Effect of Wet Cupping Therapy on Low Back Pain Severity and Functional Ability among Community Dwelling Older Adults

Naglaa Mostafa Alfauomy, Sameh Elgamal, Nawara Abd El Fatah
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Abstract

Low back pain (LBP) is a common symptom among older adults and a major cause of functional disability due to its high prevalence and persistence. Pain-related disability affects functional and psychosocial status which leads to poor quality of life of the older adults. Cupping therapy has become common approach used for management of LBP which has several advantages; as it is simple, cost effective, and safe method with low side effects than other current therapeutics. Objective : to determine the effect of wet cupping therapy on low back pain severity and functional ability among community dwelling older adults. Design: A quasi-experimental research design was used in this study . Setting : the orthopedic outpatient clinic of Damanhour National Medical Institute, El-Behaira Governorate, Egypt. Subjects: The study subjects comprised fifty (50) older adults with LBP divided randomly into two matched groups of 25 subjects. Tools : three tools were used for data collection:1) Socio-demographic characteristics and Clinical Data of the Community Dwelling Older Adults with LBP Structured Interview schedule ,2) Iowa Pain Thermometer (IPT), 3) Modified Oswestry Low Back Pain Disability Questionnaire. Results : the wet cupping group had a highly statistical significant reduction in pain severity (P= 0.008) and significant improvement in functional ability (P= 0.001) post cupping therapy compared to pre cupping therapy with a statistically significant difference between the wet cupping and control groups . Conclusion: wet cupping therapy had affected positively the severity of LBP and functional ability among older adults in the cupping group. Recommendations : Coordination with different health care settings and heath care team members to facilitate integration of wet cupping therapy in care of older adults with LBP as an effective treatment method
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湿罐疗法对社区居住老年人腰痛严重程度和功能能力的影响
腰痛(LBP)是老年人的常见症状,由于其高患病率和持久性,是导致功能残疾的主要原因。疼痛相关残疾影响老年人的功能和社会心理状态,导致老年人生活质量下降。拔火罐治疗已成为治疗腰痛的常用方法,有几个优点;与目前其他治疗方法相比,该方法简单、经济、安全、副作用小。目的:探讨湿罐疗法对社区居住老年人腰痛严重程度和功能能力的影响。设计:本研究采用准实验研究设计。地点:埃及El-Behaira省Damanhour国家医学研究所骨科门诊。研究对象:研究对象包括50名患有LBP的老年人,随机分为两组,每组25人。工具:采用三种工具进行数据收集:1)社区居住老年人腰痛结构化访谈量表的社会人口学特征和临床资料,2)爱荷华疼痛温度计(IPT), 3)改良Oswestry腰痛残疾问卷。结果:与拔罐前相比,湿罐组疼痛程度明显减轻(P= 0.008),功能能力明显改善(P= 0.001),且湿罐组与对照组比较差异有统计学意义。结论:湿罐治疗对拔罐组老年人腰痛的严重程度和功能能力有积极影响。建议:与不同的卫生保健机构和卫生保健团队成员协调,促进湿拔罐治疗作为一种有效的治疗方法在老年腰痛患者的护理中整合
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