Medical Acupuncture, Journal Year: 2021, Volume and Issue: 33(5), P. 366 - 368
Published: Oct. 1, 2021
Language: Английский
Healthcare, Journal Year: 2021, Volume and Issue: 9(3), P. 257 - 257
Published: March 1, 2021
Traditional Chinese medicine (TCM) is a systematic healthcare system developed from clinical experience based on scientific model of regulation. TCM relies unique theories and practices to treat diseases enhance health. These include herbal dietetics, acupuncture moxibustion, other non-medication therapies such as bodywork or manual therapy, known “Tuina”, traditional biofeedback exercises, “Qigong” “Taijiquan”. The integration in Western health systems research requires rational communicable theory, proof efficacy safety, quality control measures. Understanding the structural concepts language makes possible parallelism physiology, inherent use reflex therapeutic systems, anti-inflammatory mechanisms mental training involved, for example, “Qigong”. results trials fundamental its nature have encouraged development application well-designed strategies double blinding acupucture overcome limitations resistances integrating these into existing biomedical paradigms West. This review aims overview some theoretical evidence-based TCM’s leading create an easy-to-consult condensed source information, available community, facilitating understanding communication between conventional professionals practitioners acupuncturists.
Language: Английский
Citations
158
Journal of Pain, Journal Year: 2021, Volume and Issue: 22(9), P. 1015 - 1039
Published: April 14, 2021
Language: Английский
Citations
68
Journal of Orthopaedic Surgery and Research, Journal Year: 2022, Volume and Issue: 17(1)
Published: June 20, 2022
Abstract Background This Bayesian network meta-analysis investigated the available randomized control trials (RCTs) to point out which acupuncture protocol is most effective for chronic aspecific low back pain (LBP). Efficacy was measured in terms of (Visual Analogic Scale, VAS) and disability (Roland Morris Disability Questionnaire, RMQ), Transcutaneous Electrical Nerve Stimulation (TENS). Methods PubMed, Google scholar, Embase, Scopus were accessed March 2022. All RCTs comparing two or more modalities LBP accessed. Only studies efficacy on patients with symptoms lasting a minimum 1.5 months, at least three episodes previous 12 considered eligible. The Review Manager Software (The Nordic Cochrane Collaboration, Copenhagen) used methodological quality assessment. STATA Software/MP, Version 14.1 (StataCorporation, College Station, Texas, USA), statistical analyses. NMA performed through routine hierarchical random-effects model analysis. Results Data from 44 (8338 procedures) retrieved. 56% women. mean age 48 ± 10.6 years. BMI 26.3 2.2 kg/m 2 . individual group (95% confidence interval (CI) 2.02, 7.98) standard combined TENS CI 2.03, 7.97) demonstrated highest improvement RMQ. VAS score lower 3.28, 4.56). Considering group, different similar protocols points results could thus be compared. equation global linearity did not find any statistically significant inconsistency comparison. Conclusion Verum than sham treatment non-pharmacological management LBP. Among verum protocols, individualized that resulted life. Level Evidence I, RCTs.
Language: Английский
Citations
35
Drugs & Aging, Journal Year: 2022, Volume and Issue: 39(7), P. 523 - 550
Published: June 27, 2022
Language: Английский
Citations
31
Journal of Pain Research, Journal Year: 2025, Volume and Issue: Volume 18, P. 647 - 661
Published: Feb. 1, 2025
Objective: To assess whether Whole Health, a system of care that emphasizes non-pharmacological approaches for chronic pain management, is associated with changes in downstream utilization invasive treatment procedures. Methods: Longitudinal retrospective cohort analysis VHA administrative data. A total 53,412 Veterans were identified between April and September 2018, 584 initiating Health 3794 complementary integrative health (CIH) therapy independent (CIH-only). included use coaching, personal planning, other services including CIH referral. therapies chiropractic care, acupuncture, massage therapy, yoga, Tai Chi/Qigong, meditation. Propensity score matching was used to estimate expected rates procedures 0– 3, 4– 12, 13– 18 months after or CIH-only compared similar who had not engaged either. Results: Overall, 14% the population female, 11% received prior spine injections, 3.3% surgery, 0.4% an implantable spinal stimulator. 42% (− 61% − 17%) lower at three matched patients did Health. This reduction attenuated months: 22% 39% 5%). 18% 29% 4%) patients, but differences minimal 1% 9% 9%). Discussion: therapies, may help interrupt patterns escalating care. Keywords: pain, health, procedures, whole veterans
Language: Английский
Citations
0
Annals of Internal Medicine, Journal Year: 2024, Volume and Issue: unknown
Published: Sept. 2, 2024
Long-term effects of individualized acupuncture in persons with chronic neck pain (CNP) remain unknown.
Language: Английский
Citations
3
Journal of Back and Musculoskeletal Rehabilitation, Journal Year: 2025, Volume and Issue: unknown
Published: May 5, 2025
Background Chronic spinal pain (CSP) is a major global health challenge. Virtual reality-based training (VRBT) shows promise as complementary intervention for exercise therapy (ET). Objective This review aimed to provide conclusive evidence on the effectiveness of ET with and without incorporation VRBT CSP. Methods We systematically searched six electronic databases relevant randomized controlled trials (RCTs) available July 1, 2024. Two independent reviewers conducted literature screening, quality assessment, data extraction processes. Quantitative syntheses used Review Manager 5.4 Stata 15.1. Results analysis included 14 RCTs encompassing 554 participants. Incorporating into significantly enhanced efficacy intensity kinesiophobia both immediately after phase (MD = –1.29, 95% CI: −1.83 −0.75, p < 0.001; SMD –1.04, −1.95 −0.13, 0.001) at follow-up –1.44, −2.60 −0.29, 0.01; –1.85, −3.54 −0.15, 0.03). For disability, showed greater only (SMD –1.02, −1.92 0.02). Descriptive analyses that can further enhance in reducing depression anxiety, key components negative emotions. However, this study faced limitations such high heterogeneity (I²>90%) relatively short durations (up months), which may impact generalizability these findings. Conclusions Current suggests serve valuable complement ET, providing additional benefits CSP patients, particularly management, functional rehabilitation, psychological targeting
Language: Английский
Citations
0
Journal of Pain, Journal Year: 2023, Volume and Issue: 24(5), P. 860 - 873
Published: Jan. 9, 2023
Integrated pain management (IPM) programs can help to reduce the substantial population health burden of musculoskeletal pain, but are poorly implemented. Lessons learned from existing inform efforts expand IPM implementation. This qualitative study describes how care systems, payers, providers, policy researchers, and other stakeholders overcoming barriers developing sustaining in real-world settings. Primary data were collected February 2020 through September 2021 a multi-sector expert panel 25 stakeholders, 53 interviews representing 30 distinct across United States, 4 original case studies exemplar programs. We use consensual team-based approach systematically analyze findings. identified major themes around challenges potential solutions for implementing programs: navigating coverage, payment, reimbursement; enacting organizational change; making business stakeholders; regulatory hurdles. Strategies address payment included group visits, linked visits between billable nonbillable development value-based models. Organizational change strategies engagement clinical administrative champions co-location services. Business involved demonstrating ability initially break even downstream costs, while improving nonfinancial outcomes like patient satisfaction provider burnout. Regulatory hurdles overcome with innovative credentialing methods by leveraging available waivers managed contracting access provide direction on grow support such delivery models variety PERSPECTIVE: face numerous implementation related change, coordination, requirements. Drawing experiences diverse we outline actionable that payers these
Language: Английский
Citations
7
Journal of Pain Research, Journal Year: 2024, Volume and Issue: Volume 17, P. 1423 - 1439
Published: April 1, 2024
Purpose: To determine the efficacy and safety of a neuromodulation intervention regimen in treatment chemotherapy-induced peripheral neuropathy (CIPN).Patients Methods: Systematic searches were conducted seven English databases.Randomized controlled trials all interventions (both invasive non-invasive) for CIPN selected.Group comparisons differences between controls also made.We divided outcomes into immediate-term effect (≤3 weeks), short-term (3 weeks to ≤3 months), long-term (>3 months).Results: Sixteen studies 946 patients with included.Among effects, superior usual care improving pain (SMD=-0.77,95% CI -1.07~ 0.47), FACT-Ntx (MD = 5.35, 95% 2.84~ 7.87), QOL (SMD 0.44, 0.09~ 0.79) (moderate certainty); loaded was (SMD=-0.47,95% -0.71 ~ -0.23), 0.40, 0.12 0.69) certainty).There no statistically significant vs short-and sham stimulation from any outcome measure.There mild adverse events such as at site bruising, serious reported.Conclusion: Neuromodulation had but not been shown be stimulation; could determined because there too few original RCTs.Moreover, are effects this therapy.
Language: Английский
Citations
2
Geriatric Nursing, Journal Year: 2024, Volume and Issue: 57, P. 123 - 131
Published: April 18, 2024
Language: Английский
Citations
2