Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial

Objective: To assess the immediate effects of dynamic cupping on median nerve mechanosensitivity, measured by the upper limb neurodynamic test 1 (ULNT1), in healthy participants. Methods: After completing the questionnaire, 60 healthy participants were randomly assigned to two groups: the interventi...

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Main Authors: Ricardo Cardoso, Mafalda Encarnação, Isabel Moreira-Silva, Joana Azevedo, Adérito Seixas
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/8/4131
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author Ricardo Cardoso
Mafalda Encarnação
Isabel Moreira-Silva
Joana Azevedo
Adérito Seixas
author_facet Ricardo Cardoso
Mafalda Encarnação
Isabel Moreira-Silva
Joana Azevedo
Adérito Seixas
author_sort Ricardo Cardoso
collection DOAJ
description Objective: To assess the immediate effects of dynamic cupping on median nerve mechanosensitivity, measured by the upper limb neurodynamic test 1 (ULNT1), in healthy participants. Methods: After completing the questionnaire, 60 healthy participants were randomly assigned to two groups: the intervention group (IG; n = 30), which received dynamic cupping therapy, and the control group (CG; n = 30), which received no intervention. In the first assessment (M0), the ULNT1 was conducted on the dominant upper limb. The elbow extension range of motion was measured at the onset of symptoms and at the maximum tolerated point using a smartphone (iPhone 6, iOS 12.4.5, Apple Inc., Cupertino, CA, USA) as a goniometer substitute. Immediately following the intervention or control, both groups were assessed again (M1). Results: There were no significant differences between groups in terms of the range of motion for elbow extension at the onset of symptoms (IG: 23.8 ± 21.4° vs. CG: 24.8 ± 22.5°; <i>p</i> = 0.946) and at the maximum tolerated point of the ULNT1 (IG: 57.0 ± 19.9° vs. CG: 67.0 ± 19.4°; <i>p</i> = 0.236). Conclusions: These findings indicate that dynamic cupping does not appear to affect the mechanosensitivity of the median nerve in healthy participants. These results suggest that dynamic cupping may not be effective for immediate changes in nerve mechanosensitivity in asymptomatic individuals, but further research is needed to explore its effects in symptomatic populations, such as patients with carpal tunnel syndrome or cervical radiculopathy.
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spelling doaj-art-13dc0dcbfda9476a8b9d49289c46930c2025-08-20T03:14:19ZengMDPI AGApplied Sciences2076-34172025-04-01158413110.3390/app15084131Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled TrialRicardo Cardoso0Mafalda Encarnação1Isabel Moreira-Silva2Joana Azevedo3Adérito Seixas4FP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalFP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalFP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalFP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalFP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalObjective: To assess the immediate effects of dynamic cupping on median nerve mechanosensitivity, measured by the upper limb neurodynamic test 1 (ULNT1), in healthy participants. Methods: After completing the questionnaire, 60 healthy participants were randomly assigned to two groups: the intervention group (IG; n = 30), which received dynamic cupping therapy, and the control group (CG; n = 30), which received no intervention. In the first assessment (M0), the ULNT1 was conducted on the dominant upper limb. The elbow extension range of motion was measured at the onset of symptoms and at the maximum tolerated point using a smartphone (iPhone 6, iOS 12.4.5, Apple Inc., Cupertino, CA, USA) as a goniometer substitute. Immediately following the intervention or control, both groups were assessed again (M1). Results: There were no significant differences between groups in terms of the range of motion for elbow extension at the onset of symptoms (IG: 23.8 ± 21.4° vs. CG: 24.8 ± 22.5°; <i>p</i> = 0.946) and at the maximum tolerated point of the ULNT1 (IG: 57.0 ± 19.9° vs. CG: 67.0 ± 19.4°; <i>p</i> = 0.236). Conclusions: These findings indicate that dynamic cupping does not appear to affect the mechanosensitivity of the median nerve in healthy participants. These results suggest that dynamic cupping may not be effective for immediate changes in nerve mechanosensitivity in asymptomatic individuals, but further research is needed to explore its effects in symptomatic populations, such as patients with carpal tunnel syndrome or cervical radiculopathy.https://www.mdpi.com/2076-3417/15/8/4131cupping therapymechanosensitivitymedian nervehealthy participantsneurodynamic testssmartphone goniometry
spellingShingle Ricardo Cardoso
Mafalda Encarnação
Isabel Moreira-Silva
Joana Azevedo
Adérito Seixas
Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
Applied Sciences
cupping therapy
mechanosensitivity
median nerve
healthy participants
neurodynamic tests
smartphone goniometry
title Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
title_full Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
title_fullStr Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
title_full_unstemmed Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
title_short Immediate Effects of Dynamic Cupping on Median Nerve Mechanosensitivity in Healthy Participants: A Randomized Controlled Trial
title_sort immediate effects of dynamic cupping on median nerve mechanosensitivity in healthy participants a randomized controlled trial
topic cupping therapy
mechanosensitivity
median nerve
healthy participants
neurodynamic tests
smartphone goniometry
url https://www.mdpi.com/2076-3417/15/8/4131
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