Dry cupping therapy is not superior to sham cupping to improve clinical outcomes in people with non-specific chronic low back pain: a randomised trial

被引:15
作者
Almeida Silva, Hugo Jario [1 ]
Barbosa, Germanna Medeiros [2 ]
Silva, Rodrigo Scattone [1 ]
Saragiotto, Bruno T. [3 ]
Pontes Oliveira, Jaine Maria [2 ]
Pinheiro, Yago Tavares [1 ]
Almeida Lins, Caio Alano [1 ]
de Souza, Marcelo Cardoso [1 ]
机构
[1] Fed Univ Rio Grande do Norte UFRN, Fac Hlth Sci Trairi, Postgrad Program Rehabil Sci, Santa Cruz, RN, Brazil
[2] Fed Univ Rio Grande do Norte UFRN, Fac Hlth Sci Trairi, Santa Cruz, RN, Brazil
[3] Univ Cidade Sao Paulo UNICID, Masters & Doctoral Programs Phys Therapy, Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
Chronic pain; Placebo; Traditional Chinese Medicine; Physical therapy; PSYCHOMETRIC PROPERTIES; GO TEST; DISABILITY; EFFICACY; FIBROMYALGIA; EXPECTATIONS; METAANALYSIS; DEPRESSION; MANAGEMENT; EXERCISE;
D O I
10.1016/j.jphys.2021.02.013
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Question: What are the effects of dry cupping on pain intensity, physical function, functional mobility, trunk range of motion, perceived overall effect, quality of life, psychological symptoms and medication use in individuals with chronic non-specific low back pain? Design: Randomised controlled trial with concealed allocation, intention-to-treat analysis and blinding of participants and assessors. Participants: Ninety participants with chronic non-specific low back pain. Interventions: The experimental group (n = 45) received dry cupping therapy, with cups bilaterally positioned parallel to the L1 to L5 vertebrae. The control group (n = 45) received sham cupping therapy. The interventions were applied once a week for 8 weeks. Outcome measures: Participants were assessed before and after the first treatment session, and after 4 and 8 weeks of intervention. The primary outcome was pain intensity, measured with the numerical pain scale at rest, during fast walking and during trunk flexion. Secondary outcomes were physical function, functional mobility, trunk range of motion, perceived overall effect, quality of life, psychological symptoms and medication use. Results: On a 0-to-10 scale, the between-group difference in pain severity at rest was negligible: MD 0.0 (95% CI -0.9 to 1.0) immediately after the first treatment, 0.4 (95% CI -0.5 to 1.5) at 4 weeks and 0.6 (95% CI -0.4 to 1.6) at 8 weeks. Similar negligible effects were observed on pain severity during fast walking or trunk flexion. Negligible effects were also found on physical function, functional mobility and perceived overall effect, where mean estimates and their confidence intervals all excluded worthwhile effects. No worthwhile benefits could be confirmed for any of the remaining secondary outcomes. Conclusion: Dry cupping therapy was not superior to sham cupping for improving pain, physical function, mobility, quality of life, psychological symptoms or medication use in people with non-specific chronic low back pain. (C) 2021 Australian Physiotherapy Association. Published by Elsevier B.V.
引用
收藏
页码:132 / 139
页数:8
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