Efektivitas Terapi Akupunktur terhadap Perubahan Skala Nyeri VAS pada Lansia Pasca Menopause dengan Nyeri Muskuloskeletal

Authors

  • Listina Ade Widya Ningtyas Poltekkes Kemenkes Denpasar, Indonesia
  • Ni Made Dwi Purnamayanti Poltekkes Kemenkes Denpasar, Indonesia
  • I Made Sukarja Poltekkes Kemenkes Denpasar, Indonesia

DOI:

https://doi.org/10.33992/jgk.v19i1.5112

Keywords:

muskuloskeletal, nyeri, terapi akupunktur

Abstract

Postmenopausal older women commonly experience musculoskeletal pain, which may interfere with daily activities, reduce productivity, and limit their ability to perform physical activities independently. This study aimed to evaluate the effectiveness of acupuncture therapy in reducing pain intensity among postmenopausal older women with musculoskeletal pain. An analytical experimental study was conducted at the UPTD Community Health Center I, West Denpasar Health Office, Bali, Indonesia, from May to September 2025. A total of 30 participants were recruited using purposive sampling and equally allocated into two groups. The intervention group received three sessions of acupuncture therapy, while the control group participated in exercise therapy. Pain intensity was assessed using the Visual Analog Scale (VAS). Data were analyzed using the Mann–Whitney U test to compare pain scores between the two groups following the intervention. The results showed a statistically significant difference in pain intensity between the acupuncture and control groups (Asymp. Sig. [2-tailed] < 0,001). The superior pain reduction observed in the acupuncture group may be attributed to its analgesic mechanism through the gate control theory of pain. Acupuncture is believed to stimulate A-beta nerve fibers in the skin and muscles, promoting the release of endogenous opioids, including endorphins, enkephalins, and dynorphins, which contribute to pain relief. These findings suggest that acupuncture is an effective non-pharmacological intervention for reducing musculoskeletal pain in postmenopausal older women.

References

1. Ajul, K. et al. Pendampingan Senam Rematik Pada Lansia Dengan Gangguan Muskuloskeletal (Rematik), Suluh Abdi Jurnal Ilmiah Pengabdian Masyarakat. 2023 4(2), p. 105. Available at: https://doi.org/10.32502/sa.v4i2.5409.

2. Alexander SE, Pollock AC, Lamon S. The effect of sex hormones on skeletal muscle adaptation in females. Eur J Sport Sci. 2022 Jul;22(7):1035-1045. doi: 10.1080/17461391.2021.1921854. Epub 2021 May 18.

3. Bhoi D et al. Complementary and Alternative Modalities (CAM) for pain management in muskuloskeletal diseases (MSDs). J Clin Orthop Trauma. 2021 Apr 29;18:171-180. doi: 10.1016/j.jcot.2021.04.021.

4. Brown JP. Long-Term Treatment of Postmenopausal Osteoporosis. Endocrinol Metab (Seoul). 2021 Jun;36(3):544-552. doi: 10.3803/EnM.2021.301. Epub 2021 Jun 22. PMID: 34154042; PMCID: PMC8258325

5. Butarbutar, J.C.P. et al. Burden of osteoarthritis in Indonesia: A Global Burden of Disease (GBD) study 2019’, Narra J. 2024. 4(2), pp. 1–10. Available at: https://doi.org/10.52225/narra.v4i2.884.

6. Critchlow AJ, Hiam D, Williams R, Scott D, Lamon S. The role of estrogen in female skeletal muscle aging: A systematic review. Maturitas. 2023 Dec;178:107844. doi: 10.1016/j.maturitas.2023.107844. Epub 2023 Sep 7

7. Fischer V, Haffner-Luntzer M. Interaction between bone and immune cells: Implications for postmenopausal osteoporosis. Semin Cell Dev Biol. 2022 Mar;123:14-21. doi: 10.1016/j.semcdb.2021.05.014. Epub 2021 May 20.

8. Fitriah, S.N et al. Gerak Sendi Lutut Pada Penderita Nyeri Lutut Di Desa. Indonesian Journal of Health Research Innovation. 2024 01(04), pp. 194–204.

9. Kochman M, Cmela G, Kasperek W, Guzik A, Drużbicki M. Body Posture and Low Back Pain: Differences between Folk and Ballroom Dancers. Healthcare (Basel). 2024 Jan 8;12(2):137.

10. Luo Falan , Xinyu Huang , Xiaohui Liu , Lijun Wang and Nenggui Xu. Comparative efficacy and safety of NSAIDs-controlled acupuncture in the treatment of patients with primary dysmenorrhoea: a Bayesian network meta-analysis. Journal of International Medical Research, 2019. Vol. 47(1) 19–30.

11. Ping R et al. Identifying the effective combination of acupuncture and traditional Chinese medicinal herbs for postmenopausal osteoporosis therapy through studies of their molecular regulation of bone homeostasis. J Tradit Chin Med. 2024 Feb;44(1):212-219.

12. Qu L, Zuo X, Yu J, Duan R, Zhao B. Association of inflammatory markers with all-cause mortality and cardiovascular mortality in postmenopausal women with osteoporosis or osteopenia. BMC Womens Health. 2023 Sep 14;23(1):487.

13. Ren ZQ et al. Overall adjustment acupuncture for postmenopausal osteoporosis (PMOP): a study protocol for a randomized sham-controlled trial. Trials. 2020 Jun 3;21(1):465.

14. Suwondo, Lucas dan Sudadi. Buku Ajar Nyeri. Yogyakarta : Perkumpulan Nyeri Indonesia (Indonesian Pain Society).2017. 978-602-9421-13-2

15. Tian Y et al. Acupuncture for Osteoporosis: a Review of Its Clinical and Preclinical Studies. J Acupunct Meridian Stud. 2022 Oct 31;15(5):281-299. doi: 10.51507/j.jams.2022.15.5.281.

16. Trémollieres FA et al. Management of postmenopausal women: Collège National des Gynécologues et Obstétriciens Français (CNGOF) and Groupe d'Etude sur la Ménopause et le Vieillissement (GEMVi) Clinical Practice Guidelines. Maturitas. 2022 Sep;163:62-81.

17. Usichenko, T.I. et al. Effectiveness of Acupuncture for Pain Control after Cesarean Delivery: A Randomized Clinical Trial, JAMA Network Open, 2022. 5(2), pp. 1–13. Available at: https://doi.org/10.1001/jamanetworkopen.2022.0517

18. Woo, H. L et al. The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis. Medicine (United States), 2018. 97(23).

19. Xu T, Deng B, Lin S, Wang H, Xu Y, Chen G. Comparative efficacy of acupuncture-related therapy for postmenopausal osteoporosis: protocol for Bayesian network meta-analysis. BMJ Open. 2023 Dec 30;13(12):e074740. doi: 10.1136/bmjopen-2023-074740.

20. Yoh K, Ikeda K, Horie K, Inoue S. Roles of Estrogen, Estrogen Receptors, and Estrogen-Related Receptors in Skeletal Muscle: Regulation of Mitochondrial Function. Int J Mol Sci. 2023 Jan 17;24(3):1853.

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Published

2026-07-15

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