Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Effectiveness of Wet Cupping Therapy and Evaluation of Changes in Lactic Acid Levels in Patients with Myofascial Pain Syndrome
Miyofasial Ağrı Sendromu Olan Hastalarda Yaş Kupa Tedavisinin Etkinliğini ve Laktik Asit Seviye Değişikliğinin Değerlendirilmesi
Müyesser ARASa, Nermin DİNDARb, Turgut KÜLTÜRc, Hakan BOYUNAĞAb, Esra Dilek KESKİNc, Kaleem Ullah RAJPUTd, Gamze DURSUNb
aDepartment of Physical Medicine and Rehabilitation, Yıldırım Beyazit Faculty of Medicine, Ankara, TURKEY
bDepartment of Biochemistry, Kırıkkale University Faculty of Medicine, Kırıkkale, TURKEY
cDepartment of Physical Medicine and Rehabilitation, Kırıkkale University Faculty of Medicine, Kırıkkale, TURKEY
dBritish Cupping Society-London, United Kingdom
J Tradit Complem Med. 2020;3(3):304-10
doi: 10.5336/jtracom.2020-74480
Article Language: EN
Full Text
ABSTRACT
 Objective: Wet cupping therapy is used as a traditional and complementary therapy with a wide application all around the world for especially pain conditions. The aim of this study was to evaluate the effectiveness of wet cupping therapy (WCT) and to assess the changes in lactic acid (LA) levels in isolated leucocyte of the venous and cupping blood samples in patients with myofascial pain syndrome (MPS). Material and Methods: Patients aged between 18 and 65, and diagnosed with MPS were included the study. The Visual Analogue Scale (VAS) was recorded baseline, at 1st and 3rd months, Nothingham Health Profile (NHP) and Beck Depression Index (BDI) scores were recorded at baseline and 1st month follow-up in patients. The level of LA in isolated leucocyte of venous and cupping blood were also measured before and after 15 days WCT. Results: There was a significant decrease in VAS level from baseline to 1 and 3 months (p<0.001) and in BDI, NHP from baseline to 1 month (p <0.05). We found a significant decrease in the concentration of LA in isolated leucocyte of cupping blood 15 days after WCT (p<0.05). The median level of LA in isolated leucocyte of venous blood was lower than the levels before WCT but it wasn't statistically significant (p>0.05). Conclusion: In conclusion, WCT is found to be effective in clinical improvements of VAS, BDI and NHP scores in our study. This study also suggests that WCT may be eneficial for pain through reducing LA levels in cupping blood in patients with MPS.

Keywords: Cupping therapy; myofascial pain syndrome; lactic acid
ÖZET
 Amaç: Yaş kupa tedavisi bütün dünyada özellikle ağrılı durumlarda yaygın olarak kullanılan geleneksel ve tamamlayıcı bir tedavidir. Bu çalışmanın amacı, yaş kupa tedavisinin (YKT) miyofasiyal ağrı sendromu (MAS) tedavisinde etkinliğini ve venöz kan ile kupa kanından izole edilen lökositlerde laktik asit (LA) düzey değişikliklerini değerlendirmektir. Gereç ve Yöntemler: Miyofasial ağrı sendromu tanısı alan 18-65 yaş arası hastalar çalışmaya dahil edilmiştir. Hastaların tedavi öncesi ve sonrası 1. ve 3. ayda Vizüel Analog Skalası (VAS), tedavi öncesi ve sonrası 1. ayda Nothingham Sağlık Profili (NSP) ve Beck Depresyon Ölçeği (BDÖ) kaydedildi. Ayrıca hastaların tedavi öncesi ve sonrası 15. günde venöz ve kupa kanından izole edilen lökositlerde laktik asit düzeyleri ölçüldü. Bulgular: Başlangıca göre 1. ve 3. Aylarda VAS (p<0,001), 1. ayda BDS ve NSP (p<0,05) düzeylerinde anlamlı düzeyde düşme vardı. On beş gün sonra kupa kanından izole edilen lökositlerdeki LA düzeylerinde anlamlı olarak düşme tespit edildi (p<0,05). Venöz kandan izole edilen lökositlerdeki LA düzeyinde YKT öncesine göre düşme vardı fakat istatiksel olarak anlamlı değildi (p>0,05). Sonuç: Sonuç olarak, bizim çalışmamızda YKT VAS, BDS ve NSP skorlarının klinik olarak düzelmesinde etkili bulunmuştur. Bu çalışma ayrıca YKT'nin MAS'ı olan hastalarda kupa kanında LA düzeylerini azaltarak ağrıda faydalı olabileceğini göstermektedir.

Anahtar Kelimeler: Kupa tedavisi; miyofasial ağrı sendromu; laktik asit
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