Research Article
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Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain

Year 2022, Volume: 39 Issue: 4, 948 - 953, 29.10.2022

Abstract

Background: Cupping therapy is a traditional therapy treatment used since ancient era. It is a therapy of alternate medicine, gaining popularity in physical medicine because of minimal adverse effects, reduction in pain and muscle tenderness. Very little literature is available on the combine effect of cupping therapy and conventional physical therapy in order to treat low back pain in female patients.
Aim: To evaluate effects of cupping therapy combined with conventional Physical therapy in order to improve the pain and health related quality of life among female patients with low back pain.
Experimental Procedure: Randomized control trial done on diagnosed cases of 40 low back pain female patients in Fauji Foundation Hospital, Rawalpindi. Experimental Group (A) received cupping therapy once every two weeks for 4 weeks combined with conventional physical therapy including hot pack, interferential therapy and strengthening exercises for back done 3 times per week for 4 weeks. Control group (B) did not received cupping therapy, only conventional Physical therapy was given and their outcomes were observed at the baseline and at the end of 4 weeks sessions.
Results: Results showed significant improvement in the measured variables of pain and low back disability as well as in physical health, psychological health, and social relations whereas no such significant improvement was seen in environmental health.
Conclusion: Combined effect of cupping therapy along with conventional physical therapy helps in reducing not only low back pain symptoms but also improve the health related quality of life among female patients.

Supporting Institution

Foundation University College of Physical Therapy

Project Number

NCT05007119

Thanks

Looking forward to a positive response

References

  • Mäntyselkä P, Kumpusalo E, Ahonen R, Kumpusalo A, Kauhanen J, Viinamäki H, et al. Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain. 2001;89(2-3):175-80.
  • Goldberg DS, McGee SJ. Pain as a global public health priority. BMC public health. 2011;11(1):1-5.
  • Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. European journal of pain. 2006;10(4):287-333.
  • Dureja GP, Jain PN, Shetty N, Mandal SP, Prabhoo R, Joshi M, et al. Prevalence of chronic pain, impact on daily life, and treatment practices in India. Pain Practice. 2014;14(2):E51-E62.
  • Manek NJ, MacGregor A. Epidemiology of back disorders: prevalence, risk factors, and prognosis. Current opinion in rheumatology. 2005;17(2):134-40.
  • Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J. Prevalence of low back pain in children and adolescents: a meta-analysis. BMC pediatrics. 2013;13(1):14.
  • Sielski R, Rief W, Glombiewski JA. Efficacy of biofeedback in chronic back pain: a meta-analysis. International journal of behavioral medicine. 2017;24(1):25-41.
  • Bergström G, Hagberg J, Busch H, Jensen I, Björklund C. Prediction of sickness absenteeism, disability pension and sickness presenteeism among employees with back pain. Journal of occupational rehabilitation. 2014;24(2):278-86.
  • Gore M, Sadosky A, Stacey BR, Tai K-S, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37(11):E668-E77.
  • Sita Ananth M. Complementary Alternative Medicine Survey of Hospitals-Summary of Results. Alexandria, VA: Samueli Institute. 2011.
  • Wang Y-T, Qi Y, Tang F-Y, Li F-M, Li Q-H, Xu C-P, et al. The effect of cupping therapy for low back pain: A meta-analysis based on existing randomized controlled trials. Journal of back and musculoskeletal rehabilitation. 2017;30(6):1187-95.
  • Aboushanab TS, AlSanad S. Cupping therapy: an overview from a modern medicine perspective. Journal of acupuncture and meridian studies. 2018;11(3):83-7.
  • Cao H, Li X, Yan X, Wang NS, Bensoussan A, Liu J. Cupping therapy for acute and chronic pain management: a systematic review of randomized clinical trials. Journal of Traditional Chinese Medical Sciences. 2014;1(1):49-61.
  • Silveira APdB, Nagel LZ, Pereira DD, Morita ÂK, Spinoso DH, Navega MT, et al. Efeito imediato de uma sessão de treinamento do método Pilates sobre o padrão de cocontração dos músculos estabilizadores do tronco em indivíduos com e sem dor lombar crônica inespecífica. Fisioterapia e Pesquisa. 2018;25(2):173-81.
  • Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, et al. Pulsatile dry cupping in chronic low back pain–a randomized three-armed controlled clinical trial. BMC complementary and alternative medicine. 2018;18(1):115.
  • Kim J-I, Kim T-H, Lee MS, Kang JW, Kim KH, Choi J-Y, et al. Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial. Trials. 2011;12(1):146.
  • de Morais Kobill AF, de Almeida Silveira AL, de Lima AI, Paidosz A, Siqueira AF, Penteado D, et al. Influência da estabilização segmentar core na dor e funcionalidade da coluna lombar. Fisioterapia Brasil. 2017;18(2):148-53.
  • Cao H, Li X, Liu J. An updated review of the efficacy of cupping therapy. PloS one. 2012;7(2):e31793.
  • Qureshi NA, Ali GI, Abushanab TS, El-Olemy AT, Alqaed MS, El-Subai IS, et al. History of cupping (Hijama): a narrative review of literature. Journal of integrative medicine. 2017;15(3):172-81.
  • Kim J-I, Lee MS, Lee D-H, Boddy K, Ernst E. Cupping for treating pain: a systematic review. Evidence-Based Complementary and Alternative Medicine. 2011;2011.
  • Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complementary therapies in medicine. 2009;17(1):9-15.
  • Rubinstein SM, van Middelkoop M, Kuijpers T, Ostelo R, Verhagen AP, de Boer MR, et al. A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. European Spine Journal. 2010;19(8):1213-28.
  • Kanodia AK, Legedza AT, Davis RB, Eisenberg DM, Phillips RS. Perceived benefit of complementary and alternative medicine (CAM) for back pain: a national survey. The Journal of the American Board of Family Medicine. 2010;23(3):354-62.
  • Prince MJ, Wu F, Guo Y, Robledo LMG, O'Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. The Lancet. 2015;385(9967):549-62.
  • Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, et al. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. Revista brasileira de reumatologia. 2016;56:258-69.
  • Arslan M, Gökgöz N, Dane Ş. The effect of traditional wet cupping on shoulder pain and neck pain: A pilot study. Complementary therapies in clinical practice. 2016;23:30-3.
  • Spinoso DH, Pereira LC. Effect of cupping therapy on the level of pain and neuromuscular variables in women with low back pain. Manual Therapy, Posturology & Rehabilitation Journal. 2020;18:1-8.
  • Guedes KN, dos Santos RR, de Sá DPC. EFICÁCIA DA OSTEOPATIA NA LOMBALGIA INESPECÍFICA COMPARADA A FISIOTERAPIA CONVENCIONAL. HÍGIA-REVISTA DE CIÊNCIAS DA SAÚDE E SOCIAIS APLICADAS DO OESTE BAIANO. 2021;6(1).
  • Al-Bedah AM, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GI, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. Journal of traditional and complementary medicine. 2019;9(2):90-7.
  • Buse DC, Rupnow MF, Lipton RB, editors. Assessing and managing all aspects of migraine: migraine attacks, migraine-related functional impairment, common comorbidities, and quality of life. Mayo Clinic Proceedings; 2009: Elsevier.
  • Barcaccia B, Esposito G, Matarese M, Bertolaso M, Elvira M, De Marinis MG. Defining quality of life: a wild-goose chase? 2013.
  • Lauche R, Cramer H, Langhorst J, Dobos G. Cupping for chronic nonspecific neck pain: a 2-year follow-up. Complementary Medicine Research. 2013;20(5):328-33.
  • Lauche R, Cramer H, Hohmann C, Choi K-E, Rampp T, Saha FJ, et al. The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: a randomised controlled pilot study. Evidence-Based Complementary and Alternative Medicine. 2012;2012.
  • Al Jaouni SK, El-Fiky EA, Mourad SA, Ibrahim NK, Kaki AM, Rohaiem SM, et al. The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital. Saudi medical journal. 2017;38(1):53.
Year 2022, Volume: 39 Issue: 4, 948 - 953, 29.10.2022

Abstract

Project Number

NCT05007119

References

  • Mäntyselkä P, Kumpusalo E, Ahonen R, Kumpusalo A, Kauhanen J, Viinamäki H, et al. Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain. 2001;89(2-3):175-80.
  • Goldberg DS, McGee SJ. Pain as a global public health priority. BMC public health. 2011;11(1):1-5.
  • Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. European journal of pain. 2006;10(4):287-333.
  • Dureja GP, Jain PN, Shetty N, Mandal SP, Prabhoo R, Joshi M, et al. Prevalence of chronic pain, impact on daily life, and treatment practices in India. Pain Practice. 2014;14(2):E51-E62.
  • Manek NJ, MacGregor A. Epidemiology of back disorders: prevalence, risk factors, and prognosis. Current opinion in rheumatology. 2005;17(2):134-40.
  • Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J. Prevalence of low back pain in children and adolescents: a meta-analysis. BMC pediatrics. 2013;13(1):14.
  • Sielski R, Rief W, Glombiewski JA. Efficacy of biofeedback in chronic back pain: a meta-analysis. International journal of behavioral medicine. 2017;24(1):25-41.
  • Bergström G, Hagberg J, Busch H, Jensen I, Björklund C. Prediction of sickness absenteeism, disability pension and sickness presenteeism among employees with back pain. Journal of occupational rehabilitation. 2014;24(2):278-86.
  • Gore M, Sadosky A, Stacey BR, Tai K-S, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37(11):E668-E77.
  • Sita Ananth M. Complementary Alternative Medicine Survey of Hospitals-Summary of Results. Alexandria, VA: Samueli Institute. 2011.
  • Wang Y-T, Qi Y, Tang F-Y, Li F-M, Li Q-H, Xu C-P, et al. The effect of cupping therapy for low back pain: A meta-analysis based on existing randomized controlled trials. Journal of back and musculoskeletal rehabilitation. 2017;30(6):1187-95.
  • Aboushanab TS, AlSanad S. Cupping therapy: an overview from a modern medicine perspective. Journal of acupuncture and meridian studies. 2018;11(3):83-7.
  • Cao H, Li X, Yan X, Wang NS, Bensoussan A, Liu J. Cupping therapy for acute and chronic pain management: a systematic review of randomized clinical trials. Journal of Traditional Chinese Medical Sciences. 2014;1(1):49-61.
  • Silveira APdB, Nagel LZ, Pereira DD, Morita ÂK, Spinoso DH, Navega MT, et al. Efeito imediato de uma sessão de treinamento do método Pilates sobre o padrão de cocontração dos músculos estabilizadores do tronco em indivíduos com e sem dor lombar crônica inespecífica. Fisioterapia e Pesquisa. 2018;25(2):173-81.
  • Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, et al. Pulsatile dry cupping in chronic low back pain–a randomized three-armed controlled clinical trial. BMC complementary and alternative medicine. 2018;18(1):115.
  • Kim J-I, Kim T-H, Lee MS, Kang JW, Kim KH, Choi J-Y, et al. Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial. Trials. 2011;12(1):146.
  • de Morais Kobill AF, de Almeida Silveira AL, de Lima AI, Paidosz A, Siqueira AF, Penteado D, et al. Influência da estabilização segmentar core na dor e funcionalidade da coluna lombar. Fisioterapia Brasil. 2017;18(2):148-53.
  • Cao H, Li X, Liu J. An updated review of the efficacy of cupping therapy. PloS one. 2012;7(2):e31793.
  • Qureshi NA, Ali GI, Abushanab TS, El-Olemy AT, Alqaed MS, El-Subai IS, et al. History of cupping (Hijama): a narrative review of literature. Journal of integrative medicine. 2017;15(3):172-81.
  • Kim J-I, Lee MS, Lee D-H, Boddy K, Ernst E. Cupping for treating pain: a systematic review. Evidence-Based Complementary and Alternative Medicine. 2011;2011.
  • Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complementary therapies in medicine. 2009;17(1):9-15.
  • Rubinstein SM, van Middelkoop M, Kuijpers T, Ostelo R, Verhagen AP, de Boer MR, et al. A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. European Spine Journal. 2010;19(8):1213-28.
  • Kanodia AK, Legedza AT, Davis RB, Eisenberg DM, Phillips RS. Perceived benefit of complementary and alternative medicine (CAM) for back pain: a national survey. The Journal of the American Board of Family Medicine. 2010;23(3):354-62.
  • Prince MJ, Wu F, Guo Y, Robledo LMG, O'Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. The Lancet. 2015;385(9967):549-62.
  • Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, et al. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. Revista brasileira de reumatologia. 2016;56:258-69.
  • Arslan M, Gökgöz N, Dane Ş. The effect of traditional wet cupping on shoulder pain and neck pain: A pilot study. Complementary therapies in clinical practice. 2016;23:30-3.
  • Spinoso DH, Pereira LC. Effect of cupping therapy on the level of pain and neuromuscular variables in women with low back pain. Manual Therapy, Posturology & Rehabilitation Journal. 2020;18:1-8.
  • Guedes KN, dos Santos RR, de Sá DPC. EFICÁCIA DA OSTEOPATIA NA LOMBALGIA INESPECÍFICA COMPARADA A FISIOTERAPIA CONVENCIONAL. HÍGIA-REVISTA DE CIÊNCIAS DA SAÚDE E SOCIAIS APLICADAS DO OESTE BAIANO. 2021;6(1).
  • Al-Bedah AM, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GI, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. Journal of traditional and complementary medicine. 2019;9(2):90-7.
  • Buse DC, Rupnow MF, Lipton RB, editors. Assessing and managing all aspects of migraine: migraine attacks, migraine-related functional impairment, common comorbidities, and quality of life. Mayo Clinic Proceedings; 2009: Elsevier.
  • Barcaccia B, Esposito G, Matarese M, Bertolaso M, Elvira M, De Marinis MG. Defining quality of life: a wild-goose chase? 2013.
  • Lauche R, Cramer H, Langhorst J, Dobos G. Cupping for chronic nonspecific neck pain: a 2-year follow-up. Complementary Medicine Research. 2013;20(5):328-33.
  • Lauche R, Cramer H, Hohmann C, Choi K-E, Rampp T, Saha FJ, et al. The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: a randomised controlled pilot study. Evidence-Based Complementary and Alternative Medicine. 2012;2012.
  • Al Jaouni SK, El-Fiky EA, Mourad SA, Ibrahim NK, Kaki AM, Rohaiem SM, et al. The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital. Saudi medical journal. 2017;38(1):53.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Nida Kiani 0000-0002-2604-8956

Furqan Ahmed Siddiqi 0000-0003-1849-8276

Warda Ajaz Qazi 0000-0002-7305-2691

Ruqia Begum 0000-0002-3032-5661

Shoaib Kayani 0000-0002-9450-2831

Arva Naeem 0000-0002-5629-0647

Sanna Pervaiz 0000-0002-8743-8800

Project Number NCT05007119
Publication Date October 29, 2022
Submission Date May 27, 2022
Acceptance Date July 8, 2022
Published in Issue Year 2022 Volume: 39 Issue: 4

Cite

APA Kiani, N., Siddiqi, F. A., Qazi, W. A., Begum, R., et al. (2022). Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain. Journal of Experimental and Clinical Medicine, 39(4), 948-953.
AMA Kiani N, Siddiqi FA, Qazi WA, Begum R, Kayani S, Naeem A, Pervaiz S. Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain. J. Exp. Clin. Med. October 2022;39(4):948-953.
Chicago Kiani, Nida, Furqan Ahmed Siddiqi, Warda Ajaz Qazi, Ruqia Begum, Shoaib Kayani, Arva Naeem, and Sanna Pervaiz. “Cupping Therapy Combined With Conventional Physical Therapy Improves Pain and Health Related Quality of Life Among Female Patients of Low Back Pain”. Journal of Experimental and Clinical Medicine 39, no. 4 (October 2022): 948-53.
EndNote Kiani N, Siddiqi FA, Qazi WA, Begum R, Kayani S, Naeem A, Pervaiz S (October 1, 2022) Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain. Journal of Experimental and Clinical Medicine 39 4 948–953.
IEEE N. Kiani, “Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain”, J. Exp. Clin. Med., vol. 39, no. 4, pp. 948–953, 2022.
ISNAD Kiani, Nida et al. “Cupping Therapy Combined With Conventional Physical Therapy Improves Pain and Health Related Quality of Life Among Female Patients of Low Back Pain”. Journal of Experimental and Clinical Medicine 39/4 (October 2022), 948-953.
JAMA Kiani N, Siddiqi FA, Qazi WA, Begum R, Kayani S, Naeem A, Pervaiz S. Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain. J. Exp. Clin. Med. 2022;39:948–953.
MLA Kiani, Nida et al. “Cupping Therapy Combined With Conventional Physical Therapy Improves Pain and Health Related Quality of Life Among Female Patients of Low Back Pain”. Journal of Experimental and Clinical Medicine, vol. 39, no. 4, 2022, pp. 948-53.
Vancouver Kiani N, Siddiqi FA, Qazi WA, Begum R, Kayani S, Naeem A, Pervaiz S. Cupping therapy combined with conventional Physical Therapy improves pain and health related quality of life among female patients of low back pain. J. Exp. Clin. Med. 2022;39(4):948-53.