Evidence map›Paper›PMID 26069973›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2015

The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial.

Abdullah AlBedah, Mohamed Khalil, Ahmed Elolemy, Asim A Hussein, Meshari AlQaed, Abdullah Al Mudaiheem, Raid A Abutalib, Faisal Mohamed Bazaid, Ahmad Saeed Bafail, AboBakr Essa and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  20. The medical perspective of cupping therapy: Effects and mechanisms of action.Journal of traditional and complementary medicine · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Abdullah AlBedah1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Mohamed Khalil1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Ahmed Elolemy1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Asim A Hussein1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Meshari AlQaed1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Abdullah Al Mudaiheem1 National Center for Complementary and Alternative Medicine , Ministry of Health, Riyadh, Saudi Arabia .
Raid A Abutalib3 Orthopedic Surgery Department, King Fahad Hospital , Ministry of Health, Al Madina, Saudi Arabia .
Faisal Mohamed Bazaid4 Facharzt Orthopedy, King Fahad Hospital , Ministry of Health, Jeddah, Saudia Arabia.
Ahmad Saeed Bafail4 Facharzt Orthopedy, King Fahad Hospital , Ministry of Health, Jeddah, Saudia Arabia.
AboBakr Essa5 King Salman Hospital , Riyadh, Saudi Arabia .
Mohammed Yahia Bakrain4 Facharzt Orthopedy, King Fahad Hospital , Ministry of Health, Jeddah, Saudia Arabia.
King Fahad Hospital Jeddah · SAMinistry of Health · SANational Center for Complementary and Integrative Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effectiveness and safety of wet cupping therapy as a single treatment for persistent nonspecific low back pain (PNSLBP).

designRandomized controlled trial comparing wet cupping versus no treatment in PNSLBP.

settingOutpatient clinic in three secondary care hospitals in Saudi Arabia. PATIENTS: Eighty eligible participants with PNSLBP for at least 3 months were randomly allocated to an intervention group (n=40) or to a control group (n=40).

interventionsSix wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points among BL23, BL24, and BL25. Only acetaminophen was allowed as a rescue treatment in both groups. OUTCOME MEASURES: The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.

resultsAt the end of the intervention, statistically significant differences in the three outcome measures favoring the wet cupping group compared with the control group were seen: NRS score, 29.2 (95% confidence interval [CI], 24.6-33.8) versus 57.9 (95% CI, 53.3-62.6), respectively; PPI score, 1.17 (95% CI, 0.96-1.4) versus 2.3 (95% CI, 2.1- 2.7); and ODQ score, 19.6 (95% CI, 16.5-22.7) versus 35.4 (95% CI, 32.3-38.5) (p=0.0001). This improvement continued for another 2 weeks after the end of the intervention. Acetaminophen was used less in the wet cupping group, but this difference was not statistically significant. No adverse events were reported.

conclusionsWet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period. Placebo-controlled trials are needed.

Indexed as

Acupuncture PointsAdultBloodlettingFemaleHumansLow Back PainMaleMiddle AgedPain MeasurementSaudi ArabiaSurveys and Questionnaires

Identifiers

PMID26069973
PMCPMC4522952
OpenAlexW1709618161

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.