Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Pain-A Randomized Controlled Trial

Lauche, R; Materdey, S; Cramer, H; Haller, H; Stange, R; Dobos, G; Rampp, T

Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Pain-A Randomized Controlled Trial

Lauche, R

Materdey, S Cramer, H

Haller, H Stange, R Dobos, G Rampp, T

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Publication Type:: Journal Article
Citation:: PLoS ONE, 2013, 8 (6)
Issue Date:: 2013-06-07

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Field	Value	Language
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Materdey, S	en_US
dc.contributor.author	Cramer, H https://orcid.org/0000-0002-3640-8046	en_US
dc.contributor.author	Haller, H	en_US
dc.contributor.author	Stange, R	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Rampp, T	en_US
dc.date.available	2013-04-23	en_US
dc.date.issued	2013-06-07	en_US
dc.identifier.citation	PLoS ONE, 2013, 8 (6)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/41524
dc.description.abstract	Chronic neck pain is a major public health problem with very few evidence-based complementary treatment options. This study aimed to test the efficacy of 12 weeks of a partner-delivered home-based cupping massage, compared to the same period of progressive muscle relaxation in patients with chronic non-specific neck pain. Patients were randomly assigned to self-directed cupping massage or progressive muscle relaxation. They were trained and asked to undertake the assigned treatment twice weekly for 12 weeks. Primary outcome measure was the current neck pain intensity (0-100 mm visual analog scale; VAS) after 12 weeks. Secondary outcome measures included pain on motion, affective pain perception, functional disability, psychological distress, wellbeing, health-related quality of life, pressure pain thresholds and adverse events. Sixty one patients (54.1±12.7 years; 73.8%female) were randomized to cupping massage (n = 30) or progressive muscle relaxation (n = 31). After treatment, both groups showed significantly less pain compared to baseline however without significant group differences. Significant effects in favor of cupping massage were only found for wellbeing and pressure pain thresholds. In conclusion, cupping massage is no more effective than progressive muscle relaxation in reducing chronic non-specific neck pain. Both therapies can be easily used at home and can reduce pain to a minimal clinically relevant extent. Cupping massage may however be better than PMR in improving well-being and decreasing pressure pain sensitivity but more studies with larger samples and longer follow-up periods are needed to confirm these results.Trial Registration:ClinicalTrials.gov NCT01500330. © 2013 Lauche et al.	en_US
dc.relation.ispartof	PLoS ONE	en_US
dc.relation.isbasedon	10.1371/journal.pone.0065378	en_US
dc.subject.classification	General Science & Technology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neck Pain	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Massage	en_US
dc.subject.mesh	Patient Compliance	en_US
dc.subject.mesh	Demography	en_US
dc.subject.mesh	Muscle Relaxation	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Chronic Pain	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.subject.mesh	Physical Therapy Modalities	en_US
dc.title	Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Pain-A Randomized Controlled Trial	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	8	en_US
utslib.for	MD Multidisciplinary	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	8	en_US

Abstract:

Chronic neck pain is a major public health problem with very few evidence-based complementary treatment options. This study aimed to test the efficacy of 12 weeks of a partner-delivered home-based cupping massage, compared to the same period of progressive muscle relaxation in patients with chronic non-specific neck pain. Patients were randomly assigned to self-directed cupping massage or progressive muscle relaxation. They were trained and asked to undertake the assigned treatment twice weekly for 12 weeks. Primary outcome measure was the current neck pain intensity (0-100 mm visual analog scale; VAS) after 12 weeks. Secondary outcome measures included pain on motion, affective pain perception, functional disability, psychological distress, wellbeing, health-related quality of life, pressure pain thresholds and adverse events. Sixty one patients (54.1±12.7 years; 73.8%female) were randomized to cupping massage (n = 30) or progressive muscle relaxation (n = 31). After treatment, both groups showed significantly less pain compared to baseline however without significant group differences. Significant effects in favor of cupping massage were only found for wellbeing and pressure pain thresholds. In conclusion, cupping massage is no more effective than progressive muscle relaxation in reducing chronic non-specific neck pain. Both therapies can be easily used at home and can reduce pain to a minimal clinically relevant extent. Cupping massage may however be better than PMR in improving well-being and decreasing pressure pain sensitivity but more studies with larger samples and longer follow-up periods are needed to confirm these results.Trial Registration:ClinicalTrials.gov NCT01500330. © 2013 Lauche et al.

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http://hdl.handle.net/10453/41524