Dry Cupping Therapy on Rotator Cuff Injuries

NCT05975801 | Completed

• 1 other identifier: IMU-FTR-ST-02
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Shoulder pain is the most common musculoskeletal problem after spine and knee complaints. Rotator cuff injuries (RCI) are the most common cause of shoulder pain. RCI includes a wide spectrum from subacromial impingement syndrome (SIS) to chronic tendinopathy, partial and total ruptures of the rotator cuff. In recent years there has been a renewed interest in traditional and complementary medicine (TCM) for various musculoskeletal problems. Cupping therapy, which is one of the most commonly used TCM methods, is one of the oldest medical applications with thousands of years of history. Although it is thought to be effective in many diseases, there are not enough studies in the literature about its effectiveness and mechanism of action. Our aim in this study is to investigate the effects of moving dry cupping therapy on pain, range of motion (ROM), functionality and quality of life in RCI.

Conditions

Rotator Cuff Injuries; Shoulder Pain; Subacromial Impingement Syndrome

Keywords

Complementary Therapies; Cupping Therapy; Range of Motion; Rotator Cuff Injuries; Shoulder Pain; Quality of Life

Outcome Measures

Primary Outcomes (5)

• Shoulder Pain

  Pain was evaluated with the Numerical Rating Scale (NRS). The patient was asked to mark his pain in numerical values ranging from 0 (no pain) to 10 (very severe pain). The higher the score obtained from this test, the more pain the patient has, and the smaller the score, the less the pain is predicted.

  1 months

• Range of Motion

  Shoulder flexion, abduction, internal and external rotation in the supine position using a baseline goniometer; Shoulder extension ROM in the prone position was evaluated as passive.

  1 months

• Constant-Murley Score

  Developed in 1987, this scoring system evaluates pain, activities of daily living, strength, and ROM. Its score ranges from 0 to 100 points, representing worst and best shoulder function, respectively. In the original publication, the pain experienced during normal activities of daily living was scored as: no pain = 15 points, mild = 10, moderate = 5 and severe = 0 points

  1 months

• The Disabilities of the Arm, Shoulder and Hand (DASH)

  The disabilities of the arm, shoulder and hand (DASH) questionnaire is a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100

  1 months

• Short Form (SF-36)

  SF-36, which is one of the most preferred scales in assessing the quality of life, consists of a total of 36 questions and 8 sections. It is divided into 8 parts as physical function, social function, physical role difficulty, emotional role difficulty, mental health, energy/vitality, pain and general health perception. Each section is scored between 0-100 in itself. High scores indicate high quality of life.

  1 months

Study Arms (2)

Dry Cupping Therapy Group

ACTIVE COMPARATOR

In addition to the conventional treatment, moving cup application was applied for 10 minutes twice a week. During the treatment, the patients were placed in a side-lying position with the affected side on top. Liquid petroleum jelly was applied on the skin and negative pressure was created with a manual pump, allowing the cup to be slid on the skin. Care was taken to ensure that the negative pressure would not cause increased pain and would allow the cup to slide. Deltoid, Trapeze, Supraspinatus, Infraspinatus, Pectoral muscles were applied in the origo insertion direction for a total of 10 minutes.

Other: Dry Cupping Therapy; Other: Conservative Treatment (hotpack, transcutaneous electrical nerve stimulation(TENS), ultrasound

Conservative Treatment Group

OTHER

The patients in the control group received a conservative treatment program including hotpack (20 min), transcutaneous electrical nerve stimulation(TENS) (COMPEX Rehab 400 - 20 min), ultrasound (Chattanooga Ultrasound - 1 megahertz, 1.5 W/cm², 5 min) for 4 weeks, 5 days a week, and wand, Codman, stretching and strengthening exercises were applied.Stretching exercises were added to the treatment for the shoulder girdle and scapular region muscles, while strengthening exercises were added to the treatment by increasing the resistance at the pain limit. In addition, the home exercise program was taught to be 10 repetitions 2 times a day.

Other: Conservative Treatment (hotpack, transcutaneous electrical nerve stimulation(TENS), ultrasound

Interventions

Dry Cupping Therapy OTHER

Dry Cupping Therapy Group

Conservative Treatment (hotpack, transcutaneous electrical nerve stimulation(TENS), ultrasound OTHER

Conservative Treatment Group; Dry Cupping Therapy Group

Eligibility Criteria

• Age: 25 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age range
• Clinical diagnosis ofRCI, SIS, supraspinatus tendinitis
• To be fully cooperative

You may not qualify if:

• Patients who had undergone any surgical operation on the shoulder
• A history of shoulder fracture
• Severe osteoporosis
• Total tendon rupture
• Had received oral/intramuscular steroids in the last 1 month
• Had been administered intra-articular drugs in the last 3 months
• Difficulty in cooperation

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

MeSH Terms

Conditions

Rotator Cuff Injuries; Shoulder Pain; Shoulder Impingement Syndrome

Interventions

Conservative Treatment; Transcutaneous Electric Nerve Stimulation; High-Energy Shock Waves

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Electric Stimulation Therapy; Physical Therapy Modalities; Rehabilitation; Analgesia; Anesthesia and Analgesia; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Esra ATILGAN

  Medipol University

  STUDY DIRECTOR

• Hatice Hümeyra AKIL

  Uskudar University

  PRINCIPAL INVESTIGATOR

• Sümeyye TUNÇ

  Medipol University

  STUDY CHAIR

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: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: July 25, 2023
• First Posted: August 4, 2023
• Study Start: January 1, 2017
• Primary Completion: May 1, 2017
• Study Completion: January 1, 2019
• Last Updated: December 13, 2024

Record last verified: 2024-12