Does wet-cupping therapy improve repeated sprint ability, perceived wellness, and rating of perceived exertion in young active males?

Abstract

Wet-cupping therapy (WCT) is one of the oldest known medical techniques, used as a traditional and complementary therapy with a wide application all around the world for general health. Research on the effects of WCT on sports performance are sparse and inconsistent. Thus, we aimed to explore the effects of WCT on repeated sprint ability, wellness, and exertion in young active males. Forty-nine active adult males (age: [28 ​± ​5] years; body height [177 ​± ​8] cm; body mass: [79 ​± ​7] kg; body mass index: [25.4 ​± ​1.8] kg/m²) were selected for the study. The participants performed a running-based sprint test on two separate occasions (Control and Post-WCT). WCT was performed 24 ​h before the testing session. They completed the Hooper questionnaire to assess their well-being (i.e., sleep, stress, fatigue, and soreness) before each session. The rating of perceived exertion (RPE) was collected after each testing session. A higher maximum power (p ​< ​0.05, effect size [ES] ​= ​0.6), mean power (p ​< ​0.01, ES ​= ​0.5) and minimum power (p ​< ​0.01, ES ​= ​0.6) were recorded post-WCT as compared to Control session along with a better perceived sleep (p ​< ​0.01, ES ​= ​0.85). Perceived stress (p ​< ​0.01, ES ​= ​0.6) and RPE (p ​< ​0.001; ES ​= ​1.1) were lower during the post-WCT compared to the Control session. The present findings demonstrated that WCT moderately enhanced repeated sprint ability and had positive effects on perceived sleep, stress, and exertion. WCT may be an effective ergogenic aid to improve repeated sprint ability and general well-being in young adult males. Future large-scale multicentric clinical studies are paramount to confirm the results of our study.

Keywords

Alternative medicine / Complementary medicine / Hijama / Short-term maximal performance / Sports medicine

References

[[1]] K. Irandoust, H. Ben Saad, F. Mohammadgholiha, M. Taheri, I. Dergaa. Effects of dry cupping therapy and creatine supplementation on inflammatory and cardiovascular responses to the Wingate test in handball players. Tunis Med, 100 (3) ( 2022), pp. 262-269

[[2]] 2.A.M.N. Al-Bedah I.S. Elsubai N.A. Qureshi, et al.. The medical perspective of cupping therapy: effects and mechanisms of action. J Tradit Complement Med, 9 (2) ( 2019), pp. 90-97, DOI: 10.1016/j.jtcme.2018.03.003

[[3]] M.-K. Kargar-Shoragi, M. Ghofrani, L. Bagheri, S. Emamdoost, K. Otadi. The effect of cupping and one exercise session on levels of creatine kinase and lactate dehydrogenase among the members of a handball team. Tradit Integr Med, 1 (3) ( 2016), pp. 115-121

[[4]] M. Niasari, F. Kosari, A. Ahmadi. The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial. J Alternative Compl Med, 13 (1) ( 2007), pp. 79-82, DOI: 10.1089/acm.2006.4226

[[5]] K. Farhadi, D.C. Schwebel, M. Saeb, M. Choubsaz, R. Mohammadi, A. Ahmadi. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Compl Ther Med, 17 (1) ( 2009), pp. 9-15, DOI: 10.1016/j.ctim.2008.05.003

[[6]] S.M. Tagil, H.T. Celik, S. Ciftci, et al.. Wet-cupping removes oxidants and decreases oxidative stress. Compl Ther Med, 22 (6) ( 2014), pp. 1032-1036, DOI: 10.1016/j.ctim.2014.10.008

[[7]] G. Musumeci. Could cupping therapy be used to improve sports performance?. J Funct Morphol Kinesiol, 1 (4) ( 2016), pp. 373-377, DOI: 10.3390/jfmk1040373

[[8]] I. Dergaa, H. Ben Saad. From tradition to science: unravelling the mysteries of wet cupping therapy for modern healthcare: wet cupping therapy and health: a narrative review. N Asian J Med, 1 (1) ( 2023), pp. 12-19, DOI: 10.52547/najm.1.1.12

[[9]] A. Souissi, M. Haddad, I. Dergaa, H. Ben Saad, K. Chamari. A new perspective on cardiovascular drift during prolonged exercise. Life Sci, 287 ( 2021), Article 120109, DOI: 10.1016/j.lfs.2021.120109

[[10]] S. Moncada, R.M. Palmer, E.A. Higgs. Nitric oxide: physiology, pathophysiology, and pharmacology. Pharmacol Rev, 43 (2) ( 1991), pp. 109-142

[[11]] H. Demirel. Sleep quality differs between athletes and non-athletes. Clin Investig Med, 39 (6) ( 2016), pp. S184-S186, DOI: 10.25011/cim.v39i6.27525

[[12]] S. Cikar, G. Ustundag, S. Haciabdullahoglu, S. Yuksel, S. Dane.Wet cupping (hijamah) increases sleep quality. Clin Investig Med, 38 (4) ( 2015), p. E258, DOI: 10.25011/cim.v38i4.24263

[[13]] I. Dergaa, M.S. Fessi, M. Chaabane, N. Souissi, O. Hammouda. The effects of lunar cycle on the diurnal variations of short-term maximal performance, mood state, and perceived exertion. Chronobiol Int, 36 (9) ( 2019), pp. 1249-1257, DOI: 10.1080/07420528.2019.1637346

[[14]] M. Romdhani, O. Hammouda, Y. Chaabouni, et al.. Sleep deprivation affects post-lunch dip performances, biomarkers of muscle damage and antioxidant status. Biol Sport, 36 (1) ( 2019), pp. 55-65, DOI: 10.5114/biolsport.2018.78907

[[15]] A. Souissi, I. Dergaa. An overview of the potential effects of melatonin supplementation on athletic performance. Int J Sport Stud Hlth, 4 (1) ( 2021), Article e121714, DOI: 10.5812/intjssh.121714

[[16]] D-l Sun, Y. Zhang, D-l Chen, et al.. Effect of moxibustion therapy plus cupping on exercise-induced fatigue in athletes. J Acupunct Tuina Sci, 10 (5) ( 2012), pp. 281-286, DOI: 10.1007/s11726-012-0620-y

[[17]] V.L. Andrade, A.M. Zagatto, C.A. Kalva-Filho, et al.. Running-based anaerobic sprint test as a procedure to evaluate anaerobic power. Int J Sports Med, 36 (14) ( 2015), pp. 1156-1162, DOI: 10.1055/s-0035-1555935

[[18]] M. Romdhani, I. Dergaa, I. Moussa-Chamari, et al.. The effect of post-lunch napping on mood, reaction time, and antioxidant defense during repeated sprint exercice. Biol Sport, 38 (4) ( 2021), pp. 629-638, DOI: 10.5114/biolsport.2021.103569

[[19]] M. Romdhani, N. Souissi, I. Dergaa, et al.. The effect of experimental recuperative and appetitive post-lunch nap opportunities, with or without caffeine, on mood and reaction time in highly trained athletes. Front Psychol, 12 ( 2021), Article 720493, DOI: 10.3389/fpsyg.2021.720493

[[20]] M. Frikha, N. Chaari, N.B. Said, M.S. Alibrahim.Warm-up durations in a hot-dry climate affect thermoregulation, mean power-output and fatigue, but not peak power in specific soccer repeated-sprint ability. BMC Sports Sci Med Rehabil, 12 (1) ( 2020), p. 76, DOI: 10.1186/s13102-020-00221-9

[[21]] Y. Meckel, O. Machnai, A. Eliakim. Relationship among repeated sprint tests, aerobic fitness, and anaerobic fitness in elite adolescent soccer players. J Strength Condit Res, 23 (1) ( 2009), pp. 163-169, DOI: 10.1519/JSC.0b013e31818b9651

[[22]] M.M. Sales, A.P. Maciel, SdS. Aguiar, et al.. Vertical jump is strongly associated to running-based anaerobic sprint test in teenage futsal male athletes. Sports, 6 (4) ( 2018), p. 129, DOI: 10.3390/sports6040129

[[23]] N. Ekrami, M. Ahmadian, M. Nourshahi, H. Shakouri. Wet-cupping induces anti-inflammatory action in response to vigorous exercise among martial arts athletes: a pilot study. Compl Ther Med, 56 ( 2021), Article 102611, DOI: 10.1016/j.ctim.2020.102611

[[24]] A. Ammar, K. Trabelsi, S.J. Bailey, et al.. Effects of natural polyphenol-rich pomegranate juice supplementation on plasma ion and lipid profiles following resistance exercise: a placebo-controlled trial. Nutr Metab, 17 (1) ( 2020), p. 31, DOI: 10.1186/s12986-020-00451-1

[[25]] A. Ammar, Trabelsi K. MounaTurki, et al.. Effects of natural polyphenol-rich pomegranate juice on the acute and delayed response of Homocysteine and steroidal hormones following weightlifting exercises: a double-blind, placebo-controlled trial. J Int Soc Sports Nutr, 17 (1) ( 2020), p. 15, DOI: 10.1186/s12970-020-00345-w

[[26]] A. Souissi, I. Dergaa, H. Chtourou, H. Ben Saad. The effect of daytime ingestion of melatonin on thyroid hormones responses to acute submaximal exercise in healthy active males: a pilot study. Am J Men's Health, 16 (1) ( 2022), Article 15579883211070383, DOI: 10.1177/15579883211070383

[[27]] S.L. Hooper, L.T. Mackinnon, A. Howard, R.D. Gordon, A.W. Bachmann. Markers for monitoring overtraining and recovery. Med Sci Sports Exerc, 27 (1) ( 1995), pp. 106-112

[[28]] C. Foster, J.A. Florhaug, J. Franklin, et al.. A new approach to monitoring exercise training. J Strength Condit Res, 15 (1) ( 2001), pp. 109-115

[[29]] A.M. Zagatto, W.R. Beck, C.A. Gobatto. Validity of the running anaerobic sprint test for assessing anaerobic power and predicting short-distance performances. J Strength Condit Res, 23 (6) ( 2009), pp. 1820-1827, DOI: 10.1519/JSC.0b013e3181b3df32

[[30]] A. Souissi, N. Yousfi, N. Souissi, M. Haddad, T. Driss. The effect of diurnal variation on the performance of exhaustive continuous and alternated-intensity cycling exercises. PLoS One, 15 (12) ( 2020), Article e0244191, DOI: 10.1371/journal.pone.0244191

[[31]] F. Abdullahi, C. Unal, M.O. Welcome, et al.. Beta and gamma EEG oscillatory waves of the frontal cortex increase after wet cupping therapy in healthy humans. J Res Med Dent Sci, 7 (3) ( 2019), pp. 95-102

[[32]] I. Dergaa, M. Romdhani, M.S. Fessi, et al.. Does lunar cycle affect biological parameters in young healthy men?. Chronobiol Int, 38 (6) ( 2021), pp. 933-940, DOI: 10.1080/07420528.2021.1897609

[[33]] I. Dergaa, H. Ben Saad, M. Romdhani, et al.. Biological responses to short-term maximal exercise in male police officers. Am J Men's Health, 15 (4) ( 2021), Article 15579883211040920, DOI: 10.1177/15579883211040920

[[34]] J. Chundamala, J.G. Wright. The efficacy and risks of using povidone-iodine irrigation to prevent surgical site infection: an evidence-based review. Can J Surg, 50 (6) ( 2007), pp. 473-481

[[35]] I. Dergaa, A. Varma, S. Musa, M. Chaabane, A.B. Salem, M.S. Fessi. Diurnal variation: does it affect short-term maximal performance and biological parameters in police officers?. Int J Sport Stud Health, 3 (2) ( 2020), Article e111424, DOI: 10.5812/intjsh.111424

[[36]] J. Cumming, J.L. Duda. Profiles of perfectionism, body-related concerns, and indicators of psychological health in vocational dance students: an investigation of the 2×2 model of perfectionism. Psychol Sport Exerc, 13 (6) ( 2012), pp. 729-738, DOI: 10.1016/j.psychsport.2012.05.004

[[37]] N. Ghazel, A. Souissi, H. Chtourou, G. Aloui, N. Souissi. The effect of music on short-term exercise performance during the different menstrual cycle phases in female handball players. Res Sports Med, 30 (1) ( 2022), pp. 50-60, DOI: 10.1080/15438627.2020.1860045

[[38]] H. Tian, Y.-J. Tian, B. Wang, L. Yang, Y.-Y. Wang, J.-S. Yang. Impacts of bleeding and cupping therapy on serum P substance in patients of postherpetic neuralgia. Zhongguo zhen jiu, 33 (8) ( 2013), pp. 678-681

[[39]] N.K. Umar, S. Tursunbadalov, S. Surgun, M.O. Welcome, S. Dane. The effects of wet cupping therapy on the blood levels of some heavy metals: a pilot study. J Acupunct Meridian Stud, 11 (6) ( 2018), pp. 375-379, DOI: 10.1016/j.jams.2018.06.005

[[40]] X. Zhao, M. Lan, H. Li, J. Yang. Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model. Sleep Med, 77 ( 2021), pp. 339-345, DOI: 10.1016/j.sleep.2020.05.021

[[41]] H. Bamfarahnak, A. Azizi, A. Noorafshan, A. Mohagheghzadeh. A tale of Persian cupping therapy: 1001 potential applications and avenues for research. J Complement Med Res, 21 (1) ( 2014), pp. 42-47, DOI: 10.1159/000358571

We express our gratitude to ChatGPT-4 for its invaluable assistance in generating Fig. 2.