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Master Thesis

Intérêt du "Dry Cupping" dans la gestion de la douleur chez des patients souffrant de lombalgies communes

Abstract : Background/objective: Non specific low back pain is a very common condition linked to a degenerative cause (discogenic or facet or mixed, ligamentary, muscular, linked to a regional or global disorder of the spinal statics) or without any relation to an anatomical lesion. Recently, the practice of dry cupping has been revived, especially in sports physiotherapy. The objective of this review is to evaluate, based on existing data in the literature, if dry cupping can improve pain in patients suffering from non specific low back pain. Method: 3 databases were searched (PubMed, Cochrane and PEDro) until 20 March 2021, to assess the effectiveness of dry cupping in the management of pain in patients with common low back pain. The outcome in each study was the assessment of pain at different times. Each study was assessed using the PEDro scale Results/analysis: 4 studies (n=298) were included. 3 were RCTs and one was classified as a placebo-controlled experimental clinical trial. 2 studies involved a control group treated with paracetamol and 2 studies proposed a placebo (sham cupping). No meta-analysis was conducted. There were differences in the modalities of the interventions in each study as well as in the assessment of the pain (different scales). The methodological analysis of each study shows significant bias in most of them. The results were obtained by calculating the effect size with the 95% CI between the groups for each study at the different time. There was heterogeneity in the results, with fairly wide confidence intervals. The estimated effects suggesting an effectiveness of dry cupping are given by the most biased studies. On the other hand, the study with the best methodological quality presented only estimated effects which showed that dry cupping was not superior to sham cupping. Mild to moderate adverse effects were found in 5.6% of the total population included. Discussion/conclusion: With the heterogeneity of the results and the various biases inherent to the included studies, we can’t conclude on the interest of dry cupping in the management of pain in patients suffering from non specific low back pain. RCTs with better methodological quality, with much larger population samples, are needed. Targeting dry cupping as a complement to other interventions recommended by clinical guidelines would also be more consistent.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03356419
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Submitted on : Tuesday, September 28, 2021 - 9:39:07 AM
Last modification on : Tuesday, October 19, 2021 - 10:35:23 PM

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Matthieu Dimarzo. Intérêt du "Dry Cupping" dans la gestion de la douleur chez des patients souffrant de lombalgies communes. Médecine humaine et pathologie. 2021. ⟨dumas-03356419⟩

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