Effectiveness of Acupuncture and Hypnopuncture in Improving Functional Independence Among Stroke Patients
DOI:
https://doi.org/10.37287/picnhs.v7i1.2293Keywords:
acupuncture, functional independence measure, hypnopuncture, stroke, rehabilitationAbstract
Stroke is one of the leading causes of disability worldwide and often results in decreased functional independence and psychological distress among patients. Physical limitations, anxiety, stress, and reduced motivation during rehabilitation may inhibit optimal recovery. Integrative complementary therapies such as acupuncture and hypnopuncture are increasingly explored to support post-stroke rehabilitation through both physiological and psychological mechanisms. This study aimed to analyze the effectiveness of acupuncture and hypnopuncture in improving functional independence among stroke patients and to develop an evidence-based integrative rehabilitation approach. This study employed a quasi-experimental design with pre-test and post-test approaches involving two intervention groups: acupuncture and hypnopuncture. A total of 80 stroke patients participated in the study, consisting of 40 respondents in the acupuncture group and 40 respondents in the hypnopuncture group. Functional recovery was assessed using the Functional Independence Measure (FIM). Data analysis included the Wilcoxon signed-rank test and Mann–Whitney U test due to non-normal data distribution. The findings demonstrated significant improvements in FIM scores in both groups after intervention. In the acupuncture group, the median FIM score increased from 55.00 to 110.50 (p < 0.001). Similarly, the hypnopuncture group showed an increase from 54.50 to 115.00 (p < 0.001). Comparative analysis between groups revealed no statistically significant difference at post-test (p = 0.056), although the hypnopuncture group demonstrated a higher mean rank, indicating a tendency toward better functional recovery outcomes. These findings suggest that both acupuncture and hypnopuncture effectively improve functional independence in stroke patients, while hypnopuncture may provide additional psychological benefits that contribute to rehabilitation outcomes.
References
Ann Peleg, D., & Justo, D. (2024). Functional Independence Measure scale scores in severely dependent older adults upon rehabilitation completion following stroke. Harefuah, 163(6), 359–364. https://pubmed.ncbi.nlm.nih.gov/38884288/
Chen, F., Qi, Z., Luo, Y., Hinchliffe, T., Ding, G., Xia, Y., et al. (2014). Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications. Progress in Neurobiology, 115, 246–269. https://pmc.ncbi.nlm.nih.gov/articles/PMC3969942/
Furuta, H., Mizuno, K., Unai, K., Ebata, H., Yamauchi, K., & Watanabe, M. (2022). Functional Independence Measure subtypes among inpatients with subacute stroke: Classification via latent class analysis. Progress in Rehabilitation Medicine, 7, 20220021.
Hackett, M. L., & Pickles, K. (2014). Part I: Frequency of depression after stroke: An updated systematic review and meta-analysis of observational studies. International Journal of Stroke, 9(8), 1017–1025.
Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005). Frequency of depression after stroke: A systematic review of observational studies. Stroke, 36(6), 1330–1340.
Hammond, D. C. (2010). Hypnosis in the treatment of anxiety- and stress-related disorders. Expert Review of Neurotherapeutics, 10(2), 263–273.
Junaidi, I. (2011). Stroke, waspadai ancamannya. Penerbit Andi.
Ke, C., Zhou, Z., Sun, M., Shi, W., Xu, M., Su, R., et al. (2025). Acupuncture and stroke motor rehabilitation: A decade of evidence synthesis via systematic mapping (2015–2024). Frontiers in Neurology, 16, 1647086.
Kim, M., & Han, C. H. (2020). Pharmacopuncture for stroke survivors: A systematic review of randomized controlled trials in South Korea. Complementary Therapies in Clinical Practice, 40, 101179.
Kong, J. C., Lee, M. S., Shin, B. C., Song, Y. S., & Ernst, E. (2010). Acupuncture for functional recovery after stroke: A systematic review of sham-controlled randomized clinical trials. Canadian Medical Association Journal, 182(16), 1723–1729.
Legowo, N. A., KN, A. P., & Muhibuddin, M. (2025). Akupunktur sebagai terapi pendukung rehabilitasi stroke: Laporan kasus perbaikan fungsi motorik. Teewan Journal Solution, 2(2), 78–81.
Liang, P., Li, Y., Feng, Y., Yin, G., Chen, S., Liu, X., et al. (2022). Effects of acupuncture-related therapies in the rehabilitation of patients with post-stroke aphasia: A network meta-analysis of randomized controlled trials. Brain Sciences, 12(10).
Patterson, D. R., & Jensen, M. P. (2003). Hypnosis and clinical pain. Psychological Bulletin, 129(4), 495–521.
Pozin, M., et al. (2024). Long-term assessment of the Functional Independence Measure in sports-related spinal cord injury. Journal of Spinal Cord Medicine, 47(2), 214–228.
Prasetya, H. (2017). Intervensi medikal hipnosis sebagai upaya pemberdayaan pasien tuberkulosis untuk meningkatkan kepatuhan pengobatan. Universitas Sebelas Maret.
Prasetya, H., & Kusumawati, H. N. (2023). Hipnopunktur untuk mengelola hipertensi dan hiperkolesterolemia. Rena Cipta Mandiri.
Prasetya, H., Murti, B., Anantanyu, S., & Syamsulhadi, M. (2018). The effect of hypnosis on adherence to antituberculosis drugs using the Health Belief Model. International Journal of Clinical and Experimental Hypnosis, 66(2), 211–227.
Qin, S., et al. (2022). The impact of acupuncture on neuroplasticity after ischemic stroke: A literature review and perspectives. Frontiers in Cellular Neuroscience, 16.
Samudera, G. A., Prasetya, H., & Murti, B. (2023). Effectiveness of mirror therapy on post-stroke functional ability: A meta-analysis.
Wang, M., et al. (2019). Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 35, 22–32.
Wang, X., et al. (2025). Use of acupuncture in stroke and stroke complications: A systematic review and meta-analysis based on sham-controlled trials. Frontiers in Neurology, 16.
Winstein, C. J., et al. (2016). Guidelines for adult stroke rehabilitation and recovery. Stroke, 47(6), e98–e169.
World Health Organization. (2024). Stroke, cerebrovascular accident. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
Wu, P., Mills, E., Moher, D., & Seely, D. (2010). Acupuncture in poststroke rehabilitation. Stroke, 41(4), e171–e179.
Wijeratne, T., & Sales, C. (2021). Understanding why post-stroke depression may be the norm rather than the exception. Journal of Clinical Medicine, 10(8).
Xie, J., Li, J., Sun, Q., & Jiang, J. (2025). Multidimensional evaluation... Frontiers in Neurology, 16.
Yang, A., et al. (2016). Acupuncture for stroke rehabilitation. Cochrane Database of Systematic Reviews, (8), CD004131.
Yang, Y. Q., Yan, C., Branford-White, C. J., & Hou, X. Y. (2014). Biological values of acupuncture and Chinese herbal medicine. Evidence-Based Complementary and Alternative Medicine, 2013.
