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Cupping therapy for chronic diseases

Cupping therapy is a promising modality to be used as a complementary therapy for chronic diseases. It may improve the symptoms and quality of life of patients. There is a need for more studies regarding the efficacy and safety of cupping therapy in the treatment of chronic diseases to build a solid scientific evidence regarding this topic.

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CUPPING THERAPY
FOR CHRONIC
DISEASES
Dr. Tamer S. AbouShanab
objectives
To give a brief illustration about:
• Cupping therapy types
• Cupping therapy effects
• Defining chronic diseases
• Cupping for asthma
• Cupping for chronic pain conditions
• Cupping for hypertension
• Cupping for diabetes
• Conclusion
Classification of cupping therapy types
Classification of cupping therapy effects
Chronic diseases
• Chronic diseases are defined by CDC broadly as conditions
that last 1 year or more and require ongoing medical attention
or limit activities of daily living or both. Chronic diseases such
as heart disease, cancer, and diabetes are the leading causes
of death and disability in the United States. They are also
leading drivers of the nation’s $3.3 trillion in annual health care
costs.
• Many chronic diseases are caused by a short list of risk
behaviors:
• Tobacco use and exposure to secondhand smoke.
• Poor nutrition, including diets low in fruits and vegetables and
high in sodium and saturated fats.
• Lack of physical activity.
• Excessive alcohol use.
Burden of chronic diseases
• The World Health Report 2002: “Reducing risks,
promoting healthy life, indicates that the mortality,
morbidity and disability attributed to the major chronic
diseases currently account for almost 60% of all deaths
and 43% of the global burden of disease. By 2020 their
contribution is expected to rise to 73% of all deaths and
60% of the global burden of disease. Moreover, 79% of
the deaths attributed to these diseases occur in the
developing countries.”

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Cupping therapy for chronic diseases

  • 2. objectives To give a brief illustration about: • Cupping therapy types • Cupping therapy effects • Defining chronic diseases • Cupping for asthma • Cupping for chronic pain conditions • Cupping for hypertension • Cupping for diabetes • Conclusion
  • 4. Classification of cupping therapy effects
  • 5. Chronic diseases • Chronic diseases are defined by CDC broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation’s $3.3 trillion in annual health care costs. • Many chronic diseases are caused by a short list of risk behaviors: • Tobacco use and exposure to secondhand smoke. • Poor nutrition, including diets low in fruits and vegetables and high in sodium and saturated fats. • Lack of physical activity. • Excessive alcohol use.
  • 6. Burden of chronic diseases • The World Health Report 2002: “Reducing risks, promoting healthy life, indicates that the mortality, morbidity and disability attributed to the major chronic diseases currently account for almost 60% of all deaths and 43% of the global burden of disease. By 2020 their contribution is expected to rise to 73% of all deaths and 60% of the global burden of disease. Moreover, 79% of the deaths attributed to these diseases occur in the developing countries.”
  • 7. Cupping For Asthma • Cupping therapy may 1. Improve airway permeability, 2. Improve pulmonary hemodynamics, 3. Improve the functional state of respiratory muscles. [1] 4. Anti-inflammatory effect. [2] 5. Immunomodulatory effect.[3] 1-Elena A.Shevchenko, adim Buevich, Elena E.Kalashnikova, Iraida G.Menshikova, Irina V.Skliar, and Marina Loevets. Acupuncture In The Treatment Of Patients With Chronic Obstructive Bronchitis: A Randomized Controlled Trial. Medical acupuncture Journal 16[3], 14-18. 2005. 2-Jun Tao Feng, Cheng Ping Hu, Xiao Zhao Li. Dorsal root ganglion: The target of acupuncture in the treatment of asthma. Advances in Therapy journal, Volume 24, Issue 3, P 598-601. DOI - 10.1007/BF02848784 3-Stefanie Joos, Claus Schott, Hua Zou, Volker Daniel, Eike Martin. Immunomodulatory Effects of Acupuncture in the Treatment of Allergic Asthma: A Randomized Controlled Study. The Journal of Alternative and Complementary Medicine. December 2000, 6 [6]: 519-525. doi:10.1089/acm.2000.6.519.
  • 8. Cupping For Asthma • MY Thesis Title: The Role of Cupping Therapy As A Complementary Therapy On The Pulmonary Functions And Quality Of Life Of Asthmatic Children • Aim: The aim of this study was to evaluate the effectiveness of flash cupping therapy as a complementary therapy for the treatment of asthmatic children and adolescent in a randomized controlled trial. Aboushanab TS. The role of cupping therapy as a complementary therapy on the pulmonary functions and quality of life of asthmatic children (Doctoral dissertation, Master thesis. Egypt: Childhood Postgraduate Institute. Ain Shams University).
  • 9. Cupping For Asthma • Methods: Sixty out-patients [8-15 years] with confirmed mild persistent asthma according to criteria of global strategy for asthma management and prevention were randomly assigned either to a treatment group [flash cupping therapy + standard asthma medications] [n=30] or a control group[standard asthma medications] [n=30]. Pediatric Quality of Life Questionnaire and Pulmonary functions [FEV1, FVC, FEV1/FVC Ratio, FEF 25%-75%] were measured before and after the treatment for both groups. Aboushanab TS. The role of cupping therapy as a complementary therapy on the pulmonary functions and quality of life of asthmatic children (Doctoral dissertation, Master thesis. Egypt: Childhood Postgraduate Institute. Ain Shams University).
  • 10. Cupping For Asthma • Results: Improvement in all measured pulmonary function tests [FEV1, FVC, FEV1/FVC and FEF 25%- 75%], improvement in most of clinical symptoms, and improvement of pediatric quality of life questionnaire were found to be significantly higher in treatment group than in control group [p- value < 0.05]. 0 10 20 30 40 50 60 70 Cough Wheezes Noctornal Symptoms Use of Risk Medication Treatment Group Control Group Aboushanab TS. The role of cupping therapy as a complementary therapy on the pulmonary functions and quality of life of asthmatic children (Doctoral dissertation, Master thesis. Egypt: Childhood Postgraduate Institute. Ain Shams University).
  • 11. Cupping for Diabetes • Cupping may: 1. Decrease serum glucose (fasting and 2 hours postprandial) and TG in patient with diabetes (1,2) 2. Anti-Oxidant (1) 1-Ramazani M, Shariatzadeh SM, CHANGIZI AS, MALEKI RA, Akbari A, Shariatzadeh SM. Effect of cupping on blood factors and oxidative stress in diabetes type II. 2-ALSHOWAFI FK. Effect of blood cupping on some biochemical parameter. The Medical Journal of Cairo University. 2010;78(2).
  • 12. Cupping for hypertension • Cupping may: 1. Reduce systolic and diastolic pressure, 2. Decrease in serum total cholesterol, 3. Decrease in serum triglycerides 4. Decrease in serum low density lipoproteins. (1) • In a recent systematic review by (Lu et al, 2018), included Seven randomized trials, most not of high methodological quality. • Conclusion: Although cupping is a safe therapy, no firm conclusions can be drawn and no clinical recommendations made.(2) 1-ALSHOWAFI FK. Effect of blood cupping on some biochemical parameter. The Medical Journal of Cairo University. 2010;78(2). 2-Lu S, Du S, Fish A, Tang C, Lou Q, Zhang X. Wet cupping for hypertension: a systematic review and meta- analysis. Clinical and Experimental Hypertension. 2018 Sep 5:1-7.
  • 13. Cupping for chronic pain • Cupping may: • Chronic neck pain: • Alleviate pain and to enhance function and quality of life in patients suffering from chronic neck pain.(1) • Chronic back pain: • In a systematic review about cupping for chronic low back pain by (Moura et al, 2018). (2) • Conclusion: Cupping therapy is a promising method for the treatment and control of chronic back pain in adults, since it significantly decreases pain intensity scores when compared to control groups. 1- Cramer H, Lauche R, Hohmann C, Choi KE, Rampp T, Musial F, Langhorst J, Dobos G. Randomized controlled trial of pulsating cupping (pneumatic pulsation therapy) for chronic neck pain. Complementary Medicine Research. 2011;18(6):327-34. 2-Moura CD, Chaves ÉD, Cardoso AC, Nogueira DA, Corrêa HP, Chianca TC. Cupping therapy and chronic back pain: systematic review and meta-analysis. Revista latino-americana de enfermagem. 2018;26.
  • 14. Cupping for chronic pain • Chronic back pain: • In a systematic review about how current clinical practice guidelines for low back pain reflect traditional medicine in east Asian countries by (Cho et al, 2016). • Conclusion: Acupuncture, cupping therapy, and manual therapy were underestimated or not mentioned despite their current evidence. The current evidence on acupuncture for chronic LBP and evidence on cupping and manual therapy for both (sub)acute and chronic LBP should be rigorously considered in the process of developing or updating the clinical practice guidelines system. Cho HW, Hwang EH, Lim B, Heo KH, Liu JP, Tsutani K, Lee MS, Shin BC. How current clinical practice guidelines for low back pain reflect traditional medicine in East Asian countries: a systematic review of clinical practice guidelines and systematic reviews. PloS one. 2014 Feb 5;9(2):e88027.
  • 15. Health Related Quality of life • Cupping as a complementary medicine improves the quality of life of asthmatic children. (1) • Cupping improves the quality of life of chronic non- specific neck pain patients.(2) • Wet cupping improves HRQOL of patients with chronic conditions.(3) 1- Aboushanab TS. The role of cupping therapy as a complementary therapy on the pulmonary functions and quality of life of asthmatic children (Doctoral dissertation, Master thesis. Egypt: Childhood Postgraduate Institute. Ain Shams University). 2-Lauche R, Cramer H, Langhorst J, Dobos G. Cupping for chronic nonspecific neck pain: a 2-year follow-up. Complementary Medicine Research. 2013;20(5):328-33. 3- Al Jaouni SK, El-Fiky EA, Mourad SA, Ibrahim NK, Kaki AM, Rohaiem SM, Qari MH, Tabsh LM, Aljawhari AA. The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital. Saudi medical journal. 2017 Jan;38(1):53.
  • 16. conclusion • Cupping therapy is a promising treatment for chronic diseases. • Cupping may increase quality of life, and control symptoms especially pain in chronic diseases. • More large scale quality studies should be conducted to confirm these results and raise the evidence.