Effect of scraping combined with cupping therapy on shoulder periarthritis:a Meta-analysis
JIANG Xiaofeng
YU Jin
ZHENG Shuang
LI Yingchao
WANG Shurong
Abstract：Objective:To systematically evaluate the therapeutic effect of scraping combined with cupping therapy on scapulohumeral periarthritis.Methods:Randomized controlled studies of scraping combined with cupping therapy on shoulder periarthritis were collected from PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,WanFang Database,VIP,and CBM.The search deadline was from the establishment of each database until June 13,2023.Two researchers independently screened the literature,extracted data,and evaluated the included literature using the bias risk assessment tool in the Cochrane Intervention System Evaluation Manual.RevMan 5.4.1 software was used for data analysis.Results:A total of 10 randomized controlled studies were included,involving 1 042 patients.The Meta-analysis results showed that the clinical effective rate(RR=1.18,95％CI 1.13-1.24,Z=6.89,P＜0.000 01)of the combination of scraping and cupping treatment for shoulder periarthritis was higher than that of the cupping group;The PPI score(MD=-0.88,95％CI-1.00--0.76,Z=13.91,P＜0.000 01),VAS score(MD=-1.40,95％CI-1.47--1.34,Z=40.66,P＜0.000 01),PRI score(MD=-7.29,95％CI-8.02--6.55,Z=19.35,P＜0.000 01),and Melle score(MD=-2.67,95％CI-2.93--2.41,Z=20.06,P＜0.000 01)of the scraping combined cupping group were lower than those of the cupping group;The Constant-Murley score(muscle strength)(MD=2.34,95％CI 1.44-3.25,Z=5.08,P＜0.000 01),Constant-Murley score(daily activity)(MD=2.14,95％CI 1.46-2.82,Z=6.17,P＜0.000 01),and Constant-Murley score(joint range of motion)(MD=4.49,95％CI 3.05-5.93,Z=6.12,P＜0.000 01)in the combination of scraping and cupping group were higher than those in the cupping group.There was no significant difference in Constant-Murley score(pain)between the two groups(P＞0.05).Conclusion:The existing evidence shows that scraping combined with cupping therapy is effective in the treatment of periarthritis of shoulder.However,due to the limited sample size and low quality of the included literature,it is recommended to carry out high-quality randomized controlled studies with large samples in clinical practice,so as to provide powerful evidence-based medical evidence for the treatment of patients with periarthritis of shoulder with scraping combined with cupping therapy.
Keywords：scrapingcuppingshoulder periarthritisMeta-analysisevidence-based nursing
Publication Date：2024-01-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 225-231 )