Comparative Effectiveness of Dry Cupping and Graston Techniques in Scapulocostal Syndrome.

NCT ID: NCT07102355

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2025-09-13

Brief Summary

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The goal of this clinical trial is to check the comparative effectiveness of Graston Techniques and Dry cupping in Office Workers with Scapulocostal syndrome. The main questions it aims to answer are:

1. To evaluate the relative effectiveness of dry cupping and the Graston technique.
2. How well each technique reduces symptoms and enhances work productivity and functional outcomes.
3. To assess whether integrating either Graston Technique or Dry Cupping provides more beneficial effects than conventional treatment alone.

1\) Be divided into 2 Groups (Group A= Dry Cupping; B: Graston Techniques) 2) get the treatment for 4 weeks (3 days a week). 3) Receive the same conventional treatment.

Detailed Description

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This study aims to compare the effectiveness of Graston and Dry cupping in treating Scapulocostal syndrome in office workers, focusing on specific outcomes like pain severity, functional outcomes, and work productivity.

This study will be a randomized clinical trial with a sample size of 46 participants with work-related SCS. The participants will be obtained by non-probability convenient sampling based on the inclusion and exclusion criteria. Participants will be randomly assigned into two groups, with 23 subjects in each group. Group A will receive dry cupping along with conventional therapy while Group B will receive IASTM along with conventional therapy.

Conditions

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Scapulocostal Syndrome

Keywords

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Scapulocostal Syndrome Myofascilal pain syndrome, Graston Technique Dry Cupping Therapy Cervical Range of Motion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A convenient sampling technique was used. Data collection was initiated after taking the content form, and then participants were divided into two groups by lottery: Group A and Group B. Group A was given Dry cupping, and Group B was given the Graston Technique along with Conventional Treatment.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Group A = Dry Cupping

Group A will receive Dru cupping along with conventional treatment.

Group Type EXPERIMENTAL

Experimental: Group A = Dry Cupping

Intervention Type OTHER

Dry cupping, originating in Middle Eastern and Asian countries, gained popularity in the United States after the 2016 Summer Olympics. It has two main forms: wet and dry cupping. Wet cupping involves laceration of the skin, while dry cupping uses negative pressure to pull the skin into the cup. Cupping is used to reduce musculoskeletal or myofascial pain, with the most accepted mechanism being localized hyperemia, which improves microcirculation and promotes healing

Group B = Graston Technique

Group B will receive Graston Technique with Conventional treatment.

Group Type EXPERIMENTAL

Experimental: Group B = Graston Technique

Intervention Type OTHER

Instrument-assisted soft tissue mobilization (IASTM), derived from Cyriax cross-friction massage, is a popular alternative to traditional manual therapy techniques, with its first controlled study published in 1997 (Seffrin \& Gardiner-Shires, 2019) .The Graston Technique(GT), also known as instrument-assisted soft tissue mobilization (IASTM), is used by chiropractors, doctors, and therapists to alleviate pain and range-of-motion restrictions caused by musculoskeletal injuries and scar tissue. (McKivigan, J. M., \& Tulimero, G. et al. , 2020) . The Graston technique, is also used to alleviate upper cervical pain.

Interventions

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Experimental: Group A = Dry Cupping

Dry cupping, originating in Middle Eastern and Asian countries, gained popularity in the United States after the 2016 Summer Olympics. It has two main forms: wet and dry cupping. Wet cupping involves laceration of the skin, while dry cupping uses negative pressure to pull the skin into the cup. Cupping is used to reduce musculoskeletal or myofascial pain, with the most accepted mechanism being localized hyperemia, which improves microcirculation and promotes healing

Intervention Type OTHER

Experimental: Group B = Graston Technique

Instrument-assisted soft tissue mobilization (IASTM), derived from Cyriax cross-friction massage, is a popular alternative to traditional manual therapy techniques, with its first controlled study published in 1997 (Seffrin \& Gardiner-Shires, 2019) .The Graston Technique(GT), also known as instrument-assisted soft tissue mobilization (IASTM), is used by chiropractors, doctors, and therapists to alleviate pain and range-of-motion restrictions caused by musculoskeletal injuries and scar tissue. (McKivigan, J. M., \& Tulimero, G. et al. , 2020) . The Graston technique, is also used to alleviate upper cervical pain.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. 18-30 age group
2. Males and females
3. Office Workers.
4. Subjects that have symptoms of musculoskeletal nature (
5. Subjects with pain lasting for longer than 3 months (

Exclusion Criteria

1. Subjects with underlying pathology such as TOS, brachial neuralgia, cervical radiculopathy, polymyositis or Fibro myositis
2. Subjects with systemic diseases such as rheumatoid arthritis, ankylosing spondylitis
3. Subjects with the presence of any fractures
4. Heart/diabetic patients
5. Pregnant women
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Management and Technology Sialkot Pakistan

OTHER

Sponsor Role lead

Responsible Party

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Danyal Ahmad

Head Of Department (HOD)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Danyal Ahmad, PhD Scholar

Role: PRINCIPAL_INVESTIGATOR

University of Management and Technology Sialkot Pakistan

Locations

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Bethania Hospital Sialkot

Sialkot, Punjab Province, Pakistan

Site Status

Bethania Hospital

Lahore, , Pakistan

Site Status

University of Management and technology Sialkot Campus

Sialkot, , Pakistan

Site Status

Bethania Hospital

Sialkot, , Pakistan

Site Status

Countries

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Pakistan

References

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Brandl A, Bartsch K, James H, Miller ME, Schleip R. Influence of Rolfing Structural Integration on Active Range of Motion: A Retrospective Cohort Study. J Clin Med. 2022 Oct 5;11(19):5878. doi: 10.3390/jcm11195878.

Reference Type RESULT
PMID: 36233746 (View on PubMed)

Sharma S, Kaur H, Verma N, Adhya B. Looking beyond Piriformis Syndrome: Is It Really the Piriformis? Hip Pelvis. 2023 Mar;35(1):1-5. doi: 10.5371/hp.2023.35.1.1. Epub 2023 Mar 6.

Reference Type RESULT
PMID: 36937215 (View on PubMed)

Aslam S, Rahim R, Ejaz U, Tariq ZB, Guftar F. Effects of Myofascial Release Technique on Pain, Range of Motion and Functional Disability in Patients with Piriformis Syndrome. HJPRS [Internet]. 2025 Aug 23 [cited 2025 Oct 19];5(2):56-61.

Reference Type RESULT

Seffrin CB, Cattano NM, Reed MA, Gardiner-Shires AM. Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis. J Athl Train. 2019 Jul;54(7):808-821. doi: 10.4085/1062-6050-481-17. Epub 2019 Jul 19.

Reference Type RESULT
PMID: 31322903 (View on PubMed)

Buttagat V, Taepa N, Suwannived N, Rattanachan N. Effects of scapular stabilization exercise on pain related parameters in patients with scapulocostal syndrome: A randomized controlled trial. J Bodyw Mov Ther. 2016 Jan;20(1):115-122. doi: 10.1016/j.jbmt.2015.07.036. Epub 2015 Jul 26.

Reference Type RESULT
PMID: 26891646 (View on PubMed)

Elsayyad MM, Abdel-Aal NM, Helal ME. Effect of Adding Neural Mobilization Versus Myofascial Release to Stabilization Exercises after Lumbar Spine Fusion: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Feb;102(2):251-260. doi: 10.1016/j.apmr.2020.07.009. Epub 2020 Aug 19.

Reference Type RESULT
PMID: 32827553 (View on PubMed)

Other Identifiers

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kuhs/dpt/umt-skt-016

Identifier Type: -

Identifier Source: org_study_id