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Effect of Cupping Therapy on Range of Motion, Pain Threshold, and Muscle Activity of the Hamstring Muscle Compared to Passive Stretching

  • Kim, Jae-Eun (Dept. of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Cho, Ji-Eun (Dept. of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Do, Kwang-Sun (Dept. of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Lim, Seung-Yeop (Dept. of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Kim, Hee-Joong (Dept. of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Yim, Jong-Eun (Dept. of Physical Therapy, The Graduate School of Sahmyook University)
  • Received : 2017.05.31
  • Accepted : 2017.07.28
  • Published : 2017.08.31

Abstract

PURPOSE: Flexibility and range of motion are very important factors in sports performance, rehabilitation, and musculoskeletal pain. The purpose of this study was to measure the effects of cupping therapy on flexibility, muscle activity, and pain threshold of hamstring muscle compared to passive stretching in healthy subjects. METHODS: Thirty healthy subjects were randomly assigned in a crossover design to cupping therapy and passive stretching. Subjects were tested to compare their effects according to the intervention such as Passive range of motion (PROM) (straight leg raising) and active range of motion (AROM). And algometer (pain) testing and MVC assessment using EMG were performed as dependent variables. RESULTS: The cupping therapy group and passive stretching group showed significant differences in all variables including PROM (p=.00, p=.00), AROM (p=.00, p=.03), Pain Threshold (p=.03, p=.08), Semitendinosus MVC (p=.01, p=.00), and Biceps femoris MVC (p=.01, p=.16). There were no significant differences between the two groups in all variables. CONCLUSION: These findings of this study suggested that cupping therapy has as much positive effect on flexibility, pain threshold, and muscle contraction as passive stretching. Also, it is more convenient and easier to work on patients than passive stretching. Therefore, cupping therapy should be considered as another option to treat range of motion, pain, and muscle activity in the clinical field.

Keywords

References

  1. Ahmadi A, Schwebel DC, Rezaei M. The efficacy of wet-cupping in the treatment of tension and migraine headache. Am J Chin Med. 2008;36(1):37-44. https://doi.org/10.1142/S0192415X08005564
  2. Benjamin M. The fascia of the limbs and back-a review. J Anat. 2009;214(1):1-18. https://doi.org/10.1111/j.1469-7580.2008.01011.x
  3. Chen CH, Nosaka K, Chen HL, et al. Effects of flexibility training on eccentric exercise-induced muscle damage. Med Sci Sports Exerc. 2011;43(3):491-500. https://doi.org/10.1249/MSS.0b013e3181f315ad
  4. Coutinho EL, DeLuca C, Salvini TF, et al. Bouts of passive stretching after immobilization of the rat soleus muscle increase collagen macromolecular organization and muscle fiber area. Connect Tissue Res. 2006;47(5): 278-86. https://doi.org/10.1080/03008200600995940
  5. Coutinho EL, Gomes AR, Franca CN, et al. Effect of passive stretching on the immobilized soleus muscle fiber morphology. Braz J Med Biol Res. 2004;37(12): 1853-61. https://doi.org/10.1590/S0100-879X2004001200011
  6. Cox VM, Williams PE, Wright H, et al. Growth induced by incremental static stretch in adult rabbit latissimus dorsi muscle. Exp Physiol. 2000;85(2):193-202. https://doi.org/10.1111/j.1469-445X.2000.01950.x
  7. Decoster LC, Cleland J, Altieri C, et al. The effects of hamstring stretching on range of motion: a systematic literature review. J Orthop Sports Phys Ther. 2005;35(6): 377-87. https://doi.org/10.2519/jospt.2005.35.6.377
  8. Decoster LC, Scanlon RL, Horn KD, et al. Standing and Supine Hamstring Stretching Are Equally Effective. J Athl Train. 2004;39(4):330-4.
  9. El Sayed S, Mahmoud H, Nabo M. Medical and scientific bases of wet cupping therapy (Al-hijamah): in light of modern medicine and prophetic medicine. Altern Integr Med. 2013:1-16.
  10. Farhadi K, Schwebel DC, Saeb M, et al. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complement Ther Med. 2009;17(1):9-15. https://doi.org/10.1016/j.ctim.2008.05.003
  11. Fasen JM, O'Connor AM, Schwartz SL, et al. A randomized controlled trial of hamstring stretching: comparison of four techniques. J Strength Cond Res. 2009;23(2): 660-7. https://doi.org/10.1519/JSC.0b013e318198fbd1
  12. Ferreira GN, Teixeira-Salmela LF, Guimaraes CQ. Gains in flexibility related to measures of muscular performance: impact of flexibility on muscular performance. Clin J Sport Med. 2007;17(4):276-81. https://doi.org/10.1097/JSM.0b013e3180f60b26
  13. Guimberteau J, Delage J, McGrouther D, et al. The microvacuolar system: how connective tissue sliding works. J Hand Surg Eur Vol. 2010;35(8):614-22. https://doi.org/10.1177/1753193410374412
  14. Hanan S, Eman S. Cupping therapy (Al-Hijama): It's impact on persistent non-specific lower back pain and client disability. Life Sci J. 2013;10:631-42.
  15. Hopper D, Deacon S, Das S, et al. Dynamic soft tissue mobilisation increases hamstring flexibility in healthy male subjects. Br J Sports Med. 2005;39(9):594-8;discussion 8. https://doi.org/10.1136/bjsm.2004.011981
  16. Johnson AW, Mitchell UH, Meek K, et al. Hamstring flexibility increases the same with 3 or 9 repetitions of stretching held for a total time of 90 s. Phys Ther Sport. 2014; 15(2):101-5. https://doi.org/10.1016/j.ptsp.2013.03.006
  17. Kaptchuk TJ, Stason WB, Davis RB, et al. Sham device v inert pill: randomised controlled trial of two placebo treatments. Bmj. 2006;332(7538):391-7. https://doi.org/10.1136/bmj.38726.603310.55
  18. Kim DH, Kim TH, Jung DY, et al. Effects of the Graston Technique and Self-myofascial Release on the Range of Motion of a Knee Joint. J Korean Soc Phys Med. 2014;9(4):455-63. https://doi.org/10.13066/kspm.2014.9.4.455
  19. Kim GC, Hwang BG. Kinetic analysis on the lumbar at the trunk flexion according to the degree of hamstring flexibility of healthy adult. J Korean Soc Phys Med. 2012;7(4):501-7. https://doi.org/10.13066/kspm.2012.7.4.501
  20. Kim MC, Lee MH, Han SK, et al. Effects of Strengthening and Stretching Exercise for Individuals with Intrinsic Patellofemoral Pain Syndrome. J Korean Soc Phys Med. 2011;6(2):165-75.
  21. Koh TJ. Do adaptations in serial sarcomere number occur with strength training? Hum Mov Sci. 1995;14(1): 61-77. https://doi.org/10.1016/0167-9457(94)00047-I
  22. Konrad PA. Practical Introduction to Kinesiological Electromyography, Noraxon INC. USA. 2005.
  23. Lacross ZT. Treatment Outcomes of Myofascial Decompression on Hamstring Pathology. 2014.
  24. Lauche R, Cramer H, Choi KE, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain-a randomised controlled pilot study. BMC Complement Altern Med. 2011;11(1):1. https://doi.org/10.1186/1472-6882-11-1
  25. Law RY, Harvey LA, Nicholas MK, et al. Stretch exercises increase tolerance to stretch in patients with chronic musculoskeletal pain: a randomized controlled trial. Phys Ther. 2009;89(10):1016-26. https://doi.org/10.2522/ptj.20090056
  26. Malliaropoulos N, Papalexandris S, Papalada A, et al. The role of stretching in rehabilitation of hamstring injuries: 80 athletes follow-up. Med Sci Sports Exerc. 2004;36(5):756-9.
  27. Marek SM, Cramer JT, Fincher AL, et al. Acute effects of static and proprioceptive neuromuscular facilitation stretching on muscle strength and power output. J Athl Train. 2005;40(2):94.
  28. Meroni R, Cerri CG, Lanzarini C, et al. Comparison of active stretching technique and static stretching technique on hamstring flexibility. Clin J Sport Med. 2010; 20(1):8-14. https://doi.org/10.1097/JSM.0b013e3181c96722
  29. Michalsen A, Bock S, Ludtke R, et al. Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial. J Pain. 2009;10(6):601-8. https://doi.org/10.1016/j.jpain.2008.12.013
  30. Musial F, Spohn D, Rolke R. Naturopathic reflex therapies for the treatment of chronic back and neck pain-Part 1: neurobiological foundations. Forsch Komplementmed. 2013;20(3):219-24. https://doi.org/10.1159/000353392
  31. Musumeci G. Could Cupping Therapy Be Used to Improve Sports Performance? J. Funct. Morphol. Kinesiol. 2016.
  32. Muyor J, Alacid F, Lopez-Minarro P. Influence of hamstring muscles extensibility on spinal curvatures and pelvic tilt in highly trained cyclists. J Hum Kinet. 2011; 29:15-23.
  33. Ries L. Cupping Therapy. Nurse Pract. 2016.
  34. Rogan S, Wust D, Schwitter T, et al. Static Stretching of the Hamstrings Muscle for Injury Prevention in Football Codes: a Systematic Review. Asian J Sports Med. 2013;4(1):1.
  35. Schaible HG, Ebersberger A, Banchet GS. Mechanisms of pain in arthritis. Ann N Y Acad Sci. 2002;966(1): 343-54. https://doi.org/10.1111/j.1749-6632.2002.tb04234.x
  36. Schulte E. Acupuncture: Where East meets West. RN. 1996; 59(10):55-8.
  37. Shenoy S, Mishra P, Sandhu JS. Comparison of the IEMG activity elicited during an isometric contraction using manual resistance and mechanical resistance. Ibnosina J Med BS. 2010;3(1):9-14.
  38. Tham L, Lee H, Lu C. Cupping: from a biomechanical perspective. J Biomech. 2006;39(12):2183-93. https://doi.org/10.1016/j.jbiomech.2005.06.027
  39. Witvrouw E, Danneels L, Asselman P, et al. Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players a prospective study. Am J Sports Med. 2003;31(1):41-6. https://doi.org/10.1177/03635465030310011801
  40. Ylinen JJ, Kautiainen HJ, Hakkinen AH. Comparison of active, manual, and instrumental straight leg raise in measuring hamstring extensibility. J Strength Cond Res. 2010;24(4):972-7. https://doi.org/10.1519/JSC.0b013e3181d0a55f
  41. Yoo SS, Tausk F. Cupping: east meets west. Int J Dermatol. 2004;43(9):664-5. https://doi.org/10.1111/j.1365-4632.2004.02224.x
  42. You YY, Lee BH. Effect of balance ability in the eldery women of motion-based game exercise program and stretching exercise program. J Korean Soc Phys Med. 2010; 5(4):667-74.
  43. Zachazewski J. Improving flexibility. Physical Therapy. Philadelphia: JB Lippincott. 1989:698-9.

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