Effect of dry Cupping on fatigue and quality of life in patients with Multiple Sclerosis

INTERVENTION: Intervention 1: Intervention group: In the intervention group, 8 sessions of dry Cupping therapy will be performed in 4 weeks and two sessions per week, on Saturday and Tuesday. The intervention will be carried out by the researcher and for this purpose. First, from the scapular to the waist, with 4 to 5 drops of Noshad branded chamomile oil, massage will be carried out for 3 to 4 minutes. Then the Cold dry Cupping, using silicone cups, which can be 6 to 10 numbers depending on the person's body, on the site (on the sides of the spine, around the inter‐vertebral line, from the scapula to the waist) will be done. Intervention 2: Control group: Patients in the control group receive received routine fatigue reduction methods such as exercise, relaxation techniques, etc. CONDITION: Multiple sclerosis. ; Multiple sclerosis PRIMARY OUTCOME: Fatigue severity. Timepoint: The severity of fatigue will be measured before and after the intervention at the end of the fourth week. Method of measurement: Fatigue Severity Scale. Quality of Life. Timepoint: The quality of life score will be measured before and after the intervention at the end of the fourth week. Method of measurement: Multiple Sclerosis Quality of Life‐ 54 Questionnaire. INCLUSION CRITERIA: Ability to communicate in Persian language. Diagnosis of Multiple Sclerosis according to neurologist confirmation. The severity of mental fatigue at the beginning of the research on the Fatigue Severity Scale (FSS) is equal to or greater than thirty six. The absence of chronic diseases and other conditions that affect the fatigue and quality of life of people, such as diabetes, cancer, etc. Not having surgery for the last six months, abnormal wound and redness from the scapula to the waist.