Effects of Core Stabilization Exercises With and Without Dry Cupping in Patients With Sacroiliac Joint Dysfunction

NCT05404984 | Unknown

• 1 other identifier: REC/RCR & AHS/22/0105
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of core stabilization exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction.

Conditions

Sacroiliac Joint Dysfunction

Keywords

dry cupping; core stabilization exercise; sacroiliac joint dysfunction

Outcome Measures

Primary Outcomes (2)

• NPRS for pain

  The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

  6th week

• Modified ODI for disability

  It is a disease-specific disability measure and is used to find the level of disability with the help of questions asking about difficulty in performing activities of daily life in 10 different sections.

  6th week

Study Arms (2)

Dry cupping with core stabilization exercises

EXPERIMENTAL

On 12 patients, dry cupping will be performed by using a disposable manual cupping set including a hand suction pump and plastic cups of different sizes. These cups will be placed over the points GB 30, Huantiao, BL-28 Pangguangshu, BL-54 ZHIBIAN and EM-Yaoyan. After dry cupping session core stabilization exercises will be added.

Other: Dry cupping with core stabilization exercises

Core stabilization exercises

ACTIVE COMPARATOR

12 patients will be asked to perform core stabilization exercises where the local stabilizers of the lumbopelvic region will be targeted to ensure segmental control in different positions such as supine, crook-lying, side-lying, prone, four-point kneeling, sitting, and standing.

Other: Core stabilization exercises

Interventions

Dry cupping with core stabilization exercises OTHER

12 patients will receive dry cupping technique for 10 minutes followed by 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.

Dry cupping with core stabilization exercises

Core stabilization exercises OTHER

A total of 12 patients will perform 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.

Core stabilization exercises

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic low back pain for more than 3 months
• Pain on performing pain provocative tests for sacroiliac dysfunction
• Oswestry disability index above 20% but below 80%

You may not qualify if:

• Participants suffering from specific low back pain like PIVD with instability or any radicular symptoms, lumbar spondylosis, lumbarcanal stenosis, spondylolisthesis, sensory deficits, malignancies and tuberculosis.
• Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis.
• Pregnancy, any lower limb abnormalities, any recently underwent abdominal and low back surgery.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehabilitation Clinic

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (11)

• 1. M Anbar ARA, Saleh AM, Ismail NM, El-Shazly U. CUPPING VERSUS KINESIOTAP ON MANAGEMENT OF PATIENTS WITH SACROILIAC JOINT DYSFUNCTION:"A RANDOMIZED CONTROLLED TRIAL". Delta University Scientific Journal. 2020;3(2):21-32.

  BACKGROUND

• Dogan N, Sahbaz T, Diracoglu D. Effects of mobilization treatment on sacroiliac joint dysfunction syndrome. Rev Assoc Med Bras (1992). 2021 Jul;67(7):1003-1009. doi: 10.1590/1806-9282.20210436.

  PMID: 34817514 BACKGROUND

• 7. Al-Qudah M, Khalid A-J. Impact Of Cupping Massage and Modified Spinal Decompression Therapy With Core Stabilization Exercise In Lumbar Bulging Disc Management. Psychology and Education Journal. 2021;58(3):1978-86.

  BACKGROUND

• Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020 Jan;26(1):44-50. doi: 10.1089/acm.2019.0231. Epub 2019 Oct 3.

  PMID: 31580695 BACKGROUND

• Wood S, Fryer G, Tan LLF, Cleary C. Dry cupping for musculoskeletal pain and range of motion: A systematic review and meta-analysis. J Bodyw Mov Ther. 2020 Oct;24(4):503-518. doi: 10.1016/j.jbmt.2020.06.024. Epub 2020 Jul 30.

  PMID: 33218554 BACKGROUND

• Ozsoy G, Ilcin N, Ozsoy I, Gurpinar B, Buyukturan O, Buyukturan B, Kararti C, Sas S. The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study. Clin Interv Aging. 2019 Oct 9;14:1729-1740. doi: 10.2147/CIA.S223905. eCollection 2019.

  PMID: 31631992 BACKGROUND

• Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, Lotz F, Roll S, Brinkhaus B. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med. 2018 Apr 2;18(1):115. doi: 10.1186/s12906-018-2187-8.

  PMID: 29609566 BACKGROUND

• Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial. J Bodyw Mov Ther. 2019 Jan;23(1):177-182. doi: 10.1016/j.jbmt.2018.01.014. Epub 2018 Jan 31.

  PMID: 30691749 BACKGROUND

• Akbarzade M, Ghaemmaghami M, Yazdanpanahi Z, Zare N, Mohagheghzadeh A, Azizi A. Comparison of the Effect of Dry Cupping Therapy and Acupressure at BL23 Point on Intensity of Postpartum Perineal Pain Based on the Short Form of McGill Pain Questionnaire. J Reprod Infertil. 2016 Jan-Mar;17(1):39-46.

  PMID: 26962482 BACKGROUND

• Polly DW, Swofford J, Whang PG, Frank CJ, Glaser JA, Limoni RP, Cher DJ, Wine KD, Sembrano JN; INSITE Study Group. Two-Year Outcomes from a Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion vs. Non-Surgical Management for Sacroiliac Joint Dysfunction. Int J Spine Surg. 2016 Aug 23;10:28. doi: 10.14444/3028. eCollection 2016.

  PMID: 27652199 BACKGROUND

• Noor Ul Ain; Bashir MS, Noor R, Ikram M, Iftikhar A, Najm R. Effects of core stabilisation exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction. J Pak Med Assoc. 2025 Jan;75(1):61-65. doi: 10.47391/JPMA.8289.

  PMID: 39828829 DERIVED

Study Officials

• Muhammad Salman Bashir, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 31, 2022
• First Posted: June 3, 2022
• Study Start: June 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 1, 2023
• Last Updated: June 3, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)