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iv LIST OF TABLES  ix LIST OF FIGURES x LIST OF PICTURES  xi LIST OF ABBREVIATIONS  xii CHAPTER ONE: INTRODUCTION 1 Aim of the Study 3 Hypothesis4 Significance4 Operational Definitions 4 CHAPTER TWO: LITERATURE REVIEW 5 Cupping Therapy 5 Cupping Therapy for Specific Conditions 6 Combining Treatments9 Muscle Stiffness Measurement Tool: Shear Wave Elastography 10 Range of Motion Measurement Tools 13 Perceived Pain 14 Limitations of Previous Studies 15 Conclusion 16

Change in Muscle Stiffness Using Shear Wave Elastography, Range of Motion, and Perceived Pain Following a Cupping Therapy Treatment in Physically Active Adults