Effect of Massage and Dry Cupping on Hemodynamic Parameters of Cardiac Patients: A Randomized Controlled Trial

Yaser Hamzehnejadi; Parvin Mangolian Shahrbabaki; Mina Mahmoodabadi; Mahlagha Dehghan

doi:10.1016/j.jcm.2022.07.002

Effect of Massage and Dry Cupping on Hemodynamic Parameters of Cardiac Patients: A Randomized Controlled Trial

J Chiropr Med. 2023 Mar;22(1):60-71. doi: 10.1016/j.jcm.2022.07.002. Epub 2022 Aug 21.

Authors

Yaser Hamzehnejadi¹, Parvin Mangolian Shahrbabaki², Mina Mahmoodabadi³, Mahlagha Dehghan²

Affiliations

¹ Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
² Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Science, Kerman, Iran.
³ Department of Nursing and Midwifery, Sirjan University of Medical Sciences, Sirjan, Iran.

Abstract

Objective: The aim of this study was to compare the effects of massage versus dry cupping in addition to routine care on hemodynamic parameters of cardiac patients in critical care units.

Methods: The present study was a parallel randomized controlled clinical trial that was conducted in the critical care units of Shafa Hospital in Kerman, Iran, from 2019 to 2020. Ninety eligible patients)aged 18-75 years, no cardiac arrest in the past 72 hours, no severe dyspnea, no fever, and no cardiac pacemaker) were divided into massage (n = 30), dry cupping (n = 30), and control (n = 30) groups using the stratified block randomization method. The massage group received routine care and a head and face massage for 3 consecutive nights from the second day of admission. The dry cupping group received routine care and dry cupping between the third cervical vertebra and the fourth thoracic vertebra for 3 consecutive nights. The control group received only routine care, which included daily visits by the attending physician, nursing care, and medication. Each intervention session was performed for 15 minutes. The data collection tools included the sociodemographic and clinical characteristics questionnaire and the hemodynamic parameters form (systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and saturation of peripheral oxygen). The hemodynamic parameters were measured each night before and after the intervention.

Results: The mean systolic blood pressure, heart rate, respiratory rate, and oxygen saturation level showed no significant difference among the 3 groups. The mean diastolic blood pressure of the 3 groups varied significantly over time. The mean diastolic blood pressure of the massage group decreased significantly on the third day of intervention, while it did not change significantly in the 2 groups of dry cupping or control (P < .05).

Conclusion: According to the results of this study, dry cupping had no effect on regulating hemodynamic parameters, while only diastolic blood pressure was reduced significantly after massage on the third day of intervention. Therefore, our study did not show effects of massage and dry cupping on regulating hemodynamic parameters.

Keywords: Cupping Therapy; Hemodynamics; Massage; Musculoskeletal Manipulations.