Statistical method
All statistical analyses were performed using SPSS 25.0. For normally-distributed numerical variables, one-way analysis of variance (ANOVA) was used to compare differences between groups, and paired Student’s t-tests were used before and after treatment to assess differences in intra-group outcome measures. For non-normally distributed variables, the Kruskal–Wallis test was used to compare intergroup differences, and the Wilcoxon signed-rank test was used to assess differences in intra-group outcome measures before and after the interventions. The Bonferroni method was used for 