Akil Hatice Hümeyra, Tunç Sümeyye, Atilgan Esra
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Uskudar University, Istanbul, Turkey.
Physical Therapy and Rehabilitation PhD Program, Graduate School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2025 Sep;38(5):1063-1072. doi: 10.1177/10538127251323106. Epub 2025 Mar 18.
BackgroundShoulder pain is commonly caused by rotator cuff pathologies. Cupping therapy is one of the mostly used traditional and complementary medicine techniques. In recent years, evidence of potential benefits in musculoskeletal conditions has increased, but studies are limited.ObjectiveThe study aimed to investigate the effectiveness of moving cupping therapy (MCT) additionally to conventional physiotherapy on pain and functionality in patients with Rotator Cuff Injuries (RCI).MethodsIn this randomised controlled pilot study thirty women 25-65 aged diagnosed with RCI who applied to Istanbul Medipol University Physical Therapy and Rehabilitation clinic in 2019 were included and they were randomly divided into two groups. Conventional physiotherapy was applied to both of groups five days a week for four weeks. Additionally, the MCT group was treated with MCT for ten minutes, two days a week for four weeks. Pain (Numeric Rating Scale (NRS), range of motion (ROM), functionality (DASH-Constant) and quality of life (SF 36) were evaluated before and after treatment. Within-group comparisons were performed by Wilcoxon Signed-Rank test. Comparisons between-group were provided by Mann Whitney U test.ResultsAfter treatment there were significant differences in pain, ROM, DASH, Constant scores in both groups ( < .05). NRS, abduction and external rotation ROM, DASH and Constant measurements were significantly more effective in MCT group ( < .05). Significant improvements were seen in all SF 36 subscales in control group ( < .05). Significant improvements were also found in all parameters except role limitations due to emotional problems, emotional well-being and social function in MCT group. According to the comparisons between the groups, only emotional well-being subscale showed a significant difference in favor of control group ( < .05).ConclusionsWe concluded that MCT can be used with conservative physiotherapy to improve pain and functional level in RCI as a non-invasive, easily applicable and economical complementary in medicine practices.
背景
肩部疼痛通常由肩袖病变引起。拔罐疗法是最常用的传统补充医学技术之一。近年来,其在肌肉骨骼疾病中潜在益处的证据有所增加,但研究有限。
目的
本研究旨在探讨在常规物理治疗基础上,移动拔罐疗法(MCT)对肩袖损伤(RCI)患者疼痛和功能的有效性。
方法
在这项随机对照试验性研究中,纳入了2019年申请伊斯坦布尔梅迪波尔大学物理治疗与康复诊所的30名年龄在25 - 65岁之间、被诊断为RCI的女性患者,并将她们随机分为两组。两组均每周进行五天、为期四周的常规物理治疗。此外,MCT组每周进行两次、每次十分钟、为期四周的MCT治疗。在治疗前后评估疼痛(数字评分量表(NRS))、关节活动度(ROM)、功能(DASH - Constant)和生活质量(SF - 36)。组内比较采用Wilcoxon符号秩检验。组间比较采用Mann - Whitney U检验。
结果
治疗后,两组的疼痛、ROM、DASH、Constant评分均有显著差异(P < 0.05)。NRS、外展和外旋ROM、DASH和Constant测量在MCT组中显著更有效(P < 0.05)。对照组所有SF - 36子量表均有显著改善(P < 0.05)。MCT组除因情绪问题导致的角色限制、情绪健康和社会功能外,所有参数也有显著改善。根据组间比较,仅情绪健康子量表显示对照组有显著差异(P < 0.05)。
结论
我们得出结论,MCT可与保守物理治疗联合使用,作为一种非侵入性、易于应用且经济的补充医学方法,用于改善RCI患者的疼痛和功能水平。