Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players

Abstract

Background. Shin splints result from repetitive stress on the shin bone, causing strain in the muscles and connective tissues of the lower leg. Among athletes, females (55.3%) experience shin splints more frequently than males (44.7%). Dynamic cupping combines negative pressure, massage movements, and joint motions, while instrument‑assisted soft tissue mobilization (IASTM) involves repeated strokes to stimulate muscles, tendons, and fascia. Eccentric exercises enhance muscle activation through lengthening. Purpose. This study aimed to compare the effectiveness of dynamic cupping therapy with eccentric exercise and IASTM with eccentric exercise in managing shin splints among football players. Method. Forty football players were divided into two groups: Group A (dynamic cupping + eccentric exercise) and Group B (IASTM + eccentric exercise). Pain (VAS), medial tibial stress syndrome (MTSS) questionnaire, and range of motion (ROM) were assessed weekly to evaluate outcomes. Results. Dynamic cupping therapy with eccentric training showed significant improvements in pain reduction and ROM compared to IASTM with eccentric training. Conclusion. Dynamic cupping therapy combined with eccentric exercise was more effective than IASTM with eccentric exercise in treating shin splints in football players.