Effectiveness of self-management of dry and wet cupping therapy for low back pain: A systematic review and meta-analysis

Shen, Weicheng; Jan, Yih‐Kuen; Liau, Ben-Yi; Lin, Quanxin; Wang, Song; Tai, Chien‐Cheng; Lung, Chi-Wen

doi:10.1097/md.0000000000032325

Cited by 10 publications

(7 citation statements)

References 68 publications

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“…Five studies ( 23 , 26 , 28 , 30 , 31 ) contained less than ten original studies, while twelve (85.7%) studies ( 23–30 , 32–35 ) had a combined total sample of over 500 participants. The majority of studies, eight (57.1%) in total ( 23 , 26 , 29–31 , 33–35 ), were conducted in China, followed by two ( 25 , 28 ) in Korea, and one each in Germany ( 24 ), Brazil ( 27 ), Australia ( 32 ), and Iran ( 22 ). The included studies investigated various conditions, including low back pain ( n = 4), neck pain ( n = 3), knee osteoarthritis ( n = 2), chronic back pain ( n = 1), migraine ( n = 1), chronic pain ( n = 1), pain-related conditions ( n = 1), musculoskeletal pain ( n = 1), and herpes zoster ( n = 1).…”

Section: Resultsmentioning

confidence: 99%

Efficacy of cupping therapy on pain outcomes: an evidence-mapping study

Wang,

Cai,

et al. 2023

Front. Neurol.

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ObjectiveCupping therapy is an ancient technique of healing used to treat a variety of ailments. An evidence-mapping study was conducted to summarize the existing evidence of cupping therapy for pain-related outcomes and indicate the effect and the quality of evidence to provide a comprehensive view of what is known.MethodsPubMed, Cochrane Library, Embase, and Web of Science were searched to collect the meta-analyses investigating the association between cupping therapy and pain-related outcomes. The methodological quality was assessed by using the AMSTAR 2 tool. Significant outcomes (p < 0.05) were assessed using the GRADE system. The summary of evidence is presented by bubble plots and human evidence mapping.ResultsFourteen meta-analyses covering five distinct pain-related conditions were identified and assessed for methodological quality using the AMSTAR 2, which categorized the quality as critically low (36%), low (50.0%), moderate (7%), and high (7%). In accordance with the GRADE system, no high-quality evidence was found that demonstrates the efficacy of cupping therapy for pain-related outcomes. Specifically, for neck pain, there were two moderate-quality, four low-quality, and two very low-quality evidence, while only one very low-quality evidence supports its efficacy in treating herpes zoster and one low-quality evidence for chronic back pain. Additionally, for low back pain, there were two moderate-quality, one low-quality, and four very low-quality evidence, and for knee osteoarthritis, three moderate-quality evidence suggest that cupping therapy may alleviate pain score.ConclusionThe available evidence of very low-to-moderate quality suggests that cupping therapy is effective in managing chronic pain, knee osteoarthritis, low back pain, neck pain, chronic back pain, and herpes zoster. Moreover, it represents a promising, safe, and effective non-pharmacological therapy that warrants wider application and promotion.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021255879, identifier: CRD42021255879.

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Section: Resultsmentioning

confidence: 99%

Efficacy of cupping therapy on pain outcomes: an evidence-mapping study

Wang,

Cai,

et al. 2023

Front. Neurol.

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“…There are some limitations in this study. The first limitation is that despite describing the post-treatment effects of different NPT magnitudes in this study, therapy of a longer duration may have different effects ( Shen et al, 2022 ). As noted, scar growth typically spans approximately 1 year ( Feng et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of negative pressure therapy on the treatment response to scar thickness and viscoelasticity

Shen,

Cheng,

Jan

et al. 2024

Front. Bioeng. Biotechnol.

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Patients with scars face a grave threat to their mental and physical health. Negative pressure has been used for scar therapy in medical care and provides a microenvironment conducive to scar healing while stimulating cell regeneration. Negative pressure may disrupt scar tissue regeneration when the pressure is too high or too low, so finding a suitable negative pressure is important. We hypothesized that different negative pressure magnitudes would affect scar tissue properties differently. This research aimed to provide practical recommendations for scar therapy. This study used three negative pressures (−105 mmHg, −125 mmHg, and −145 mmHg) to compare scar material properties. We measured scar tissue thickness and viscoelasticity with a motor-driven ultrasound indentation system. According to the results of this study, scar thickness is most effectively reduced at a negative pressure of −105 mmHg. In comparison, scar viscoelasticity continuously increases at a negative pressure of −125 mmHg. Negative pressure therapy can be recommended to scar care clinics based on the results of this study.

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“…Previous studies have demonstrated that pathological conditions are associated with a decrease in homogeneity of the soft tissue including the skin, subcutaneous tissue and muscle and exercise training can lead to an improvement in homogeneity of the soft tissue [23][24][25]. Because cupping therapy is reported to reduce musculoskeletal impairment [4,10,28], it is reasonable to assume that cupping therapy could reduce heterogeneity and improve homogeneity of the soft tissue that can be quantified by the use of texture analysis of muscle ultrasound images. The increased homogeneous property may be partly associated with the benefits of cupping therapy.…”

Section: Introductionmentioning

confidence: 99%

Using texture analysis of ultrasound images to assess the effect of cupping therapy on muscle quality of the triceps

Hung,

Jan

2024

PLoS ONE

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The objectives were to investigate whether cupping therapy improves muscle quality and the interaction between duration and negative pressure of cupping therapy affects muscle quality. A 2×2 factorial design with repeated measures was used to examine the efficacy of cupping therapy on improving muscle quality. The independent factors were cupping pressures at −225 and −300 mmHg and cupping durations at 5 and 10 min, and the dependent factor was texture of B-mode ultrasound image of the triceps. Four cupping protocols were applied to 12 participants at 4 different days. Texture analysis including contrast, correlation, energy, and homogeneity was applied to assess muscle quality from 480 ultrasound images. The two-way repeated measures ANOVA showed that there was an interaction between the pressure and duration factors on the superficial layer of the triceps in contrast (F = 5.434, P = 0.004) and correlation (F = 6.274, P = 0.029). In contrast texture, the superficial layer of the triceps showed a significant increase in three protocols: −225 mmHg for 5 min (1.0434 ± 0.130), −300 mmHg for 5 min (1.0339 ±0.1407), and −300 mmHg for 10 min (1.0563 ±0.1432) except −225 mmHg for 10 min (0.9704 ±0.0985). In correlation texture, the superficial layer of the triceps showed a significant decrease in all protocols: −225 mmHg for 5 min (0.9556 ± 0.07), −225 mmHg for 10 min (0.9831 ± 0.0708), −300 mmHg for 5 min (0.9976 ± 0.055), and −300 mmHg for 10 min (0.9406 ± 0.0809). The results indicate that the interaction between the pressure and duration factors of cupping therapy significantly increases contrast texture and significantly decreases correlation texture of the superficial layer of the triceps after cupping therapy. Cupping therapy decreases homogeneity among soft tissues of the treated muscle.

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Effectiveness of self-management of dry and wet cupping therapy for low back pain: A systematic review and meta-analysis

Cited by 10 publications

References 68 publications

Efficacy of cupping therapy on pain outcomes: an evidence-mapping study

Efficacy of cupping therapy on pain outcomes: an evidence-mapping study

Effect of negative pressure therapy on the treatment response to scar thickness and viscoelasticity

Using texture analysis of ultrasound images to assess the effect of cupping therapy on muscle quality of the triceps

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