Journal of Integrative and Complementary Medicine最新文献

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The Effect of Laughter Yoga on Postprandial Blood Glucose Levels, Disease Perception, and Perceived Stress Level in Patients with Type 2 Diabetes: A Randomized Controlled Trial. 笑声瑜伽对2型糖尿病患者餐后血糖水平、疾病感知和感知压力水平的影响:一项随机对照试验
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-17 DOI: 10.1089/jicm.2025.0009
Abdurrahman Akçin, Hakime Aslan
{"title":"The Effect of Laughter Yoga on Postprandial Blood Glucose Levels, Disease Perception, and Perceived Stress Level in Patients with Type 2 Diabetes: A Randomized Controlled Trial.","authors":"Abdurrahman Akçin, Hakime Aslan","doi":"10.1089/jicm.2025.0009","DOIUrl":"10.1089/jicm.2025.0009","url":null,"abstract":"<p><p><b><i>Aim:</i></b> This study was conducted to evaluate the effect of laughter yoga on blood glucose levels, disease perception, and perceived stress levels in patients with type 2 diabetes. <b><i>Methods:</i></b> The research is a randomized controlled trial with pretest-post-test control group. The population of the study was followed up with the diagnosis of type 2 diabetes mellitus (T2DM) in the endocrine outpatient clinics of a hospital in the western region of Turkey. The sample consisted of 100 patients (laughter yoga group = 50, control group = 50) determined by power analysis. Participants were assigned to each group through a process of simple randomization. Those in the laughter yoga group (LYG) participated in online eight laughter yoga sessions together with a diet program. The following statistical methods were used to evaluate data: percentage, mean and standard deviation, chi-square, independent-sample <i>t</i> test, and paired sample <i>t</i> test. Data collection was facilitated using a \"Patient Identification Form,\" \"The Brief Disease Perception Scale,\" and \"The Perceived Stress Scale.\" <b><i>Results:</i></b> It was determined that the descriptive characteristics of the patients in the experimental and control groups were similar. According to the primary outcome, the postprandial blood glucose level of the patients in the LYG was (mean ± standard deviation [SD]: 98.17 ± 18.71) in the pretest; it decreased to (mean ± SD: 75.15 ± 9.65) in the post-test, and this difference was statistically significant (<i>p</i> < 0.001, effect size <i>d</i>: 1.628). While the mean blood glucose level of the patients in the control group was (mean ± SD: 102.17 ± 16.50) in the pretest, it increased to (Mean ± SD: 139.08 ± 15.65) in the post-test and this difference was statistically significant (<i>p</i> < 0.001, effect size <i>d</i>: 2.295). While the mean score of the Brief Disease Perception Scale post-test was (mean ± SD: 33.50 ± 4.51) points in the experimental group, it was (mean ± SD: 53.70 ± 4.15) points in the control group and the difference between them was statistically significant (<i>p</i> < 0.001). It was determined that the Perceived Stress Scale post-test mean score was (mean ± SD: 21.50 ± 4.54) points in the experimental group and (mean ± SD: 32.70 ± 4.15) points in the control group, and the difference between the groups was statistically significant (<i>p</i> < 0.001). It was determined that the negative illness perceptions and stress levels of the patients who applied laughter yoga were significantly reduced. <b><i>Conclusion:</i></b> Laughter yoga was found to reduce postprandial blood glucose levels, improve disease perception, and reduce stress levels in patients with T2DM.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"802-813"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Interrater Reliability of a Manual Diagnostic Protocol for Pancreatic Functional Visceral Dysfunction. 胰腺功能脏器功能障碍的手动诊断方案的相互可靠性。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 DOI: 10.1177/27683605251372011
Miguel Faria, Nuno Machado, Marcos Correia de Sousa, Patrícia Maria Pires, Telma Pires
{"title":"Interrater Reliability of a Manual Diagnostic Protocol for Pancreatic Functional Visceral Dysfunction.","authors":"Miguel Faria, Nuno Machado, Marcos Correia de Sousa, Patrícia Maria Pires, Telma Pires","doi":"10.1177/27683605251372011","DOIUrl":"https://doi.org/10.1177/27683605251372011","url":null,"abstract":"<p><p><b><i>Background:</i></b> A reliable manual examination has not been validated as a diagnostic tool for nociplastic visceral pain. <b><i>Aims:</i></b> To establish the interrater reliability of a manual examination protocol for functional pancreatic visceral dysfunction and the clinical criteria for a manual palpatory diagnosis based on the clinical features of the nociplastic visceral pain. <b><i>Methods:</i></b> This double-blind cross-sectional study involved 60 participants assessed by three raters using a manual protocol for diagnosing functional pancreatic visceral dysfunction. Five palpation-based criteria were evaluated: (1) local pain, (2) referred pain, (3) neurovegetative symptoms, (4) hyperalgesia or allodynia, and (5) tissue resistance/density. Interrater agreement was measured using percentage agreement and Fleiss' kappa. The reliability of the Verbal Numerical Rating Scale (vNRS) was assessed using the intraclass correlation coefficient (ICC). Repeated measures analysis of variance and Cochran's Q test (with Bonferroni correction) were used to analyze vNRS scores and categorical outcomes, respectively. Significance was set at <i>p</i> < 0.05. <b><i>Results:</i></b> Criteria 1, 3, and 4 showed particularly high levels of agreement, with overall agreement percentages of 93.3%, 95.6%, and 95.6%, respectively. The corresponding Fleiss' kappa values were 0.863, 0.880, and 0.908, indicating almost perfect agreement. In contrast, Criteria 2 and 5 demonstrated substantial, but comparatively lower, agreement, with overall percentages of 86.7% and 87.8% and Fleiss' kappa values of 0.679 and 0.755. The vNRS demonstrated excellent reliability across all three pancreas regions, with ICC values well >0.90: head (ICC = 0.943, 95% confidence interval [CI] = 0.913-0.964), body (ICC = 0.950, 95% CI = 0.923-0.968), and tail (ICC = 0.963, 95% CI = 0.944-0.977). <b><i>Conclusions:</i></b> Three blinded raters reached an almost perfect pair-wise interrater agreement on the presence or absence of functional visceral dysfunction in the topographic projection of the pancreas. This study provides preliminary evidence that a manual diagnostic protocol is a reliable and potentially useful diagnostic tool in diagnosing nociplastic pain in the topographic projection of the pancreas. Future research should prioritize evaluating the validity of the nociplastic visceral pain diagnosis.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Brain-Injury-Tailored Yoga and Meditation Program Among Female Patients with Concussion. 脑损伤量身定制的瑜伽和冥想计划在女性脑震荡患者中的可接受性。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-27 DOI: 10.1089/jicm.2024.1038
Hemika Vempalli, Nabeeha Affan, Katherine Snedaker, Yu-Fu Michael Chen, Erin Skotzke Fishman, Stefanie Hollenbach, Michele D Levine, Celestin Niyomugabo, Leon Ruiter-Lopez, Elizabeth Grace Giordano, Martina Anto-Ocrah
{"title":"Acceptability of a Brain-Injury-Tailored Yoga and Meditation Program Among Female Patients with Concussion.","authors":"Hemika Vempalli, Nabeeha Affan, Katherine Snedaker, Yu-Fu Michael Chen, Erin Skotzke Fishman, Stefanie Hollenbach, Michele D Levine, Celestin Niyomugabo, Leon Ruiter-Lopez, Elizabeth Grace Giordano, Martina Anto-Ocrah","doi":"10.1089/jicm.2024.1038","DOIUrl":"10.1089/jicm.2024.1038","url":null,"abstract":"<p><p><b><i>Background:</i></b> Although concussion symptoms often resolve within 4-6 weeks, for a minority of patients, persistent postconcussion symptoms (PPCS), such as headaches, fatigue, and mood disturbances, may continue for months or years following a head injury. Rehabilitation of this group-often female-is crucial for reducing health and gender disparities in concussion recovery. A recent report by the National Center for Complementary and Integrative Health showed that the use of complementary health approaches, such as yoga and meditation, has substantially increased in the last two decades. Little is known, however, about the acceptability of these approaches among female patients with concussion, who are most vulnerable to PPCS. This study evaluates the acceptability of a brain-injury-tailored yoga and meditation program for female patients with concussion. <b><i>Methods:</i></b> We conducted a cross-sectional survey of women in PINK Concussions, a social media support network for female patients with concussion. Along with demographic and concussion-related questions, participants were asked to elaborate on their interest/lack of interest. Data were analyzed subjectively using thematic analysis of open-text responses and objectively by text network analysis. <b><i>Results:</i></b> A total of 434 PINK Concussion members responded to the survey conducted from November 10 to 13, 2023, with 117 (27%) completing all questions. A majority (<i>n</i> = 97; 83%) expressed interest in the program, for reasons including prior yoga experience (<i>n</i> = 30), health/well-being benefits (<i>n</i> = 27), and balance/healing/mindfulness (<i>n</i> = 23). For participants who were not interested (<i>n</i> = 14; 12%), reasons included physical disabilities (<i>n</i> = 6), time constraints (<i>n</i> = 3), and enrollment in similar programs (<i>n</i> = 5). The text network analysis showed the central reason for participants' interest was \"help,\" with connections to \"exercise,\" \"physical health,\" \"mental health,\" \"improving balance,\" and \"feeling great.\" <b><i>Conclusions:</i></b> Most female patients with concussion in the PINK Concussion group were interested in a brain-injury-tailored yoga and meditation program, suggesting high acceptability for this group of patients with chronic concussion sequelae.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"814-825"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scoping Review of Trauma-Informed Yoga (TIY) for Survivors of Sexual, Domestic, and Interpersonal Violence and Development of the WELLNESS Mnemonic to Characterize TIY Outcomes. 对性暴力、家庭暴力和人际暴力幸存者的创伤知情瑜伽(TIY)的范围审查,以及描述TIY结果的健康记忆法的发展。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI: 10.1089/jicm.2023.0582
Alison Hong, Ashweetha Louis, Jennifer Rioux
{"title":"Scoping Review of Trauma-Informed Yoga (TIY) for Survivors of Sexual, Domestic, and Interpersonal Violence and Development of the WELLNESS Mnemonic to Characterize TIY Outcomes.","authors":"Alison Hong, Ashweetha Louis, Jennifer Rioux","doi":"10.1089/jicm.2023.0582","DOIUrl":"10.1089/jicm.2023.0582","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> This scoping review provides an overview of the current evidence base for trauma-informed yoga (TIY) for survivors of sexual, domestic, and interpersonal violence to document the spectrum of study designs, population and intervention characteristics, and associated results of TIY for trauma survivors. <b><i>Methods:</i></b> Authors utilized the scoping review methodology outlined by Arksey and O'Malley (2005). Pubmed and Scopus were searched initially conducted on August 16, 2022, and updated to include any new studies on March 25, 2025. Data extracted included study design, population characteristics, intervention specifics, and results. Authors devexbvgloped an innovative mnemonic to inform discussion of results: WELLNESS: Well-being; Empathy; Longevity (durability of therapeutic effect); Lessen trauma symptoms; Nurturing (self-compassion), Ease stress, Security, and Self-awareness). <b><i>Results:</i></b> The combined initial and updated literature searches yielded 4167 studies. Title and abstract screening netted 35 studies meeting review criteria. Full-text review netted 18 studies meeting criteria. Sexual, interpersonal, and domestic violence survivors who participated in TIY reported enhancement of physical and psychological function and well-being. Effects included increased sense of safety, self-compassion, personal growth, and self-regulation. Studies reported reduced depression, anxiety, negative thoughts, stress and trauma symptoms, and increased self-esteem; positive coping; improved relationships, better sleep and enhanced mindfulness; and sense of peace. <b><i>Conclusion:</i></b> TIY is beneficial to survivors of sexual, domestic, and interpersonal violence by promoting peaceful embodiment without retraumatization and enhancing affect regulation to decrease reactivity and agitation. The constellation of effects can improve the sequelae of trauma, and survivors may benefit from long-term TIY programming to ensure more robust improvement.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"789-801"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
GPT Versus ERNIE for National Traditional Chinese Medicine Licensing Examination: Does Cultural Background Matter? 中医执业资格考试GPT与ERNIE:文化背景重要吗?
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-02 DOI: 10.1089/jicm.2024.0902
Erfan Ghanad, Christel Weiß, Hui Gao, Christoph Reißfelder, Kamal Hummedah, Lei Han, Leihui Tong, Chengpeng Li, Cui Yang
{"title":"GPT Versus ERNIE for National Traditional Chinese Medicine Licensing Examination: Does Cultural Background Matter?","authors":"Erfan Ghanad, Christel Weiß, Hui Gao, Christoph Reißfelder, Kamal Hummedah, Lei Han, Leihui Tong, Chengpeng Li, Cui Yang","doi":"10.1089/jicm.2024.0902","DOIUrl":"10.1089/jicm.2024.0902","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study evaluates the performance of large language models (LLMs) in the context of the Chinese National Traditional Chinese Medicine Licensing Examination (TCMLE). <b><i>Materials and Methods:</i></b> We compared the performances of different versions of Generative Pre-trained Transformer (GPT) and Enhanced Representation through Knowledge Integration (ERNIE) using historical TCMLE questions. <b><i>Results:</i></b> ERNIE-4.0 outperformed all other models with an accuracy of 81.7%, followed by ERNIE-3.5 (75.2%), GPT-4o (74.8%), and GPT-4 turbo (50.7%). For questions related to Western internal medicine, all models showed high accuracy above 86.7%. <b><i>Conclusion:</i></b> The study highlights the significance of cultural context in training data, influencing the performance of LLMs in specific medical examinations.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"844-848"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Capoeira and Its Effects on Health-Related Outcomes-A Systematic Review. 卡波耶拉及其对健康相关结果的影响——一项系统综述。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-09-01 Epub Date: 2025-05-13 DOI: 10.1089/jicm.2024.0490
Robin Köhler, Dennis Anheyer, Sabine Koch, Thomas Ostermann
{"title":"Capoeira and Its Effects on Health-Related Outcomes-A Systematic Review.","authors":"Robin Köhler, Dennis Anheyer, Sabine Koch, Thomas Ostermann","doi":"10.1089/jicm.2024.0490","DOIUrl":"10.1089/jicm.2024.0490","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Capoeira is an Afro-Brasilian martial art as well as a music- and dance-based cultural practice. This article aims to establish a foundational framework for future research endeavors in the domain of Capoeira by conducting a comprehensive review of existing literature focused on the relationship between Capoeira and physical as well as mental health aspects. <b><i>Methods:</i></b> PubMed, PsychArticle, and Google Scholar were searched from January 01, 2012, until July 15, 2022. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Study selection and risk-of-bias judgments were performed by two authors independently. Only articles written in German or English language were eligible for this review. Geographical restrictions with regard to social status or gender were not made. <b><i>Results:</i></b> A total of 19 relevant studies meeting predetermined inclusion and exclusion criteria were identified for analysis. While robust studies specifically addressing the intersection of Capoeira and physical and mental health are currently lacking, this review reveals mixed findings. The impact of Capoeira on physical health (cardiovascular variables, flexibility, balance, bone density) appears inconclusive, contrasting with the more discernible positive effects observed on mental health outcomes (general health behavior/lifestyle, executive functions, conscious attention control, social skills, prosocial behavior, self-efficacy, self-confidence, resilience, anger, and aggressive behavior/aggression). <b><i>Discussion:</i></b> The concentration of studies within the Portuguese-speaking region raises the possibility of a geographic bias. Despite this limitation, this review suggests that Capoeira holds promise as a psychotherapeutic intervention. However, the need for further studies to establish its solid effectiveness is underscored. <b><i>Conclusion:</i></b> This review provides a synthesis of existing literature on Capoeira and its effects on physical and mental health. The observed trends warrant additional research, particularly in diverse geographic settings, to validate and extend our understanding of Capoeira's potential as a psychotherapeutic intervention.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"780-788"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Patient-Centeredness in Traditional, Complementary, and Integrative Medicine Research: A Necessity. 以病人为中心的传统、补充和综合医学研究:一种必要性。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-28 DOI: 10.1177/27683605251376244
Abhijit Dutta
{"title":"Patient-Centeredness in Traditional, Complementary, and Integrative Medicine Research: A Necessity.","authors":"Abhijit Dutta","doi":"10.1177/27683605251376244","DOIUrl":"https://doi.org/10.1177/27683605251376244","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Prolotherapy in the Academy: A Mixed Methods Survey Study. 前驱治疗在学院:一项混合方法调查研究。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-27 DOI: 10.1177/27683605251370128
Jared Dubey, Nathan R Jones, Jane Alice Evered, Rachel Grob, Joseph Andrie, David Rabago
{"title":"Prolotherapy in the Academy: A Mixed Methods Survey Study.","authors":"Jared Dubey, Nathan R Jones, Jane Alice Evered, Rachel Grob, Joseph Andrie, David Rabago","doi":"10.1177/27683605251370128","DOIUrl":"https://doi.org/10.1177/27683605251370128","url":null,"abstract":"<p><p><b><i>Context:</i></b> Safe, effective treatment for chronic pain is needed. Prolotherapy is an injection-based complementary and integrative therapy supported by emerging peer-reviewed evidence. It is anecdotally used in clinical care, yet it is not part of medical society practice guidelines. It is unclear how many medical training programs practice and teach prolotherapy, limiting research and clinical optimization. <b><i>Objective:</i></b> To assess the use and teaching of prolotherapy in U.S. medical training programs (residencies and fellowships) in specialties that treat chronic pain. <b><i>Design and Analysis:</i></b> A mixed-methods, 21-item cross-sectional anonymized survey was sent to directors of the Accreditation Council for Graduate Medical Education (ACGME) residency and fellowship programs in 11 specialties treating chronic pain. Analysis was by descriptive statistics, ANOVA, and qualitative inductive content analysis. <b><i>Results:</i></b> From 1852 mailed surveys, we received 854 responses (46.1%). Two-hundred eleven (24.7%) programs reported prolotherapy use, and 119 (13.9%) reported prolotherapy-focused education. Prolotherapy use was most frequently reported by Osteopathic Manipulative Medicine/Neuromusculoskeletal Medicine (OMM/NMM) and Physical Medicine and Rehabilitation (PM&R) residencies and by Sports Medicine and Musculoskeletal Radiology fellowships. Prolotherapy-focused teaching was most frequently provided by OMM/NMM and PM&R residencies and Sports Medicine Fellowships. Among the 119 programs teaching prolotherapy, educational efforts most commonly addressed knee (91; 76.5%), shoulder (86; 72.3%), and elbow (80; 67.2%) pathology, and most (97; 81.5%) include ultrasound guidance at least some of the time. Qualitative analysis revealed mixed perspectives about the use and teaching of prolotherapy. Non-adopters cited limited peer-reviewed evidence and awareness, while adopters noted supportive evidence, a favorable safety profile, and appreciation of alternative treatment options. <b><i>Conclusions:</i></b> This is the first study to assess the practice and teaching of prolotherapy for chronic pain in U.S. ACGME-accredited medical training programs. Prolotherapy appears to be used and taught by a substantial minority of responding programs; results should be interpreted with caution due to potential self-selection bias. Findings suggest more research about the use and training, and the efficacy and effectiveness, of prolotherapy is warranted.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Yogic Breathing as a Modality to Reduce Stress in Anesthesia Professionals as Measured by Hair Cortisol: A Feasibility Study. 通过测量毛发皮质醇,瑜伽呼吸作为一种减轻麻醉专业人员压力的方式:一项可行性研究。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-25 DOI: 10.1177/27683605251370945
Grayce P Davis, Sundaravadivel Balasubramanian, Kathryn H Bridges, Nicole C McCoy, Courtney M Condon, Bethany J Wolf, Kaylee Massman, Latha Hebbar
{"title":"Yogic Breathing as a Modality to Reduce Stress in Anesthesia Professionals as Measured by Hair Cortisol: A Feasibility Study.","authors":"Grayce P Davis, Sundaravadivel Balasubramanian, Kathryn H Bridges, Nicole C McCoy, Courtney M Condon, Bethany J Wolf, Kaylee Massman, Latha Hebbar","doi":"10.1177/27683605251370945","DOIUrl":"https://doi.org/10.1177/27683605251370945","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Many health care professionals are struggling to cope with high stress and burnout in the workplace. To support these professionals, several strategies have been proposed, including meditation and breathing exercises. This pilot study aimed to determine the feasibility of yogic breathing as a strategy for managing stress and burnout for anesthesia professionals. Feasibility was assessed as recruitment rate, retention rate, and adherence. Secondary efficacy outcomes included changes in stress using validated questionnaires and measures of hair cortisol concentration. <b><i>Methods:</i></b> A total of 57 out of 300 eligible anesthesia professionals at the Medical University of South Carolina were recruited. Participants attended a class on yogic breathing practices and were given access to the recorded class and other pre-recorded modules on yogic breathing during the study. At baseline and every 3 months, participants completed a one-question Mini Z survey and the Holmes-Rahe Life Stress Inventory. At those time points, a 3-cm clipping of 50-100 strands of hair was collected for cortisol analysis. Participants reported their time spent meditating each week. <b><i>Results:</i></b> This study had poor feasibility, with only 63.2% of participants still reporting on yogic breathing at week 52, including those who recorded no practice of yogic breathing. The median percentage of weeks that participants engaged in some form of yogic breathing was only 13.5% (7/52 weeks), likely due to 31.5% of participants (18/57) who performed no yogic breathing during the study period. <b><i>Discussion:</i></b> Although this approach of self-guided yogic breathing was not feasible, these findings can influence future programs that aim to reduce stress in anesthesia professionals.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Integrative Medicine Modalities for Adolescent Patients Undergoing Minimally Invasive Repair of Pectus Excavatum: A Scoping Review. 青少年漏斗胸微创修复的中西医结合治疗方法:范围综述。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-25 DOI: 10.1177/27683605251366993
Jenna Ramji, Colleen Pawliuk, Jennifer Rowe, Robert Baird, Randa Ridgway, Matthias Görges, Lynn R Correll
{"title":"Integrative Medicine Modalities for Adolescent Patients Undergoing Minimally Invasive Repair of Pectus Excavatum: A Scoping Review.","authors":"Jenna Ramji, Colleen Pawliuk, Jennifer Rowe, Robert Baird, Randa Ridgway, Matthias Görges, Lynn R Correll","doi":"10.1177/27683605251366993","DOIUrl":"https://doi.org/10.1177/27683605251366993","url":null,"abstract":"<p><p><b><i>Background:</i></b> The minimally invasive repair of pectus excavatum (MIRPE), a surgical procedure done primarily in adolescence to correct pectus excavatum (PE), a congenital chest wall deformity, is associated with significant postoperative pain and opioid consumption. The use of an integrative medicine (IM) approach-combining complementary therapies with conventional treatments-can support postoperative pain management and potentially reduce opioid consumption in adolescent patients undergoing this procedure. This scoping review examines the published literature addressing the use of IM modalities in adolescent patients undergoing MIRPE. <b><i>Methods:</i></b> A comprehensive search of MEDLINE, EMBASE, Web of Science Core Collection, and Google Scholar was conducted from inception through January 2024. Studies were included if they addressed the inclusion of at least one IM modality during the MIRPE perioperative to support pain management. These modalities could be delivered at any time during that period and used alongside any conventional analgesic methods. <b><i>Results:</i></b> Eleven studies met the inclusion criteria. Eight of these (72.7%) implemented an integrative modality in this population. Of these eight, the most common integrative modalities were mindfulness/purposeful relaxation (<i>n</i> = 5), self-hypnosis (<i>n</i> = 3), cognitive-behavioral therapy (CBT) (<i>n</i> = 2), music/music therapy (<i>n</i> = 2), aromatherapy (<i>n</i> = 1), and massage (<i>n</i> = 1). Only six studies described the use of an integrative modality as an experimental condition. Still, self-hypnosis (<i>n</i> = 3), CBT (<i>n</i> = 2), and virtual reality-guided relaxation (<i>n</i> = 1) all augment postoperative pain management. While these studies have low levels of evidence and/or small sample sizes, they still demonstrated reduced pain scores (<i>n</i> = 4) and opioid consumption (<i>n</i> = 2) without appreciable adverse effects. <b><i>Conclusion:</i></b> There is a paucity of literature examining the use of integrative modalities in adolescent patients undergoing MIRPE. The included studies demonstrate preliminary evidence of the positive outcomes associated with IM modalities overall and a low-risk profile. However, the small number of studies, observational and retrospective designs, limited sample sizes, and large heterogeneity across the studies demonstrate limited, low-level evidence, highlighting a need for further rigorous research to determine the efficacy of these modalities. Further investigation, especially in specific promising modalities such as hypnosis and guided relaxation, is warranted. Incorporating IM modalities into perioperative care for this population should be further explored.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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