Wet Cupping Therapy Improves Health Related Quality of Life: A Self-Controlled Interventional Study

Abstract

Objectives: Wet cupping therapy is an ancient treatment method which has been an integral part of Traditional Anatolian Medicine. In the current study we aimed to assess the efficacy of wet cupping therapy on health-related quality of life in healthy volunteers.

Materials and Methods: This was a single arm pre-test and post-test interventional study conducted in Traditional and Complementary Medicine Clinic of Karabuk Education and Research Hospital between August 1, 2017 and August 1, 2018. Fifty-three healthy volunteers were enrolled in the study. They received three wet cupping therapy sessions once every month for three months (On 0, 30, and 60 days). WHOQOL-BREF-TR questionnaire was applied to all participants both before the sessions and after the third one. Wilcoxon signed rank test was employed to compare pre and post test scores. A p value <0.05 assumed to be statistically significant. All analyzes were carried out using Minitab 17 Statistical Software.

Results: The study sample consisted of 26 female and 27 male subjects. Mean age was 43.68 ± 9.41 years. It was found 46.34 ± 9.78 years for females and 40.63± 8.43 years for males. Initial WHOQOL-BREF-TR scores regarding general health (p<0.001) and the four domains which were physical (p<0.001), psychological (p<0.001), social relations (p<0.001) and the environmental domain (p<0.005) showed significant improvements after three WCT sessions

Conclusion: Our results suggest that quality of life may be improved in healthy adults by wet cupping therapy.

Keywords

• Wet cupping therapy,WHOQOL-BREF-TR,Quality of life

Hacamat Sağlıkla İlgili Yaşam Kalitesini Arttırmakta: Kendinden Kontrollü Girişimsel Çalışma

Öz

Amaç: Geleneksel Anadolu Tıbbına ait bir uygulama olarak bilinen hacamat kadim tedavi metotlarından biridir. Bu çalışmada hacamat uygulamasının sağlıklı gönüllülerde yaşam kalitesi üzerine olan etkisini araştırdık.

Materyal ve Metot: Tek kol, test öncesi ve sonrası girişimsel bir çalışma olarak planlanan araştırmamız 1 Ağustos 2017 ve 1 Ağustos 2018 tarihleri arasında Karabük Eğitim ve Araştırma Hastanesi Geleneksel ve Tamamlayıcı Tıp Merkezinde gerçekleştirildi. Çalışmaya 53 sağlıklı gönüllü iştirak etti. Katılımcıların her birine ayda bir kez olmak üzere toplamda üçer kez hacamat uygulandı. Ayrıca gönüllülerin tümüne WHOQOL-BREF-TR ölçeği hacamat uygulamalarının öncesi ve üçüncü uygulamayı takiben olmak üzere iki kez uygulandı.  Elde edilen skorların karşılaştırılmasında Wilcoxon signed rank test kullanıldı ve p <0.05 değeri anlamlı kabul edildi. İstatistiksel hesaplamalar Minitab 17 Statistical Software kullanılarak yapıldı.

Bulgular: 26 kadın ve 27 erkek gönüllünün katıldığı çalışmada yaş ortalaması 43,68 ± 9,41 yıl bulundu. Yaş ortalaması kadınlarda 46,34 ± 9,78 iken erkeklerde 40,63± 8,43 yıl bulundu. Uygulamalar öncesi ölçülen WHOQOL-BREF-TR skorlarını üç seans Hacamat uygulamasını takiben elde edilen skorlarla karşılaştırdığımızda; genel sağlık (p<0,001) ve fiziksel (p<0,001), psikolojik (p<0,001), sosyal ilişkiler (p<0,001) ve çevre (p=0,005) başlıklarından oluşan 4 ana grubun tamamında yaşam kalitesinin anlamlı olarak arttığı gözlendi.

Sonuç: Çalışmamızın neticesinde Hacamat tedavisinin sağlıklı bireylerde yaşam kalitesini arttırdığını göstermiş olduk.

Anahtar Kelimeler

• Hacamat,WHOQOL-BREF-TR,Yaşam kalitesi

Kaynakça

1. Benli AR, Sunay D. Changing Efficacy of Wet Cupping Therapy in Migraine with Lunar Phase: A Self-Controlled Interventional Study. Med Sci Monit, 2017; 23: 6162-67
2. Arslan M, Gokgoz N, Dane S. The effect of traditional wet cupping on shoulder pain and neck pain: A pilot study. Complementary Therapies in Clinical Practice , 2016; 23: 30-3
3. Kim JI, Kim TH, Lee MS 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; 12:146
4. Al Bedah AMN, Mohamed KM, Posadzki P et al. Evaluation of Wet Cupping Therapy: Systematic Review of Randomized Clinical. The Journal of Alternative and Complementary Medicine, 2016; 22.10: 768-77.
5. Refaat B, El-Shemi AG, Ebid AA, Ashshi A, & BaSalamah MA. Islamic wet cupping and risk factors of cardiovascular diseases: effects on blood pressure, metabolic profile and serum electrolytes in healthy young adult men. Altern Integ Med, 2014; 3(1): 151.
6. Khalil AM, Khaled MA and Shaqqour HM. Investigation of Selected Immunocytogenetic Effects of Wet Cupping in Healthy Men. Spatula DD. 2013; 3(2):51-7
7. Whoqol Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological medicine, 1998; 28(3), 551-8.
8. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H & Göker E. WHOQOL-BREF TR: a suitable instrument for the assessment of quality of life for use in the health care settings in Turkey. Quality of Life Research, 1999; 647.

9. Minitab 17 Statistical Software [Computer software]. State College, PA: Minitab, Inc. 2010. (www.minitab.com).
10. Ahmedi M, Siddiqui MR. The value of wet cupping as a therapy in modern medicine - An Islamic Perspective. Web med Central Alternative Medicine 2014;5(12):4785
11. El Sayed S, Mahmoud H and Nabo M. Methods of wet cupping therapy (Al-Hijamah): in light of modern medicine and prophetic medicine. Alternative & Integrative Medicine, 2013: 1-16.
12. Aydın F. The effect of Kar-Demir on Karabük city population. Procedia-Social and Behavioral Sciences, 2011; 19: 494-8.
13. Umar NK, Tursunbadalov S, Surgun S, Welcome OM, Dane S. The effects of wet cupping therapy on the blood levels of some heavy metals: a pilot study. Journal of acupuncture and meridian studies 2018; 11.6: 375-9.
14. Ahmed SM, Madbouly NH, Maklad SS & Abu-Shady EA. Immunomodulatory effects of bloodletting cupping therapy in patients with rheumatoid arthritis. The Egyptian journal of immunology, 2005; 12.2: 39-51.
15. Al Jaouni SK, El-Fiky EA, Mourad SA 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.
16. Lee MS, Kim JI, Kong JC, Lee DH & Shin BC. Developing and validating a sham cupping device. Acupuncture in Medicine 2010; 28(4): 200-04.
17. Yıldız S, Duruhan S, Çelik N, Tuncay MS, Uyar M, & Bayar B. Sham kupa terapisi cihazı hakkında bir eleştiri. Integr Tıp Derg 2014;2.2:1-5.