HEALTH TECHNOLOGY ASSESSMENT SECTION MEDICAL DEVELOPMENT DIVISION MINISTRY OF HEALTH MALAYSIA 010/2012 i
DISCLAIMER Technology review is a brief report, prepared on an urgent basis, which draws on restricted reviews from analysis of pertinent literature, on expert opinion and / or regulatory status where appropriate. It has not been subjected to an external review process. While effort has been made to do so, this document may not fully reflect all scientific research available. Additionally, other relevant scientific findings may have been reported since completion of this review. Please contact: firstname.lastname@example.org, if you would like further information.
Health Technology Assessment Section (MaHTAS), Medical Development Division Ministry of Health Malaysia Level 4, Block E1, Precinct 1 Government Office Complex 62590 Putrajaya Tel Fax : 603 88831246 : 603 8883 1230
Available at the following website: http://www.moh.gov.my
Prepared by: Dr. Hanin Farhana Kamaruzaman Assistant Director Health Technology Assessment Section (MaHTAS) Ministry of Health Malaysia Reviewed by: Datin Dr Rugayah Bakri Deputy Director Health Technology Assessment Section (MaHTAS) Ministry of Health Malaysia
DISCLOSURE The author of this report has no competing interest in this subject and the preparation of this report is totally funded by the Ministry of Health, Malaysia.
EXECUTIVE SUMMARY Introduction Cupping therapy is a physical treatment which refers to a technique that uses small glass cups or bamboo jars as suction devices that are placed on the skin. This method is mostly used in Asian and Middle Eastern countries. Cupping is believed to have potential benefit in treating myriad types of disease and conditions. The most common conditions were pain related such as chronic muscle pain, low back pain, neuralgia pain, fibromyalgia and headache. This technology review was requested by the Director of Traditional and Complementary Medicine (TCM), Ministry of Health Malaysia to evaluate the therapeutic effect of cupping therapy on certain diseases or conditions. Objective/aim To assess the efficacy, effectiveness and safety of cupping therapy in treating diseases or medical conditions such as herpes zoster, facial paralysis, back pain, spondylosis, cerebrovascular accident, hypertension, fibromyalgia, bronchitis, asthma and headache. Results and conclusions Three full text articles (one systematic review and two systematic reviews with meta-analysis) were included in this technology review discussing the efficacy and effectiveness of cupping therapy, with or without comparative treatments. As for safety issues, 2 articles discussed on the adverse effects of cupping therapy. This review showed that there is insufficient high quality evidence to support the effectiveness of cupping therapy in treating diseases or medical conditions such as herpes zoster, facial paralysis, back pain, spondylosis, cerebrovascular accident, hypertension, fibromyalgia, bronchitis, asthma and headache. Although cupping therapy is considered relatively safe and no major adverse effects were reported directly on the therapy itself, it is very important to ensure that the practitioners are properly trained and aware of the dangers involved in the cupping therapy.
Methods Electronic databases were searched through the MEDLINE(R) In-process and other Non-Indexed Citations and Ovid MEDLINE(R) 1948 to present, EBM Reviews - Cochrane Central Register of Controlled Trials and EBM Reviews Health Technology Assessment. Other database was PubMed, Cochrane Library, Australia & New Zealand Horizon Scanning Network (ANZHSN) and US Food & Drugs Administration (US FDA).
INTRODUCTION Cupping therapy is a physical treatment which refers to a technique that uses small glass cups or bamboo jars as suction devices that are placed on the skin.1 It has been used for thousands of years, said to be as early as 3000 BC....
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