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| Cupping for treating neck pain in video display terminal (VDT) users: a randomized controlled pilot trial |
| Kim T-H, Kang JW, Kim KH, Lee MH, Kim JE, Kim J-H, Lee S, Shin M-S, Jung S-Y, Kim A-R, Park H-J, Hong KE |
| Journal of Occupational Health 2012;54(6):416-426 |
| clinical trial |
| 8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVES: This was a randomized controlled pilot trial to evaluate the effectiveness of cupping therapy for neck pain in video display terminal (VDT) workers. METHODS: Forty VDT workers with moderate to severe neck pain were recruited from May, 2011 to February, 2012. Participants were randomly allocated into one of the two interventions: 6 sessions of wet and dry cupping or heating pad application. The participants were offered an exercise program to perform during the participation period. A 0 to 100 numeric rating scale (NRS) for neck pain, measure yourself medical outcome profile 2 score (MYMOP2 score), cervical spine range of motion (C-spine ROM), neck disability index (NDI), the EuroQol health index (EQ-5D), short form stress response inventory (SRI-SF) and fatigue severity scale (FSS) were assessed at several points during a 7-week period. RESULTS: Compared with a heating pad, cupping was more effective in improving pain (adjusted NRS difference -1.29 (95% CI -1.61 to -0.97) at 3 weeks (p = 0.025) and -1.16 (-1.48 to -0.84) at 7 weeks (p = 0.005)), neck function (adjusted NDI difference -0.79 (-1.11 to -0.47) at 3 (p = 0.0039) and 7 weeks (p < 0.0001)) and discomfort (adjusted MYMOP2 difference score -0.72 (-1.04 to -0.40) at 3 weeks and -0.92 (-1.24 to -0.60) at 7 weeks). Significant improvement in EQ-5D was observed at 7 weeks (1.0 (0.88 to 1.0) with cupping and 0.91 (0.86 to 0.91) with heating pad treatment, p = 0.0054). Four participants reported mild adverse events of cupping. CONCLUSION: Two weeks of cupping therapy and an exercise program may be effective in reducing pain and improving neck function in VDT workers.
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