SPADI-Based Assessment of the Effectiveness of INMAS Electropuncture Therapy in Reducing Shoulder Pain
DOI:
10.29303/jppipa.v11i1.9752Published:
2025-02-12Issue:
Vol. 11 No. 1 (2025): JanuaryKeywords:
SPADI assessment, Inmas method acupuncture therapy, Massage therapy, Shoulder painResearch Articles
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Abstract
The Shoulder Pain and Disability Index (SPADI) is a measurement tool designed to evaluate the level of pain and functional limitations in patients with shoulder complaints. It consists of two main subscales, namely pain scale and disability scale, both of which are very important in measuring the effectiveness of therapeutic interventions in shoulder pain conditions. On the other hand, INMAS (Integrated Neuromuscular Acupuncture System) electropuncture therapy is a non-pharmacological intervention that uses electrical stimulation at acupuncture points to relieve pain. It combines acupuncture principles with neuromuscular stimulation targeted at the muscles and soft tissues around the shoulder. INMAS electropuncture works by improving blood circulation, reducing inflammation, and activating the release of endorphins, all of which aim to reduce pain sensation and improve mobility. This study aims to analyze the comparison of INMAS Method Electroacupuncture Therapy and Massage Therapy on Shoulder Pain Reduction. This study uses a Randomized Controlled Trial (RCT) design. In this study using 2 intervention groups. The first group performed electroacupuncture therapy INMAS method, the second group performed massage therapy. Each group amounted to 30 respondents. The results showed that there was a statistically significant difference between the two treatments (Massage and INMAS) with a value of Asymp. Sig. (2-tailed) is 0.000, (p < 0.05). The statistical results also show that INMAS therapy is more effective in reducing shoulder pain compared to massage therapy (Exact Sig value. (1-tailed) is 0.000, p < 0.05). This study concluded from two treatments to reduce shoulder pain with massage therapy and electroacupuncture therapy INMAS method. From the results of the Mann-Whitney test, it was found that electroacupuncture therapy INMAS method was more effective in reducing shoulder pain compared to massage therapy.
References
Abdul-Karim, S., Abdul-Hamid, M. S., Ho, C. A., & Ling, J. C. Y. (2023). Validity, Reliability and Responsiveness of the Malay Shoulder Pain and Disability Index (M-SPADI) for Patients with Shoulder Pain. Malaysian Orthopaedic Journal, 17(1), 160. https://doi.org/10.5704/MOJ.2303.019
Ansanello, W., Dos Reis, F. J. J., Tozzo, M. C., Zatiti, S. C. A., Meulders, A., Vlaeyen, J. W. S., & De Oliveira, A. S. (2023). Reliability and validity of the avoidance of daily activities photo scale for patients with shoulder pain (ADAP shoulder scale). Physical Therapy, 103(12), pzad101. https://doi.org/10.1093/ptj/pzad101
Badley, E. M., & Tennant, A. (1992). Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale, West Yorkshire, United Kingdom. Annals of the Rheumatic Diseases, 51(3), 366–371. https://doi.org/10.1136/ard.51.3.366
Bai, Y., Wang, Y., Chen, B., Qin, Y., Lei, Q., Zhao, H., & Xia, T. (2020). Stuck-moving needle myofascial trigger point acupuncture to treat idiopathic frozen shoulder: study protocol for a randomized controlled trial. Trials, 21, 1–13. https://doi.org/10.1186/s13063-020-04799-w
Bartolomei, S., Grillone, G., Di Michele, R., & Cortesi, M. (2021). A comparison between male and female athletes in relative strength and power performances. Journal of Functional Morphology and Kinesiology, 6(1), 17. https://doi.org/10.3390/jfmk6010017
Chen, Z.-Y., Wang, M.-H., & Ye, Z. (2024). Effect of electroacupuncture combined with rehabilitation techniques on shoulder function in patients with rotator cuff injuries. World Journal of Clinical Cases, 12(21), 4582. https://doi.org/10.12998/wjcc.v12.i21.4582
Codsi, M., McCarron, J., & Brems, J. J. (2021). Clinical evaluation of shoulder problems (Vol. 2009). Philadelphia, PA.
Crane, P., Haddad, A., Eger, C., & Brintzenhoff, J. (2024). TMD and Exercise Therapy Scoping Review Search Strategy. https://doi.org/10.34944/dspace/10119
Dashtdar, M., Dashtdar, M. R., Dashtdar, B., Kardi, K., & khabaz Shirazi, M. (2016). The concept of wind in traditional Chinese medicine. Journal of Pharmacopuncture, 19(4), 293. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234349/
De Bernardinis, C. (2023). Use of acupuncture for the treatment of chronic pain in dogs. Università di Parma, Dipartimento di Scienze Medico-Veterinarie. Retrieved from https://www.repository.unipr.it/handle/1889/5486
El Melhat, A. M., Abbas, R. L., Zebdawi, M. R., & Ali Ismail, A. M. (2025). Effect of adding thoracic manipulation for the management of patients with adhesive capsulitis: a randomized clinical trial. Physiotherapy Theory and Practice, 41(1), 65–78. https://doi.org/10.1080/09593985.2024.2316897
Failla, M. J., Mintken, P. E., McDevitt, A. W., & Michener, L. A. (2023). Trajectory of patient-rated outcomes and association with patient acceptable symptom state in patients with musculoskeletal shoulder pain. Journal of Manual & Manipulative Therapy, 31(4), 279–286. https://doi.org/10.1080/10669817.2022.2137350
Fu, Q.-N., Shi, G.-X., Li, Q.-Q., He, T., Liu, B.-Z., Sun, S.-F., Wang, J., Tan, C., Yang, B.-F., & Liu, C.-Z. (2014). Acupuncture at local and distal points for chronic shoulder pain: study protocol for a randomized controlled trial. Trials, 15(1), 130. https://doi.org/10.1186/1745-6215-15-130
Gadke, D. L., Kratochwill, T. R., & Gettinger, M. (2021). Incorporating feasibility protocols in intervention research. Journal of School Psychology, 84, 1–18. https://doi.org/10.1016/j.jsp.2020.11.004
Hodgetts, C., & Walker, B. (2021). Epidemiology, common diagnoses, treatments and prognosis of shoulder pain: A narrative review. International Journal of Osteopathic Medicine, 42, 11–19. https://doi.org/10.1016/j.ijosm.2021.10.006
Liu, S. (2022). Chronic Supraspinatus Tendonitis Pain: An Integrative Approach for Treatment with Cross-Fiber Massage, Electroacupuncture, Far-Infrared Heat, and Photobiomodulation. Medical Acupuncture, 34(4), 251–255. https://doi.org/10.1089/acu.2022.0041
Mahboobani, S., Campion, T., Jones, B., & Dhawan, R. T. (2021). Radiology of Tuberculosis. Tuberculosis in Clinical Practice, 163–219. https://doi.org/10.1007/978-3-030-75509-6_10
Purwanto, P., & Wahyu, J. R. (2021). Differences Between Effectiveness Of Inmas Acupuncture And Local Points In Back And Shoulder Pain. Jurnal Keterapian Fisik, 58–64. https://doi.org/10.37341/jkf.v0i0.251
Sassi, M., Villa Corta, M., Pisani, M. G., Nicodemi, G., Schena, E., Pecchia, L., & Longo, U. G. (2024). Advanced Home-Based Shoulder Rehabilitation: A Systematic Review of Remote Monitoring Devices and Their Therapeutic Efficacy. Sensors, 24(9), 2936. https://doi.org/10.3390/s24092936
Siregar, P. A., Marpaung, W., & Jariah, A. (2022). Analisis Risiko Kejadian Nyeri Otot Pada Perempuan Pengupas Kepiting Perspektif Islam Dan Kesehatan Perspektif Islam Dan Kesehatan. Merdeka Kreasi Group.
Stewart, M., Belton, J., Loftus, S., Pincus, T., O’Sullivan, P., & Lewis, J. (2022). Communicating with people experiencing shoulder pain. Jessica Kingsley Publishers.
Stotz, A., Hamacher, D., & Zech, A. (2023). Relationship between muscle strength and gait parameters in healthy older women and men. International Journal of Environmental Research and Public Health, 20(7), 5362. https://doi.org/10.3390/ijerph20075362
Urits, I., Wang, J. K., Yancey, K., Mousa, M., Jung, J. W., Berger, A. A., Shehata, I. M., Elhassan, A., Kaye, A. D., & Viswanath, O. (2021). Acupuncture for the management of low back pain. Current Pain and Headache Reports, 25, 1–10. https://doi.org/10.1007/s11916-020-00919-y
Vega-Fernández, G., Lera, L., Leyton, B., Cortés, P., & Lizana, P. A. (2021). Musculoskeletal disorders associated with quality of life and body composition in urban and rural public school teachers. Frontiers in Public Health, 9, 607318. https://doi.org/10.3389/fpubh.2021.607318
Venkateswari, K., Annamalai, D., Velan, A., Maheshkumar, K., Jaheer Hussain, A., & Prashanth, S. (2024). Trigger finger: An integrated approach utilizing naturopathy and yoga interventions: A case study. International Journal of Yogic, Human Movement and Sports Sciences, 9(2). https://doi.org/10.22271/yogic.2024.v9.i2b.1626
Wang, S. V, Schneeweiss, S., Franklin, J. M., Desai, R. J., Feldman, W., Garry, E. M., Glynn, R. J., Lin, K. J., Paik, J., Patorno, E., & others. (2023). Emulation of randomized clinical trials with nonrandomized database analyses: results of 32 clinical trials. Jama, 329(16), 1376–1385. https://doi.org/10.1001/jama.2023.4221
Xu, X., Zhang, H., Yan, Y., Wang, J., & Guo, L. (2021). Effects of electrical stimulation on skin surface. Acta Mechanica Sinica, 1–29. https://doi.org/10.1007/s10409-020-01026-2
Zhang, Q., Zhou, M., Huo, M., Si, Y., Zhang, Y., Fang, Y., & Zhang, D. (2023). Mechanisms of acupuncture--electroacupuncture on inflammatory pain. Molecular Pain, 19, 17448069231202882. https://doi.org/10.1177/17448069231202882
Author Biographies
Joko Tri Haryanto, Department of Acupuncture Poltekkes Kemenkes Surakarta
Purwanto, Department of Acupuncture Poltekkes Kemenkes Surakarta
Chusnul Zulaika, Department of Acupuncture Poltekkes Kemenkes Surakarta
Eka Deviany Widyawaty, Department of Acupuncture Poltekkes Kemenkes Surakarta
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Copyright (c) 2025 Joko Tri Haryanto, Purwanto, Chusnul Zulaika, Eka Deviany Widyawati

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