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The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial.

AlBedah A, Khalil M, Elolemy A, Hussein AA, AlQaed M, Al Mudaiheem A, Abutalib RA, Bazaid FM, Bafail AS, Essa A, Bakrain MY - J Altern Complement Med (2015)

Bottom Line: At the end of the intervention, statistically significant differences in the three outcome measures favoring the wet cupping group compared with the control group were seen: NRS score, 29.2 (95% confidence interval [CI], 24.6-33.8) versus 57.9 (95% CI, 53.3-62.6), respectively; PPI score, 1.17 (95% CI, 0.96-1.4) versus 2.3 (95% CI, 2.1- 2.7); and ODQ score, 19.6 (95% CI, 16.5-22.7) versus 35.4 (95% CI, 32.3-38.5) (p=0.0001).No adverse events were reported.Wet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period.

View Article: PubMed Central - PubMed

Affiliation: 1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .

ABSTRACT

Objectives: To evaluate the effectiveness and safety of wet cupping therapy as a single treatment for persistent nonspecific low back pain (PNSLBP).

Design: Randomized controlled trial comparing wet cupping versus no treatment in PNSLBP.

Setting: Outpatient clinic in three secondary care hospitals in Saudi Arabia.

Patients: Eighty eligible participants with PNSLBP for at least 3 months were randomly allocated to an intervention group (n=40) or to a control group (n=40).

Interventions: Six wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points among BL23, BL24, and BL25. Only acetaminophen was allowed as a rescue treatment in both groups.

Outcome measures: The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.

Results: At the end of the intervention, statistically significant differences in the three outcome measures favoring the wet cupping group compared with the control group were seen: NRS score, 29.2 (95% confidence interval [CI], 24.6-33.8) versus 57.9 (95% CI, 53.3-62.6), respectively; PPI score, 1.17 (95% CI, 0.96-1.4) versus 2.3 (95% CI, 2.1- 2.7); and ODQ score, 19.6 (95% CI, 16.5-22.7) versus 35.4 (95% CI, 32.3-38.5) (p=0.0001). This improvement continued for another 2 weeks after the end of the intervention. Acetaminophen was used less in the wet cupping group, but this difference was not statistically significant. No adverse events were reported.

Conclusions: Wet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period. Placebo-controlled trials are needed.

No MeSH data available.


Related in: MedlinePlus

Scores on Numeric Rating Scale (NRS).
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Related In: Results  -  Collection


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f2: Scores on Numeric Rating Scale (NRS).

Mentions: The NRS scores for pain after 2 weeks (the primary end point after intervention) showed a statistically significant decrease in the wet cupping group compared with the control group. This significant difference was also maintained at 4 weeks (2 weeks after completion of the intervention) (Table 2). Figure 2 shows the follow-up of the NRS score during the study in both groups. In addition, 31 of 40 (77.5%) patients in the wet cupping group showed an MCID (−15) after 2 weeks compared with only 1 of 40 patients in the control group (p=0.0001).


The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial.

AlBedah A, Khalil M, Elolemy A, Hussein AA, AlQaed M, Al Mudaiheem A, Abutalib RA, Bazaid FM, Bafail AS, Essa A, Bakrain MY - J Altern Complement Med (2015)

Scores on Numeric Rating Scale (NRS).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4522952&req=5

f2: Scores on Numeric Rating Scale (NRS).
Mentions: The NRS scores for pain after 2 weeks (the primary end point after intervention) showed a statistically significant decrease in the wet cupping group compared with the control group. This significant difference was also maintained at 4 weeks (2 weeks after completion of the intervention) (Table 2). Figure 2 shows the follow-up of the NRS score during the study in both groups. In addition, 31 of 40 (77.5%) patients in the wet cupping group showed an MCID (−15) after 2 weeks compared with only 1 of 40 patients in the control group (p=0.0001).

Bottom Line: At the end of the intervention, statistically significant differences in the three outcome measures favoring the wet cupping group compared with the control group were seen: NRS score, 29.2 (95% confidence interval [CI], 24.6-33.8) versus 57.9 (95% CI, 53.3-62.6), respectively; PPI score, 1.17 (95% CI, 0.96-1.4) versus 2.3 (95% CI, 2.1- 2.7); and ODQ score, 19.6 (95% CI, 16.5-22.7) versus 35.4 (95% CI, 32.3-38.5) (p=0.0001).No adverse events were reported.Wet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period.

View Article: PubMed Central - PubMed

Affiliation: 1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .

ABSTRACT

Objectives: To evaluate the effectiveness and safety of wet cupping therapy as a single treatment for persistent nonspecific low back pain (PNSLBP).

Design: Randomized controlled trial comparing wet cupping versus no treatment in PNSLBP.

Setting: Outpatient clinic in three secondary care hospitals in Saudi Arabia.

Patients: Eighty eligible participants with PNSLBP for at least 3 months were randomly allocated to an intervention group (n=40) or to a control group (n=40).

Interventions: Six wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points among BL23, BL24, and BL25. Only acetaminophen was allowed as a rescue treatment in both groups.

Outcome measures: The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.

Results: At the end of the intervention, statistically significant differences in the three outcome measures favoring the wet cupping group compared with the control group were seen: NRS score, 29.2 (95% confidence interval [CI], 24.6-33.8) versus 57.9 (95% CI, 53.3-62.6), respectively; PPI score, 1.17 (95% CI, 0.96-1.4) versus 2.3 (95% CI, 2.1- 2.7); and ODQ score, 19.6 (95% CI, 16.5-22.7) versus 35.4 (95% CI, 32.3-38.5) (p=0.0001). This improvement continued for another 2 weeks after the end of the intervention. Acetaminophen was used less in the wet cupping group, but this difference was not statistically significant. No adverse events were reported.

Conclusions: Wet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period. Placebo-controlled trials are needed.

No MeSH data available.


Related in: MedlinePlus