Effectiveness of Acupoint Therapy on Swallowing Ability among Patients with Post-Stroke Dysphagia


  • Agus Purnama Indonesia Maju University, Jl. Harapan No.50, RT.2/RW.7, Lenteng Agung, Kec. Jagakarsa, Kota Jakarta Selatan, Daerah Khusus Ibukota Jakarta, Indonesia https://orcid.org/0000-0003-2684-5856
  • Irna Nursanti Muhammadiyah Jakarta University, Jl. Cempaka Putih Tengah, Cempaka Putih, DKI Jakarta, Indonesia
  • Diana Irawati Muhammadiyah Jakarta University, Jl. Cempaka Putih Tengah, Cempaka Putih, DKI Jakarta, Indonesia
  • Rizki Nugraha Agung Muhammadiyah Jakarta University, Jl. Cempaka Putih Tengah, Cempaka Putih, DKI Jakarta, Indonesia
  • Anggie Pradana Putri Faculty of Nursing, National Taipei University, 365 Mingde Road, Beitou District, New Taipei City, Taiwan, ROC https://orcid.org/0000-0002-9059-9568
  • Yeni Koto Indonesia Maju University, Jl. Harapan No.50, RT.2/RW.7, Lenteng Agung, Kec. Jagakarsa, Kota Jakarta Selatan, Daerah Khusus Ibukota Jakarta, Indonesia https://orcid.org/0009-0003-0169-1798
  • Saldi Susaldi Indonesia Maju University, Jl. Harapan No.50, RT.2/RW.7, Lenteng Agung, Kec. Jagakarsa, Kota Jakarta Selatan, Daerah Khusus Ibukota Jakarta, Indonesia https://orcid.org/0000-0001-5479-3665
  • Ady Irawan AM Duta Bangsa University, l. Bhayangkara No.55, Tipes, Kec. Serengan, Kota Surakarta, Jawa Tengah, Indonesia https://orcid.org/0000-0003-2111-1757




Background: Stroke is the disease that causes the greatest death and disability every year, and the sequelae of stroke often include swallowing disorders or dysphagia. Conventional interventions remain the primary choice in the rehabilitation process for post-stroke patients. However, incorporating acupoint therapy interventions as an alternative within the nursing context is anticipated to maximize the recovery process of dysphagia patients. Purpose: The purpose of this study is to determine the effect of acupoint therapy and modality therapy on the restoration of swallowing ability in post-stroke dysphagia patients. Methods: The research design in this study was to use a quasy experiment. Patients were given intervention for two months or eight treatment sessions to measure swallowing ability using the GUSS (Gugging Swallowing Screen). The criteria for respondents in this study are patients with strokes experiencing swallowing disorders. Results: After eight sessions of treatment, respondents showed a very significant increase in swallowing ability; the average value before treatment was 4.2 and after treatment in session 8 was 19.07. The results of the influence test give a p-value of <0.001. Acupoint therapy interventions are effective in improving the swallowing ability of post-stroke dysphagia patients. Conclusion: The application of Acupoint Therapy interventions in post-stroke dysphagia patients has significantly improved swallowing ability; we recommend that this intervention be a supporting option in addition to conventional interventions obtained by post-stroke dysphagia patients.


Acupoint Therapy, Disfagia, Stroke


Download data is not yet available.


Ahmad, S. A., Supandiman, I., Markam, S., Estiasari, R., & Hankey, G. (2018). The effect of caregiver education program on functional independence and Mortality in first-ever stroke. Malaysian Journal of Medical Research (MJMR), 2(2), 57-67. https://doi.org/10.31674/mjmr.2018.v02i02.009

Arista, L., Nurachmah, E., & Herawati, T. (2020). Implementation of the Family Empowerment Program as an Effort to Improve Client Functional Status and Family Readiness to Care for Stroke Clients. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(04), 148-155. https://doi.org/10.33221/jiiki.v10i04.811

Blackburn, L. M., Thompson, K., Frankenfield, R., Harding, A., & Lindsey, A. (2020). The THRIVE© Program: Building Oncology Nurse Resilience Through Self-Care Strategies. Oncology Nursing Forum, 47(1), E25–E34. https://doi.org/10.1188/20.ONF.E25-E34

Beheshtian, E., Pakpoor, J., Huntley, J. H., Sahraian, S., Urrutia, V., Khan, M. K., ... & Yousem, D. M. (2020). Vascular imaging in the initial evaluation of embolic stroke source. Clinical Imaging, 68, 278-282. https://doi.org/10.1016/j.clinimag.2020.07.013

Cai, Y., Towne Jr, S. D., & Bickel, C. S. (2019). Multi-level factors associated with social participation among stroke survivors: China’s Health and Retirement Longitudinal Study (2011–2015). International Journal of Environmental Research and Public Health, 16(24), 5121. https://doi.org/10.3390/ijerph16245121

Das, S., Goldstein, E. D., de Havenon, A., Abbasi, M., Nguyen, T. N., Aguiar de Sousa, D., & Yaghi, S. (2023). Composition, Treatment, and Outcomes by Radiologically Defined Thrombus Characteristics in Acute Ischemic Stroke. Stroke, 54(6), 1685-1694. https://doi.org/10.1161/STROKEAHA.122.038563

Duloquin, G., Graber, M., Garnier, L., Crespy, V., Comby, P. O., Baptiste, L., ... & Béjot, Y. (2020). Incidence of acute ischemic stroke with visible arterial occlusion: a population-based study (Dijon Stroke Registry). Stroke, 51(7), 2122-2130. https://doi.org/10.1161/strokeaha.120.029949

Elsner, B., Schöler, A., Kon, T., & Mehrholz, J. (2020). Walking with rhythmic auditory stimulation in chronic patients after stroke: A pilot randomized controlled trial. Physiotherapy Research International, 25(1), e1800. https://doi.org/10.1002/pri.1800

Fabunmi, A. A., Sanuade, C., & Adepoju F. A. (2019). Physical activity level and energy expenditure of clinical physiotherapists and physiotherapy educators in selected tertiary health and educational institutions in South-West nigeria. Medical Science Pulse, 13(3), 3–9. https://doi.org/ 10.5604/01.3001.0013.4551

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., ... & Lindsay, P. (2022). World Stroke Organization (WSO): global stroke fact sheet 2022. International Journal of Stroke, 17(1), 18-29. https://doi.org/10.1177/17474930211065917

Fu, Q., Yang, H., Zhang, L., Liu, Y., Li, X., Dai, M., ... & Zhang, Q. (2020). Traditional Chinese medicine foot bath combined with acupoint massage for the treatment of diabetic peripheral neuropathy: A RCTs. Diabetes/Metabolism systematic Research review and and meta‐analysis Reviews 36 of 31 e3218. https://doi.org/10.1002/dmrr.3218

Ghosh, M. K., Chakraborty, D., Sarkar, S., Bhowmik, A., & Basu, M. (2019). The interrelationship between cerebral ischemic stroke and glioma: a comprehensive study of recent reports. Signal Transduction and Targeted Therapy, 4(1), 42. https://doi.org/10.1038/s41392- 019-0075-4

Jianyi, X. U. E., Jinyan, X. U., Huang, M., Wentao, Y. U., Yihui, Y. A. N., Yuanjie, Y. A. N.,... & Siyang, Y. A. N. (2023). Scalp acupuncture Yikang therapy on Baihui (GV20), Sishencong (EX-HN1), Zhisanzhen, Niesanzhen improves neurobehavior in young rats with cerebral palsy through Notch signaling pathway. Journal of Traditional Chinese Medicine, 43(2), 337. https://doi.org/10.19852%2Fj.cnki.jtcm.20221206.002

Jones, C. A., Colletti, C. M., & Ding, M. C. (2020). Post-stroke dysphagia: recent insights and unanswered questions. Current Neurology and Neuroscience Reports, 20, 1-12. https://doi.org/10.1007/s11910-020-01081-z

Kariyawasam, P. N., Pathirana, K. D., Hewage, D. C., & Dissanayake, R. D. A. (2020). Cultural Adaptation and Preliminary Validation of the Proxy-Rated Sinhala Version of the Stroke and Aphasia Quality of Life Generic Scale–39. Journal of Central Nervous System Disease, 12, 119573520924953. https://doi.org/10.1177/1179573520924953s

Khariri, K., & Saraswati, R. D. (2021). Epidemiological transition of stroke as a cause of death in all age groups in Indonesia. Semin Nas Ris Kedokt, 2, 81-86. https://conference.upnvj.ac.id/index.php/sensorik/article/view/1001/842. Accessed on 24th September, 2022

Kemenkes, R. I. (2018). The main results of RISKESDAS 2018. Jakarta: Kemenkes RI. https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018 Accessed on 12th April 2023.

Kim, J. H., Han, J. Y., Park, G. C., & Lee, J. S. (2020). Cognitive improvement effects of electroacupuncture combined with computer-based cognitive rehabilitation in patients with mild cognitive impairment: a randomized controlled trial. Brain Sciences, 10(12), 984. https://doi.org/10.3390/brainsci10120984

Kotlyar, A. (2019). ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient- A Hypothesis of the Mechanism of Action. http://dx.doi.org/10.31031/NRS.2019.2.000535

Liang, P., Li, Y., Feng, Y., Yin, G., Chen, S., Liu, X., & Zhang, F. (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), 1282. https://doi.org/10.3390%2Fbrainsci12101282

Liu, W., Ge, W., Murong, Z., Li, L., Liu, J., Shen, Y., ... & Fan, X. (2023). Efficacy and safety of acupuncture for post-stroke dysphagia: Protocol for a multicenter, single-blinded, randomized controlled trial. European Journal of Integrative Medicine, 58, 102225. https://doi.org/10.1016/j.eujim.2023.102225

Lin, D., Gao, J., Lu, M., Han, X., Tan, Z., Zou, Y., & Cui, F. (2023). Scalp acupuncture regulates functional connectivity of cerebral hemispheres in patients with hemiplegia after stroke. Frontiers in Neurology, 14, 1083066. https://doi.org/10.3389/fneur.2023.1083066

Luykx, J., Mason, M., Ferrari, M. D., & Carpay, J. (2009). Are migraineurs at increased risk of adverse drug responses?: A meta‐analytic comparison of topiramate‐related adverse drug reactions in epilepsy and migraine. Clinical Pharmacology & Therapeutics, 85(3), 283-288. https://doi.org/10.1038/clpt.2008.203

Ma, Y., Guo, H., Geng, L., Jia, Z., Li, G., Shen, W., & Wang, J. (2024). Effect of quick acupuncture combined with rehabilitation therapy on improving motor and swallowing function in patients with stroke. Clinical Rehabilitation, 02692155241228694. https://doi.org/10.1177/02692155241228694

Meng, X., Chen, X., Liu, Z., & Zhou, L. (2020). Nursing practice in stroke rehabilitation: Perspectives from multi‐disciplinary healthcare professionals. Nursing & Health Sciences, 22(1), 28-37. https://doi.org/10.1111/nhs.12641

Park, K. D., Kim, T. H., & Lee, S. H. (2020). The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review. International Journal of Nursing Studies, 107, 103588. https://doi.org/10.1016/j.ijnurstu.2020.103588

Saini, V., Guada, L., & Yavagal, D. R. (2021). Global epidemiology of stroke and access to acute ischemic stroke interventions. Neurology, 97(20 Supplement 2), S6-S16. https://doi.org/10.1212/WNL.0000000000012781

Wang, X., Ding, R., Song, Y., Wang, J., Zhang, C., Han, S., ... & Zhang, R. (2020). Transcutaneous electrical acupoint stimulation in early life changes synaptic plasticity and improves symptoms in a valproic acid-induced rat model of autism. Neural Plasticity, 2020. https://doi.org/10.1155/2020/8832694

Yu, B. H., Xing, Y., & Zhang, F. (2020). The therapeutic effect of electroacupuncture therapy for ischemic stroke. Evidence-Based Complementary and Alternative Medicine: eCAM, 2020. https://doi.org/10.1155/2020/6415083

Zhang, W., Jin, H. T., Wang, F., Zhang, J. L., Bao, Y., & Wang, S. (2024). A randomized controlled study investigating the efficacy of electro-acupuncture and exercise-based swallowing rehabilitation for post-stroke dysphagia: Impacts on brainstem auditory evoked potentials and cerebral blood flow. Medicine, 103(11), e37464. https://doi.org/10.1097/MD.0000000000037464

Zhang, Z., Chen, L., Guo, Y., Li, D., Zhang, J., Liu, L., ... & Chen, Z. (2023). The neuroprotective and neural circuit mechanisms of acupoint stimulation for cognitive impairment. Chinese Medicine, 18(1), 1-30. https://doi.org/10.1186/s13020-023-00707-x

Zhao, J., Chen, M., Wang, X., Ye, K., Shi, S., Li, H., ... & Yu, S. G. (2021). Protocol: Efficacy of acupuncture in refractory irritable bowel syndrome: study protocol for a randomised controlled trial. BMJ Open, 11(9). https://doi.org/10.1136/bmjopen-2020-045655

Zhao, W., Ju, C., Wang, D., & Shen, H. (2019). Clinical observation of effects of ultrashort wave therapy combined with acupuncture and rehabilitation training in the treatment of patients with dysphagia after stroke. Journal of Neurorestoratology, 7(3), 136-142. https://doi.org/10.26599/JNR.2019.9040014

Zielińska-Nowak, E., Cichon, N., Saluk-Bijak, J., Bijak, M., & Miller, E. (2021). Nutritional supplements and neuroprotective diets and their potential clinical significance in post-stroke rehabilitation. Nutrients, 13(8), 2704. https://doi.org/10.3390/nu13082704



How to Cite

Purnama, A. ., Nursanti, I. ., Irawati, D. ., Nugraha Agung, R., Pradana Putri, A., Koto, Y., Susaldi, S. ., & Irawan AM, A. . (2024). Effectiveness of Acupoint Therapy on Swallowing Ability among Patients with Post-Stroke Dysphagia. The Malaysian Journal of Nursing (MJN), 15(4), 61-69. https://doi.org/10.31674/mjn.2024.v15i04.008