Complementary Therapies in Clinical Practice最新文献

{"title":"Transcutaneous electrical acupoint stimulation combined with core stability training in postpartum women with diastasis rectus abdominis","authors":"Jinxia Li ,&nbsp;Jingjun Xie ,&nbsp;Xiaoqing Guo ,&nbsp;Ruiyang Fu ,&nbsp;Zhongqiang Pan ,&nbsp;Zengchen Zhao","doi":"10.1016/j.ctcp.2025.101958","DOIUrl":"10.1016/j.ctcp.2025.101958","url":null,"abstract":"<div><h3>Background</h3><div>Diastasis rectus abdominis (DRA) women experience discomfort signs, which had a negative impact like an impairment of the quality of life and functional capacities of women. Transcutaneous electrical acupoint stimulation (TEAS) and core muscle training (CMT) have provided increasing evidence as an important strategy for DRA. Here, we aimed to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with core muscle training (TEAS + CMT) in postpartum women with DRA.</div></div><div><h3>Methods</h3><div>A total <strong>of</strong> 96 postpartum women with DRA were randomly assigned to three groups: control (waiting-list group), treatment group 1 (CMT), and treatment group 2 (TEAS + CMT), with 32 participants in each group. Ultimately, 90 participants completed the study (30 in each group). The control group received conventional postpartum natural recovery. Treatment group 1 underwent CMT once daily, five times per week, for four consecutive weeks (one treatment course). Treatment group 2 received TEAS + CMT following the same schedule. Changes in interrectus distance (IRD), waistline (WL), body mass index (BMI), lumbago (measured by the Short-Form McGill Pain Questionnaire [SF-MPQ]), and quality of life (assessed via SF-36) were evaluated before and after treatment.</div></div><div><h3>Results</h3><div>At the end of treatment, each group showed notable reductions in IRD, WL, and BMI(<em>P</em> &lt; 0.05), in with the most significant improvements observed in treatment group 2 (<em>P</em> &lt; 0.05). Lumbago scores (SF-MPQ) distinctly decreased each group (<em>P</em> &lt; 0.05), while quality of life scores (SF-36) evidently improved (<em>P</em> &lt; 0.05), with treatment group 2 showing the most pronounced effects (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>TEAS + CMT may improve DRA of postpartum women, reduce WL and BMI, alleviate lumbago, and improve quality of life.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101958"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143291718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of aromatherapy on discomfort in mothers undergoing cesarean section: A systematic review and meta-analysis of randomized controlled trials","authors":"Xiaohan Wang ,&nbsp;Yurong Liu ,&nbsp;Yanan Yan ,&nbsp;Jinghe Mao ,&nbsp;Zhiping Wang","doi":"10.1016/j.ctcp.2024.101935","DOIUrl":"10.1016/j.ctcp.2024.101935","url":null,"abstract":"<div><h3>Background and Purpose</h3><div>Aromatherapy, a non-pharmacological intervention involving essential oils, has been suggested as a complementary therapy for perioperative discomfort. This study seeks to systematically examine the efficacy of aromatherapy in alleviating pain and other discomforts in mothers undergoing cesarean sections.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, the Cochrane Library, and Embase was conducted from inception to September 2024. Inclusion criteria involved mothers undergoing cesarean section, aromatherapy as an intervention, and outcomes such as pain, anxiety, nausea and vomiting. Subgroup analyses explored the effects of distinct control groups, essential oil, dosage, number of sessions, and session length of aroma preparations. Statistical analysis was conducted using RevMan 5.3, with heterogeneity assessed using the Q test and I² statistic.</div></div><div><h3>Results</h3><div>Seventeen studies involving 1490 participants were included. Aromatherapy significantly reduced post-cesarean pain (SMD = −1.19, 95 % CI [-1.93, −0.45], <em>p</em> = 0.002). Chamomile oil, low dosage (≤2 drops), single session and sessions lasting 20 min or less were more effective in relieving pain. Aromatherapy significantly decreased nausea incidence (RR = 0.52, 95 % CI [0.33, 0.81], <em>p</em> = 0.004), reduced analgesic requirements (RR = 0.60, 95 % CI [0.49, 0.73], <em>p</em> &lt; 0.00001), and improved patient satisfaction (RR = 1.64, 95 % CI [1.26, 2.12], <em>p</em> = 0.0002).</div></div><div><h3>Conclusion</h3><div>Aromatherapy effectively reduces post-cesarean pain, nausea, analgesic use, and improves patient satisfaction. Chamomile oil, low doses (≤2 drops), single session and short length (≤20 min) seems to be the most effective method for alleviating post-cesarean pain.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101935"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831251","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 effect of an aromatic solution applied after percutaneous nephrolithotomy on sore throat, thirst, and nausea-vomiting: A randomised controlled trial","authors":"Esma Gökçe ,&nbsp;Şeyma Yurtseven ,&nbsp;Sevban Arslan ,&nbsp;Mustafa Süren ,&nbsp;Nebil Akdoğan","doi":"10.1016/j.ctcp.2024.101934","DOIUrl":"10.1016/j.ctcp.2024.101934","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Common postoperative symptoms are known to impede recovery, indicating the necessity for non-pharmacological alternatives to address these symptoms. This study aimed to investigate the effect of an aromatic solution prepared from lavender and ginger oil on sore throat, thirst, and nausea-vomiting after percutaneous nephrolithotomy (PNL) surgery.</div></div><div><h3>Materials and methods</h3><div>The trial used an experimental, double-blind randomised controlled group design with three arms. It was conducted between 2021 and 2023 in the urology department of a hospital, involving 110 patients (37 experimental, 37 placebo, 36 control) who underwent PNL. A personal information form, a visual analogue scale (VAS) for sore throat and thirst, and a verbal descriptive scale (VDS) for nausea and vomiting were used. The prepared aromatic solution was applied as a mouth spray at 0, 2, 4, 6, and 8 h postoperatively.</div></div><div><h3>Results</h3><div>A statistically significant decrease in sore throat scores was observed in the experimental group compared to the placebo and control groups following the intervention. Thirst levels decreased in both the placebo and experimental groups, with the experimental group showing lower thirst scores than the other groups. Additionally, the experimental group showed a significant reduction in nausea and vomiting scores compared to the other groups.</div></div><div><h3>Conclusion</h3><div>This study found that the aromatic solution had beneficial effects on sore throat, thirst, and nausea-vomiting in the postoperative period. To our knowledge, this is among the first studies exploring combined effects of lavender and ginger oils on postoperative symptoms after PNL surgery, potentially offering new insights to the literature.</div></div><div><h3>Clinicaltrials gov id</h3><div>NCT05522023</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101934"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792995","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":"Assessing barriers to meditation in patients with substance use disorder","authors":"Tiffany Champagne-Langabeer ,&nbsp;A. Sarah Cohen ,&nbsp;Audrey Lopez ,&nbsp;Christine Bakos-Block ,&nbsp;Alisha Campbell ,&nbsp;Bhanumathi Gopal ,&nbsp;Marylou Cardenas-Turanzas ,&nbsp;Ashmita Poudel ,&nbsp;Chelsea Ratcliff ,&nbsp;Aila Malik ,&nbsp;Radha Korupolu","doi":"10.1016/j.ctcp.2025.101957","DOIUrl":"10.1016/j.ctcp.2025.101957","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Individuals living with substance use disorder (SUD) often face unique challenges that can hinder their engagement in beneficial practices like meditation, which has been shown to support recovery and well-being. This study aimed to explore the perceived barriers to meditation with SUD, identify key obstacles, and inform future interventions that promote the adoption of a personal practice.</div></div><div><h3>Materials and methods</h3><div>We conducted a cross-sectional analytic study with a convenience sample of participants attending a treatment center for SUD. Data collected included demographics, SUD history, health challenges, meditation knowledge, and previous meditation practice. Barriers to meditation were evaluated using the Determinants of Meditation Practice Inventory (DMPI) and its revised version, DMPI-R. Overall frequencies, proportions, and measures of central tendency were calculated. Participants currently practicing meditation were compared to those not meditating by using Fisher's exact test, Student's t-test, and Wilcoxon rank-sum test.</div></div><div><h3>Results</h3><div>One hundred sixteen individuals completed the survey. Survey respondents were an average of 45 years (standard deviation, SD, 11.46), majority female (67.0 %), and White (90.3 %). Only 28.7 % of respondents were informed of meditation by their healthcare provider, yet 81.7 % were interested in learning about meditation. Among survey respondents, “prayer is my form of meditation,” followed by “I can't stop my thoughts,” were most agreed upon.</div></div><div><h3>Conclusion</h3><div>Individuals living with SUD are interested in education on meditation techniques; however, additional research is needed to understand the determinants of meditation practice and discern the barriers that could help facilitate the adoption and long-term practice of this method.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101957"},"PeriodicalIF":2.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143291262","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":"Effect of traditional Chinese fitness exercises on bone mineral density of middle-aged and elderly people–A systematic review and network meta-analysis","authors":"Zhuping Ren ,&nbsp;Liyue He ,&nbsp;Xiaoran Li ,&nbsp;Lingxiang Yan ,&nbsp;Zhuying Ren ,&nbsp;Xiaolei Liu","doi":"10.1016/j.ctcp.2025.101956","DOIUrl":"10.1016/j.ctcp.2025.101956","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct a systematic review and network meta-analysis on the effects of traditional Chinese fitness exercises on bone mineral density (BMD) among middle-aged and elderly individuals.</div></div><div><h3>Methods</h3><div>Randomized controlled trials were collected from seven electronic databases: PubMed, EMBASE, Web of Science, the Cochrane Library, CNKI, VIP, and Wan fang. Studies were selected according to the PICOS principles. Totally 27, 28, 12 and 16 studies pertaining to lumbar spine BMD, femoral neck BMD, greater trochanter BMD, and Ward's triangle BMD, respectively, were comprehensively collected. The effectiveness of various exercise interventions was compared via network meta-analysis using the surface under the cumulative ranking area (SUCRA) to rank effectiveness.</div></div><div><h3>Results</h3><div>Thirty one studies were included in the risk assessment and network meta-analysis. In the network diagrams formed by the four BMD outcome measures, closed loops were identified within sequences Ba DuanJin, Yi JinJing, and CON; sequences Ba DuanJin, Wu QinXi, and CON; sequences Yi JinJing, Wu QinXi, and CON, allowing for direct and indirect comparisons. Tai Chi, Ba DuanJin, Yi JinJing, and Wu QinXi affected BMD in varying ways. As for lumbar spine BMD, the effect of Yi JinJing was ranked first (SUCRA = 69.3 %), followed by Wu QinXi (SUCRA = 66.7 %). In femoral neck BMD, Ba DuanJin was most the effective (SUCRA = 64.9 %). Tai Chi was ranked the highest in both greater trochanter BMD (SUCRA = 66.7 %) and Ward's triangle BMD (SUCRA = 61.6 %). Inconsistency assessment showed high reliability.</div></div><div><h3>Conclusion</h3><div>Traditional Chinese exercises may provide safe and feasible interventions for improving BMD in middle-aged and elderly people. Although there are no significant differences among most interventions, the SUCRA rankings suggest each exercise has potential advantages in different areas, providing a reference for personalized bone health management.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101956"},"PeriodicalIF":2.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157757","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":"“I am not pain, I have pain”: A pilot study examining iRest yoga nidra as a mind-body intervention for persistent pain","authors":"Meg Barber ,&nbsp;Subhadra Evans ,&nbsp;Rosie Marks ,&nbsp;Jo Sheedy ,&nbsp;Richard Miller ,&nbsp;Stephanie Lopez ,&nbsp;Melissa O'Shea","doi":"10.1016/j.ctcp.2025.101955","DOIUrl":"10.1016/j.ctcp.2025.101955","url":null,"abstract":"<div><h3>Purpose</h3><div>This pilot study was the first of its kind to examine the experiences of people with persistent pain engaging in a six-week iRest for Pain group program as part of multidisciplinary pain care.</div></div><div><h3>Method</h3><div>The present study used a qualitative, phenomenological design and reflexive thematic analysis to gain an understanding of the firsthand experience of patients who participated in the iRest for Pain group program. This program was offered in a specialist outpatient pain management service within a regional public hospital in Victoria, Australia.</div></div><div><h3>Results</h3><div>Participants reported they experienced iRest Yoga Nidra as personal and therapeutic, that the practice facilitated deep relaxation and restoration; for some participants trauma reprocessing and integration; improved pain self-management and self-efficacy, as well as dis-identification from persisting pain as personal identity. Additionally, some participants reported motivation and confidence to use iRest instead of medication, to reduce dependence on opioid medications.</div></div><div><h3>Conclusion</h3><div>The iRest for Pain group program presents a personally therapeutic and innovative mind-body intervention, which could be offered at various phases from primary to tertiary specialised pain care.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101955"},"PeriodicalIF":2.2,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recreational older ballet dancers adapt faster to repeated standing-slips than older non-dancers","authors":"Caroline Simpkins,&nbsp;Feng Yang","doi":"10.1016/j.ctcp.2025.101950","DOIUrl":"10.1016/j.ctcp.2025.101950","url":null,"abstract":"<div><h3>Background</h3><div>Falls are a global health concern facing older adults. Ballet emphasizes postural control, coordination, and leg muscle strength. Previous work indicated young professional ballet dancers adapt more effectively to repeated standing-slips than non-dancers as evidenced by better reactive improvements in dynamic gait stability and step latency. However, it remains unknown if older ballet dancers would show a quicker motor learning process than non-dancers. This study tested how older recreational ballet dancers adapt to five repeated standing-slip perturbations compared to non-dancers.</div></div><div><h3>Materials and methods</h3><div>Twenty older recreational dancers and 23 age- and sex-matched non-dancers experienced five unexpected slips while standing on a treadmill. The primary outcome was the slip-faller rate. Secondary outcomes included the percent change from first to last slip in kinematic measurements: dynamic gait stability, recovery stepping (step latency, duration, length), and trunk angle.</div></div><div><h3>Results</h3><div>Dancers showed a faster reduction in the slip-faller rate from the first to last standing-slip compared to the non-dancers (<em>p</em> = 0.004). The dancers improved dynamic gait stability at the recovery step touchdown more than the non-dancers (<em>p</em> = 0.002). The dancers increased their step duration (<em>p</em> = 0.006) more than the non-dancers across the five standing-slips, and dancers exhibited better improvement in trunk angle at recovery touchdown (<em>p</em> = 0.028).</div></div><div><h3>Conclusions</h3><div>Older ballet dancers adapt faster to repeated standing-slips and can improve their slip-faller rate more quickly compared to non-dancers. Dancers also improve their step duration and trunk angle as related to balance loss recovery, which may be attributed to their ballet practice.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101950"},"PeriodicalIF":2.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026121","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":"Relationship between trait mindfulness and physical activity among emerging adults: The mediating roles of exercise-related cognitive errors and trait self-control","authors":"Ding Yuan ,&nbsp;Jin Kuang ,&nbsp;Jinming Li ,&nbsp;Rebecca Y.M. Cheung ,&nbsp;Fabian Herold ,&nbsp;Markus Gerber ,&nbsp;Alyx Taylor ,&nbsp;Arthur F. Kramer ,&nbsp;Jiahui Wang ,&nbsp;Albert S. Yeung ,&nbsp;Liye Zou","doi":"10.1016/j.ctcp.2025.101953","DOIUrl":"10.1016/j.ctcp.2025.101953","url":null,"abstract":"<div><h3>Objective</h3><div>Exercise-related cognitive errors (ECEs) is a significant factor that can negatively influence physical activity (PA) engagement among emerging adults, whereas mindfulness interventions may be beneficial for promoting PA. Against this background, we investigated the potential association between trait mindfulness and PA levels among emerging adults and determined whether trait self-control and ECEs serve as mediators.</div></div><div><h3>Method</h3><div>328 Chinese participants (61.3 % female, mean age = 20.65, SD = 2.21) completed a series of questionnaires, including demographics, the Five Dimension Mindfulness Questionnaire short form (FFMQ-SF), the Exercise Cognitive Bias Questionnaire (E-CEQ), the Brief Self Control Scale (BSCS), and the short form of the International Physical Activity Questionnaire (IPAQ-SF). A structural equation model was used to investigate the potential relationships between trait mindfulness and PA levels, considering trait self-control and ECEs as mediators.</div></div><div><h3>Results</h3><div>Trait self-control (Indirect 1; B = 0.09, 95%CI: 0.04, 0.16) and ECEs (Indirect 3; B = 0.02, 95%CI: 0.00, 0.04) mediates the relationship between trait mindfulness and PA levels, respectively, when considered as independent mediators. In addition, also in a dual-mediation model ECEs and trait self-control (Indirect 2; B = 0.02, 95%CI [0.00, 0.06]) mediate the relationship between trait mindfulness and PA.</div></div><div><h3>Conclusions</h3><div>This study provides evidence that trait self-control and ECEs are mediators of the relationship between trait mindfulness and PA levels, providing a new direction for further research aiming to reduce ECEs and improve PA levels among emerging adults.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101953"},"PeriodicalIF":2.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017909","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 different probiotic regimens for allergic rhinitis: A network meta-analysis","authors":"Chang Lu ,&nbsp;Yuan Gao ,&nbsp;Siyue Dong ,&nbsp;Yaoyao Sun ,&nbsp;Mingjuan Sun ,&nbsp;Xinle Han ,&nbsp;Bo Li ,&nbsp;Changyi Li ,&nbsp;Yajun Zhang ,&nbsp;Minhui Li","doi":"10.1016/j.ctcp.2025.101954","DOIUrl":"10.1016/j.ctcp.2025.101954","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate the efficacy of different probiotic species in the treatment of Allergic rhinitis (AR), we used network meta-analysis (NMA), which provides a foundation for evidence-based therapeutic selection.</div></div><div><h3>Methods</h3><div>Nine databases were searched from their inception until April 30, 2024. Stata 17.0 and Review Manager 5.4 were used to conduct the NMA. The main outcomes included total nasal symptom score (TNSS), Rhinitis Quality of Life (RQLQ) global scores, total and specific IgE levels, blood eosinophil count, efficacy rate, and adverse events.</div></div><div><h3>Results</h3><div>31 randomized controlled trials (RCTs) were included, involving 2544 patients with AR. In the NMA, in terms of reducing TNSS: Saccharomyces &gt; Mix &gt; Bifidobacterium &gt; <em>Enterococcus faecalis</em> &gt; Lactobacillus &gt; Bacillus &gt; conventional therapy; in terms of reducing RQLQ: Mix &gt; Lactobacillus &gt; <em>Enterococcus faecalis</em> &gt; conventional therapy; in terms of reducing Total IgE: Mix &gt; Bifidobacterium &gt; Lactobacillus &gt; Tetragenococcus halophilus &gt; conventional therapy; in terms of reducing Special IgE: Mix &gt; conventional therapy &gt; Bifidobacterium &gt; Lactobacillus &gt; Leuconostoc; in terms of reducing blood eosinophil count: Lactobacillus &gt; conventional therapy &gt; Mix; in terms of improving the efficacy rate: Saccharomyces &gt; Mix &gt; conventional therapy. No serious adverse events were reported regarding safety.</div></div><div><h3>Conclusion</h3><div>Probiotic mixtures may be the most effective in reducing RQLQ, Total IgE, and Special IgE; Saccharomyces may be the most efficacious in reducing TNSS and improving the efficacy rate; and Lactobacillus may be the most effective in reducing blood eosinophil count. Overall, probiotic mixtures demonstrated better combined efficacy.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101954"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017868","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":"Therapeutic effects of dry needling for patellofemoral pain syndrome: a systematic review and meta-analysis","authors":"Zilin Sun,&nbsp;Renyi Liu","doi":"10.1016/j.ctcp.2025.101938","DOIUrl":"10.1016/j.ctcp.2025.101938","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Dry needling has been increasingly used as an adjunctive therapy for patellofemoral pain syndrome in clinical practice. This study aimed to summarize the available evidence about the effects of dry needling in managing patellofemoral pain syndrome.</div></div><div><h3>Methods</h3><div>Seven English-language databases and three Chinese-language databases were searched. Two researchers independently screened the literature, extracted data, and assessed the risk of bias using the PEDro scale and the Cochrane Risk of Bias Assessment Tool. The quality of evidence was evaluated using the GRADE approach.</div></div><div><h3>Results</h3><div>A total of 12 studies were included, involving 624 participants. Dry needling significantly improved knee pain (MD = −0.86, 95%CI -1.17 to −0.55) and physical function (MD = 5.33, 95%CI 3.88 to 6.78) compared to comparative groups. When combined with exercise therapy, dry needling resulted in large reduction in knee pain(MD = −2.02, 95%CI -2.36 to −1.67) and small improvement in physical function (MD = 9.56, 95%CI 7.84 to 11.27) compared to exercise therapy alone. However, negligible or no additional benefits were observed when dry needling was added to extracorporeal shock wave therapy or multimodal interventions. Furthermore, dry needling showed no significant advantage over other trigger point therapies in terms of pain reduction and functional improvement.</div></div><div><h3>Conclusion</h3><div>Dry needling is effective in reducing pain and improving function for patients with patellofemoral pain syndrome, particularly when combined with exercise therapy. However, more high-quality studies are required to draw a definitive conclusion.</div></div><div><h3>Clinical trial registration number</h3><div>CRD42023490627 on PROSPERO.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101938"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017912","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}