Archita Agarwal, Habiba Sundus, Sahar Zaidi , Charu Chhabra, Sohrab Ahmad Khan
{"title":"Effectiveness of Muscle Energy Technique in patients with Temporomandibular Joint Dysfunction: A systematic review","authors":"Archita Agarwal, Habiba Sundus, Sahar Zaidi , Charu Chhabra, Sohrab Ahmad Khan","doi":"10.1016/j.ctcp.2025.102002","DOIUrl":"10.1016/j.ctcp.2025.102002","url":null,"abstract":"<div><div>The Temporomandibular Joint (TMJ) dysfunction of myogenic origin is prevalent in present time which has been treated with various therapeutic approaches including manual therapy techniques like the Muscle Energy Technique (MET), whose effects require further exploration. Hence, this systematic review aims to assess the efficacy of the same in TMJ dysfunction patients. The database search was executed under MEDLINE, PubMed, Scopus, Web of Science (WoS), Cochrane Library followed by data extraction for the included studies with the keywords relevant to the search with publications done from inception to March 2025, followed by data synthesis and assessment of methodological quality and Risk of Bias assessment using Physiotherapy Evidence Database (PEDro) and Cochrane Risk of Bias (RoB 2.0). 7 studies out of 345 articles were included after title screening in present review which revealed significant effects of MET of various muscles of mastication on Maximal Mouth Opening (MMO), pain intensity, lateral deviation in patients with TMJ dysfunction. The total number of participants in all the included studies were 553 out of which 133 were males and 420 females. The intervention period for the studies was between one intervention and 3 months. The findings of present review suggest the evident role of MET in management of TMJ dysfunction of myogenic origin and indicates the modification of clinical decision-making while treating TMJ dysfunction and addition of MET in management of TMJ dysfunction considering bias in included studies.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 102002"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947306","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":"Movement behaviours and eating habits in children: a cross-sectional study","authors":"Wurigenmuren , Shaoying Liu","doi":"10.1016/j.ctcp.2025.101974","DOIUrl":"10.1016/j.ctcp.2025.101974","url":null,"abstract":"<div><h3>Objective</h3><div>It is well-established that adherence to 24-h movement guidelines affects various health outcomes. However, few studies have explored its impacts on eating habits in children comprehensively, with most focusing on small or non-representative samples, and neglecting the combined effects of movement behaviours. Therefore, this study aims to investigate the relationship between adherence to 24-h movement guidelines and eating habits in Chinese children.</div></div><div><h3>Methods</h3><div>School-aged students were included for analysis. Physical activity and screen time were assessed using items from the Health Behaviour in School-aged Children questionnaire (the Chinese version). Sleep duration was assessed using the items from the Pittsburgh Sleep Quality Index (PSQI). Multivariable ordinal logistic regression models were used to explore the relationship between adherence to 24-h movement guidelines and eating habits.</div></div><div><h3>Results</h3><div>Overall, only 1.4 % of children adhered to 24-h movement guidelines. Regression analysis showed that children adhering to one (OR = 1.35, CI: 1.05–1.73) or two recommendations (OR = 1.52, CI = 1.17–1.97) were more inclined to consume fruits compared to those who did not adhere to any recommendations. Those who adhered to two recommendations exhibited reduced likelihoods of consuming soft drinks (OR = 0.62, CI: 0.46–0.81) and junk food (OR = 0.48, CI: 0.35–0.66), whereas adherence to one recommendation displayed a diminished likelihood of consuming junk food.</div></div><div><h3>Conclusion</h3><div>Although no significant association between adherence to all 24-hour movement guidelines and better eating habits was discerned, it was worth noting that adherence to both the recommendations for moderate-to-vigorous physical activity and screen time may have positive effects of improving eating habits.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101974"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834901","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":"Patient-centered approach to evaluating the role of medical cannabis in the treatment of chronic pain","authors":"Connie Liang , Sapna Basappa , Shannon Tucker , Kathleen J. Pincus","doi":"10.1016/j.ctcp.2025.101996","DOIUrl":"10.1016/j.ctcp.2025.101996","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Chronic pain negatively impacts quality of life and remains largely undertreated. Significant safety and efficacy concerns exist with common treatment options. Medical cannabis (MC) is a non-opioid alternative for chronic pain. Lack of consistent research has limited the incorporation of MC into standards of care for pain management. Patient engagement in informing additional research is needed to ensure patients, providers and policy makers can make informed decisions on MC use. This study aims to describe patients’ and community members' experiences, perspectives, beliefs, and concerns regarding utilizing MC to manage chronic pain and develop patient-centered research questions.</div></div><div><h3>Materials and methods</h3><div>This is a qualitative, descriptive, focus-group study of participants with chronic pain who had used MC, with chronic pain who had not used MC, and without chronic pain regardless of use of MC for other conditions utilizing an investigator-developed semi-structured facilitator questionnaire. Interviews were audio recorded, transcribed, and coded using NVivo 12 software. Thematic analysis using open and pattern coding was used to analyze responses.</div></div><div><h3>Results</h3><div>Twenty-eight individuals participated in this study. Key emerging themes included efficacy, safety, stigma, cost, convenience, government and legal considerations, and interactions with healthcare providers. Themes were similar among groups, but emphasis varied. A list of research questions was derived from identified themes.</div></div><div><h3>Conclusion</h3><div>Those choosing to use or not to use MC for treatment of their chronic pain continue to have unanswered questions about the efficacy, formulation and dosing selection, safety, cost, convenience, stigma and knowledge of their healthcare providers.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101996"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876945","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}
Sang Hyun Kim , Hyeon Muk Oh , Young Ho Lee , Chang-Gue Son
{"title":"Anatomical exploration of the PC8 acupoint through cadaveric Study: Implications for median and ulnar nerve stimulation","authors":"Sang Hyun Kim , Hyeon Muk Oh , Young Ho Lee , Chang-Gue Son","doi":"10.1016/j.ctcp.2025.101993","DOIUrl":"10.1016/j.ctcp.2025.101993","url":null,"abstract":"<div><h3>Background and objectives</h3><div>This study aimed to elucidate the neuroanatomical characteristics of the PC8 (Laogong) acupoint to enhance understanding of its therapeutic mechanisms.</div></div><div><h3>Materials and methods</h3><div>A detailed anatomical dissection of two cadavers conducted at the Chungnam National University College of Medicine examined the spatial relationship of the PC8 acupoint with the surrounding neural structures, muscles, and tendons in the palm.</div></div><div><h3>Results</h3><div>The palmar digital nerve, a branch of the median nerve, was located in the superficial layer of the PC8 acupoint. The deep branch of the ulnar nerve innervating the adductor pollicis is identified in the deep layer of the palm.</div></div><div><h3>Conclusion</h3><div>This study identified the neuroanatomical features of the PC8 acupoint, explaining how acupuncture at PC8 can lead to simultaneous activation of the median and ulnar nerves. These findings provide a robust anatomical basis for clinical applications, particularly for conditions involving neuromodulation.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101993"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878748","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}
Grace Lucas , Jacqueline Sin , Erica Cini , Frank Röhricht
{"title":"Body-oriented therapies for the treatment of eating disorders: A systematic review","authors":"Grace Lucas , Jacqueline Sin , Erica Cini , Frank Röhricht","doi":"10.1016/j.ctcp.2025.101997","DOIUrl":"10.1016/j.ctcp.2025.101997","url":null,"abstract":"<div><h3>Background and purpose</h3><div>People with eating disorders often experience disturbances of body experience across the domains of cognition, affect and perception. Some body-oriented therapies (BOT) – body-oriented psychological therapies (BOPT) and holistic body-oriented therapies (HBOT) – aim to improve mind-body connection and body experience and help people feel differently about managing their eating behaviours. This review aimed to identify and describe these BOT for eating disorders, investigate their effects and explore patients’ experiences.</div></div><div><h3>Methods</h3><div>A systematic review following PRISMA guidelines was conducted. Nine databases were systematically searched. Included studies focused on BOT used to treat people with an ED diagnosis. Joanna Briggs Institute's (JBI) Critical Appraisal Checklists were used to assess quality of included studies. Qualitative data on participants' experiences of BOT were synthesised using thematic synthesis and heterogeneous quantitative data synthesised narratively.</div></div><div><h3>Results</h3><div>21 BOT studies were included. Three out of four RCTs showed some reduction in eating disorder symptoms, improved attitude towards the body and emotional regulation. Other quantitative studies reported improvements including emotional regulation, interoceptive awareness, body perception, and ED symptomatology. Qualitative data found positive impact on participants’ subjective body experience. Variable study quality means caution is needed to interpret the impact of BOT on any outcomes.</div></div><div><h3>Conclusion</h3><div>BOT involves practice that takes time and requires repetition to make a longer-term or meaningful difference to participants' bodily experience and mind-body connection. Measures designed with a ‘top-down’ approach to understanding mental health might miss out on some of the embodied experiences that BOT are able to positively influence.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101997"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084281","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":"Can coenzyme Q10 supplementation reduce exercise-induced muscle damage and oxidative stress in athletes? A systematic review and meta-analysis","authors":"Hui Qu , Yueyao Qu","doi":"10.1016/j.ctcp.2025.102001","DOIUrl":"10.1016/j.ctcp.2025.102001","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Coenzyme Q10 (CoQ10) has been widely recognized for its potential antioxidative and cytoprotective properties. Oxidative stress and muscle damage can impair recovery in athletes. This meta-analysis evaluates the impact of CoQ10 supplementation on oxidative stress and muscle damage biomarkers in athletes.</div></div><div><h3>Materials and methods</h3><div>A systematic search of databases up to March 2025 identified controlled trials assessing the effects of CoQ10 on malondialdehyde (MDA), total antioxidant capacity (TAC), lactate dehydrogenase (LDH), and creatine kinase (CK). Random-effects model was performed to estimate mean differences (MD) with 95 % confidence intervals (CI).</div></div><div><h3>Results</h3><div>Seventeen trials with 440 participants were included. CoQ10 significantly reduced MDA levels (MD = −0.61 μmol/L; 95 % CI: 1.18 to −0.03; p = 0.04) and muscle damage biomarkers LDH (MD = −69.99 IU/L; 95 % CI: 131.93 to −8.05; p = 0.033) and CK (MD = −71.81 IU/L; 95 % CI: 124.33 to −19.3; p = 0.012). However, CoQ10 had no significant effect on TAC (MD = −0.17 mmol/L; 95 % CI: 0.77 to 0.43; p = 0.472). Subgroup analyses revealed duration- and dose-specific effects, particularly for reductions in LDH at 14 days and CK at doses ≥300 mg/day.</div></div><div><h3>Conclusion</h3><div>CoQ10 supplementation shows promise in reducing oxidative stress and muscle damage markers in athletes. Although effects on TAC were not significant and evidence quality remains low to very low, these findings suggest CoQ10 may serve as a supportive recovery strategy to mitigate exercise-induced oxidative and muscle damage. Further high-quality studies are warranted to confirm these findings.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 102001"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936073","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}
Delaney C. Bilodeau, Victoria A. Shivy, Suzanne E. Mazzeo
{"title":"Perceptions of complementary health approaches: A cross-sectional comparison of clinical practice and research only trainees","authors":"Delaney C. Bilodeau, Victoria A. Shivy, Suzanne E. Mazzeo","doi":"10.1016/j.ctcp.2025.101980","DOIUrl":"10.1016/j.ctcp.2025.101980","url":null,"abstract":"<div><h3>Background <em>and Purpose</em></h3><div>Complementary health approaches (CHAs) encompass a diverse range of practices used both independently and alongside conventional medical treatments. Understanding how graduate students across disciplines perceive CHAs is important because these trainees will occupy roles as clinical practitioners, medical researchers, healthcare policy makers, and consumers. The purpose of this research was to (a) explore differences in perceptions of CHAs across disciplines, (b) examine differences between medical versus mental health trainees’ willingness to recommend CHAs, and (c) determine whether an association exists between descriptive terminology and willingness to recommend CHAs.</div></div><div><h3>Materials and methods</h3><div>Ratings of familiarity, perceptions of legitimacy, and willingness to recommend CHAs were examined among graduate trainees (<em>N</em> = 416). Responses from (a) clinical practice versus (b) research only trainees; and, within clinical fields, (c) medical versus (d) mental health trainees were compared via sequential rank agreement.</div></div><div><h3>Results</h3><div>Clinical practice trainees were more familiar with CHAs than research only trainees. Mental health trainees were most familiar with CHAs and perceived them as more legitimate than medical trainees. Perceptions of CHA legitimacy positively correlated with willingness to recommend across disciplines. Medical trainees associated CHAs with the term “alternative; ” mental health trainees characterized them as “complementary.” Association with “complementary” correlated with increased willingness to recommend.</div></div><div><h3>Conclusion</h3><div>Mental health trainees characterize CHAs as “complementary; ” they are also most likely to perceive CHAs as legitimate and to recommend them in practice. Clinical trainees and providers might be more likely to integrate CHAs into practice if characterized as “legitimate” and “complementary.”</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101980"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799958","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}
Andresa R. Marinho-Buzelli , Abirami Vijayakumar , Marina B. Wasilewski , Elizabeth Linkewich , Sander L. Hitzig
{"title":"Implementation considerations of aquatic therapy post-stroke: A qualitative study from Ontario, Canada","authors":"Andresa R. Marinho-Buzelli , Abirami Vijayakumar , Marina B. Wasilewski , Elizabeth Linkewich , Sander L. Hitzig","doi":"10.1016/j.ctcp.2025.101984","DOIUrl":"10.1016/j.ctcp.2025.101984","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Aquatic therapy is an effective alternative approach to therapy on land in facilitating mobility and independence after a stroke. Despite the evidence reporting on the effectiveness of many aquatic interventions, there is a lack of studies elucidating essential implementation factors for aquatic therapy post-stroke.</div></div><div><h3>Materials and methods</h3><div>A purposive sample of people with lived experience of stroke and healthcare providers participated in semi-structured interviews about their experiences with aquatic therapy. A deductive content analysis approach using the Consolidated Framework for Implementation Research (CFIR) was used to identify the essential aspects of aquatic therapy implementation post-stroke.</div></div><div><h3>Results</h3><div>Twenty-three participants (9 people with stroke experience and 14 healthcare providers) participated in the study, from across the province of Ontario in Canada. The interview data were all relevant to the five main CFIR constructs and to some of the sub-constructs. Although participants were highly favorable to aquatic therapy, several implementation considerations in terms of costs, program structure, provider qualifications, and pool access were identified at the patient, provider, and system level.</div></div><div><h3>Conclusion</h3><div>The CFIR proved valuable in identifying contextual factors relevant to implementing aquatic therapy with the stroke population. These factors included the importance of education, barriers to accessing aquatic therapy in rehabilitation and community settings, and internal and external factors influencing the application of aquatic therapy post-stroke.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"60 ","pages":"Article 101984"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858890","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}
Zhuping Ren , Liyue He , Xiaoran Li , Lingxiang Yan , Zhuying Ren , Xiaolei Liu
{"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 , Liyue He , Xiaoran Li , Lingxiang Yan , Zhuying Ren , 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":"2025-05-01","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}
Gilmara Holanda da Cunha , Ane Kelly Lima Ramalho , Maiara Bezerra Dantas , Maria Elisa Curado Gomes , Vanessa Sousa dos Santos , Ivana Cristina Vieira de Lima Maia , Carolina Maria de Lima Carvalho , Wilson Correia de Abreu
{"title":"Auriculotherapy for people with sleep disorders: A systematic review","authors":"Gilmara Holanda da Cunha , Ane Kelly Lima Ramalho , Maiara Bezerra Dantas , Maria Elisa Curado Gomes , Vanessa Sousa dos Santos , Ivana Cristina Vieira de Lima Maia , Carolina Maria de Lima Carvalho , Wilson Correia de Abreu","doi":"10.1016/j.ctcp.2025.101976","DOIUrl":"10.1016/j.ctcp.2025.101976","url":null,"abstract":"<div><h3>Background</h3><div><em>and purpose</em>: Considering the importance of analyzing the evidence of complementary and alternative medicine practices, this study aimed to evaluate clinical trials on auriculotherapy in people with sleep disorders.</div></div><div><h3>Methods</h3><div>Systematic review carried out in eight databases: Scopus, MEDLINE, LILACS, IBECS, EMBASE, The Cochrane Library, PsycINFO and Web of Science. The recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement were followed. Bias analysis of the studies was carried with the Risk-of-Bias Tool For Randomized Trials (RoB2). The quality of the systematic review was assessed by using AMSTAR 2 (A MeaSurement Tool to Assess Systematic Reviews). The inclusion criteria were randomized clinical trial, without restrictions on language or publication date, using auriculotherapy in people with sleep disorders.</div></div><div><h3>Results</h3><div>A total of 464 articles were identified, and 14 were included in the study. The studies evaluated the efficacy of auriculotherapy in improving sleep quality in older people, perimenopausal and postmenopausal women, breast cancer survivors, college students, people with dependence on heroin and other substances, and veteran soldiers with posttraumatic stress disorder, and in the treatment of insomnia, anxiety and depression in adults. The 14 studies had some risk of bias. The rating of the methodological quality of the review by AMSTAR 2 was considered high.</div></div><div><h3>Conclusion</h3><div>Auriculotherapy had positive effects individually and when combined with conventional treatments for insomnia.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101976"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714293","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}