Effect of Combined Local-Point Electroacupuncture and Auricular Acupuncture Therapy on Pain Scale and Straight Leg Raise (SLR) Changes in Farmers with Radiating Low Back Pain at the Healthy Family Independent Acupuncture Practice, Kepahiang, Bengkulu

Authors

  • varradiba sufi Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia
  • Kurnia Eka Putri Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia
  • Sri Widyastari Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia
  • Dona Aulia Abdullah Keluarga Sehat Akupunktur Kepahiang, Bengkulu, Indonesia

DOI:

https://doi.org/10.62354/ijoa.v3i2.44

Keywords:

Electroacupuncture,Titik Lokal, Ear Acupuncture, Nyeri Pinggang Menjalar Sampai Kaki, Straight Leg Raise.

Abstract

Low back pain radiating to the legs, or radiculopathy, is a condition that involves multiple nerve roots, resulting in pain as well as motor and sensory disturbances. Electroacupuncture and auricular acupuncture are known to reduce pro-inflammatory cytokines and stimulate the release of serotonin, norepinephrine, and endorphins, thereby accelerating the healing process of radiating low back pain. This study aimed to determine the effect of combined local-point electroacupuncture and auricular acupuncture therapy on changes in pain scale (NRS) and straight leg raise (SLR) among farmers with radiating low back pain at the Healthy Family Independent Acupuncture Practice, Kepahiang, Bengkulu. A quasi-experimental design with a two-group pre-test–post-test approach was employed, using a purposive sampling technique. The results showed that the combination of electroacupuncture and auricular acupuncture significantly affected changes in pain scale and straight leg raise (SLR) (p <0.001). The average reduction in NRS was 3.3, while the average increase in SLR was 33%. In conclusion, combined local-point electroacupuncture and auricular acupuncture therapy significantly improved pain scale and straight leg raise (SLR) outcomes among farmers with radiating low back pain

References

Dydyk AM, Das JM. Radicular back pain [Internet]. Treasure Island (FL): StatPearls Publishing; 2019.

Davis D, Maini K, Taqi M, et al. Sciatica [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

Berry JA, Elia C, Saini HS, Miulli DE. A review of lumbar radiculopathy, diagnosis, and treatment. Cureus [Internet]. 2019 Oct;11(10):e5934. Available from: https://doi.org/10.7759/cureus.5934

Arga Napitupulu C, Ismunandar H, Himayani R. Radikulopati lumbal. Phys Ther [Internet]. 2023;13(3):832. Available from: https://doi.org/10.20¬884/physio¬.v1-3i3.832

Purwanto A. Provinsi Bengkulu [Internet]. Kompas Pedia; 2020. Available from: https://kompaspedia.kompas.id/baca/profil/daerah/provinsi-bengkulu

Mayasari A. Bengkulu mendapat alokasi pupuk subsidi 81 ribu ton pada 2025 [Internet]. Antara News; 2024.

Ghlichloo I, Gerriets V. Nonsteroidal anti-inflammatory drugs (NSAIDs) [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.

Li HL, Zhang Y, Zhou JW. Acupuncture for radicular pain: a review of analgesic mechanism. Front Mol Neurosci [Internet]. 2024;17:1332876. Available from: https://doi.org/10.3389/fnmol.2024.1332876

Romoli M, Greco F, Giommi A. Auricular acupuncture diagnosis in patients with lumbar hernia. Complement Ther Med [Internet]. 2016;26:61–5. Available from: https://doi.org/10.1016/j.ctim.2016.02.006

Das JM, Dua A, Nadi M. Straight leg raise test (Lasegue sign) [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

Campbell S, Greenwood M, Prior S, Shearer T, Walkem K, Young S, et al. Purposive sampling: complex or simple? Research case examples. J Res Nurs [Internet]. 2020;25(8):652–61. Available from: https://doi.org/10.1177/17¬4498¬71-20927206

Athnaiel O, Davidson N, Mangat J, Nasr NF, Knezevic NN. Gonadal hormone changes with aging and their impact on chronic pain. Cells [Internet]. 2025;14(2):1–13. Available from: https://doi.org/10.3390/cells14020123

Kang KC, Lee HS, Lee JH. Cervical radiculopathy: focus on characteristics and differential diagnosis. Asian Spine J [Internet]. 2020 Dec;14(6):921–30. Available from: https://doi.org/10.31616/asj.2020.0352

Wananda FL. Pengaruh terapi akupunktur pada titik Shenshu (BL23), Huantiao (GB30), Weizhong (BL40) dan Chengsan (BL57) terhadap penurunan skala nyeri pada kasus nyeri pinggang menjalar sampai kaki di Puskesmas Sambungmacan 1, Sragen [Skripsi]. 2018.

Syadza Y. Pengaruh terapi elektro akupunktur titik BL25 (Dachangshu), BL40 (Weizhong), GB30 (Huantiao) dan GB20 (Fengchi) terhadap penurunan nyeri pada pasien nyeri pinggang menjalar sampai kaki di Klinik Zaki Mubarok, Bogor [Skripsi]. 2018.

Maciocia G. The practice of Chinese medicine: the treatment of diseases with acupuncture and Chinese herbs. 2nd ed. Nanjing: Elsevier; 2008.

Yin G, Liu Z. Advanced modern Chinese acupuncture therapy. 1st ed. Beijing: New World Press; 2000.

Taylor SL, Giannitrapani KF, Ackland PE, Thomas ER, Federman DG, Holliday JR, et al. The implementation and effectiveness of battlefield auricular acupuncture for pain. Pain Med [Internet]. 2021;22(8):1721–6. Available from: https://doi.org/10.1093/pm/pnab028

Abbate S. Chinese auricular acupuncture. Florida: CRC Press; 2004.

Guo K, Lu Y, Wang X, Duan Y, Li H, Gao F, et al. Multi-level exploration of auricular acupuncture: from traditional Chinese medicine theory to modern medical application. Front Neurosci [Internet]. 2024;18:1426618. Available from: https://doi.org/10.3389/fnins.2024.1426618

Zhang R, Lao L, Ren K, Berman BM. Mechanisms of acupuncture-electro-acupuncture on persistent pain. Anesthesiology [Internet]. 2014;120(2):482–503. Available from: https://doi.org/10.1097/ALN.¬0000000000000101

Qingguang Q, Zujiang C, Weimin F, Junhua L, Liqing L, Yikai L. Hyperpolarization-activated cyclic nucleotide-gated 2 contributes to electroacupuncture analgesia on lumbar disc herniation-induced radicular pain through activation of microglia in spinal dorsal horn. J Tradit Chin Med [Internet]. 2022;42(3):372–8. Available from: https://doi.org/10.19852/j.cnki.jtcm.¬2022.03.-011

Noh JH, Byun DY, Han SH, Kim J, Roh J, Kim MY, et al. Effectiveness and safety of motion style acupuncture treatment of the pelvic joint for herniated lumbar disc with radiating pain: a prospective, observational pilot study. Explore [Internet]. 2022;18(2):240–9. Available from: https://doi.org/10.1016/j.explore.2021.09.004

Liu CH, Yeh TC, Kung YY, Tseng HP, Yang CJ, Hong TY, et al. Changes in resting-state functional connectivity in nonacute sciatica with acupuncture modulation: a preliminary study. Brain Behav [Internet]. 2020;10(12):e01494. Available from: https://doi.org/10.1002/brb3.1494.

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Published

2025-10-13

How to Cite

sufi, varradiba, Eka Putri, K., Widyastari, S., & Aulia Abdullah, D. (2025). Effect of Combined Local-Point Electroacupuncture and Auricular Acupuncture Therapy on Pain Scale and Straight Leg Raise (SLR) Changes in Farmers with Radiating Low Back Pain at the Healthy Family Independent Acupuncture Practice, Kepahiang, Bengkulu. Indonesian Journal of Acupuncture, 3(2), 66–72. https://doi.org/10.62354/ijoa.v3i2.44

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