The Influence of Dry Cupping of Differing Intensities on Heart Rate Variability

Tang, Jing-Jou; Lung, Chi-Wen; Lee, Fang Hsin; Chuang, Chia Chang; Liau, Ben-Yi; Chen, Chien Liang

doi:10.1007/978-3-319-94000-7_32

Cited by 3 publications

(8 citation statements)

References 11 publications

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“…Both the above interventions can help improve myofascial pain syndrome. Our previous research also confirmed that cupping of the upper back can improve the effect of parasympathetic activity in heart rate variability [12]. Therefore, the treatment should have similar effects and mechanisms as dry needling and massage therapy.…”

Section: Plos Onesupporting

confidence: 69%

“…Studies have shown that the marked cupping ecchymosis is caused by pressure ranging from -400 to -700 hPa (equivalent to -300 to -525 mmHg) [ 10 , 11 ]. Our previous study compared the effects of autonomic nerve responses caused by cupping on the back with different negative pressures (-100, -300, and -500 mmHg) [ 12 ]. However, the above-mentioned pressures only represent data measured at the beginning of cupping.…”

Section: Introductionmentioning

confidence: 99%

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Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome

et al. 2020

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Purpose This study aimed to develop a quantitative dry cupping system that can monitor negative pressure attenuation and soft tissue pull-up during cupping to quantify soft tissue compliance. Methods Baseball players with myofascial pain syndrome were recruited to validate the benefits of cupping therapy. Nine of 40 baseball players on the same team were diagnosed with trapezius myofascial pain syndrome; another nine players from the same team were recruited as controls. All participants received cupping with a negative pressure of 400 mmHg for 15 minutes each time, twice a week, for 4 weeks. Subjective perception was investigated using upper extremity function questionnaires, and soft tissue compliance was quantified objectively by the system. Results During the 15-minute cupping procedure, pressure attenuation in the normal group was significantly greater than that in the myofascial group (p = 0.017). The soft tissue compliance in the normal group was significantly higher than that in the myofascial group (p = 0.050). Moreover, a 4-week cupping intervention resulted in an obvious increase in soft tissue lift in the myofascial pain group (p = 0.027), although there was no statistical difference in the improvement of soft tissue compliance. Shoulder (p = 0.023) and upper extremity function (p = 0.008) were significantly improved in both groups, but there was no significant difference between the two groups. Conclusion This quantitative cupping monitoring system could immediately assess tissue compliance and facilitate the improvement of soft tissues after cupping therapy. Hence, it can be used in athletes to improve their functional recovery and maintain soft tissues health during the off-season period.

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Section: Plos Onesupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome

et al. 2020

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“…The cups in the sham group did not fall off or cause apparent bruising (cupping marks). Cupping at − 100 mmHg has been reported to exert no signi cant effects on individuals' ANS activity, 12 blood ow near the cup, or exercise performance. 11 The participants underwent 15-min cupping on the upper back and shoulders after routine training or competition.…”

Section: Standardized Cupping Interventionmentioning

confidence: 97%

“…Studies have demonstrated the bene ts of cupping for athletes. 8,9 Cupping mitigates muscle fatigue, maintains sports performance, 10,11 promotes ANS activity recovery after intense exercise, [12][13][14] enhances blood volume and tissue oxygenation, 15,16 and improves sleep quality. 17,18 However, owing to differences in training intensity and competition schedule at different periods of the sports season, the extent of sports fatigue also varies signi cantly.…”

Section: Introductionmentioning

confidence: 99%

Short-term dry cupping improves autonomic nervous activity and sleep quality in university baseball players during a sports season

Chen,

Tang,

Chuang

2024

Preprint

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This study aimed to clarify the benefits of short-term cupping for athletes during preseason conditioning (PSC) and in-season conditioning (ISC). Forty university baseball players were recruited. Participants were divided into cupping (dry cupping at −400 mmHg) and sham (dry cupping at −100 mmHg) groups. Cupping was performed on the upper back and shoulders for 15 min, twice a week for 8 consecutive weeks: 4 weeks each during PSC and ISC. Four-week cupping exerted no significant effects on upper-extremity function during PSC or ISC. Exercise tests during PSC and ISC revealed no postintervention changes in peak power, peak oxygen consumption, or anaerobic threshold. However, cupping during PSC improved the postexercise recovery of low-frequency power (LF; P = .013; a heart rate variability component) and that during ISC improved the recovery of the LF/high-frequency power ratio (P = .004) and LF% (P = .037). Cupping during PSC significantly improved the participants’ daytime dysfunction scores on the Pittsburgh Sleep Quality Index (P = .026). The benefits of cupping differ between PSC and ISC. Cupping during PSC and ISC markedly improves the postexercise recovery of autonomic activity and sympathetic activity, respectively. However, cupping enhances sleep quality only during PSC.

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“…The response of the autonomic nervous system to cupping therapy on the back were dependent on with the magnitude of the applied negative pressures (−100, −300, and −500 mmHg). For example, negative pressure at -100 mmHg did not significantly change the heart rate variability (HRV), but negative pressure at both −300 and −500 mmHg caused a significant improvement in HRV ( Tang et al, 2019 ). Previous research demonstrated that −300 mmHg was more effective on increasing skin blood flow compared to −225 mmHg ( Wang et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of durations and pressures of cupping therapy on muscle stiffness of triceps

Jain

et al. 2022

Front. Bioeng. Biotechnol.

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Cupping therapy has been used for the alleviation of muscle soreness in athletes. However, clinical studies of cupping therapy show conflicting results. Lack of standardized guidelines of the dose-response relationship of cupping therapy, such as appropriate cupping duration and negative pressure, limits the adoption of cupping therapy in clinical practice. The objectives of this study were to investigate the effect of various pressures and durations of cupping therapy on reducing muscle stiffness. The 2 × 2 factorial design with the repeated measures and counterbalanced design was used to test four cupping protocols, including two negative pressures at −225 and −300 mmHg and two durations at 5 and 10 min, in 12 healthy young people. B-mode and elastographic ultrasound was used to assess muscle stiffness of the triceps before and after cupping therapy. The region of interest of elastographic image was divided into the superficial and deep layers for assessing the effect of cupping therapy on stiffness of various depths of the triceps. Normalized stiffness was calculated as a ratio of pre-cupping stiffness divided by post-cupping stiffness of each participant. The two-way analysis of variance (ANOVA) was used to examine the main effects of the pressure and duration factors and the interaction effect between the pressure and duration factors. The results showed that there were no interactions between the pressure and duration factors (overall layer p = 0.149, superficial layer p = 0.632, and deep layer p = 0.491). The main effects of duration of the overall, superficial and deep layers were p = 0.538, p = 0.097 and p = 0.018, respectively. The results showed that 10-min cupping at -300 mmHg is more effective on reducing stiffness of the deep layer of the triceps compared to 5-min cupping (p = 0.031). This study provides the first evidence that the dose of cupping therapy could significantly affect changes of triceps stiffness and the deep layer of the muscle is more sensitive to cupping therapy compared to the superficial and overall layers.

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The Influence of Dry Cupping of Differing Intensities on Heart Rate Variability

Cited by 3 publications

References 11 publications

Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome

Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome

Short-term dry cupping improves autonomic nervous activity and sleep quality in university baseball players during a sports season

Effect of durations and pressures of cupping therapy on muscle stiffness of triceps

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