Perspectives on Integrative Medicine

Short Communication

A Novel Hypothesis for Integrating Cupping Therapy in Spasticity Management: Bryn Hager, Faye Akin, Samuel Brant, Joshua Lopez, Camden Roth; Perspect Integr Med. 2025;4(2):103-109. Published online June 23, 2025; DOI: https://doi.org/10.56986/pim.2025.06.005

Graphical Abstract Abstract PDF: Spasticity, a common consequence of neurological injuries, negatively affects function and quality of life. Despite the availability of pharmacological and therapeutic interventions, limitations remain in accessibility, cost, side effects, and long-term efficacy of treatments. Cupping therapy, a traditional intervention, historically used for pain relief and circulation, may offer novel benefits in reducing spasticity. In this short communication, hypothesized mechanisms are presented through which cupping therapy may modulate both central and peripheral mechanisms of spasticity, as well as clinical relevance, should this hypothesis be validated. This is not a review or evidence summary, but a conceptual hypothesis grounded in emerging evidence. We propose that cupping therapy is an underutilized, yet promising strategy in neurological rehabilitation, warranting further exploration and empirical validation. This hypothesis supports the need for controlled trials comparing cupping with standard spasticity interventions. If validated, cupping may offer a low-cost, low-risk addition to the neurorehabilitation toolkit.

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