The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: A randomised controlled pilot study

Lauche, R; Cramer, H; Hohmann, C; Choi, KE; Rampp, T; Saha, FJ; Musial, F; Langhorst, J; Dobos, G

The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: A randomised controlled pilot study

Lauche, R

Cramer, H

Hohmann, C Choi, KE Rampp, T Saha, FJ Musial, F Langhorst, J Dobos, G

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Publication Type:: Journal Article
Citation:: Evidence-based Complementary and Alternative Medicine, 2012, 2012
Issue Date:: 2012-01-13

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Field	Value	Language
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Cramer, H https://orcid.org/0000-0002-3640-8046	en_US
dc.contributor.author	Hohmann, C	en_US
dc.contributor.author	Choi, KE	en_US
dc.contributor.author	Rampp, T	en_US
dc.contributor.author	Saha, FJ	en_US
dc.contributor.author	Musial, F	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Dobos, G	en_US
dc.date.available	2011-09-13	en_US
dc.date.issued	2012-01-13	en_US
dc.identifier.citation	Evidence-based Complementary and Alternative Medicine, 2012, 2012	en_US
dc.identifier.issn	1741-427X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/43566
dc.description.abstract	Introduction. Cupping has been used since antiquity in the treatment of pain conditions. In this pilot study, we investigated the effect of traditional cupping therapy on chronic nonspecific neck pain (CNP) and mechanical sensory thresholds. Methods. Fifty CNP patients were randomly assigned to treatment (TG, n = 25) or waiting list control group (WL, n = 25). TG received a single cupping treatment. Pain at rest (PR), pain related to movement (PM), quality of life (SF-36), Neck Disability Index (NDI), mechanical detection (MDT), vibration detection (MDT), and pressure pain thresholds (PPT) were measured before and three days after a single cupping treatment. Patients also kept a pain and medication diary (PaDi, MeDi) during the study. Results. Baseline characteristics were similar in the two groups. After cupping TG reported significantly less pain (PR: -17.9mm VAS, 95CI -29.2 to -6.6; PM: -19.7, 95CI -32.2 to -7.2; PaDi: -1.5 points on NRS, 95CI -2.5 to -0.4; all P < 0.05) and higher quality of life than WL (SF-36, Physical Functioning: 7.5, 95CI 1.4 to 13.5; Bodily Pain: 14.9, 95CI 4.4 to 25.4; Physical Component Score: 5.0, 95CI 1.4 to 8.5; all P < 0.05). No significant effect was found for NDI, MDT, or VDT, but TG showed significantly higher PPT at pain-areas than WL (in lg(kPa); pain-maximum: 0.088, 95CI 0.029 to 0.148, pain-adjacent: 0.118, 95CI 0.038 to 0.199; both P < 0.01). Conclusion. A single application of traditional cupping might be an effective treatment for improving pain, quality of life, and hyperalgesia in CNP. Copyright © 2012 Romy Lauche et al.	en_US
dc.relation.ispartof	Evidence-based Complementary and Alternative Medicine	en_US
dc.relation.isbasedon	10.1155/2012/429718	en_US
dc.subject.classification	Complementary & Alternative Medicine	en_US
dc.title	The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: A randomised controlled pilot study	en_US
dc.type	Journal Article
utslib.citation.volume	2012	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.publication-status	Published	en_US
pubs.volume	2012	en_US

Abstract:

Introduction. Cupping has been used since antiquity in the treatment of pain conditions. In this pilot study, we investigated the effect of traditional cupping therapy on chronic nonspecific neck pain (CNP) and mechanical sensory thresholds. Methods. Fifty CNP patients were randomly assigned to treatment (TG, n = 25) or waiting list control group (WL, n = 25). TG received a single cupping treatment. Pain at rest (PR), pain related to movement (PM), quality of life (SF-36), Neck Disability Index (NDI), mechanical detection (MDT), vibration detection (MDT), and pressure pain thresholds (PPT) were measured before and three days after a single cupping treatment. Patients also kept a pain and medication diary (PaDi, MeDi) during the study. Results. Baseline characteristics were similar in the two groups. After cupping TG reported significantly less pain (PR: -17.9mm VAS, 95CI -29.2 to -6.6; PM: -19.7, 95CI -32.2 to -7.2; PaDi: -1.5 points on NRS, 95CI -2.5 to -0.4; all P < 0.05) and higher quality of life than WL (SF-36, Physical Functioning: 7.5, 95CI 1.4 to 13.5; Bodily Pain: 14.9, 95CI 4.4 to 25.4; Physical Component Score: 5.0, 95CI 1.4 to 8.5; all P < 0.05). No significant effect was found for NDI, MDT, or VDT, but TG showed significantly higher PPT at pain-areas than WL (in lg(kPa); pain-maximum: 0.088, 95CI 0.029 to 0.148, pain-adjacent: 0.118, 95CI 0.038 to 0.199; both P < 0.01). Conclusion. A single application of traditional cupping might be an effective treatment for improving pain, quality of life, and hyperalgesia in CNP. Copyright © 2012 Romy Lauche et al.

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