Effectiveness of myofascial release technique versus dry cupping therapy in management of patients with non-specific low back pain
Abstract
This study aimed to compare the effects of myofascial release and cupping techniques on pain levels, spinal mobility, and functional impairments in individuals with non-specific low back pain (NSLBP). This study was a randomized controlled trial employing a pre-test and post-test design. Sixty male and female patients diagnosed with NSLBP, aged 45 to 55, participated. They were randomly assigned to three groups: Group A, in which 20 patients received myofascial release (MFR) along with conventional physical therapy; Group B, in which 20 patients received cupping therapy in addition to conventional physical therapy; and Group C, in which 20 patients received only conventional physical therapy. All groups underwent treatment three times per week for four consecutive weeks. Visual analog scale (VAS) results indicated significant improvements within each group; however, group A demonstrated superior pain reduction compared to groups B and C (p<0.05). Additionally, all three groups exhibited improvements in functional disability levels and range of motion, with group A showing statistically significant superiority over the other two groups (p<0.05). In conclusion, myofascial release therapy was more effective than cupping therapy in reducing pain, improving functional impairment, and enhancing lumbar range of motion in NSLBP patients.
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References
1. Ajimsha, M. S., Al-Mudahka, N. R., & Al-Madzhar, J. A. (2015). Effectiveness of myofascial release: Systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies, 19(1), 102–112. https://doi.org/10.1016/j.jbmt.2014.06.001
2. Ajimsha, M. S., Daniel, B., & Chithra, S. (2014). Effectiveness of myofascial release in the management of chronic low back pain in nursing professionals. Journal of Bodywork and Movement Therapies, 18(1), 273–281. https://doi.org/10.1016/j.jbmt.2013.05.007
3. Akbarzadeh, M., Ghaemmaghami, M., Yazdanpanahi, Z., Zare, N., Azizi, A., & Mohagheghzadeh, A. (2014). The Effect Dry Cupping Therapy at Acupoint BL23 on the Intensity of Postpartum Low Back Pain in Primiparous Women Based on Two Types of Questionnaires, 2012; A Randomized Clinical Trial. International Journal of Community Based Nursing and Midwifery, 2(2), 112–120.
4. Algarni, A. S., Ghorbel, S., Jones, J. G., et al. (2014). Validation of an Arabic version of the Oswestry index in Saudi Arabia. Annals of Physical and Rehabilitation Medicine, 57(1), 653–663. https://doi.org/10.1016/j.rehab.2014.06.006
5. Bhosale, S. V., & Burungale, M. (2022). Effectiveness of Myofascial Release, Muscle Energy Technique, and Stretching of Quadratus Lumborum in patients with non-specific low back pain. Journal of Ecophysiology and Occupational Health, 21(4), 1-10. https://doi.org/10.18311/jeoh/2021/28561
6. Cao, H., Han, M., Li, X., Dong, S., Shang, Y., Wang, Q., Xu, S., & Liu, J. (2010). Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complementary and Alternative Medicine, 10(1), 1-10. https://doi.org/10.1186/1472-6882-10-70
7. Chenot, J. F., Becker, A., Leonhardt, C., Keller, S., Donner-Banzhoff, N., Baum, E., Pfingsten, M., Hildebrandt, J., Basler, H. D., & Kochen, M. M. (2007). Use of complementary alternative medicine for low back pain consulting in a general practice: A cohort study. BMC Complementary and Alternative Medicine, 7, 1-12. https://doi.org/10.1186/1472-6882-7-42
8. Choi, T. Y., Ang, L., Ku, B., Jun, J. H., & Lee, M. S. (2021). Evidence map of cupping therapy. Journal of Clinical Medicine, 10(8), 1-13. https://doi.org/10.3390/jcm10081750
9. Demoulin, C., Crielaard, J.-M., & Vanderthommen, M. (2007). Spinal muscle evaluation in healthy individuals and low-back-pain patients: A literature review. Joint Bone Spine, 74, 9–13. https://doi.org/10.1016/j.jbspin.2006.02.013
10. Digiovanna, E. L., Schiowitz, S., & Dowling, D. J. (2005). An osteopathic approach to diagnosis and treatment (3rd ed.). Lippincott Williams & Wilkins.
11. El-Sayed, A. M., Hadley, C., Tessema, F., Tegegn, A., Cowan, J. A., Jr., & Galea, S. (2010). Back and neck pain and psychopathology in rural sub-Saharan Africa: Evidence from the Gilgel Gibe Growth and Development Study, Ethiopia. Spine, 35(6), 684–689. https://doi.org/10.1097/BRS.0b013e3181b4926e
12. Furlan, A. D., Yazdi, F., & Tsertsvadze, A. (2010). Complementary and alternative therapies for back pain II: Evidence report/technology assessment (Full report, pp. 1–764). Agency for Healthcare Research and Quality. https://doi.org/10.2217/ijr.11.13
13. Gnjidić Z. (2011). Pregled konzervativnog lijecenja krizoboue [An overview of conservative treatment for low back pain]. Reumatizam, 58(2), 112–119.
14. Hawker, G. A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), and others. Arthritis Care & Research, 63, 240–252. https://doi.org/10.1002/acr.20621
15. Hong C. Z. (1996). Pathophysiology of myofascial trigger point. Journal of the Formosan Medical Association = Taiwan yi zhi, 95(2), 93–104.
16. Kim, K. H., Kim, T. H., Hwangbo, M., & Yang, G. Y. (2012). Anemia and skin pigmentation after excessive cupping therapy by an unqualified therapist in Korea: A case report. Acupuncture in Medicine, 30(3), 227–228. https://doi.org/10.1136/acupmed-2012-010185
17. Lizier, D. T., Perez, M. V., & Sakata, R. K. (2012). Exercises for treatment of nonspecific low back pain. Revista Brasileira de Anestesiologia, 62(6), 838–846. https://doi.org/10.1016/S0034-7094(12)70183-6
18. Manheim, C. J. (2008). The myofascial release manual (4th ed.). SLACK Incorporated. https://doi.org/10.4324/9781003525158
19. Markowski, A., Sanford, S., Pikowski, J., Fauvell, D., Cimino, D., & Caplan, S. (2014). A pilot study analyzing the effects of Chinese cupping as an adjunct treatment for subacute low back pain. Journal of Alternative and Complementary Medicine, 20(2), 113–117. https://doi.org/10.1089/acm.2012.0769
20. Mayor, C. A. (2004). A meta-analysis of massage therapy research. Psychological Bulletin, 130(1), 3–18. https://doi.org/10.1037/0033-2909.130.1.3
21. Paoloni, J. (2009). Review of myofascial release as an effective massage therapy technique. Athletic Therapy Today, 14(5), 30–34. https://doi.org/10.1123/att.14.5.30
22. Schroeder, A. N., & Best, T. M. (2015). Is self myofascial release an effective preexercise and recovery strategy? A literature review. Current Sports Medicine Reports, 14, 200–208. https://doi.org/10.1249/JSR.0000000000000148
23. Siddiqui, A. S., Khan, S. N., Narwade, N., Mhase, S., Thorat, A., Nagrale, W., & Umate, R. (2022). The effect of static cupping therapy on non-specific low back pain for primary dysmenorrhea. Cureus, 14(9), 1-4. https://doi.org/10.7759/cureus.29771
24. Teut, M., Ullmann, A., Ortiz, M., Rotter, G., Binting, S., Cree, M., Lotz, F., Roll, S., & Brinkhaus, B. (2018). Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complementary and Alternative Medicine, 18(1), 1-9. https://doi.org/10.1186/s12906-018-2187-8
25. Tham, L. M., Lee, H. P., & Lu, C. (2006). Cupping: From a biomechanical perspective. Journal of Biomechanics, 39, 2183–2193. https://doi.org/10.1016/j.jbiomech.2005.06.027
26. Trudelle-Jackson, E., Fleisher, L. A., Borman, N., Morrow, J. R., Jr., & Frierson, G. M. (2010). Lumbar spine flexion and extension extremes of motion in women of different age and racial groups: The WIN Study. Spine, 35(16), 1539–1544. https://doi.org/10.1097/BRS.0b013e3181b0c3d1
27. Van Middelkoop, M., Rubinstein, S. M., Kuijpers, T., Verhagen, A. P., Ostelo, R., Koes, B. W., & van Tulder, M. W. (2011). A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. European Spine Journal, 20(1), 19–39. https://doi.org/10.1007/s00586-010-1518-3
28. Van Nieuwenhyse, A., Fatkhutdinova, L., Verbeke, G., Pirenne, D., Johannik, K., Somville, P. R., Mairiaux, P., Moens, G. F., & Masschelein, R. (2004). Risk factors for first-ever low back pain among workers in their first employment. Occupational Medicine (London), 54(8), 513–519. https://doi.org/10.1093/occmed/kqh091
29. Wang, Y. T., Qi, Y., Tang, F. Y., Li, F. M., Li, Q. H., Xu, C. P., Xie, G. P., & Sun, H. T. (2017). The effect of cupping therapy for low back pain: A meta-analysis of randomized controlled trials. Journal of Back and Musculoskeletal Rehabilitation, 30(6), 1187–1195. https://doi.org/10.3233/BMR-169736
30. Yu, S. H., Sim, Y. H., Kim, M. H., Bang, J. H., Son, K. H., Kim, J. W., & Kim, H. J. (2016). The effect of abdominal drawing-in exercise and myofascial release on pain, flexibility, and balance of elderly females. Journal of Physical Therapy Science, 28(10), 2812–2815. https://doi.org/10.1589/jpts.28.2812
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The works and papers that are published in this Journal are subject to the following terms:
1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.
3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.















