Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial

Background : Cupping therapy is used to treat musculoskeletal conditions, including low back pain. Objectives: The study assessed the effects of dry cupping on pain and functional disability from persistent nonspecific low back pain. Methods : This was a randomized controlled trial, where participan...

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Main Authors: Marianna de Melo Salemi, Vanessa Maria da Silva Alves Gomes, Laylla Marjorye Rebouças Bezerra, Thania Maion de Souza Melo, Geisa Guimarães de Alencar, Iracema Hermes Pires de Mélo Montenegro, Alessandra Paula de Melo Calado, Eduardo José Nepomuceno Montenegro, Gisela Rocha de Siqueira
Format: Article
Language:English
Published: Medical Association of Pharmacopuncture Institute 2021-12-01
Series:Journal of Acupuncture & Meridian Studies
Subjects:
Online Access:https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.6.219
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author Marianna de Melo Salemi
Vanessa Maria da Silva Alves Gomes
Laylla Marjorye Rebouças Bezerra
Thania Maion de Souza Melo
Geisa Guimarães de Alencar
Iracema Hermes Pires de Mélo Montenegro
Alessandra Paula de Melo Calado
Eduardo José Nepomuceno Montenegro
Gisela Rocha de Siqueira
author_facet Marianna de Melo Salemi
Vanessa Maria da Silva Alves Gomes
Laylla Marjorye Rebouças Bezerra
Thania Maion de Souza Melo
Geisa Guimarães de Alencar
Iracema Hermes Pires de Mélo Montenegro
Alessandra Paula de Melo Calado
Eduardo José Nepomuceno Montenegro
Gisela Rocha de Siqueira
author_sort Marianna de Melo Salemi
collection DOAJ
description Background : Cupping therapy is used to treat musculoskeletal conditions, including low back pain. Objectives: The study assessed the effects of dry cupping on pain and functional disability from persistent nonspecific low back pain. Methods : This was a randomized controlled trial, where participants were allocated to a cupping therapy (n = 19) or sham (n = 18) group, for five 10-minute sessions of cupping therapy, twice a week, to stimulate the acupoints related to low back pain (GV4, BL23, BL24, BL25, and BL30, BL40 and BL58) and emotional aspects (HT3 and ST36). All participants were assessed at baseline, post-treatment and follow up (a finalization period of four weeks) using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Groups were compared using the analysis of covariance (ANCOVA) and the effect size was calculated using Cohen̓s d. Results : The cupping therapy group presented a lower mean VAS when compared to the sham, at post-treatment (mean difference: -2.36; standard error [SE]: 0.58; p < 0.001; “large” effect size: -0.94) and follow up (mean difference: -1.71; SE: 0.81; p < 0.042; ‘large’ effect size: -0.83). The cupping therapy group presented a lower mean ODI when compared to the sham post-treatment (mean difference: -4.68; SE: 1.85; p: 0.017; ‘large’ effect size: -0.87), although in follow-up, there was no difference between the groups (mean difference: 4.16; SE: 2.97; p: 0.17; “medium” effect size: -0.70). Conclusion : Dry cupping was more effective in improving pain and functional disability in people with persistent nonspecific low back pain when compared to the sham.
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spelling doaj.art-665c937b2a054dd3a70d8f96228f9e632023-01-06T01:41:40ZengMedical Association of Pharmacopuncture InstituteJournal of Acupuncture & Meridian Studies2005-29012021-12-0114621923010.51507/j.jams.2021.14.6.219j.jams.2021.14.6.219Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical TrialMarianna de Melo Salemi0Vanessa Maria da Silva Alves Gomes1Laylla Marjorye Rebouças Bezerra2Thania Maion de Souza Melo3Geisa Guimarães de Alencar4Iracema Hermes Pires de Mélo Montenegro5Alessandra Paula de Melo Calado6Eduardo José Nepomuceno Montenegro7Gisela Rocha de Siqueira8Department of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Nutrition, University of Pernambuco, Petrolina, BrazilDepartment of Surgery, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilDepartment of Physiotherapy, Federal University of Pernambuco, Recife, BrazilBackground : Cupping therapy is used to treat musculoskeletal conditions, including low back pain. Objectives: The study assessed the effects of dry cupping on pain and functional disability from persistent nonspecific low back pain. Methods : This was a randomized controlled trial, where participants were allocated to a cupping therapy (n = 19) or sham (n = 18) group, for five 10-minute sessions of cupping therapy, twice a week, to stimulate the acupoints related to low back pain (GV4, BL23, BL24, BL25, and BL30, BL40 and BL58) and emotional aspects (HT3 and ST36). All participants were assessed at baseline, post-treatment and follow up (a finalization period of four weeks) using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Groups were compared using the analysis of covariance (ANCOVA) and the effect size was calculated using Cohen̓s d. Results : The cupping therapy group presented a lower mean VAS when compared to the sham, at post-treatment (mean difference: -2.36; standard error [SE]: 0.58; p < 0.001; “large” effect size: -0.94) and follow up (mean difference: -1.71; SE: 0.81; p < 0.042; ‘large’ effect size: -0.83). The cupping therapy group presented a lower mean ODI when compared to the sham post-treatment (mean difference: -4.68; SE: 1.85; p: 0.017; ‘large’ effect size: -0.87), although in follow-up, there was no difference between the groups (mean difference: 4.16; SE: 2.97; p: 0.17; “medium” effect size: -0.70). Conclusion : Dry cupping was more effective in improving pain and functional disability in people with persistent nonspecific low back pain when compared to the sham.https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.6.219low back paindisabled personscuppingsham treatment
spellingShingle Marianna de Melo Salemi
Vanessa Maria da Silva Alves Gomes
Laylla Marjorye Rebouças Bezerra
Thania Maion de Souza Melo
Geisa Guimarães de Alencar
Iracema Hermes Pires de Mélo Montenegro
Alessandra Paula de Melo Calado
Eduardo José Nepomuceno Montenegro
Gisela Rocha de Siqueira
Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
Journal of Acupuncture & Meridian Studies
low back pain
disabled persons
cupping
sham treatment
title Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
title_full Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
title_fullStr Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
title_full_unstemmed Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
title_short Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial
title_sort effect of dry cupping therapy on pain and functional disability in persistent non specific low back pain a randomized controlled clinical trial
topic low back pain
disabled persons
cupping
sham treatment
url https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.6.219
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