The effectiveness and safety of cupping therapy for stroke survivors: A systematic review and meta-analysis of randomized controlled trials

Abstract

Objectives: ncluding stroke. The aim of this study was to systematically review the clinical evidence of CT for stroke.Methods: To identify randomized controlled trials (RCTs) reporting the effectiveness and/or safety of CT, seven databases including PubMed, EMBASE, and Cochrane Library were searched for articles published from January 2000 to February 2021 without language restrictions. Meta-analysis was performed using Review Manager 5.4 software and the results were presented as mean difference (MD) or standard mean difference (SMD) for continuous variables and odds ratio (OR) for diverse variables with 95% confidence intervals (CIs). Assessment of the methodological quality of the eligible trials was conducted using the Cochrane Collaboration tool for risk of bias in RCTs.Results: Twenty-two RCTs with 1653 participants were included in the final analysis. CT provided additional benefit in improving upper limb motor function (Fugl-Meyer assessment for upper limb motor function, MD 6.91, 95% CI 4.64 to 1.67, P<0.00001) and spasticity (response rate, OR 3.28, 95% CI 1.31 to 8.22, P=0.08) in stroke survivors receiving conventional medical treatment. These findings were supported with a moderate level of evidence. CT did not significantly increase the occurrence of adverse events.Conclusions: This study demonstrated the potential of CT to be beneficial in managing a variety of complications in stroke survivors. However, to compensate for the shortcomings of the existing evidence, rigorously designed large-scale RCTs are warranted in the future.

The Effect of Cupping Ttherapy on Sleep Quality in Post Stroke Patients

“…This shows that cupping affects the sleep quality of stroke sufferers. 6 Based on research by M. Kim & Han (2021) 19 it was concluded that there was a significant effect with a p-value of 0.001 <0.05 from a randomized controlled trial (RCT). This is in line with the "Theory of Nitric Oxide" and "Reflex Zone Theory" which show that cupping therapy has a relaxing effect on the muscles followed by a calming effect on the patient so that the quality of sleep becomes better.…”

Assistência integral à saúde: desafios e vulnerabilidades da assistência

“…La validación del clasificador bayesiano es un punto crítico a considerar. Se deben llevar a cabo pruebas rigurosas en un conjunto de datos diverso y representativo para evaluar su capacidad para identificar la anemia de manera precisa y confiable(KIM; HAN, 2023). Además, es importante abordar las limitaciones y posibles desafíos en la implementación del sistema, como la variabilidad en las muestras de sangre y la necesidad de un hardware y software especializados.…”

“…La aplicación de redes neuronales convolucionales en el diagnóstico de anemia a partir de imágenes del párpado inferior se basa en la capacidad de estas redes para aprender patrones y características complejas en las imágenes (STARODUBOV et al, 2023) Durante el proceso de entrenamiento, una CNN se expone a una gran cantidad de imágenes etiquetadas de pacientes con y sin anemia. La red ajusta sus pesos y conexiones internas para identificar patrones visuales que son relevantes para la detección de la anemia(KIM; HAN, 2023). Estos patrones pueden incluir variaciones en el color y la textura de la conjuntiva, así como la presencia de vasos sanguíneos dilatados o hemorragias microscópicas.…”