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Adam Bleakney - One of the best experts on this subject based on the ideXlab platform.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2021Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mm Hg for 5 mins. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2 ± 7.7, P < 0.05) and 40-mm (109.6 ± 7.1, P < 0.05) cups, but not the 35-mm cup (115.5 ± 10.3, nonsignificant) compared with before Cupping (115.8 ± 13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45- and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2020Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mmHg for 5 minutes. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2±7.7, p<0.05) and 40-mm (109.6±7.1, p<0.05) cups, but not the 35-mm cup (115.5±10.3, non-significant) compared to before Cupping (115.8±13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45-mm and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
Yih-kuen Jan - One of the best experts on this subject based on the ideXlab platform.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2021Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mm Hg for 5 mins. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2 ± 7.7, P < 0.05) and 40-mm (109.6 ± 7.1, P < 0.05) cups, but not the 35-mm cup (115.5 ± 10.3, nonsignificant) compared with before Cupping (115.8 ± 13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45- and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2020Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mmHg for 5 minutes. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2±7.7, p<0.05) and 40-mm (109.6±7.1, p<0.05) cups, but not the 35-mm cup (115.5±10.3, non-significant) compared to before Cupping (115.8±13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45-mm and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
Jianping Liu - One of the best experts on this subject based on the ideXlab platform.
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Cupping therapy for acute and chronic pain management a systematic review of randomized clinical trials
Journal of Traditional Chinese Medical Sciences, 2014Co-Authors: Huijuan Cao, Xue Yan, Nissi S Wang, Alan Bensoussan, Jianping LiuAbstract:Abstract Objective Cupping as a traditional therapy is used to treat a myriad of health conditions, including pain. This systematic review assessed the effectiveness and safety of Cupping for different types of pain. Methods Thirteen databases and four trial registries were searched for randomized clinical trials. Meta-analysis of data was conducted if there was non-significant clinical and statistical heterogeneity (measured by I 2 test) among trials. Results Sixteen trials with 921 participants were eligible and included. Six trials were assessed as low risk of bias, another six trials were of unclear risk of bias, and the remaining four trials were of high risk of bias. Pain was related to three acute and seven chronic diseases. Meta-analysis showed a beneficial effect of Cupping compared to wait-list control (visual analogue scale (VAS), MD −1.85 cm, 95%CI −2.66 to −1.04) and heat therapy (numerical rating scale, MD −2.05 cm, 95%CI −2.93 to −1.17). Cupping combined with acupuncture was superior to acupuncture alone on post-treatment pain intensity (VAS, MD −1.18 cm, 95%CI −1.68 to −0.68), however, no difference was found between this comparison based on changes in pain intensity (difference of VAS, MD 0.16 cm, 95%CI −0.54 to 0.87). Results from other single studies showed significant benefit of Cupping compared with conventional drugs or usual care. Hematoma and pain at the treated site, increasing local pain or tingling were reported as mild adverse effects of Cupping. Conclusion This review suggests a potential positive short-term effect of Cupping therapy on reducing pain intensity compared with no treatment, heat therapy, usual care, or conventional drugs.
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an updated review of the efficacy of Cupping therapy
PLOS ONE, 2012Co-Authors: Huijuan Cao, Jianping LiuAbstract:Background Since 1950, traditional Chinese medicine (TCM) Cupping therapy has been applied as a formal modality in hospitals throughout China and elsewhere in the world. Based on a previous systematic literature review of clinical studies on Cupping therapy, this study presents a thorough review of randomized controlled trials (RCTs) to evaluate the therapeutic effect of Cupping therapy. Method
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Clinical research evidence of Cupping therapy in China: a systematic literature review
BMC Complementary and Alternative Medicine, 2010Co-Authors: Huijuan Cao, Mei Han, Shangjuan Dong, Yongmei Shang, Qian Wang, Jianping LiuAbstract:Though Cupping therapy has been used in China for thousands of years, there has been no systematic summary of clinical research on it. This review is to evaluate the therapeutic effect of Cupping therapy using evidence-based approach based on all available clinical studies. We included all clinical studies on Cupping therapy for all kinds of diseases. We searched six electronic databases, all searches ended in December 2008. We extracted data on the type of Cupping and type of diseases treated. 550 clinical studies were identified published between 1959 and 2008, including 73 randomized controlled trials (RCTs), 22 clinical controlled trials, 373 case series, and 82 case reports. Number of RCTs obviously increased during past decades, but the quality of the RCTs was generally poor according to the risk of bias of the Cochrane standard for important outcome within each trials. The diseases in which Cupping was commonly employed included pain conditions, herpes zoster, cough or asthma, etc. Wet Cupping was used in majority studies, followed by retained Cupping, moving Cupping, medicinal Cupping, etc. 38 studies used combination of two types of Cupping therapies. No serious adverse effects were reported in the studies. According to the above results, quality and quantity of RCTs on Cupping therapy appears to be improved during the past 50 years in China, and majority of studies show potential benefit on pain conditions, herpes zoster and other diseases. However, further rigorous designed trials in relevant conditions are warranted to support their use in practice.
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wet Cupping therapy for treatment of herpes zoster a systematic review of randomized controlled trials
Alternative Therapies in Health and Medicine, 2010Co-Authors: Huijuan Cao, Chenjun Zhu, Jianping LiuAbstract:BACKGROUND Wet Cupping is a traditional Chinese medicine therapy commonly used in treating herpes zoster in China, and clinical studies have shown that wet Cupping may have beneficial effect on herpes zoster compared with Western medication. METHODS We included randomized controlled trials (RCTs) on wet Cupping for herpes zoster. We searched PubMed, the Cochrane Library (Issue 3, 2008), China Network Knowledge Infrastructure (CNKI), Chinese Scientific Journals Fulltext Database VIP, and Wan Fang Database. All searches ended in February 2009. Two authors extracted data and assessed the trials' quality independently. RevMan 5.0.18 software (The Cochrane Collaboration, The Nordic Cochrane Centre, Copenhagen, Denmark) was used for data analysis with effect estimate presented as relative risk (RR) and mean difference (MD) with a 95% confidence interval (CI). RESULTS Eight RCTs involving 651 patients were included, and the methodological quality of trials was generally fair in terms of randomization, blinding, and intention-to-treat analysis. Meta-analyses showed wet Cupping was superior to medication in the number of cured patients (RR 2.49, 95% CI 1.91 to 3.24, P < .00001), the number of patients with improved symptoms (RR 1.15, 95% CI 1.05 to 1.26, P = .003), and reducing the incidence rate of postherpetic neuralgia (RR 0.06, 95% CI 0.02 to 0.25, P = .0001). Wet Cupping plus medication was significantly better than medication alone on number of cured patients (RR 1.93, 95% CI 1.23 to 3.04, P = .005) but demonstrated no difference in symptom improvement (RR 1.00, 95% CI 0.92 to 1.08, P = .98). There were no serious adverse effects related to wet Cupping therapy in the included trials. CONCLUSION Wet Cupping appears to be effective in the treatment of herpes zoster. However, further large, rigorously designed
Huijuan Cao - One of the best experts on this subject based on the ideXlab platform.
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Cupping therapy for acute and chronic pain management a systematic review of randomized clinical trials
Journal of Traditional Chinese Medical Sciences, 2014Co-Authors: Huijuan Cao, Xue Yan, Nissi S Wang, Alan Bensoussan, Jianping LiuAbstract:Abstract Objective Cupping as a traditional therapy is used to treat a myriad of health conditions, including pain. This systematic review assessed the effectiveness and safety of Cupping for different types of pain. Methods Thirteen databases and four trial registries were searched for randomized clinical trials. Meta-analysis of data was conducted if there was non-significant clinical and statistical heterogeneity (measured by I 2 test) among trials. Results Sixteen trials with 921 participants were eligible and included. Six trials were assessed as low risk of bias, another six trials were of unclear risk of bias, and the remaining four trials were of high risk of bias. Pain was related to three acute and seven chronic diseases. Meta-analysis showed a beneficial effect of Cupping compared to wait-list control (visual analogue scale (VAS), MD −1.85 cm, 95%CI −2.66 to −1.04) and heat therapy (numerical rating scale, MD −2.05 cm, 95%CI −2.93 to −1.17). Cupping combined with acupuncture was superior to acupuncture alone on post-treatment pain intensity (VAS, MD −1.18 cm, 95%CI −1.68 to −0.68), however, no difference was found between this comparison based on changes in pain intensity (difference of VAS, MD 0.16 cm, 95%CI −0.54 to 0.87). Results from other single studies showed significant benefit of Cupping compared with conventional drugs or usual care. Hematoma and pain at the treated site, increasing local pain or tingling were reported as mild adverse effects of Cupping. Conclusion This review suggests a potential positive short-term effect of Cupping therapy on reducing pain intensity compared with no treatment, heat therapy, usual care, or conventional drugs.
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an updated review of the efficacy of Cupping therapy
PLOS ONE, 2012Co-Authors: Huijuan Cao, Jianping LiuAbstract:Background Since 1950, traditional Chinese medicine (TCM) Cupping therapy has been applied as a formal modality in hospitals throughout China and elsewhere in the world. Based on a previous systematic literature review of clinical studies on Cupping therapy, this study presents a thorough review of randomized controlled trials (RCTs) to evaluate the therapeutic effect of Cupping therapy. Method
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Clinical research evidence of Cupping therapy in China: a systematic literature review
BMC Complementary and Alternative Medicine, 2010Co-Authors: Huijuan Cao, Mei Han, Shangjuan Dong, Yongmei Shang, Qian Wang, Jianping LiuAbstract:Though Cupping therapy has been used in China for thousands of years, there has been no systematic summary of clinical research on it. This review is to evaluate the therapeutic effect of Cupping therapy using evidence-based approach based on all available clinical studies. We included all clinical studies on Cupping therapy for all kinds of diseases. We searched six electronic databases, all searches ended in December 2008. We extracted data on the type of Cupping and type of diseases treated. 550 clinical studies were identified published between 1959 and 2008, including 73 randomized controlled trials (RCTs), 22 clinical controlled trials, 373 case series, and 82 case reports. Number of RCTs obviously increased during past decades, but the quality of the RCTs was generally poor according to the risk of bias of the Cochrane standard for important outcome within each trials. The diseases in which Cupping was commonly employed included pain conditions, herpes zoster, cough or asthma, etc. Wet Cupping was used in majority studies, followed by retained Cupping, moving Cupping, medicinal Cupping, etc. 38 studies used combination of two types of Cupping therapies. No serious adverse effects were reported in the studies. According to the above results, quality and quantity of RCTs on Cupping therapy appears to be improved during the past 50 years in China, and majority of studies show potential benefit on pain conditions, herpes zoster and other diseases. However, further rigorous designed trials in relevant conditions are warranted to support their use in practice.
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wet Cupping therapy for treatment of herpes zoster a systematic review of randomized controlled trials
Alternative Therapies in Health and Medicine, 2010Co-Authors: Huijuan Cao, Chenjun Zhu, Jianping LiuAbstract:BACKGROUND Wet Cupping is a traditional Chinese medicine therapy commonly used in treating herpes zoster in China, and clinical studies have shown that wet Cupping may have beneficial effect on herpes zoster compared with Western medication. METHODS We included randomized controlled trials (RCTs) on wet Cupping for herpes zoster. We searched PubMed, the Cochrane Library (Issue 3, 2008), China Network Knowledge Infrastructure (CNKI), Chinese Scientific Journals Fulltext Database VIP, and Wan Fang Database. All searches ended in February 2009. Two authors extracted data and assessed the trials' quality independently. RevMan 5.0.18 software (The Cochrane Collaboration, The Nordic Cochrane Centre, Copenhagen, Denmark) was used for data analysis with effect estimate presented as relative risk (RR) and mean difference (MD) with a 95% confidence interval (CI). RESULTS Eight RCTs involving 651 patients were included, and the methodological quality of trials was generally fair in terms of randomization, blinding, and intention-to-treat analysis. Meta-analyses showed wet Cupping was superior to medication in the number of cured patients (RR 2.49, 95% CI 1.91 to 3.24, P < .00001), the number of patients with improved symptoms (RR 1.15, 95% CI 1.05 to 1.26, P = .003), and reducing the incidence rate of postherpetic neuralgia (RR 0.06, 95% CI 0.02 to 0.25, P = .0001). Wet Cupping plus medication was significantly better than medication alone on number of cured patients (RR 1.93, 95% CI 1.23 to 3.04, P = .005) but demonstrated no difference in symptom improvement (RR 1.00, 95% CI 0.92 to 1.08, P = .98). There were no serious adverse effects related to wet Cupping therapy in the included trials. CONCLUSION Wet Cupping appears to be effective in the treatment of herpes zoster. However, further large, rigorously designed
Xiao Hou - One of the best experts on this subject based on the ideXlab platform.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2021Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mm Hg for 5 mins. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2 ± 7.7, P < 0.05) and 40-mm (109.6 ± 7.1, P < 0.05) cups, but not the 35-mm cup (115.5 ± 10.3, nonsignificant) compared with before Cupping (115.8 ± 13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45- and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
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using elastographic ultrasound to assess the effect of Cupping size of Cupping therapy on stiffness of triceps muscle
American Journal of Physical Medicine & Rehabilitation, 2020Co-Authors: Yih-kuen Jan, Xiao Hou, Chunming Guo, Sanjiv Jain, Adam BleakneyAbstract:OBJECTIVE Cupping therapy may reduce muscle stiffness for managing fatigue. However, there is no scientific evidence showing changes of muscle stiffness after Cupping therapy. Furthermore, it is unclear whether the cup size of Cupping therapy affects the change of muscle stiffness. The objective of this study was to compare the effect of cup size of Cupping therapy on muscle stiffness. DESIGN A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after Cupping therapy at 300 mmHg for 5 minutes. Strain elastogram was converted to the grayscale for the quantification of stiffness. RESULTS The overall stiffness of triceps significantly reduced after Cupping therapy with the 45-mm (106.2±7.7, p<0.05) and 40-mm (109.6±7.1, p<0.05) cups, but not the 35-mm cup (115.5±10.3, non-significant) compared to before Cupping (115.8±13.5). The stiffness of superficial layer did not show significantly difference in all three sizes of cup. The stiffness of deep layer significantly reduced after the Cupping therapy with the 45-mm and 40-mm cups. CONCLUSIONS This is the first study demonstrating that Cupping therapy significantly reduced muscle stiffness, especially at the deep layer.
