Bridgett Rhianna, Klose Petra, Duffield Rob, Mydock Suni, Lauche Romy
1 Endeavour College of Natural Health , Fortitude Valley, Australia .
2 Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen , Essen, Germany .
J Altern Complement Med. 2018 Mar;24(3):208-219. doi: 10.1089/acm.2017.0191. Epub 2017 Nov 29.
Despite the recent re-emergence of the process of cupping by athletes, supporting evidence for its efficacy and safety remains scarce. This systematic review aims to summarize the evidence of clinical trials on cupping for athletes.
SCOPUS, Cochrane Library, PubMed, AMED, and CNKI databases were searched from their inception to December 10, 2016. Randomized controlled trials on cupping therapy with no restriction regarding the technique, or cointerventions, were included, if they measured the effects of cupping compared with any other intervention on health and performance outcomes in professionals, semi-professionals, and leisure athletes. Data extraction and risk of bias assessment using the Cochrane Risk of Bias Tool were conducted independently by two pairs of reviewers.
Eleven trials with n = 498 participants from China, the United States, Greece, Iran, and the United Arab Emirates were included, reporting effects on different populations, including soccer, football, and handball players, swimmers, gymnasts, and track and field athletes of both amateur and professional nature. Cupping was applied between 1 and 20 times, in daily or weekly intervals, alone or in combination with, for example, acupuncture. Outcomes varied greatly from symptom intensity, recovery measures, functional measures, serum markers, and experimental outcomes. Cupping was reported as beneficial for perceptions of pain and disability, increased range of motion, and reductions in creatine kinase when compared to mostly untreated control groups. The majority of trials had an unclear or high risk of bias. None of the studies reported safety.
No explicit recommendation for or against the use of cupping for athletes can be made. More studies are necessary for conclusive judgment on the efficacy and safety of cupping in athletes.
尽管拔罐疗法近期在运动员中再度流行，但支持其有效性和安全性的证据仍然匮乏。本系统评价旨在总结关于运动员拔罐疗法的临床试验证据。
检索了SCOPUS、Cochrane图书馆、PubMed、AMED和中国知网数据库，检索时间从各数据库建库至2016年12月10日。纳入了对拔罐疗法的随机对照试验，对技术或联合干预无限制，只要这些试验测量了拔罐与任何其他干预措施相比，对专业、半专业和业余运动员健康和运动表现结果的影响。由两对评价者独立进行数据提取和使用Cochrane偏倚风险工具进行偏倚风险评估。
纳入了11项试验，共498名来自中国、美国、希腊、伊朗和阿拉伯联合酋长国的参与者，报告了对不同人群的影响，包括足球、英式橄榄球和手球运动员、游泳运动员、体操运动员以及业余和专业性质的田径运动员。拔罐应用1至20次，间隔为每天或每周，单独使用或与例如针灸联合使用。结果差异很大，包括症状强度、恢复指标、功能指标、血清标志物和实验结果。与大多数未治疗的对照组相比，拔罐被报告对疼痛和残疾的感知有益，可增加活动范围，并降低肌酸激酶水平。大多数试验存在不明确或高偏倚风险。没有研究报告安全性。
对于运动员使用拔罐疗法，无法给出明确的支持或反对建议。需要更多研究才能对拔罐疗法对运动员的有效性和安全性做出确定性判断。
