Braun et al.77 Braun M, Schwickert M, Nielsen A, Brunnhuber S, Dobos G, Musial F, et al. Effectiveness of traditional Chinese "gua-sha" therapy in patients with chronic neck pain: a randomized controlled trial. Pain Med. 2011;12(3):362-9.
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To assess the efficacy of Gua-sha (IG) in chronic neck pain (VAS: static and in movement pain; NDI: functional disability; SF-36: quality of life) |
CG: hot-water bottle |
Chronic cervicalgia; 48 patients: 24 in each group |
All cervical to high thoracic, until additional petechiae could not be added |
Single session, immediate reassessment and follow-up for the next 7 days |
8 |
IG higher than CG (p<0.01) |
Yuen et al.11 Yuen JWM, Tsang WWN, Tse SHM, Loo WTY, Chan ST, Wong DLY, et al. The effects of Gua sha on symptoms and inflammatory biomarkers associated with chronic low back pain: a randomized active-controlled crossover pilot study in elderly. Complement Ther Med. 2017;32:25-32.
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Comparing the elderly with the placebo group (CG) in chronic low back pain (VAS, RMDQ, SF-12, GDS, PSQI, TFN-α, and HO-1) |
CG: hot-water bottle |
Chronic low back pain; 12 patients: all received Gua-sha (IG) or warm-bag (CG) with a 28-day interval between evaluations |
T8-L5, about 25-30cm in length, until the appearance of petechiae (8-12 repetitions), 15 min. |
Single session, re-evaluation after 24h and in the 7th day |
7 |
IG similar to CG, with a tendency towards better results in IG |
Wang et al.88 Wang Y, Yang L, Yang J, Yang J, Liu Z, Chen F, et al. Curative effect of scraping therapies on lumbar muscle strain. J Tradit Chin Med. 2013;33(4):455-60.
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Influence of Gua-sha on channels (IG) or acupuncture points (CG1), with or without petechiae (CG2, CG3), as well as conventional acupuncture (CG4), in low back muscle tension, as for pain (VAS) and functional capacity (Oswestry) |
CG1: petechiae at acupuncture points; CG2: no petechiae in acupuncture channels; CG3: no petechiae at acupuncture points CG4: systemic acupuncture |
Low back muscle tension; 210 patients: 42 in each group |
IG and CGC: bladder channel (TCM); CG1, CG3, and CG4: points B23 and B40 |
IG and CG1: 4 days; CG2, CG3, and CG4: 2 days. The five groups were treated 7 times. |
6 |
IG higher than CG (p<0.01) |
Lauche et al.99 Lauche R, Wübbeling K, Lüdtke R, Cramer H, Choi KE, Rampp T, et al. Randomized controlled pilot study: pain intensity and pressure pain thresholds in patients with neck and low back pain before and after traditional East Asian "gua sha" therapy. Am J Chin Med. 2012;40(5):905-17.
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To analyze the effects of Gha-sha on VAS and pressure pain (Algometer) on neck pain and chronic low back pain |
CG: waiting list |
Neck pain and chronic low back pain; 39 patients: IG (20) and CG (19) |
Cervical - C7-T12 longitudinal to paravertebral; from C7 horizontally to the shoulders; C7-T12 following ribs; C1-C7 longitudinally. Low back - C7-L5 longitudinal and then horizontally; along with the gluteus maximus; until petechiae appear, about 10-15 min |
Single session, immediate reassessment and after 7 days |
6 |
Pain intensity IG higher than control (p<0.05); Pressure pain: IG higher than CG (neck pain, p<0.05); CG-similar to IG (low back pain, p>0.05) |
Xiao et al.1010 Xiao LM, Meng XP, Han ML, Yang JJ, Du SB, Zhang W, et al. [Controlled observation of clinical efficacy on cervical spondylosis of neck type treated with scraping and acupuncture]. Zhongguo Zhen Jiu. 2014;34(8):751-4. Chinese.
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Compare Gua-sha (IG) and acupuncture (CG) in cervical spondylosis (VAS) |
Systemic acupuncture |
Cervical spondylosis; 85 patients: IG (44) and CG (41) |
High cervical to the shoulders |
IG: 1/week, for 3 weeks CG: 1/day for 15 days |
5 |
Higher than CG after the 1st session (p<0.01); similar to the final one (p>0.05) |
Wang1111 Wang LQ. [Observation on therapeutic effects of scraping therapy and warming acupuncture-moxibustion on 50 cases of fasciitis of back muscles]. Zhongguo Zhen Jiu. 2006;26(7):478-80. Chinese.
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To investigate the best method of treatment for paravertebral pain |
Systemic acupuncture |
Paravertebral pain; 100 patients: IG-50 and CG-50 |
Applied to the association of acupuncture and moxibustion, in the painful points under pressure, palpable tension bands and acupuncture points B12, B13, ID12, ID13 and extra point Jiafeng |
- |
5 |
IG higher than CG (p<0.01) |