Efektivitas Manual Visceral Physiotherapy terhadap Regulasi Tekanan Darah pada Lansia dengan Hipertensi Esensial: Sebuah Studi Pra-Eksperimental

Authors

  • Arisandy Achmad Program Studi Fisioterapi Institut Teknologi Kesehatan dan Sains Wiyata Husada, Samarinda, Indonesia Author
  • Wahyuni Dwi Cahya Departemen Fisiologi, Fakultas Kedokteran, Universitas Mulawarman, Samarinda, Indonesia Author
  • Lilies Anggarwati Astuti Departemen Periodontis, Fakultas Kedokteran Gigi, Universitas Mulawarman, Samarinda, Indonesia Author

DOI:

https://doi.org/10.30872/jsk.v7i1.872

Keywords:

Hipertensi, Fisioterapi Viseral, Tekanan Darah, Lansia

Abstract

Hipertensi esensial merupakan salah satu penyebab utama morbiditas dan mortalitas global, terutama pada populasi lansia. Intervensi non-farmakologis seperti Manual Visceral Physiotherapy (MVP) mulai banyak dikembangkan sebagai pendekatan alternatif untuk membantu menurunkan tekanan darah tanpa efek samping farmakologis. Penelitian ini bertujuan untuk mengetahui efektivitas MVP terhadap perubahan tekanan darah sistolik dan diastolik pada pasien lansia dengan hipertensi esensial. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest-posttest terhadap 11 responden berusia ≥46 tahun yang menjalani 12 sesi MVP selama 4 minggu. Tekanan darah diukur sebelum dan sesudah intervensi menggunakan sfigmomanometer dan dianalisis dengan uji Wilcoxon Signed Rank. Hasil penelitian menunjukkan bahwa rata-rata tekanan darah sistolik menurun dari 162 mmHg menjadi 129 mmHg, dan diastolik dari 96 mmHg menjadi 81 mmHg, dengan nilai p = 0,003 yang menunjukkan penurunan signifikan. Dapat disimpulkan bahwa MVP efektif dalam menurunkan tekanan darah pada pasien lansia dengan hipertensi esensial dan berpotensi dijadikan sebagai terapi komplementer dalam praktik fisioterapi.

References

[1] World Health Organization, Hypertension. Geneva, Switzerland: WHO, 2019. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/hypertension

[2] Kementerian Kesehatan Republik Indonesia, Hipertensi Penyakit Paling Banyak Diidap. Jakarta, Indonesia: Kemenkes RI, 2019.

[3] T. Unger et al., “2020 International Society of Hypertension global hypertension practice guidelines,” Hypertension, vol. 75, no. 6, pp. 1334–1357, 2020, doi: 10.1161/HYPERTENSIONAHA.120.15026.

[4] M. I. Arshad and F. J. Syed, “Essential hypertension,” in StatPearls [Internet]. Treasure Island, FL, USA: StatPearls Publishing, 2020. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK539859/

[5] Y. G. Tedla and L. E. Bautista, “Drug side effects and blood pressure control: A review,” Clin. Hypertens., vol. 22, no. 1, pp. 1–9, 2016, doi: 10.1186/s40885-016-0043-2.

[6] E. Hebgen, Visceral Manipulation in Osteophaty. Stuttgart, Germany: Thieme, 2014.

[7] V. Rechberger, M. Biberschick, and R. Schleip, “A comparison of the effects of osteopathic and non-osteopathic treatment on the autonomic nervous system: A systematic review,” Eur. J. Med. Res., vol. 24, no. 1, p. 4, 2019, doi: 10.1186/s40001-019-0355-7.

[8] L. V. Santos, R. F. Moreira, and S. R. Carneiro, “Visceral manipulation for chronic low back pain: A randomized clinical trial,” J. Chiropr. Med., vol. 18, no. 2, pp. 79–89, 2019, doi: 10.1016/j.jcm.2018.11.005.

[9] L. Carnevali, L. Lombardi, M. Fornari, and A. Sgoifo, “Exploring the effects of osteopathic manipulative treatment on autonomic function through the lens of heart rate variability,” Front. Neurosci., vol. 14, p. 579365, 2020, doi: 10.3389/fnins.2020.579365.

[10] S. E. Davis et al., “Weekly osteopathic manipulative treatment in women with polycystic ovary syndrome: A randomized controlled pilot trial,” J. Am. Osteopath. Assoc., vol. 120, no. 5, pp. 310–321, 2020, doi: 10.7556/jaoa.2020.051.

[11] M. Younes et al., “Effect of spinal manipulative treatment on cardiovascular autonomic control in patients with chronic low back pain,” J. Chiropr. Man. Ther., vol. 25, no. 1, p. 4, 2017, doi: 10.1186/s12998-016-0126-3.

[12] V. A. Cornelissen and N. A. Smart, “Exercise training for blood pressure: A systematic review and meta-analysis,” J. Am. Heart Assoc., vol. 2, no. 1, p. e004473, 2013, doi: 10.1161/JAHA.112.004473.

[13] P. K. Whelton et al., “2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/ NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults,” J. Am. Coll. Cardiol., vol. 71, no. 19, pp. e127–e248, 2018, doi: 10.1016/j.jacc.2017.11.006.

[14] M. Lattanzio and M. R. Weir, “Complementary and alternative medicine strategies for patients with hypertension: A review,” J. Hypertens., vol. 38, no. 8, pp. 1412–1419, 2020, doi: 10.1097/HJH.0000000000002413.

[15] S. S. G. B. Sullivan, S. Paolacci, A. K. Kiani, and M. Bertelli, “Chiropractic care for hypertension: A narrative review,” Acta Biomed., vol. 91, suppl. 13, p. e2020017, 2020, doi: 10.23750/abm.v91i13-S.10731.

Downloads

Published

2026-01-14

Deprecated: json_decode(): Passing null to parameter #1 ($json) of type string is deprecated in /home/jskff/public_html/plugins/generic/citations/CitationsPlugin.php on line 68

How to Cite

[1]
Arisandy Achmad, Wahyuni Dwi Cahya, and Lilies Anggarwati Astuti, “Efektivitas Manual Visceral Physiotherapy terhadap Regulasi Tekanan Darah pada Lansia dengan Hipertensi Esensial: Sebuah Studi Pra-Eksperimental”, J. Sains. Kes, vol. 7, no. 1, pp. 17–24, Jan. 2026, doi: 10.30872/jsk.v7i1.872.

Similar Articles

11-20 of 88

You may also start an advanced similarity search for this article.