首页|Short-term effects of cupping and scraping therapy for chronic nonspecific low-back pain:A prospective,multicenter randomized trial

Short-term effects of cupping and scraping therapy for chronic nonspecific low-back pain:A prospective,multicenter randomized trial

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Background:As one of the most common musculoskeletal ailments,chronic nonspecific low-back pain(CNLBP)causes persistent disability and substantial medical expenses.Epidemiological evidence shows that the incidence rate of CNLBP in young and middle-aged people who are demanded rapidly recovery and social contribution is rising.Recent guidelines indicate a reduced role for medicines in the manage-ment of CNLBP.Objective:The present study investigates the short-term effects of cupping and scraping therapy using a medicated balm,compared to nonsteroidal anti-inflammatory drug(NSAID)with a capsaicin plaster,in the treatment of CNLBP.Design,setting,participants and interventions:We designed a prospective multicenter randomized clinical trial enrolling patients from January 1,2022 to December 31,2022.A total of 156 patients with CNLBP were randomized into two parallel groups.Diclofenac sodium-sustained release tablets were adminis-tered orally to participants in the control group for one week while a capsaicin plaster was applied exter-nally.Patients in the test group were treated with cupping and scraping using a medical device and medicated balm.Main outcome measures:Primary outcome was pain recorded using the visual analogue scale(VAS).Two secondary outcomes were recorded using the Japanese Orthopedic Association low-back pain scale(JOA)and the traditional Chinese medicine(TCM)syndrome integral scale(TCMS)as assessment tools.Results:Between baseline and postintervention,all changes in outcome metric scales were statistically significant(P＜0.001).Compared to the control group,patients in the test group had a significantly greater treatment effect in all outcome variables,as indicated by lower VAS and TCMS scores and higher JOA scores,after the one-week intervention period(P＜0.001).Further,according to the findings of mul-tivariate linear regression analysis,the participants'pain(VAS score)was related to their marital status,age,smoking habits and body mass index.No adverse reactions were reported for any participants in this trial.Conclusion:The effectiveness of TCM combined with the new physiotherapy tool is superior to that of NSAID combined with topical plasters,regarding to pain intensity,TCM symptoms and quality of life.The TCM plus physiotherapy also showed more stable and long-lasting therapeutic effects.Trial registration:This study was registered at Chinese Clinical Trial Registry(ChiCTR2200055655).

Chronic nonspecific low-back painTraditional Chinese medicineCupping and scraping therapy

Jun-yan He、Xiao-yu Tu、Zi-fei Yin、Hui Mu、Ming-jun Luo、Xing-yu Chen、Wei-bin Cai、Xue Zhao、Can Peng、Fan-fu Fang、Can Lü、Bai Li

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School of Traditional Chinese Medicine,Naval Medical University,Shanghai 200433,China

Department of Rehabilitation Medicine and Physiotherapy,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China

Department of Rehabilitation Medicine and Training,PLA 458 Hospital,Guangzhou 510602,Guangdong Province,China

No.3 Ward of Acupuncture Rehabilitation Department,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong Province,China

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13th Five-Year Army Key Discipline Construction Project

2020SZ06-17

2024

10.1016/j.joim.2024.01.004

结合医学学报(英文版)
上海市中西医结合学会,上海长海医院

结合医学学报(英文版)

CSTPCD
影响因子：0.711
ISSN：2095-4964
年,卷(期)：2024.22(1)
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