A 12-week ST intervention significantly decreases CRP levels in postmenopausal women with overweight and obesity; there may have been an inhibitory effect on the rise in TNF-α levels; the modulatory effects on IL-6 are not statistically significant; there may have been an inhibitory effect on the decrease in adiponectin levels. In future studies, dietary habits could be considered in combination with other lifestyle factors to explore the potential impact of these combined interventions on markers of inflammation in postmenopausal women with overweight and obesity.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103214"},"PeriodicalIF":3.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697817","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
Acceptability of a yoga-based stress reduction intervention in family caregivers of allogeneic hematopoietic stem cell transplant (HSCT) recipients: A mixed-methods study 异体造血干细胞移植(HSCT)受者家庭照顾者瑜伽减压干预的可接受性:一项混合方法研究
IF 3.5 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-21 DOI: 10.1016/j.ctim.2025.103212
Elisa H. Son, Lena J. Lee, Li Yang, Chantal Gerrard, Gwenyth R. Wallen
{"title":"Acceptability of a yoga-based stress reduction intervention in family caregivers of allogeneic hematopoietic stem cell transplant (HSCT) recipients: A mixed-methods study","authors":"Elisa H. Son,&nbsp;Lena J. Lee,&nbsp;Li Yang,&nbsp;Chantal Gerrard,&nbsp;Gwenyth R. Wallen","doi":"10.1016/j.ctim.2025.103212","DOIUrl":"10.1016/j.ctim.2025.103212","url":null,"abstract":"<div><h3>Objectives</h3><div>This study used a concurrent triangulation mixed-methods design to assess the acceptability of a yoga-based stress reduction intervention in family caregivers of hematopoietic stem cell transplant (HSCT) recipients.</div></div><div><h3>Data sources</h3><div>This study was a part of a randomized controlled trial. Of the 50 caregivers recruited, we analyzed data from 25 caregivers assigned to the intervention group. Participants were asked to practice the intervention 20 min per day for six weeks and record it in a practice diary. Surveys were administered at baseline and Week 6, and interviews were conducted at Week 2, Week 4, and Week 6. Non-parametric statistics on quantitative data and thematic analysis on qualitative data were compared in parallel. As part of triangulation, we examined the association between thematic analysis and total minutes of the intervention practice.</div></div><div><h3>Conclusion</h3><div>Thematic analysis revealed the challenges and benefits participants experienced while practicing the intervention, with caregiver burden as a main barrier to practice. The number of participants perceiving that the intervention helps them relax and sleep increased over time. The quantitative analysis validated the benefits of practicing the intervention with the measures of sleep disturbance and health behaviors. Perceptions of caregiver burden and benefits of the intervention identified in thematic analysis were associated with total practice minutes. Researchers and clinicians may refer to the current findings when developing stress reduction intervention programs tailored for HSCT caregivers. Changes in caregiver burden along the HSCT trajectory should be considered when implementing such programs.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103212"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697816","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 emotional freedom techniques in mitigating pain catastrophizing following total knee arthroplasty 情绪释放技术对减轻全膝关节置换术后疼痛的影响。
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-21 DOI: 10.1016/j.ctim.2025.103213
Ai Lin , Zhiqun Liu , Tao Zhang , Yuxiu Zhao , Chao Yang , Huan Wan
{"title":"Effect of emotional freedom techniques in mitigating pain catastrophizing following total knee arthroplasty","authors":"Ai Lin ,&nbsp;Zhiqun Liu ,&nbsp;Tao Zhang ,&nbsp;Yuxiu Zhao ,&nbsp;Chao Yang ,&nbsp;Huan Wan","doi":"10.1016/j.ctim.2025.103213","DOIUrl":"10.1016/j.ctim.2025.103213","url":null,"abstract":"<div><h3>Background</h3><div>Up to 30 %-42 % of patients with end-stage knee osteoarthritis who undergo total knee arthroplasty may experience chronic pain and even pain catastrophizing following surgery. Pain catastrophizing is a negative thought pattern and cognitive bias that involves rumination,exaggeration,and emotions of powerlessness over pain, resulting in delayed rehabilitation and a lower quality of life.</div></div><div><h3>Objective</h3><div>To examine the effect of a 4-week combined offline and online Emotional freedom techniques on pain catastrophizing, pain intensity, and pain sensitivity in patients following total knee arthroplasty, assessed at 1 week, 4 weeks, 3 months, and 6 months after surgery.</div></div><div><h3>Methods</h3><div>This study employed a quasi-experimental repeated-measures design, wherein participants were systematically allocated into a control group (n = 31) and an intervention group (n = 33) based on their chronological admission sequence. The control group received conventional postoperative care following total knee arthroplasty, while the intervention group was administered emotional freedom techniques in conjunction with standard postoperative care over a 4-week intervention period. The efficacy of the intervention was quantitatively evaluated through validated psychometric instruments, including the Pain Catastrophizing Scale, Numeric Pain Rating Scale, and Pain Sensitivity Questionnaire. Assessments were performed on the postoperative day 1, week 1, week 4, month 3, and month 6, to comprehensively evaluate the temporal dynamics of intervention effects.</div></div><div><h3>Results</h3><div>A statistically significant reduction was observed in both the total pain catastrophizing score and the rumination dimension from baseline to the 6-month post-intervention assessment (<em>P</em> &lt; 0.001). However, no significant changes were detected in the magnification dimension between the 3-month and 6-month follow-up periods, nor in the helplessness dimension from the 4-week to 3-month follow-up. Pain severity demonstrated a significant decrease during the initial 3-month follow-up period, though no significant differences were observed at subsequent time points beyond 3 months.Additionally, pain sensitivity scores exhibited a significant reduction from pre-intervention to the 6-month post-intervention assessment (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The 4-week emotional freedom techniques demonstrated significant efficacy in reducing pain catastrophization, pain intensity, and pain sensitivity among patients following total knee arthroplasty.Our study incorporated a comprehensive analysis of temporal effects, intergroup variations, and interaction effects to ensure robust and reliable findings.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103213"},"PeriodicalIF":3.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697818","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
Response to Letter Regarding "Education, training, and perceptions of physician competency among medical cannabis patients in Israel 对关于“以色列医用大麻患者的教育、培训和对医生能力的看法”的答复。
IF 3.5 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-16 DOI: 10.1016/j.ctim.2025.103206
Yuval Zolotov , Offer E. Edelstein , Leslie Mendoza Temple, Mikhail Kogan, Shai-li Romem-Porat, Alexander Reznik, Richard Isralowitz
{"title":"Response to Letter Regarding \"Education, training, and perceptions of physician competency among medical cannabis patients in Israel","authors":"Yuval Zolotov ,&nbsp;Offer E. Edelstein ,&nbsp;Leslie Mendoza Temple,&nbsp;Mikhail Kogan,&nbsp;Shai-li Romem-Porat,&nbsp;Alexander Reznik,&nbsp;Richard Isralowitz","doi":"10.1016/j.ctim.2025.103206","DOIUrl":"10.1016/j.ctim.2025.103206","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"93 ","pages":"Article 103206"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667353","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
Letter to Editor on “Education, training, and perceptions of physician competency among medical cannabis patients in Israel” 致编辑的信:“以色列医用大麻患者的教育、培训和对医生能力的看法”
IF 3.3 3区 医学
Complementary therapies in medicine Pub Date : 2025-07-16 DOI: 10.1016/j.ctim.2025.103207
Surahman, Dedi Kuswandi, Imanuel Hitipeuw, Putri Saraswati, Udi Rosida Hijrianti
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