Comparative Study Of Hot Pack Along With Therapeutic Ultrasound And Exercise Verses Cupping Therapy On Cervical Spondylosis

Authors

  • Rajiv kumar
  • Dr.Monika Sharma

DOI:

https://doi.org/10.53555/ejac.v20i1.1155

Keywords:

Cervical Spondylosis, Cupping Therapy, Physiotherapy, Therapeutic Ultrasound, Range of Motion, Pain Management.

Abstract

Cervical spondylosis, a prevalent degenerative condition, significantly impacts patients' quality of life by causing pain, stiffness, and restricted cervical mobility. This study investigates the comparative effectiveness of cupping therapy and a combination of hot pack, therapeutic ultrasound, and exercise in alleviating pain and improving cervical range of motion (ROM). Conducted as a pre-test and post-test experimental design, the research involved 30 participants divided into control and experimental groups. The control group received a standard physiotherapy protocol comprising hot pack application, therapeutic ultrasound, and targeted exercises, while the experimental group underwent cupping therapy.

The results demonstrated that cupping therapy provided superior improvements in pain relief and cervical ROM compared to conventional physiotherapy approaches. Specifically, the experimental group showed a more significant reduction in pain intensity, as measured by the Numeric Pain Rating Scale (NPRS), and a greater increase in cervical ROM in multiple directions. These findings suggest that cupping therapy, through its effects on local circulation, neuromuscular relaxation, and tissue healing, can be an effective alternative or adjunct to conventional physiotherapy.

This study contributes to the growing body of evidence supporting the integration of alternative therapies into mainstream physiotherapy practices for managing musculoskeletal disorders such as cervical spondylosis. However, further research with larger sample sizes and extended follow-up periods is recommended to assess the long-term efficacy and potential mechanisms underlying these observed benefits.

Author Biographies

  • Rajiv kumar

    Institute of Applied Medicines and Reasearch Ghaziabad

  • Dr.Monika Sharma

    Institute of Applied Medicines and Research

References

Siahaan YMT. Clinical Approach to Diagnosing and Treatment of Neck Pain. Open J Med Sci [Internet]. 2022 Dec 14 [cited 2025 Feb 23];2(1):17-23. doi: 10.31586/ojms.2022.526.

Tehseen A, Iliyas M, Khalid M, Husain N. The efficacy and safety of dry cupping in cervical spondylosis with optimization of cup application time: A randomized clinical trial. Drug Metab Pers Ther [Internet]. 2022 [cited 2025 Feb 23];37(3):211-218. doi: 10.1515/dmpt-2022-0111.

Kouser VH, Patel MI, Khalid M, Husain N. A comparative study on the efficacy of Ḥijama bila Shurṭ (dry cupping) and TENS in the management of cervical spondylosis. J Emerg Technol Innov Res [Internet]. 2025 Jan [cited 2025 Feb 23];12(1):285-292. Available from: https://www.jetir.org/papers/JETIR2501034.pdf.

Qing W, Jiang Y, Wang Y, Li M. Therapeutic ultrasound for neck pain: A systematic review. J Rehabil Med [Internet]. 2020 [cited 2025 Feb 23];52(4):jrm00053. doi: 10.2340/16501977-2674.

Sadeghi A, Ghasemi GA, Nejadghaderi SA, Kolahi AA, Yousefifard M. Isometric exercises for cervical spondylosis: A systematic review and meta-analysis. Clin Rehabil [Internet]. 2022 [cited 2025 Feb 23];36(9):1173-1185. doi: 10.1177/02692155221077268.

Boyles R, Toy P, Mellon J Jr, Hayes M, Hammer B. Effectiveness of manual physical therapy in the treatment of cervical radiculopathy: A systematic review. J Man Manip Ther [Internet]. 2011 Aug [cited 2025 Feb 23];19(3):135-142. doi: 10.1179/2042618611Y.0000000011. PMCID: PMC3143012. PMID: 22851876.

Telci EA, Karaduman A, Yakut Y. Comparison of conservative treatment methods in patients with cervical spondylosis: A randomized controlled trial. J Back Musculoskelet Rehabil [Internet]. 2012 [cited 2025 Feb 23];25(3):193-199. doi: 10.3233/BMR-2012-0328. PMID: 22927695.

Abdel-aziem AA, Draz AH, Abdelraouf OR, Al-Munajjed AA. Effect of pulsed versus continuous therapeutic ultrasound on pain and functional disability in patients with cervical spondylosis: A randomized controlled trial. J Phys Ther Sci [Internet]. 2014 [cited 2025 Feb 23];26(6):817-820. doi: 10.1589/jpts.26.817. PMCID: PMC4089730. PMID: 25013274.

Ibrahim AA, Akindele MO, Quadri AA, Adegoke BO. Supervised versus unsupervised exercise training programs in the management of cervical spondylosis: A randomized controlled trial. Niger J Clin Pract [Internet]. 2018 [cited 2025 Feb 23];21(5):620-625. doi: 10.4103/njcp.njcp_13_18. PMID: 29735800.

Egwu MO, Anyanwu GE, Osuji CU. Comparative study of isometric grip strength in individuals with and without cervical spondylosis. Niger J Med Rehabil [Internet]. 2009 [cited 2025 Feb 23];14(1-2):1-5. Available from: https://www.ajol.info/index.php/njmr/article/view/61906.

Badran A, Elhafez HM, Elhafez SM, Elhafez GM. Postoperative physiotherapy in patients with degenerative cervical myelopathy: A randomized controlled trial. Asian Spine J [Internet]. 2018 [cited 2025 Feb 23];12(4):703-710. doi: 10.31616/asj.2018.12.4.703. PMCID: PMC6088351. PMID: 30181988.

Srivastava A, Tiwari S, Singh S, Kumar S. Effects of vestibular physiotherapy on balance in patients with cervical spondylosis: A randomized controlled trial. J Bodyw Mov Ther [Internet]. 2022 [cited 2025 Feb 23];30:1-6. doi: 10.1016/j.jbmt.2021.11.010. PMID: 35027212.

Peolsson A, Hedlund R, Vavruch L, Oberg B. Long-term randomized controlled study between a physiotherapy regime and surgery for cervical disc disease: A 5- to 8-year follow-up. Spine (Phila Pa 1976) [Internet]. 2006 May 1 [cited 2025 Feb 23];31(10):1061-1067. doi: 10.1097/01.brs.0000216443.51887.cb. PMID: 16641777.

Huang LJ, Liu YQ, Wang Y, Zhang Y, Liu ZS. Clinical observation on warm needling combined with rehabilitation training for cervical spondylosis of vertebral artery type. Zhongguo Zhen Jiu [Internet]. 2012 [cited 2025 Feb 23];32(5):403-406. PMID: 22734399.

Ling J, Li Y, Zhang H, Wang F, Zhang Z. Postoperative rehabilitation in cervical spine fusion surgery for degenerative cervical spondylosis: A systematic review and meta-analysis. Medicine (Baltimore) [Internet]. 2023 Jan 27 [cited 2025 Feb 23];102(4):e32745. doi:

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Published

26-02-2025

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