Kajian Terapi Akupunktur [Kombinasi Titik Lokal dan YNSA] terhadap Low Back Pain : Biokimiawi Kolesterol Darah
Abstract
Low back pain (LBP) commonly happens and affects people in various types of work. High cholesterol level is not only a risk for plaque in the blood vessels but also a risk for LBP pain. The aim was to analyze the biochemistry of cholesterol in LBP patients receiving acupuncture therapy. The quasi-experimental design with a pretest-posttest control group design was used at Griya Sehat Dewandaru and Prima Diagnostik Main Clinical Laboratory from March to November 2020. The total sample used was 30 patients, aged 40-60 years old, and reported Visual Analog Scale (VAS) pain scale 5-7. Acupuncture therapy was performed 10 times. Data were taken directly before therapy [T0], after five times [T5], and after ten times of therapy [T10]. The blood lipid profile assessment was carried out at T0, T5, and T10 and analyzed using SPSS version 23. The normality test using the Shapiro-Wilk test showed cholesterol, HDL, LDL, and VAS were normally distributed, while triglycerides were normally distributed by the Chi-Square test. Paired T-test results on cholesterol, LDL, and VAS showed a significant difference for all groups (p=0.000). Acupuncture therapy with a combination of local points and Yamamoto New Scalp Acupuncture [YNSA] points as much as 10 times was proven to reduce cholesterol by 12.6%, LDL by 20%, and VAS by 67.67%.
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Abela, G.S., dan Aziz, K. (2005). Cholesterol crystals cause mechanical damage to biological membranes: a proposed mechanism of plaque rupture and erosion leading to arterial thrombosis. Clin. Cardiol. 28: 413-420.
Abela GS, Aziz K. (2006). Cholesterol crystals rupture biological membranes and human paques during acute cardiovascular events-A novel insight into plaque rupture by scanning electrone microscopy. Scanning 28: 1-10.
Abela, G.S. 2010. Cholesterol crystals piercing the arterial plaque and intima trigger local and systemic inflammation. J. Cli. Lipidol. 4: 156-164Bai-Xinghua. 1996. Acupuncture in Clinical Practice. Beijing: Butterworth Heinemann.
Audette, JF & Ryan, AH. 2004. The Role of Acupuncture in Pain Management. Physical Medicine and Rehabilition Clinics of North America 15 (4): pp 749-772
Berman, B. M., Langevin, H. M., Witt, C. M., & Dubner, R. 2010. Acupuncture for Chronic Low Back Pain. New England Journal of Medicine, 363(5), 454–461. https://doi.org/10.1056/NEJMct0806114.
Cherkin, D.C., Sherman, K.J., Hogeboom, C.J., Erro, J.H., Barlow, W.E., Deyo, R.A., Avins, A.L. 2008. Efficacy of acupuncture for chronic low back pain: protocol for a randomized controlled trial. Trials 9: 10-20.
Cho, Y. J., Song, Y. K., Cha, Y. Y., Shin, B. C., Shin, I. H., Park, H. J., Lee, H. S., Kim, K. W., Cho, J. H., Chung, W. S., Lee, J. H., & Song, M. Y. 2013. Acupuncture for chronic low back pain: A multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Spine. https://doi.org/10.1097/BRS.0b013e318275e601.
Furlan, A. D., van Tulder, M. W., Cherkin, D., Tsukayama, H., Lao, L., Koes, B. W., & Berman, B. M. 2005. Acupuncture and dry-needling for low back pain. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd001351.pub2.
Gellman, H. 2006. Acupuncture Treatment for Musculoskeletal Pain. Florida: Taylor & Francis
Heuch I, Heuch I, Hagen K, Zwart JA. 2014. Do abnormal serum lipid levels increase the risk of chronic low back pain? The Nord-Trondelag Health Study. Plos One 9(9): e108227.
Kumar, M. 2011. Epidemiology Pathophysiology and Symptomatic Treatment of Sciatica. A Review International Journal of Pharmaceutical & Biological Archives; 2(4); 1050-1061.
Koes, B. W., van Tulder, M. W., & Thomas, S. 2006. Diagnosis and treatment of low back pain. BMJ, 332(7555), 1430–1434. https://doi.org/10.1136/bmj.332.7555.1430
Li, L., Tan, G.H., Zhang, Y.Z.. 2012. Modulated expression of genes associated with NO signal transduction contributes to the cholesterol-lowering effect of electro-acupunture. Biotechnol. Lett. 43(7): 1175-1182.
Leino-Arjas P, Kaila-Kangas L, Soloveiva S, Riihimaki H, Kirjonen J, Reunanen A. 2006. Serum lipids and low back pain: an association? A follow-up study of a working population sampel.
Liu, L., Skinner, M., McDonough, S., Mabire, L., & Baxter, G. D. 2015. Acupuncture for Low Back Pain: An Overview of Systematic Reviews. Evidence-Based Complementary and Alternative Medicine, 2015, 1–18. https://doi.org/10.1155/2015/32819.
Lund, I., & Lundeberg, T. 2015. Effects triggered in the periphery by acupuncture. Acupuncture and Related Therapies. https://doi.org/10.1016/j.arthe.2015.08.002.
Ma, H., Shieh, K.J. 2006. Cholesterol and human health. J. Am. Sci. 2(1): 46-50
Mardjono, M dan Sidharta. 2008. Neurologi Klinis Dasar (Cetakan ke-16). Jakarta: Dian Rakyat.
Musil, F., Pokladnikova, J., Pavelek, Z., wang, B., Guan, X., Valis, M. 2018. Acupunture in migraine prophylaxis in Chezh patients: an open-label randomized controlled trial. Neuropsychiatr. Dis. Treat. 14: 1221-1228
Saputra, K. 2012. Akupunktur dalam Pelayanan Kesehatan tingkat Rumah Sakit. CDK-198 39 (10): 780-782
Saputra, K., & Sudirman. 2009. Akupunktur untuk Nyeri dengan Pendekatan Neurosain. Jakarta: Sagung Seto.
Schockert, T. 2011. Yamamoto New Scalp Acupuncture (YNSA): Development, principles, Safety, Effectiveness and Clinical Applications, Acupuncture – Clinical Practice, Praticular Techniques and Special Issues, Prof. Marcelo Saad (Ed.), ISBN: 978-963-307-630-0, InTech
Skonnord, T., Skjeie, H., Brekke, M., Grotle, M., Lund, I., Fetveit, A. 2012. Acupunture for acute non-spesific low back pain: a protocol for a randomized, controlled multicenter
intervention study in general practice-the acuback study. BMJ Open. 2: e001164
Tam, L, S., Leung, P.C., Li, T.K., Zhang, L., & Li, E.K., 2007. Acupunture in the treatment of rheumatoid arthritis: a double-blind controlled pilot study. BMC Complement. Altern. Med. 7: 35-42.
Wahyudi, J.R. 2007. Gambaran Karakteristik dan Pemanfaatan Terapi Akupunktur pada Penderita Sindrom Bi Punggung Bawah ( Nyeri Punggung Bawah) di Klinik Akupunktur LP3A Tahun 2004 – 2005. Meridian 14 No1: 43-52
Wardoyo, SH., & Badri, S. 2020. The Acupuncture Effect for Low Back Pain: Biochemical and Protein Profile Analysis. Jurnal Kesehatan Masyarakat [Jurnal Kemas] Vol. 16 No. 2: pp 207-215. DOI http://doi.org/10.15294/kemas.v16i2.22650.
Wardoyo, SH., & Badri, S. 2021. Biochemical Surface Ultra-Structure Investigation of Cholesterol in Local Points and Yamamoto New Scalp Acupuncture (YNSA) for Low Back Pain. Jurnal Eksakta Vol. 22 No. 03: pp 230-237. DOI http://doi.org/10.24036//eksakta/vol22-iss2/270.
Wu, M.Y., Huang, M.C., Chiang, J.H., Sun, M.F., Lee, Y.C., Yen, H.R.. 2017. Acupuncture decreased the risk of coronary heart disease in patients with fibromyalgia in Taiwan: a nationwide matched cohort study. Arthritis Res. Ther. 19: 37-46.
Wu, A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., Blyth, F. M., Smith, E., Buchbinder, R., & Hoy, D. 2020. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Annals of Translational Medicine, 8(6).
Yatmihatun S, Badri S dan Wardoyo SH. 2019. Pengaruh Kombinasi Titik Lokal dan YNSA terhadap Penurunan Derajat Nyeri pada Pasien Nyeri Pinggang (Low Back Pain). Jurnal Keterapian Fisik Vol 4 No 2 November 2019: 100-104.
Yamamoto, Toshikatsu., Helen, Yamamoto. 2010. Yamamoto Margaret Michiko: Yamamoto New Scalp Acupuncture (YNSA). Miyazaki Minami Printing Co., Ltd.
Yoshimoto T, Ochiai H, Shirasawa T, Nagahama S, Kobayashi M, Minoura A, Miki A, Chen Y, Hoshino H, Kokaze A. 2018. Associaion between serum lipids and low back pain among a middle-aged Japanese population: a large-scale cross-sectional study. Lipids in Health and Disease 17:266.
Yun, TM., Mila, M & Zang, HC. 2005. Bimedical Acupuncture for Pain Management. Philadelphia: Elsevier Churchil Livingstone/
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