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Effectiveness of home-based cupping massage compared to progressive muscle relaxation in patients with chronic neck pain--a randomized controlled trial.

PloS one
January 1, 2013
Romy Lauche et al. (7 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the efficacy of partner-delivered home-based cupping massage versus progressive muscle relaxation in reducing chronic non-specific neck pain.

Results Summary

Both cupping massage and progressive muscle relaxation significantly reduced neck pain compared to baseline, with no significant differences between the two treatments. Cupping massage showed additional benefits in improving well-being and decreasing pressure pain sensitivity.

Population

Patients with chronic non-specific neck pain (mean age 54.1±12.7 years; 73.8% female).

Effective Dosage

Twice weekly for 12 weeks.

Duration

12 weeks.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
partner-delivered home-based cupping massage
decrease
current neck pain intensity
patients with chronic non-specific neck pain
-
showed significantly less pain
#1
progressive muscle relaxation
decrease
current neck pain intensity
patients with chronic non-specific neck pain
-
showed significantly less pain
#2
cupping massage
no change
chronic non-specific neck pain
patients with chronic non-specific neck pain
-
no more effective than progressive muscle relaxation
#3
cupping massage
increase
wellbeing
patients with chronic non-specific neck pain
-
significant effects in favor
#4
cupping massage
increase
pressure pain thresholds
patients with chronic non-specific neck pain
-
significant effects in favor
#5
cupping massage
increase
well-being
patients with chronic non-specific neck pain
-
better than PMR in improving
#6
cupping massage
decrease
pressure pain sensitivity
patients with chronic non-specific neck pain
-
better than PMR in decreasing
#7
both therapies
decrease
pain
patients with chronic non-specific neck pain
to a minimal clinically relevant extent
can reduce pain
#8
Abstract

UNLABELLED: Chronic neck pain is a major public health problem with very few evidence-based complementary treatment options. This study aimed to test the efficacy of 12 weeks of a partner-delivered home-based cupping massage, compared to the same period of progressive muscle relaxation in patients with chronic non-specific neck pain. Patients were randomly assigned to self-directed cupping massage or progressive muscle relaxation. They were trained and asked to undertake the assigned treatment twice weekly for 12 weeks. Primary outcome measure was the current neck pain intensity (0-100 mm visual analog scale; VAS) after 12 weeks. Secondary outcome measures included pain on motion, affective pain perception, functional disability, psychological distress, wellbeing, health-related quality of life, pressure pain thresholds and adverse events. Sixty one patients (54.1±12.7 years; 73.8%female) were randomized to cupping massage (n = 30) or progressive muscle relaxation (n = 31). After treatment, both groups showed significantly less pain compared to baseline however without significant group differences. Significant effects in favor of cupping massage were only found for wellbeing and pressure pain thresholds. In conclusion, cupping massage is no more effective than progressive muscle relaxation in reducing chronic non-specific neck pain. Both therapies can be easily used at home and can reduce pain to a minimal clinically relevant extent. Cupping massage may however be better than PMR in improving well-being and decreasing pressure pain sensitivity but more studies with larger samples and longer follow-up periods are needed to confirm these results. TRIAL REGISTRATION: ClinicalTrials.gov NCT01500330.

Medical Subject Headings (MeSH)
Chronic PainDemographyFemaleHumansMaleMassageMiddle AgedMuscle RelaxationNeck PainOutcome Assessment, Health CarePatient CompliancePhysical Therapy ModalitiesTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality80/10
Citation Metrics
Total Citations51
Citations/Year4.3
Relative Citation Ratio2.66
NIH Percentile82.3%
Research Impact Scores
APT Score0.75
Weight Score1.63
Normalized Score0.62
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