Statistics
Data analysis was conducted using IBM SPSS Statistics for Windows, Version 27.0 (IBM Corp., Armonk, NY, USA). The normal distribution of the data was checked using the Kolmogorov–Smirnov test. Independent samples t-test was applied to examine differences in baseline measures between the groups. To analyze the effect of time and group on the outcomes, a mixed-design analysis of variance (ANOVA) was employed. Post-hoc analyses, as appropriate, were performed using one-way ANOVA with Bonferroni correction. A significance level of 