Short-term effects of cupping and scraping therapy for chronic nonspecific low-back pain:A prospective,multicenter randomized trial  

作　　者：Jun-yan He Xiao-yu Tu Zi-fei Yin Hui Mu Ming-jun Luo Xing-yu Chen Wei-bin Cai Xue Zhao Can Peng Fan-fu Fang Can Lü Bai Li 

机构地区：[1]School of Traditional Chinese Medicine,Naval Medical University,Shanghai 200433,China [2]Department of Rehabilitation Medicine and Physiotherapy,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China [3]Department of Rehabilitation Medicine and Training,PLA 458 Hospital,Guangzhou 510602,Guangdong Province,China [4]No.3 Ward of Acupuncture Rehabilitation Department,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong Province,China

出　　处：《Journal of Integrative Medicine》2024年第1期39-45,共7页结合医学学报（英文版）

基　　金：supported by the 13th Five-Year Army Key Discipline Construction Project(No.2020SZ06-17).

摘　　要：Background As one of the most common musculoskeletal ailments,chronic nonspecific low-back pain(CNLBP)causes persistent disability and substantial medical expenses.Epidemiological evidence shows that the incidence rate of CNLBP in young and middle-aged people who are demanded rapidly recovery and social contribution is rising.Recent guidelines indicate a reduced role for medicines in the management of CNLBP.Objective The present study investigates the short-term effects of cupping and scraping therapy using a medicated balm,compared to nonsteroidal anti-inflammatory drug(NSAID)with a capsaicin plaster,in the treatment of CNLBP.Design,setting,participants and interventions We designed a prospective multicenter randomized clinical trial enrolling patients from January 1,2022 to December 31,2022.A total of 156 patients with CNLBP were randomized into two parallel groups.Diclofenac sodium-sustained release tablets were administered orally to participants in the control group for one week while a capsaicin plaster was applied externally.Patients in the test group were treated with cupping and scraping using a medical device and medicated balm.Main outcome measures Primary outcome was pain recorded using the visual analogue scale(VAS).Two secondary outcomes were recorded using the Japanese Orthopedic Association low-back pain scale(JOA)and the traditional Chinese medicine(TCM)syndrome integral scale(TCMS)as assessment tools.Results Between baseline and postintervention,all changes in outcome metric scales were statistically significant(P<0.001).Compared to the control group,patients in the test group had a significantly greater treatment effect in all outcome variables,as indicated by lower VAS and TCMS scores and higher JOA scores,after the one-week intervention period(P<0.001).Further,according to the findings of multivariate linear regression analysis,the participants’pain(VAS score)was related to their marital status,age,smoking habits and body mass index.No adverse reactions were reported for any participants in

关 键 词：Chronic nonspecific low-back pain Traditional Chinese medicine Cupping and scraping therapy 

分 类 号：R244.3[医药卫生—针灸推拿学] R244.4[医药卫生—中医临床基础]