Efficacy of sport and slow stroke back massage as a non-pharmacological therapy to lower blood pressure in elderly with chronic hypertension
DOI:
https://doi.org/10.53638/phpma.2021.v9.i1.p06Keywords:
elderly, hypertension, non-pharmacological therapy, sport massage, slow stroke back massageAbstract
Background and purpose: The prevalence of hypertension has been increasing along with the increasing elderly population. Non-pharmacological therapies such as sports and slow stroke back massage offer a potential adjuvant therapy for elderly patient with chronic hypertension. This study aims to determine the efficacy of sports and slow stroke back massage as nonpharmacological therapies to lower blood pressure in this age group. Methods: This study was a Parallel Group Randomized Controlled Trial, conducted in Patrang, Jember, East Java. The study involved a total of 72 elderly aged between 60 to 79 years old who had blood pressure of ≥140/90mmHg, and not taking
antihypertensive drugs. The study participants were assigned randomly into three groups namely, the sports massage, slow stroke back massage, and control groups. Subject characteristics, stress level, physical activity level and eating habit were collected through structured interview using standardized questionnaires (Global Physical Activity Questionnaire, Food Frequency Questionnaire, Depression Anxiety Stress Scale (DASS 21)). Blood pressure measurements were done twice, before and after treatment. Before and after comparison was conducted with Wilcoxon test, between group comparison was conducted with Kruskal Wallis test followed by Mann Whitney test. Results: The average systolic blood pressures before and after sports massage were 168.96±SD 16.02 mmHg and 147.50±SD
15.95 mmHg, respectively. For the slow stroke back massage was 165.42±12.50 mmHg before treatment and 154.58±16.15 mmHg after treatment. The systolic and diastolic blood pressures before and after treatment in the treatment groups (sports massage and slow stroke back massage) were statistically different from the control group (p <0.05). Further, the Mann Whitney results indicated that slow stroke back massage was more effective than sports massage in lowering blood pressure in elderly with hypertension. Conclusions: Sport massage and slow stroke back massage are effective as a non-pharmacological therapy in lowering blood pressure in elderly with hypertension. These non-pharmacological therapies should be considered for controlling blood pressure in elderly.
References
United Nations. World Population Aging [Internet]. United Nations. New York; 2017. Available from: www.unpopulation.org.
East Java Statistics Beureau. Profil Penduduk Lanjut Usia Provinsi Jawa Timur 2018 [The 2018 Profile of the Elderly People in East Java Province] East Java Statistics Beureau. Surabaya; 2018. Available from: https://jatim.bps.go.id.
Alifariki. Epidemiologi Hipertensi [Epidemiology of Hipertension]. Leutikaprio. Yogyakarta; 2019.
World Health Organization. Noncommunicable Diseases Country Profiles 2018. World Health Organization. Switzerland; 2018.
Ministry of Health of The Republic of Indonesia. Hasil Utama Laporan Riskesdas 2018 [The 2018 Indonesia Basic Health Research Report]. Ministry of Health of The Republic of Indonesia. Jakarta; 2018.
Ministry of Health of The Republic of Indonesia. Hasil Utama Riset Kesehatan Dasar Jawa Timur 2018 [The 2018 East Java Basic Health Research Report]. Jakarta; 2018.
Jember District Health Office. Profil Kesehatan Kabupaten Jember Tahun 2018 [The 2018 Jember District Health Profile]. Jember District Health Office. Jember; 2019.
Sudarsini. Teori dan Praktek Massage untuk Kebugaran Jasmani [Theory and Practice of Massages for Physical Health]. 1st ed. (Sudarsini, ed.). Gunung Samudra. Malang; 2015.
Harris M. Massage. In: Lindquist R, Tracy M, Snyder M, ed. Complementary & Alternative Therapies in Nursing. 7th ed. Springer Publishing Company. New York; 2018:255-272.
Lindquist R, Tracy M, Snyder M. Complementary and Alternative Therapies in Nursing. 7th ed. Springer Publishing Company. New York; 2018.
Nelson NL. Massage therapy: Understanding the mechanisms of action on blood pressure. A scoping review. J Am Soc Hypertens. 2015;9(10):785-793.
Djuniarto I, Kusumarini P, Anida. Pengaruh Sport Massage terhadap Penurunan Tekanan Darah pada Lansia Penderita Pra hipertensi dan Hipertensi Derajat 1 di Panti Sosial Tresna Werdha Yogyakarta Unit Abiyoso [The influence of sport massage towards the decrease of blood pressure among elderly with pre-hypertension and hypertension grade 1 at Abiyoso Unit, Tresna Werdha Elderly House, Yogyakarta]. Maj Ilmu Keperawatan dan Kesehat Indones. 2013;2(1):25-35.
Priyonoadi B, Satia Graha A, Laksmi Ambardini R, Kushartanti BMW. The Effectiveness of Post-Workout Fitness and Sports Massage in Changing Blood Pressure, Pulse Rate, and Breathing Frequency. Adv Soc Sciense, Educ Humanit Res. 2019;278(1):529-533.
Kusumoningtyas DN, Ratnawati D. Efektifitas Terapi Slow Stroke Back Massage terhadap Tekanan Darah pada Lansia di RW 001 Kelurahan Jombang Kecamatan Ciputat Kota Tangerang Selatan [Effectiveness of slow stroke back massage therapy towards blood pressure in elderly at RW 001 Jombang, Ciputat Sub-Disrict, South Tangerang City]. J Ilm Keperawatan Orthop. 2018;2(2):39-57.
Pinasthika S. Pengaruh Terapi Slow Stroke Back Massage terhadap Perubahan Tekanan Darah Pasien Stroke Non Hemoragik di Ruang Melati 4 RSUP DR. Soeradji Tirtonegoro Klaten [The influence of slow stroke back massage therapy on blood pressure changes among non haemorrhagic stroke patients at Melati 4 Room, DR. Soeradji Tirtonegoro Hospital, Klaten]. J Keperawatan Glob. 2018;3(1):1-57.
Yuniarti A, Dewi E. Pengaruh Slow Stroke Back Massage (SSBM) terhadap Tekanan Darah Menopause Penderita Hipertensi [The influence of slow stroke back massage therapy on menopausal blood pressure among hypertension patients]. In: Yuniarti A, Dewi E, eds. Conference on Innovation and Application of Science and Technology. Malang: Ciastech Universitas Widyagama Malang; 2019:171-174.
Wibowo TA. Pengaruh Slow Stroke Back Massage terhadap Penurunan Tekanan Darah pada Hipertensi Lansia [The influence of slow stroke back massage therapy on blood pressure decrease among elderly with hypertension]. J Ilmu Kesehat. 2013;6(2):119-131.
Kartika A, Purwanto E, Noorma N. Perbandingan Slow Stroke Back Massage dan Amlodiphine terhadap Penurunan Tekanan Darah dalam Upaya Penegahan Kegawatdaruratan pada Pasien Hipertensi [Comparison between slow stroke back massage and amlodiphine on blood pressure decrease in the emergency prevention efforts among hipertension patients]. 2019. Available from: http://repository.poltekkes-kaltim.ac.id/185/1/Naskah%20Publikasi%20Ayu%20Kartika%20Meylani.pdf
Quintas O. Pengaruh Slow Stroke Back Massage terhadap Perubahan Tekanan Darah pada Penderita Pre-hipertensi di Puskesmas Pasir Panjang dan Puskesmas Oesapa Kota Kupang [The influence of slow stroke back massage on blood pressure changes among pre-hypertension patients at Pasir Panjang Public Health center and Oesapa Public health Center, Kupang City]. 2016. Available from: http://repository.poltekeskupang.ac.id.
Perry P. Fundamental Keperawatan [Nursing Fundamental]. 7th ed. (Ferderika A, ed.). Salemba Medika. Jakarta; 2010.
Becker J. Massage Therapy for Own Self. 1st ed. (Becker J, ed.). Prestasi Pustakaraya. Jakarta; 2007.
Pratiwi NK, Sepriana C, Dwiatmojo N, Fithriana D. Pengaruh Terapi SSBM terhadap Perubahan Tekanan Darah pada Lansia dengan Hipertensi di BSLU Mandalika NTB [The influence of slow stroke back massage therapy on the blood pressure changes among elderly with hypertension at Mandalika Elderly Home, West Nusa Tenggara]. Prima. 2019;5(2):7-13.
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