• Medicine · Dec 2022

    Meta Analysis

    Effectiveness of self-management of dry and wet cupping therapy for low back pain: A systematic review and meta-analysis.

    • Wei-Cheng Shen, Yih-Kuen Jan, Ben-Yi Liau, Quanxin Lin, Song Wang, Chien-Cheng Tai, and Chi-Wen Lung.
    • Department of Digital Media Design, Asia University, Taichung, Taiwan.
    • Medicine (Baltimore). 2022 Dec 23; 101 (51): e32325e32325.

    BackgroundLow back pain (LBP) can significantly affect a person's quality of life. Cupping has been used to treat LBP. However, various cupping methods are typically included in evaluating the efficacy of cupping therapy. Therefore, the objectives of this study were to evaluate the evidence from the literature regarding the effects of dry and wet cupping therapy on LBP in adults. Dry and wet cupping therapy are analyzed categorically in this study.MethodsWe searched for randomized clinical trials with cupping in LBP published between 2008 and 2022. In dry or wet cupping clinical studies, pain intensity was assessed using the Visual Analogue Scale and present pain intensity, and the quality of life intensity was measured using the Oswestry disability index.ResultsThe 656 studies were identified, of which 10 studies for 690 patients with LBP were included in the meta-analysis. There was a significant reduction in the pain intensity score with present pain intensity using wet cupping therapy (P < .01). In addition, both cupping therapy groups displayed significant Oswestry disability index score reduction compared to the control group (both P < .01). The patients with LBP have a substantial reduction by using wet cupping but have not shown a considerable decrease by using dry cupping (P = .19). In addition, only wet cupping therapy groups displayed a significantly improved quality of life compared to the control group. The study had a very high heterogeneity (I2 > 50%). It means there is no standardization in the treatment protocol in randomized clinical trials. In the meta-regression, there was statistically significant evidence that the number of treatment times and intercepts were related (P < .01).ConclusionThe present meta-analysis shows that wet cupping therapy effectively reduces the pain intensity of LBP. Furthermore, both dry wet cupping therapy improved patients with LBP quality of life.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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