da Silva Kimberly Moreira Pereira, Almeida Silva Hugo Jario, Pontes-Silva André, DeSantana Josimari Melo, Avila Mariana Arias, Barbosa Germanna Medeiros, de Souza Marcelo Cardoso
Faculty of Health Sciences of Trairi, Postgraduate Program in Rehabilitation Sciences, Federal University of Rio Grande do Norte, Santa Cruz, RN, Brazil.
Postgraduate Program in Physical Therapy, Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
BMC Complement Med Ther. 2025 Jul 2;25(1):219. doi: 10.1186/s12906-025-04940-9.
Although exercise is a first-line approach to treating chronic low back pain (CLBP) in clinical practice, passive techniques such as dry cupping therapy are considered complementary to this condition. However, knowledge about the effects of combining dry cupping therapy with active exercises in people with non-specific CLBP is shallow.
To evaluate the effects of dry cupping therapy with the McKenzie method (MDT) on disability and functional outcomes in people with non-specific CLBP.
Eighty-eight people with non-specific CLBP aging 18 to 59 years will be recruited and evaluated for inclusion and exclusion criteria. Participants will be randomized into intervention (MDT and dry cupping therapy) or sham group (MDT and sham dry cupping therapy). Dry cupping therapy will be applied bilaterally to the vertebrae (L1 to L5). Interventions will be performed twice a week for eight weeks, and participants will be assessed before treatment (T0), immediately after the first intervention (T1), and at four (T4) and eight weeks of intervention (T8). Primary outcomes will be disability (Oswestry Disability Index). Secondary outcomes will be functionality (Timed Up and Go Test), pain (Numeric Pain Rating Scale), trunk range of motion (Toe-touch Test) and participant expectation and perception (Global Perceived Effect Scale).
Despite recent research, there is no consensus in the literature regarding the effectiveness of dry cupping therapy in the treatment of people with non-specific CLBP. Also, no study with high methodological rigor has evaluated the combination of dry cupping therapy with active exercise in this population and whether this combination potentiates any clinical effect. Thus, this protocol may guide further research to support the prescription of exercise combined with dry cupping therapy in people with non-specific CLBP. The results of the study will be disseminated to participants through social networks and will be submitted to a peer-reviewed journal and scientific meetings.
ClinicalTrials.gov, October, 2023 (report number: NCT05459376).
尽管在临床实践中运动是治疗慢性下腰痛（CLBP）的一线方法，但诸如干拔罐疗法等被动技术被认为可辅助治疗这种疾病。然而，对于将干拔罐疗法与主动运动相结合对非特异性CLBP患者的影响，相关知识尚浅。
评估采用麦肯基疗法（MDT）的干拔罐疗法对非特异性CLBP患者的残疾状况和功能结局的影响。
将招募88名年龄在18至59岁之间的非特异性CLBP患者，并对其进行纳入和排除标准评估。参与者将被随机分为干预组（MDT和干拔罐疗法）或假治疗组（MDT和假干拔罐疗法）。干拔罐疗法将双侧应用于腰椎（L1至L5）。干预每周进行两次，持续八周，并且将在治疗前（T0）、首次干预后立即（T1）以及干预四周（T4）和八周（T8）时对参与者进行评估。主要结局将是残疾状况（Oswestry残疾指数）。次要结局将是功能（计时起立行走测试）、疼痛（数字疼痛评分量表）、躯干活动范围（触趾测试）以及参与者的期望和感知（整体感知效应量表）。
尽管近期有相关研究，但关于干拔罐疗法治疗非特异性CLBP患者的有效性，文献中尚无共识。此外，尚无具有高度方法学严谨性的研究评估干拔罐疗法与主动运动在该人群中的联合应用，以及这种联合应用是否能增强任何临床效果。因此，本方案可能会指导进一步的研究，以支持对非特异性CLBP患者开具运动结合干拔罐疗法的处方。该研究结果将通过社交网络向参与者公布，并将提交给同行评审期刊和科学会议。
ClinicalTrials.gov，2023年10月（报告编号：NCT05459376）。
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