THE EFFECTIVENESS OF THE ACUPUNCTURE REDUCING POINT ON THE IMPROVEMENT OF MUSCULAR STRENGTH OF STROKE PATIENTS

Authors

  • Dodik Hartono Nursing Science Program, Hafshawaty Pesantren Zainul Hasan College of Health Sciences, East Java, Indonesia
  • Deny Prasetyanto Nursing Science Program, Hafshawaty Pesantren Zainul Hasan College of Health Sciences, East Java, Indonesia
  • Ainul Yaqin Salam Nursing Science Program, Hafshawaty Pesantren Zainul Hasan College of Health Sciences, East Java, Indonesia
  • Erna Handayani Nursing Science Program, Hafshawaty Pesantren Zainul Hasan College of Health Sciences, East Java, Indonesia
  • Grido Handoko Sriyono Nursing Science Program, Hafshawaty Pesantren Zainul Hasan College of Health Sciences, East Java, Indonesia
  • Ishaq Ishaq Nurse at Clinic Holistic Nursing Theraphy Probolinggo, East Java, Indonesia
  • Harry Irfan Tonny Nurse at Clinic Griya Akupuntur Jember, East Java, Indonesia

DOI:

https://doi.org/10.33086/nhc.v1i1.2115

Keywords:

Stroke, Meridians, Muscle Strength.

Abstract

Background: Stroke is a disease caused by disruption of blood flow to areas of the brain that are blocked in the cerebral or cervical arteries which result in decreased or even loss of function controlled by brain tissue. One of the effects caused by stroke is hemiparesis. Rehabilitation therapy plays an important role in a comprehensive restoration of bodily functions due to stroke, this program aims to restore function to reduce disability, one of the treatments is to use acupuncture meridian points.

Purpose: The purpose of this study was to determine the effectiveness of acupuncture meridian points in increasing muscle strength in stroke patients.

Methods: The research design used in this study was a randomized controlled trial (RCT) design. The number of samples of all stroke patients at the Holistic nursing therapy clinic in Probolinggo and the Healer School Jember Clinic that met the inclusion criteria from October 2020 to March 2021 were 270 respondents. Data collection techniques used observation sheets to assess muscle strength before and after the intervention of acupuncture meridian points in stroke patients. Data analysis used was the Wilcoxon test with a statistical significance value accepted if p <0.05.

Results: The results of the data analysis of the intervention group showed a significant value of hand muscle strength (p 0.003; α 0.05) and leg (p 0.005, α 0.05) where (p <0.05) it can be concluded that there is a significant difference in strength. A muscle in the intervention group before and after being given acupuncture. The findings of this study suggest that there is a significant effect of acupuncture on lower and upper muscle strength.

Conclusion: In general, the use of acupuncture meridian points can increase muscle strength in stroke patients, so the use of acupuncture meridian points can provide benefits for restoring muscle strength in stroke patients.

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References

Adam, M., Nurachmah, E., & Waluyo, A. (2014). Rentang Gerak Ekstremitas Atas Pada Pasien Stroke. Jurnal Keperawatan Indonesia, 17(3), 81–87.

Alamsyah (2010). Cara lebih mudah menemukan titik terapi acupoint, Petunjuk praktis akupunktur. Jakarta : AsmaNadia Publishing House.

Chen L, Fang J, Ma R, Gu X, Chen L, Li J, et al. (2016). Additional effects of acupuncture on early comprehensive rehabilitation in patients with mild to moderate acute ischemic stroke: a multicenter randomized controlled trial. BMC Complement Altern Med; 16(1):1-9.

Chan, Y. T., Zhang, H. W., Guo, Y. Q., & Lin, Z. (2017). Effectiveness and Safety of Acupuncture for Poststroke Dysphagia : Study Protocol for a Pragmatic Multicenter Nonrandomized Controlled Trial, 2017.

Hauer, A. J., Ruigrok, Y. M., Algra, A., Dijk, E. J. Van, Koudstaal, P. J., Luijckx, G., … Klijn, C. J. M. (2017). Age-Speci fi c Vascular Risk Factor Pro fi les According to Stroke. https://doi.org/10.1161/JAHA.116.005090

Hiraga, A. (2017). Gender Differences and Stroke Outcomes, 0003, 61–62. https://doi.org/10.1159/000475451

Kang, H. S., Sok, S. R., Kang, J. S. (2009). Effects of meridian acupressure for stroke patient in Korea. Journal of Clinical Nursing, 18, 2145-2151.

Liu, H., Sun, X., Zou, W., Leng, M., Kang, X., & He, T. (2017). Complementary Therapies in Medicine Scalp acupuncture attenuates neurological de fi cits in a rat model of hemorrhagic stroke. Complementary Therapies in Medicine, 32(March), 85–90. https://doi.org/10.1016/j.ctim.2017.03.014

Monsen, R. E & Van Horn, L. (2008). Research : Successful Approach 3th Edition. American Dietectic Association.

Ojaghihaghighi, S., Vahdati, S. S., Mikaeilpour, A., & Ramouz, A. (2017). Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke, 8(1), 34–38. https://doi.org/10.5847/wjem.j.1920

Oktaria, D., Fazriesa, S., Kedokteran, B. P., Kedokteran, F., & Lampung, U. (2017). Efektivitas Akupunktur untuk Rehabilitasi Stroke Effectivity of Acupuncture for Stroke Rehabilitation, 6, 64–71.

Organisation WH. WHO (2018). Stroke, Cerebrovascular accident. Stroke.

Pandian JD, Liu M, Misbach J, et al. (2011) Alternative therapies for stroke treatment in Asia. Int J Stroke;6:541–3

Prasetyanto, Deny & Sri Yona. (2019). Meridian Acupuncture in Stroke Rehabilitation: A literature review. Magister Student of Faculty of Nursing, University of Indonesia, Depok, Indonesia. International Journal of Nursing and Health Services.

Riset Kesehatan Dasar. 2018. Kementrian Kesehatan Ri. Badan Penelitian Dan

Pengembangan Kesehatan

Shin, B. C. & Lee, M. S. (2007). Effects of aromatherapy acupressure on hemiplegic shoulder pain and motor power in stroke patients: A pilot study. The Journal Of Alternative And Complementary Medicine, 13 (2), 247–251

You, Y., Cho, M., Kim, J., Park, J., Park, G., Song, M., … Han, J. (2017). Assessing the quality of reports about randomized controlled trials of scalp acupuncture combined with another treatment for stroke, 1–10. https://doi.org/10.1186/s12906-017-1950-6

Li, X.; Wang, Q. (2013).Acupuncture therapy for stroke patients. Int. Rev. Neurobiol. , 111, 159–179. [CrossRef][PubMed]

Ye, Q., Xie, Y., Shi, J., Xu, Z., Ou, A., & Xu, N. (2017). Systematic Review on Acupuncture for Treatment of Dysphagia after Stroke, 2017(2). https://doi.org/10.1155/2017/6421852

Yao, X., Lin, Y., Geng, J., Sun, Y., Chen, Y., Shi, G., … Li, Y. (2012). Age- and Gender-Specific Prevalence of Risk Factors in Patients with First-Ever Ischemic Stroke in China, 2012(January 2004). https://doi.org/10.1155/2012/136398

Zhang S, Li N, Liu M. (2009).Use of acupuncture for stroke in China. Acupunct Med;27:146

Zhao, Z.Q. (2008)Neural mechanism underlying acupuncture analgesia. Prog. Neurobiol. , 85, 355–375. [PubMed]

Zijlstra F J, Lange I B, Huygen F J P M, Klein J. (2003). Anti-inflammatory actions of acupuncture, Mediators of Inflammation, Taylor & Francis health science,; 12 (2) : 66

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Published

2021-05-27

How to Cite

Hartono, D., Prasetyanto, D. ., Salam, A. Y. ., Handayani, E. ., Sriyono, G. H. ., Ishaq, I., & Tonny, H. I. . (2021). THE EFFECTIVENESS OF THE ACUPUNCTURE REDUCING POINT ON THE IMPROVEMENT OF MUSCULAR STRENGTH OF STROKE PATIENTS. Nurse and Holistic Care, 1(1), 39–47. https://doi.org/10.33086/nhc.v1i1.2115