Effect of cupping therapy on pain and function in persistent inespecific low back pain: a randomized controlled trial

INTERVENTION: Acupuncture Other The treatment will be performed for a period of two and a half weeks with a total of 5 sessions for each group. The interventions are divided into two phases that will occur during the session. Dates will be pre‐scheduled with participants shortly after treatment allocation. In case of absence, the service can be rescheduled up to two days after the pre‐established day. Entos Wind Therapy Group: 10 people will receive the intervention protocol that was developed based on a study that suggests specific acupuncture points for the treatment of low back pain. The small and medium diameter acrylic cups will be applied at the determined points, through the suction that will be performed by the hand pump and will be performed only a complete suction being considered as “lightâ€?. (approximately 400hPa) The intervention will be performed twice a week with an average duration of 30 minutes. C3 (Shaohai) ‐ Located on the ulnar face of the skinfold, in the anterior region of the medial epicondyle over the biceps brachii muscle tendon, at the medial end of the flexionfold. E36 (Zusanli) ‐ Located on the anterolateral surface of the leg to the anterior margin of the tibia between the anterior tibialis and common extensor toes muscles. Level 2 Patient Position: Lying on the stretcher in the prone (DV) position with extension of the lower limbs and arms extended at the side of the body. Therapist Position: Standing Next to Patient The dry cupping cups will be placed in the following Acuponto bilaterally: VG4 (Mingmen) ‐ Located in the depression below the spinous process of L2. 23 B23 (Shenshu) ‐ In the lumbar region, below the spinous process of L2, 1.5 lateral cun. 24 B24 (Qihaishu) ‐ Located In the lumbar region, below the spinous process of the third lumbar vertebra, 1.5 cun lateral to the posterior midline of L3 25 B25 (Dachangchu) ‐ In the lumbar region, below the spinous process of L4, 1.5 lateral cun. 30 B30 (Baihuanshu) ‐ In the s CONDITION: Low Back Pain Persistent Non specifict Low Back Pain ; Low Back Pain PRIMARY OUTCOME: Evaluate the Functional disability: Ordinal qualitative variable expressed by the Oswestry Disability Index Disability Questionnaire classifying the disability as: minimal disability (1), moderate disability (2), severe disability (3), very severe disability (4) and incapable (5) Evaluate the Pain intensity: Discrete quantitative variable expressed from 0 to 10 by the Visual Analog Scale (VAS).; SECONDARY OUTCOME: Evaluate the Amount of analgesic administered: Discrete quantitative variable, referring to the amount of analgesic administered during the week through the analgesic and pain diary, expressed in cardinal number. Later the quantity will be counted in a table with weekly distribution. ; Evaluate the Global perception of change: Quantitative variable expressed from 0 to 7 through the global perception change scale Evaluate the Quality of life: Discrete quantitative variable expressed from 0 to 100 by the Brazilian version of the SF‐36 quality of life questionnaire ; ; Evaluate the Weekly analgesic use: Nominal categorical variable, referring to the administration or not of analgesic during the week, expressed as “yesâ€? or “noâ€?. Item obtained through closed question present in the analgesic and pain diary. INCLUSION CRITERIA: Age between 18 and 59 years old, Present persistent nonspecific low back pain