Comparison of the Effectiveness of Dry Needling and Cupping Therapy in Patients With Myofascial Pain Syndrome: A Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- Visual analog scale
研究概览
简要总结
This study aimed to compare the effectiveness of dry needling and cupping therapy in patients diagnosed with myofascial pain syndrome involving the trapezius, supraspinatus, infraspinatus, and levator scapulae muscles. Treatment efficacy was evaluated using the visual analog scale (VAS), the number of trigger points, the Likert satisfaction scale, and the multidimensional quality of life scale.
详细描述
This study evaluated the effectiveness of dry needling (DN) and cupping therapy in 92 patients with chronic myofascial pain syndrome. Participants were randomly divided into two groups: one receiving a 10-session cupping regimen and the other undergoing a three-session dry needling protocol, with both groups performing home-based exercises.
Results showed that both treatments significantly reduced pain and improved patient outcomes over three months. When compared directly, cupping therapy was more effective at reducing trigger points and improving overall quality of life. Conversely, dry needling resulted in higher levels of patient satisfaction. In conclusion, both methods are valuable tools for managing myofascial pain, and the choice of treatment may depend on whether the clinical priority is physical symptom relief or patient preference. Further research is recommended to better define the specific long-term applications of these therapies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Back pain lasting more than three months
- •At least one palpable myofascial TN in the trapezius, supraspinatus, infraspinatus, and/or levator scapulae muscles
- •Written informed consent
排除标准
- •Prior dry needling treatment
- •Prior cupping therapy
- •Severe cognitive dysfunction
- •Spinal fracture
- •Infection
- •Malignancy
- •Ankylosing spondylitis
- •Central nervous system injury
- •Psychiatric disorder
- •Diseases causing tissue degeneration
- •Conditions associated with spasticity or cerebrovascular disease
- •Cervical radiculopathy due to structural abnormalities
- •Muscle or tendon injuries of the shoulder or neck
- •Fibromyalgia or other conditions presenting with symptoms similar to myofascial pain syndrome
- •Use of anticoagulant or antiplatelet therapy
- •Thrombocytopenia or hemorrhagic disorders
- •A history of surgery or blood donation within the previous three months
- •Pregnancy
- •Breastfeeding
- •Presence of renal, hepatic, or severe cardiovascular disease
研究组 & 干预措施
Cupping therapy arm
Dry cupping was conducted 3 times per week for 9 sessions, followed by one session of wet cupping at the tenth session.
干预措施: Cupping therapy (Procedure)
Dry needling arm
Participants in this arm received three sessions of dry needling, administered once per week.
干预措施: Dry needling (Procedure)
结局指标
主要结局
Visual analog scale
时间窗: From enrollment to the end of the first month
The VAS score was used to measure pain intensity in each patient. Patients were told to rate their pain on a 10-cm horizontal line for the VAS test. A score of 0 indicated no pain, a score of 5 indicated moderate pain, and a score of 10 indicated the worst pain.
Trigger points count
时间窗: From enrollment to the end of the first month
Trigger points were identified in the trapezius, levator scapulae, supraspinatus, and infraspinatus muscles by the presence of a hypersensitive spot within a palpable taut band, accompanied by a visible or palpable LTR and/or reproduction of referred pain upon palpation of the sensitive point.
Multidimensional quality of life score
时间窗: From enrollment to the end of the first month
The multidimensional quality of life scale includes a total of 35 items and assesses nine subdomains, each with four items. The overall score is obtained by summing the responses to all the items. Each item is given a score from 1 to 7, with a total score of 35 to 245. Higher scores indicate better functional status.
Likert satisfaction scale
时间窗: From enrollment to the end of the first month
Patient satisfaction was assessed using a Likert scale, where participants were asked to rate their experience by selecting one of the following options: none, mild, moderately good, good, or very good.
次要结局
- Visual analog scale(From enrollment to the end of the third month)
- Trigger points count(From enrollment to the end of the third month)
- Multidimensional quality of life score(From enrollment to the end of the third month)
- Likert satisfaction scale(From enrollment to the end of the third month)
研究者
Fatma Nur BULDUK
Doctor
Turkish League Against Rheumatism