Although few studies have evaluated the efficacy of IC on TPs, 13, 14 the comparison of CT and IC or their combination studies are lacking. 16ĬT and IC have been shown to decrease the pain and improve the quality of life substantially. CT is an effective way to manipulate soft tissues, however, to the best of our knowledge, the efficacy of CT on TPs had not been reported yet. Its principal mechanism relies on stimulating the acupuncture points. 15 There are two types of cupping: wet cupping, which involves bloodletting and dry cupping, which uses only a negative pressure treatment. Various types of instruments, made of wood, plastic, or rubber, are used to administer the therapy without injuring the therapist's hands.Ĭupping therapy (CT), a traditional Chinese medicine therapy, has been used for >2000 years and uses a negative pressure mechanism.
13, 14 IC is a safe, noninvasive, effective, and inexpensive way to treat muscle pain syndrome. This directed pressure is managed according to the therapist's perception of the tissue resistance of the treated soft tissue or according to the pain perceived by the patient based on a pain scale.
Point measure rct manual#
IC, a manual technique that uses direct vertical pressure to the TP, is a well-established treatment method used to resolve the TP-related pain syndrome. 11, 12 However, comparing these methods, separately and in combination, has not been critically evaluated or compared. 8–10 Among these methods, IC and dry cupping show the most promise. Massage, dry needle, cupping, and ischemic compression (IC) are the most common conventional treatment approaches for treating TP. 6, 7 Several studies have attempted to examine TP complications, which have resulted in the development of various treatments. TP management has become a popular topic in the literature. However, both types can lead to a decrease in functional capacity. 4 TPs are classified as latent or active. When this spot is manipulated, impulsive or exertion pain may be experienced. A TP is associated with a tender spot situated in a taut band of muscle. 2, 3 TP is one of the most widespread long-lasting muscle disorders affecting all ages and social groups, regardless of occupation, physical build, or physical activity levels. 1 Studies suggest that active trigger points (TPs) are widespread in patients who experience nonspecific NP. Nonspecific neck pain (NP) is typically caused by mechanical or myofascial disorders. Both IC and dry cupping may hold promise in treating TPs a combination of the two therapies may provide superior improving rate. Although no significant difference was detected between ischemic compression (IC) and dry cupping, the combination approach showed significantly higher and faster improvement ( p < 0.05).Ĭonclusions: It is feasible to conduct a main RCT. Results: The results showed a statistically significant improvement in NDI, PPT, and NROM compared with values before the treatment ( p < 0.05) in all groups. PPT, NROM, and NDI were assessed before and after 4 weeks of treatment. Patients were randomly assigned to three groups: the cupping group, the ischemic compression group, and the combination therapy group.
Point measure rct trial#
Besides, assess the feasibility of conducting a randomized clinical trial (RCT).ĭesign: A randomized pilot study was conducted on 24 patients with TPs and nonspecific NP. Objectives: To reveal preliminary evidence on the clinical efficacy of ischemic compression therapy, dry cupping, and their combination on improving the TPs' pressure pain threshold (PPT), neck range of motion (NROM), and neck disability index (NDI) in patients with TPs and nonspecific NP. In the United States, 30%–85% of pain patients have been affected by myofascial TPs. Trigger points (TPs) are the physical interpretation of the myofascial pain syndrome. Background: Chronic neck pain (NP) attributed to myofascial pain syndrome is one of the particularly common skeletal muscle disorder associated with the hyperirritable zone in the taut band of muscle.
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