The Impact of Wet Cupping on Sleep Quality in Healthy People at Medan City Health Clinic

Sharlini Desfika Nasution

Abstract


Background: Sleep quality is an essential need for health and body recovery. Sleep disorders are a serious health problem with a global prevalence reaching 19.1% according to WHO (2020). In Indonesia, the prevalence of sleep disorders among individuals aged ≥15 years is reported at 11.0% for clinically significant insomnia symptoms and 33.3% for sub-clinical insomnia. Cupping therapy as a complementary treatment has been known since ancient civilization and is recommended in Islam, but research on its impact on sleep quality is still limited. Objective:   To determine the impact of wet cupping on sleep quality in healthy people at a health clinic in Medan City. Methods:    This quantitative study used a descriptive analytical design with a one-group pretest-posttest pre-experimental approach, involving 36 respondents at the Medan City Cupping Health Clinic. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed using the Wilcoxon Signed-Rank test. Results:  Wet cupping intervention resulted in significant improvements in sleep quality. The results of the Wilcoxon Signed-Rank Test showed a significant difference between sleep quality before and after the intervention (p-value = 0.000) with a decrease in the average PSQI score from 9.428 to 5.167. Conclusion: Wet cupping has been proven effective in improving sleep quality in healthy people and can be an alternative non-pharmacological treatment to overcome sleep disorders and improve quality of life.

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References


1. Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017; 9:151–61.

2. World Health Organization. Ageing and health [Internet]. 2024 [cited 2024 April 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

3. Peltzer K, Pengpid S. Prevalence, social and health correlates of insomnia among persons 15 years and older in Indonesia. Psychol Health Med. 2019; 24(6):757–68. Available from: https://doi.org/10.1080/13548506.2019.1566621

4. Al Jaouni SK, Rohaiem SM, Almuhayawi MS, Godugu K, Almughales J, Kholi SM, et al. Wet cupping therapy in the modulation of inflammation in patients with pain. RPS Pharm Pharmacol Reports. 2023; 2(2):1–7. Available from: https://dx.doi.org/10.1093/rpsppr/rqad004

5. Desfika S, Ichwan M, Ardinata D. Wet Cupping’s Effect on Nitric Oxide Levels in Hypertensive Patients. Open Access Maced J Med Sci. 2022; 10(A):214–9. Available from: https://oamjms.eu/index.php/mjms/article/view/8415

6. Mahmoud HS ESS. Medical and Scientific Bases of Wet Cupping Therapy (Al-hijamah): in Light of Modern Medicine and Prophetic Medicine. Altern Integr Med. 2013;02(05).

7. Qureshi N, Ali G, Abushanab TS, El-Olemy AT, Alqaed MS, El-Subai IS, et al. History of cupping (Hijama): a narrative review of literature. J Integr Med. 2017; 15(3):172–81. Available from: https://www.sciencedirect.com/
science/article/pi/S209549641760339X

8. Arafah H. Cupping Therapy Modern Medicine Solutions In Islam. Glob Int J Innov Res. 2024 Jun 13;2:1271–8.

9. Al-Bedah AMN, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GIM, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. J Tradit Complement Med. 2018; 9(2):90. Available from: https://pmc.ncbi.nlm.
nih.gov/articles/PMC6435947/

10. Feriante J, Araujo J. Physiology, Sleep Stages. 2021 Feb 23. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526132/

11. Park SH, Weber F. Neural and Homeostatic Regulation of REM Sleep. Front Psychology. 2020; 11-2020. Available from: https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.01662

12. Girardeau G, Lopes-Dos-Santos V. Brain neural patterns and the memory function of sleep. Science. 2021 Oct; 374(6567):560–4.

13. Suzuki K, Miyamoto M, Hirata K. Sleep disorders in the elderly: Diagnosis and management. J Gen Fam Med. 2017 Apr;18(2):61–71.

14. Marsella JL, Sharkey KM. Sex Differences in Sleep Disorders. In: Attarian H, Viola-Saltzman M, editors. Cham: Springer International Publishing; 2020. p. 65–81. Available from: https://doi.org/10.1007/978-3-030-40842-8_6

15. Carrier J, Semba K, Deurveilher S, Drogos L, Cyr-Cronier J, Lord C, et al. Sex differences in age-related changes in the sleep-wake cycle. Front Neuroendocrinology. 2017;47:66–85. Available from: https://www.sciencedirect.com/science/article/pii/S0091302217300389

16. Yurttutan G, Dağcıoğlu BF. The Effect of Wet Cupping Therapy on Patients’ Symptom Level and Sleep Quality on Restless Leg Syndrome. Ankara Med J. 2020;20:904–16. Available from: https://doi.org/10.5505/amj.2020.02703.

17. Piber D, Cho J, Lee O, Lamkin D, Olmstead R, Irwin M. Sleep disturbance and activation of cellular and transcriptional mechanisms of inflammation in older adults. Brain Behav Immun. 2022;106:67–75. Available from: https://doi.org/
10.1016/j.bbi.2022.08.004.

18. Meng X, Guo H, Zhang QY, Li X, Chen Y, Li MY, et al. The effectiveness of cupping therapy on chronic fatigue syndrome: A single-blind randomized controlled trial. Complement Ther Clin Pract. 2020; 40:101210. Available from: https://doi.org/10.1016/
j.ctcp.2020.101210.

19. Vaseghi S, Mostafavijabbari A, Alizadeh MS, Ghaffarzadegan R, Kholghi G, Zarrindast M. Intricate role of sleep deprivation in modulating depression: focusing on BDNF, VEGF, serotonin, cortisol, and TNF-α. Metab Brain Dis. 2023;38(1):195–219. Available from: https://doi.org/
10.1007/s11011-022-01124-z

20. Wang L, Fang YF, Xu JT, Wang G, Geng QN, Li QJ, et al. Effect mechanism of pricking and cupping therapy combined with Chinese herbal wet compress in treatment of herpes zoster based on Th1/Th2 imbalance and serum substance P. Acupunct Res. 2022;47 9:814–20. Available from: https://doi.org/10.13702/j.1000-0607.20210893.

21. Irwin MR, Opp MR. Sleep Health: Reciprocal Regulation of Sleep and Innate Immunity. Neuropsychopharmacology. 2017;42(1):129–55. Available from: https://doi.org/10.1038/npp.2016.148

22. Zhu ZG, Wang JR, Pan XY. Efficacy of scraping therapy on blood pressure and sleep quality in stage I and II essential hypertension: A systematic review and meta-analysis. J Integr Med. 2023; Available from: https://doi.org/10.1016/j.joim.2023.11.006.

23. Rahmi R, Nasution SD, Fauziyah Y. Peran Nitrit Oksida Terhadap Tekanan Darah. J Med Malahayati. 2024;7(4):997–1007.

24. Bain AR, Weil BR, Diehl KJ, Greiner JJ, Stauffer BL, DeSouza CA. Insufficient sleep is associated with impaired nitric oxide-mediated endothelium-dependent vasodilation. Atherosclerosis. 2017;265:41–6. Available from: https://www.sciencedirect.com/science/article/pii/S0021915017312236




DOI: https://doi.org/10.18860/jim.v9i2.35565

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