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
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
- Simons DG, Travell JG, Simons LS. Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual. 2nd ed. Baltimore: Williams & Wilkins; 1999. p.1038.
- Li LT, Ge HY, Yue SW, Arendt-Nielsen L. Nociceptive and non-nociceptive hypersensitivity at latent myofascial trigger points. Clin J Pain. 2009;25(2):132-7.[Crossref] [PubMed]
- Ganesh GS, Singh H, Mushtaq S, Mohanty P, Pattnaik M. Effect of cervical mobilization and ischemic compression therapy on contralateral cervical side flexion and pressure pain threshold in latent upper trapezius trigger points. J Bodyw Mov Ther. 2016;20(3):477-83.[Crossref] [PubMed]
- Esenyel M, Caglar N, Aldemir T. Treatment of myofascial pain. Am J Phys Med Rehabil. 2000;79(1):48-52.[Crossref] [PubMed]
- Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complement Ther Med. 2009;17(1):9-15.[Crossref] [PubMed]
- Michalsen A, Bock S, Lüdtke R, Rampp T, Baecker M, Bachmann J, et al. Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial. J Pain. 2009;10(6):601-8.[Crossref] [PubMed]
- Cao H, Li X, Liu J. An updated review of the efficacy of cupping therapy. PLoS One. 2012;7(2):e31793.[Crossref] [PubMed] [PMC]
- AlBedah A, Khalil M, Elolemy A, Elsubai I, Khalil A. Hijama (cupping): a review of the evidence. Focus Altern Complement Ther. 2011;16(1):12-6.[Crossref]
- Kwon YD, Cho HJ. Systematic review of cupping including bloodletting therapy for musculoskeletal diseases in Korea. Korean J Orient Phys Pathol. 2007;21(3):789-93.
- Kim JI, Lee MS, Lee DH, Boddy K, Ernst E. Cupping for treating pain: a systematic review. Evid Based Complement Alternat Med. 2011;2011:467014.[Crossref] [PubMed] [PMC]
- Lüdtke R, Albrecht U, Stange R, Uehleke B. Brachialgia paraesthetica nocturna can be relieved by "wet cupping"--results of a randomised pilot study. Complement Ther Med. 2006;14(4):247-53.[Crossref] [PubMed]
- Ahmadi A, Schwebel DC, Rezaei M. The efficacy of wet-cupping in the treatment of tension and migraine headache. Am J Chin Med. 2008;36(1):37-44.[Crossref] [PubMed]
- Jafri MS. Mechanisms of myofascial pain. Int Sch Res Notices. 2014;2014:523924.[Crossref] [PubMed] [PMC]
- de-Las-Pe-as CF. Interaction between trigger points and joint hypomobility: a clinical perspective. J Man Manip Ther. 2009;17(2):74-7.[Crossref] [PubMed] [PMC]
- Gerwin RD, Dommerholt J, Shah JP. An expansion of Simons' integrated hypothesis of trigger point formation. Curr Pain Headache Rep. 2004;8(6):468-75.[Crossref] [PubMed]
- Mahmoud HS, Abou‐El‐Naga M, Omar NAA, El-Ghazzawy HA, Fathy YM, Nabo MMH, et al. Anatomical sites for practicing Wet Cupping Therapy (Al‐Hijamah): in light of modern medicine and prophetic medicine. Altern Integ Med. 2013;2(8):138.[Crossref]
- Resmî Gazete. (27.10.2014, Sayı: 29158) sayılı Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği; 2014. p.3.
- Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: what is moderate pain in millimetres? Pain. 1997;72(1-2):95-7.[Crossref] [PubMed]
- Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-8.[Crossref] [PubMed]
- Hisli N. The reliability and validity study of the Beck Depression Inventory in university student Turkish Journal of Psychology. 1989;7(23):3-13.
- Barham D, Trinder P. An improved colour reagent for the determination of blood glucose by the oxidase system. Analyst. 1972;97(151):142-5.[Crossref] [PubMed]
- Sroka J, Kordecka A, Włosiak P, Madeja Z, Korohoda W. Separation methods for isolation of human polymorphonuclear leukocytes affect their motile activity. Eur J Cell Biol. 2009;88(9):531-9.[PubMed]
- Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, Choi JY, et al. Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial. Trials. 2011;12:146.[Crossref] [PubMed] [PMC]
- Lee MS, Choi TY, Shin BC, Kim JI, Nam SS. Cupping for hypertension: a systematic review. Clin Exp Hypertens. 2010;32(7):423-5.[Crossref] [PubMed]
- Lee MS, Choi TY, Shin BC, Han CH, Ernst E. Cupping for stroke rehabilitation: a systematic review. J Neurol Sci. 2010;294(1-2):70-3.[Crossref] [PubMed]
- Hestbaek L, Leboeuf-Yde C, Manniche C. Low back pain: what is the long-term course? A review of studies of general patient populations. Eur Spine J. 2003;12(2):149-65.[Crossref] [PubMed] [PMC]
- Kim TH, Kang JW, Kim KH, Lee MH, Kim JE, Kim JH, et al. Cupping for treating neck pain in video display terminal (VDT) users: a randomized controlled pilot trial. J Occup Health. 2012;54(6):416-26.[Crossref] [PubMed]
- Cao H, Han M, Li X, Dong S, Shang Y, Wang Q, et al. Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complement Altern Med. 2010;10:70.[Crossref] [PubMed] [PMC]
- El Sayed SM, Mahmoud HS, Nabo MMH. Methods of wet cupping therapy (Al-Hijamah): in light of modern medicine and prophetic medicine. Altern Integ Med. 2013;2(3):1-16.[Crossref]
- Lauche R, Cramer H, Choi KE, Rampp T, Saha FJ, Dobos GJ, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain-a randomised controlled pilot study. BMC Complement Altern Med. 2011;11:63.[Crossref] [PubMed] [PMC]
- AlBedah A, Khalil M, Elolemy A, Hussein AA, AlQaed M, Al Mudaiheem A, et al. The use of wet cupping for persistent nonspecific low back pain: randomized controlled clinical trial. J Altern Complement Med. 2015;21(8):504-8.[Crossref] [PubMed] [PMC]
- Calvino B, Grilo RM. Central pain control. Joint Bone Spine. 2006;73(1):10-6.[Crossref] [PubMed]
- Rosendal L, Blangsted AK, Kristiansen J, Søgaard K, Langberg H, Sjøgaard G, et al. Interstitial muscle lactate, pyruvate and potassium dynamics in the trapezius muscle during repetitive low-force arm movements, measured with microdialysis. Acta Physiol Scand. 2004;182(4):379-88.[Crossref] [PubMed]
- Boschmann M, Rosenbaum M, Leibel RL, Segal KR. Metabolic and hemodynamic responses to exercise in subcutaneous adipose tissue and skeletal muscle. Int J Sports Med. 2002;23(8):537-43.[Crossref] [PubMed]
- Moraska AF, Hickner RC, Kohrt WM, Brewer A. Changes in blood flow and cellular metabolism at a myofascial trigger point with trigger point release (ischemic compression): a proof-of-principle pilot study. Arch Phys Med Rehabil. 2013;94(1):196-200.[Crossref] [PubMed] [PMC]
- Lee MS, Kim JI, Ernst E. Is cupping an effective treatment? An overview of systematic reviews. J Acupunct Meridian Stud. 2011;4(1):1-4.[PubMed]
- Emerich M, Braeunig M, Clement HW, Lüdtke R, Huber R. Mode of action of cupping--local metabolism and pain thresholds in neck pain patients and healthy subjects. Complement Ther Med. 2014;22(1):148-58.[Crossref] [PubMed]
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