Assessment of the Short-Term Efficacy of a Wet-Cupping Therapy Session in Alleviating Symptoms of Fibromyalgia Syndrome: A Single-Arm Clinical Trial

Yıl 2024, Cilt: 5 Sayı: 2, 133 - 139, 03.09.2024

İlknur Topal Yarat , Selin Bozkurt Alp , Ahmet Üşen , Ayten Güner Atayoğlu

https://doi.org/10.53811/ijtcmr.1507281

Öz

Fibromyalgia holds significant importance in both primary care and physical treatment settings due
to its high prevalence and the challenges associated with its diagnosis and management. This study
aims to assess the short-term efficacy of a wet-cupping therapy session in alleviating symptoms of
Fibromyalgia Syndrome (FMS). This study employed a prospective, single-arm intervention design.
Baseline and post-treatment evaluations encompassed a comprehensive battery of assessment tools:
Socio-Demographic Questionary, Visual Analog Scale (VAS) for Pain, Fatigue Severity Scale (FSS), Beck
Depression Scale (BDS), Fibromyalgia Impact Questionnaire (FIQ). A total of 20 eligible individuals
were enrolled in the study. Significant alterations in pain perception, as measured by the VAS, were
evident both prior to treatment and at the end of the first week of treatment (p < 0.001).
Additionally, significant favorable effects of the treatment were observed on FSS and BDS levels
during the initial week of therapy (p = 0.001, p = 0.01; respectively). Moreover, a marked
improvement was identified in FIQ scores after treatment compared to baseline (p < 0.001). Across
all evaluated clinical indicators, cupping therapy exhibited a significant positive influence on FMS. In
conclusion, wet cupping therapy yields favorable outcomes in terms of pain perception, fatigue
reduction, mood enhancement, and the overall impact of fibromyalgia syndrome. Thus, it offers a
promising avenue for therapeutic intervention among individuals afflicted by this condition.

Anahtar Kelimeler

wet-cupping therapy, fibromyalgia, fibromyalgia impact questionnaire pain

Etik Beyan

Ethical Considerations The study adhered to the ethical principles outlined in the Declaration of Helsinki. Ethical clearance was obtained from the Traditional and Complementary Medicine Ethics Board of Istanbul Medipol University (Approval number:20, Date: 3 December 2020). Prior to the commencement of this study, a comprehensive informed consent process was diligently undertaken with all participants. The participants were provided with detailed explanations regarding the study's objectives, procedures, potential risks, and benefits. This ensured that participants had a clear understanding of what their involvement would entail.

Destekleyen Kurum

No financial support.

Teşekkür

We extend our heartfelt gratitude to all the participants who generously dedicated their time and effort to take part in this study. This research would not have been possible without their active involvement and commitment to advancing knowledge in the field.

Kaynakça

• 1. Berwick R, Barker C, Goebel A, et al. The diagnosis of fibromyalgia syndrome. Clin Med (Lond). 2022; 22(6):570-574.
• 2. Nicholas M, Vlaeyen JWS, Rief W, et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain. 2019;160(1):28–37.
• 3. Arnold LM, Bennett RM, Crofford LJ, et al. AAPT Diagnostic Criteria for Fibromyalgia. J Pain. 2019;20(6):611–628.
• 4. Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity. Arthritis Care Res (Hoboken). 2010;62(5):600–610.
• 5. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain. NICE guideline NG193. 2021.
• 6. Adams N, McVeigh JG, Cuesta-Vargas A, Abokdeer S. Evidence-based approaches for the management of fibromyalgia syndrome: a scoping review. Phys Ther Rev. 2023;28(1):1–17.
• 7. Sarzi-Puttini P, Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020;16(11):645–660.
• 8. Ablin J, Fitzcharles MA, Buskila D, Shir Y, Sommer C, Häuser W. Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies. Evid Based Complement Alternat Med. 2013;1–7.
• 9. Koçak FA, Kurt EE. Nonpharmacologic Treatment for Fibromyalgia. In: Wilke WS, ed. Discussions of Unusual Topics in Fibromyalgia. InTech. 2018; 36-55.
• 10. Li P, Zheng H, Chen Y, Liu Z, He J. Knowledge Mapping of Acupuncture for Fibromyalgia from 1990 to 2022: A Bibliometric Analysis. J Pain Res. 2022;15:2405–2431.
• 11. De Souza R, de Sousa E, Scudine K, Meira U, de Oliveira e Silva E, Gomes A, et al. Low-level laser therapy and anesthetic infiltration for orofacial pain in patients with fibromyalgia: a randomized clinical trial. Med Oral Patol Oral Cir Bucal. 2018;23(1): 65-71.
• 12. Balevi Batur E, Atan T. Neural therapy for fibromyalgia: Myth or improving quality of life? Int J Clin Pract. 2021;75(4):13719. 1-6.
• 13. Sheldon A, Karas S. Adverse events associated with manual therapy of peripheral joints: A scoping review. J Bodyw Mov Ther. 2022;31:159-163.
• 14. Aboushanab T, Ravalia M. Genetic Theory: An Illustration of a Theoretical Mechanism of Acton of Cupping Therapy. Med Theory Hypothesis. 2023;6(1):06.
• 15. Al Bedah AMN, Khalil MKM, Posadzki P, Sohaibani I, Aboushanab TS, AlQaed M, et al. Evaluation of Wet Cupping Therapy: Systematic Review of Randomized Clinical Trials. J Altern Complement Med. 2016;22(10):768–777.
• 16. Cao H, Li X, Liu J. An Updated Review of the Efficacy of Cupping Therapy. PLoS One. 2012; 7(2):31793
• 17. Rozenfeld E, Kalichman L. New is the well-forgotten old: The use of dry cupping in musculoskeletal medicine. J Bodyw Mov Ther. 2016;20(1):173–181.
• 18. Armutlu K, Cetisli Korkmaz N, Keser I, Sumbuloglu V, Irem Akbiyik D, Guney Z, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007 ;30(1):81–86.
• 19. Beck AT. An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961;4(6):561.
• 20. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int. 2000;20(1):9–12.
• 21. Salazar-Méndez J, Cancino-Valderrama V, Aguilar-Román G, Guzmán-Muñoz E. Efficacy of cupping therapy in individuals with fibromyalgia. A systematic review of randomized clinical trials. J Bodyw Mov Ther. 2023;36:256–262.
• 22. Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, Choi JY, 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: 1-7.
• 23. Qureshi AG, Jha SK, Iskander J, Avanthika C, Jhaveri S, Patel VH, et al. Diagnostic Challenges and Management of Fibromyalgia. Cureus. 2021;13(10):18692: 1-16.
• 24. Lauche R, Spitzer J, Schwahn B, Ostermann T, Bernardy K, Cramer H, et al. Efficacy of cupping therapy in patients with the fibromyalgia syndrome-a randomised placebo controlled trial. Sci Rep. 2016 ;6(1):37316: 1-10.
• 25. Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L, Bonasia DE, et al. Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment. Pain Res Treat. 2012:426130: 1-17.
• 26. Rooks DS, Gautam S, Romeling M, Cross ML, Stratigakis D, Evans B, et al. Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Arch Intern Med. 2007;167(20):2192-2200.
• 27. Peñacoba C, Ecija C, Gutiérrez L, Catalá P. Does Pain Acceptance Contribute to Improved Functionality through Walking in Women with Fibromyalgia? Looking at Depressive Comorbidity. Int J Environ Res Public Health. 2023;20(6):5005: 1-12.
• 28. Alzakri AA, Alsultan OA, Alhuqbani MN, Aldosari ZA, Alghadir OM, Aldosari OA, et al. Barriers and facilitators to physiotherapy among adult orthopedic patients at King Khalid Univ Hosp, Riyadh, Kingdom of Saudi Arabia. Saudi Med J. 2023;44(7):679–686.
• 29. Atayoglu AT, Tokaç M, Doğan S, Güner A, Kocayiğit E, Güner M. Traditional and complementary medicine perspectives of family physicians in Istanbul. Fam Pract Palliat Care. 2023;8(1):16-23.
• 30. Phutrakool P, Pongpirul K Acceptance and use of complementary and alternative medicine among medical specialists: a 15-year systematic review and data synthesis. Syst Rev. 2022; 11, 10: 1-14