IMPLEMENTATION AND EDUCATION OF THE COMBINATION THERAPY OF SWEDISH MASSAGE AND ACUPRESSURE FOR ELDERLY WITH LOW BACK PAIN: CASE STUDY
Abstract
Introduction: Low back pain (LBP) is a common complaint experienced by the elderly. LBP can occur due to a history of static work positions. One complementary therapy to address chronic pain is a combination of Swedish massage and acupressure. Massage therapy is well-known as a pain relief method in Banteran Village. With education on Swedish massage and acupressure for families with LBP clients, pain management can be carried out properly and independently. Purpose: The objective of this case study is to investigate the effect of a combination therapy of Swedish massage and acupressure on low back pain in the case of Mrs. R. Methods: This study used a single-subject study method, which focuses on observing and analyzing the changes felt by individuals after receiving a combination of Swedish massage and acupressure therapy. The intervention was performed 8 times, with a two-day interval between sessions. The researcher asked the client to rate their pain level on a pain scale and measured blood pressure before and after therapy. Discussion: The results of the combined Swedish massage and acupressure therapy on the elderly patient, Mrs. R, showed a reduction in pain scale after 8 sessions with a frequency of every other day. The pain level decreased from moderate to mild, and blood pressure was reduced by 23-11 mmHg systolic and 15-8 mmHg diastolic. The pain reduction was due to the release of endorphins, which help relax the body. However, the pain returned afterward due to excessive physical activity. This therapy can be performed independently by Mrs. R's family. Conclusion: There was a reduction in the pain scale of low back pain (LBP) experienced by the client before and after the combination therapy of Swedish massage and acupressure. The intervention can also be performed independently by the family.
Keywords: acupressure, low back pain, Swedish massage
References
Cahya, S. A., Widodo, M. S., Machlusil, H., & Badrul, S. N. K. (2021). Low back pain. Journal of Pain, 65(5), 925–928. https://doi.org/10.21776/ub.jphv.2021.002.01.4
Chowdhury, M. O. S. A., Huda, N., Alam, M. M., Hossain, S. I., Hossain, S., Islam, S., & Khatun, M. R. (2023). Work-related risk factors and the prevalence of low back pain among low-income industrial workers in Bangladesh: Results from a cross-sectional study. Bulletin of Faculty of Physical Therapy, 28(1). https://doi.org/10.1186/s43161-023-00132-z
Dairuzs, B., Krupiński, M., & Białoszewski, D. (2017). Ocena skuteczności masażu klasycznego i akupresury w rehabilitacji pacjentów z dolegliwościami bólowymi dolnego odcinka kręgosłupa. Doniesienie wstępne. Ortopedia Traumatologia Rehabilitacja, 19(6), 513–521. https://doi.org/10.5604/01.3001.0010.8042
Fahriyah, N. R., Winahyu, K. M., Nur, S., & Ahmad, A. (2021). Pengaruh terapi Swedish massage terhadap penurunan tekanan darah pada lansia dengan hipertensi. Jurnal JKFT, 6(1), 43–51.
Graha, A. S. (2019). Masase terapi cedera olahraga metode Ali Satia Graha (Therapy massage sport injury). UNY Press.
Hüllemann, P., Keller, T., Kabelitz, M., Gierthmühlen, J., Freynhagen, R., Tölle, T., Forstenpointner, J., & Baron, R. (2018). Clinical manifestation of acute, subacute, and chronic low back pain in different age groups: Low back pain in 35,446 patients. Pain Practice: The Official Journal of World Institute of Pain, 18(8), 1011–1023. https://doi.org/10.1111/papr.12704
Kementerian Kesehatan RI. (2021). Modul materi inti 2 pemanfaatan akupresur. Kementerian Kesehatan.
Kurniati, R., Imandiri, A., & Herawati, L. (2020). The effect of acupressure on low back pain cases. International Journal of Islamic and Complementary Medicine, 1(1), 9–21. https://doi.org/10.55116/ijim.v1i1.3
Marmot, M. (2004). The status syndrome: How social standing affects our health and longevity. Henry Holt and Company.
PPNI, S. D. (2016). Standar diagnosis keperawatan Indonesia: Definisi dan indikator diagnostik (1st ed.). DPP PPNI.
PPNI, SIKI DPP. (2018). Standar intervensi keperawatan Indonesia: Definisi dan tindakan keperawatan (1st ed.). DPP PPNI.
PPNI, SLKI DPP. (2018). Standar luaran keperawatan Indonesia: Definisi dan kriteria hasil keperawatan (1st ed.). DPP PPNI.
Pinzon, R. T., & Edi, D. W. (2021). Metodologi penelitian kesehatan. Andi Offset.
Shafi, S. H. A. (2023). Efektivitas traditional massage dan Swedish massage dalam menurunkan tingkat kelelahan dan meningkatkan kualitas tidur pada pekerja pasca Covid-19 (Unpublished thesis). Universitas Negeri Yogyakarta, Yogyakarta.
Ulfaturrohmah, U., & Sukraeny, N. (2024). Penerapan Swedish massage dengan essential oil jahe untuk menurunkan intensitas nyeri pada pasien low back pain (LBP). Holistic Nursing Care Approach, 4(1), 8. https://doi.org/10.26714/hnca.v4i1.13064
Kampus keperawatan unsoed 
