Community-Based Acupuncture for Geriatric Osteoporosis: A Prospective Feasibility Case Series in Primary Health Posts

Authors

DOI:

https://doi.org/10.36733/medicamento.v12i2.12801

Keywords:

acupuncture, feasibility study, geriatric care, osteoporosis, public health services

Abstract

Background: Community-based evidence regarding acupuncture for older adults with osteoporosis is limited, particularly in resource-constrained primary healthcare settings.
Objective: This study aimed to evaluate the feasibility of implementing a community-based acupuncture protocol and assess short-term clinical changes following the intervention in older women with osteoporosis at the Mangliawan Elderly Community Integrated Health Post, Malang Regency, Indonesia. 
Methods: A prospective, single-group case study was conducted involving 25 women aged 61–72 years with osteoporosis. All participants received 10 acupuncture sessions over five weeks. Feasibility was evaluated based on intervention adherence, session completion, and completeness of data. Clinical outcomes were assessed using the Visual Analogue Scale (VAS) for pain, the Barthel Index for activities of daily living, and the WHOQOL-BREF for quality of life.
Results: All participants completed the intervention according to the study protocol, with complete records for all treatment sessions and no reported adverse events. The mean VAS score decreased from 6.30 ± 0.91 to 0.80 ± 0.52 (p < 0.001), while the mean Barthel Index increased from 62.0 ± 8.9 to 84.0 ± 7.4 (p < 0.001). Scores in all WHOQOL-BREF domains improved.
Conclusion: Community-based acupuncture is feasible for implementation in geriatric primary care and has the potential to reduce pain, increase functional independence, and improve quality of life. Further controlled studies with larger samples and longer follow-up are needed to confirm its clinical efficacy.

Author Biographies

Puspo Wardoyo, Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen

Diploma III Acupuncture study program, Faculty of Science and Technology

Chantika Mahadini, Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen

Diploma III Acupuncture study program, Faculty of Science and Technology

References

1. Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Osteoporosis [National Clinical Practice Guideline for the Management of Osteoporosis]. Kementerian Kesehatan; 2023. https://kemkes.go.id/id/pnpk-2023---tata-laksana-osteoporosis

2. World Health Organization. Fragility fractures. Updated September 25, 2024. Accessed June 25, 2026. https://www.who.int/news-room/fact-sheets/detail/fragility-fractures

3. GBD 2019 Fracture Collaborators. Global, regional, and national burden of bone fractures in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet Healthy Longev. 2021;2(9):e580-e592. doi: 10.1016/S2666-7568(21)00172-0

4. Ma T, Zhang T, Zhang L, et al. Efficacy of acupuncture for primary osteoporosis: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res. 2025;20:127. doi: 10.1186/s13018-025-05513-9

5. Chen Y, Qiu H, Xuan L, et al. Acupuncture in treating osteopenia: a multicenter, randomized, controlled clinical trial. Complement Med Res. 2024;31(6):516-528. doi: 10.1159/000541440

6. Schiller J, Korallus C, Bethge M, et al. Effects of acupuncture on quality of life and pain in patients with osteoporosis: a pilot randomized controlled trial. Arch Osteoporos. 2016;11:34. doi: 10.1007/s11657-016-0288-x

7. DeBar LL, Wellman RD, Justice M, et al. Acupuncture for chronic low back pain in older adults: a randomized clinical trial. JAMA Netw Open. 2025;8(9):e2531348. doi: 10.1001/jamanetworkopen.2025.31348

8. Putri KE, Haryanto JT, Mutiah N. Pengaruh terapi akupunktur terhadap penurunan skala nyeri bahu di Posyandu Lansia Abadi IX Candi Baru di Desa Gonilan Kecamatan Kartasura, Sukoharjo [Effect of Acupuncture Therapy on Shoulder Pain Reduction Among Older Adults at Posyandu Lansia Abadi IX, Sukoharjo, Indonesia]. J Compr Sci. 2024;3(4):933-943. doi: 10.59188/JCS.V3I4.686

9. Muhajirin M, Majid M, Umar F. Evaluasi efektivitas program Posyandu lanjut usia di Kelurahan Sumpang Binangae [Evaluation of the Effectiveness of the Elderly Posyandu Program in Sumpang Binangae Village, Indonesia]. JIK J Ilmu Kesehat. 2024;8(2):193-200. doi: 10.33757/JIK.V8I2.855

10. Marhaeni AAIN, Yuliarmi NN, Budhi MKS, et al. Community-based initiative to improve elderly health and quality of life in Aan Village, Banjarangkan Sub-District, Klungkung Regency. J Community Serv Empower. 2025;6(2):271-282. doi: 10.22219/JCSE.V6I2.38142

11. Djuari L, Dewanti L, Sulistiawati S, Brilianti NN, Nurdiansyah F. Pelayanan kesehatan lansia komprehensif di Posyandu Sedap Malam Songgon Banyuwangi [Comprehensive Health Services for Older Adults at Posyandu Sedap Malam, Songgon, Banyuwangi]. J Pengabdi Masy Bangsa. 2024;2(10):4827-4837. doi: 10.59837/JPMBA.V2I10.1879

12. Anupama S, Lim SY, Bolster MB. Updates on the Role of DXA in the Evaluation and Monitoring of Osteoporosis. Curr Rheumatol Rep. 2025;27(1):38. doi: 10.1007/s11926-025-01205-9

13. Shen L, Gao C, He T, et al. Validation of a Self-Assessment Tool for Osteoporosis and Vertebral Fracture Primary Screening in Elderly Men. J Evid Based Med. 2025;18(3):e70045. doi: 10.1111/jebm.70045

14. Han W, Deng Z, Lin Z, et al. A novel assessment system for osteoporotic vertebral compression fractures. Sci Rep. 2025;15:16791. doi: 10.1038/s41598-025-01839-w

15. Liu X, Yan S. How to promote the application of reporting guidelines in acupuncture research. BMJ Evid Based Med. 2026;31:66-70. doi: 10.1136/bmjebm-2025-113045

16. Eldridge SM, Chan CL, Campbell MJ, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355:i5239. doi: 10.1136/bmj.i5239

17. Huang YL, Tsay WI, Her SH, et al. Chronic pain and use of analgesics in the elderly: a nationwide population-based study. Arch Med Sci. 2020;16(3):627-634. doi: 10.5114/aoms.2020.92894

18. World Health Organization Regional Office for the Western Pacific. WHO Standard Acupuncture Point Locations in the Western Pacific Region. World Health Organization; 2008. https://iris.who.int/items/f188654a-d8a7-4519-9979-8e2de713c060

19. MacPherson H, Altman DG, Hammerschlag R, et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7(6):e1000261. doi: 10.1371/journal.pmed.1000261

20. Bird ML, Callisaya ML, Cannell J, Gibbons T, Smith ST, Ahuja KDK. Accuracy, validity, and reliability of an electronic visual analog scale for pain on a touch screen tablet in healthy older adults: a clinical trial. Interact J Med Res. 2016;5(1):e3. doi: 10.2196/ijmr.4910

21. Bouwstra H, Smit EB, Wattel EM, van der Wouden JC, Hertogh CMPM, Terluin B, Terwee CB. Measurement properties of the Barthel Index in geriatric rehabilitation. J Am Med Dir Assoc. 2019;20(4):420-425.e1. doi: 10.1016/j.jamda.2018.09.033

22. Purba FD, Hunfeld JAM, Iskandarsyah A, et al. Quality of life of the Indonesian general population: test-retest reliability and population norms of the EQ-5D-5L and WHOQOL-BREF. PLoS One. 2018;13(5):e0197098. doi: 10.1371/journal.pone.0197098

23. Teng Z, Zhu J, Li K, Tong T, Li W, Chu H, Sun P. Efficacy and safety of acupuncture as an adjuvant therapy for osteoporosis: a systematic review and meta-analysis of randomized controlled trials. Front Endocrinol (Lausanne). 2025;16:1561344. doi: 10.3389/fendo.2025.1561344

24. Witt CM, Pach D, Brinkhaus B, et al. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009;16(2):91-97. doi: 10.1159/000209315

25. Fan H, Ji F, Lin Y, Zhang M, Qin W, Zhou Q, Wu Q. Electroacupuncture stimulation at CV4 prevents ovariectomy-induced osteoporosis in rats via Wnt-β-catenin signaling. Mol Med Rep. 2016;13(3):2485-2491. doi: 10.3892/mmr.2016.4849

26. Takeda A, Urata S, Koike T, Oshida Y, Ishida T. Effects of acupuncture at the Shenshu (BL23) acupoint on bone in ovariectomized rats. J Tradit Chin Med. 2018;38(1):54-60. doi: 10.1016/j.jtcm.2018.02.004

27. Zheng X, Nie Y, Sun C, et al. Long-term electroacupuncture stimulation prevents osteoporosis in ovariectomised osteopaenic rats through multiple signalling pathways. Acupunct Med. 2018;36(3):176-182. doi: 10.1136/acupmed-2016-011268

28. Yang JL, Ai S, Liu J, Zhou Z, Li H. Effect of acupuncture and moxibustion on quality of life in patients with osteoporotic vertebral compression fracture. Shanghai J Acupunct Moxibustion. 2016;35:1229-1232. doi: 10.13460/j.issn.1005-0957.2016.10.1229

29. Luo CB, Xu J, Yang Z, Huang K, Zhao R. Clinical study of primary osteoporosis treated with overall-regulation acupuncture. Chin J Osteoporos. 2016;22(11):1459-1465. doi: 10.3969/j.issn.1006-7108.2016.11.020

30. Hui X, Wang H, Yao Q, Zhao B, Ha L. Moxibustion therapy for treating patients with primary osteoporosis: A systematic review and meta-analysis protocol Medicine. 2019;98(52):e18226. doi: 10.1097/MD.0000000000018226

31. Xu DM, Xu H, Liu J, Wang T, Wu W, Liu L, Tian Q, Li H, Zhang L, Cao Y. Effect of thunder-fire moxibustion on pain, quality of life, and tension of multifidus in patients with primary osteoporosis: a randomized controlled trial. Med Sci Monit. 2018;24:2937-2945. doi: 10.12659/MSM.909725

32. Huang R, Li X, Xu S, Li D, Yan P, Liu B, Xie X, Yang K. Acupoint injection treatment for primary osteoporosis: a systematic review and meta-analysis of randomized controlled trials. Annals of Palliative Medicine. 2019;8(5):586-596. doi: 10.21037/apm.2019.11.23

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Submitted

28-10-2025

Accepted

17-08-2026

Published

30-09-2026

How to Cite

Wardoyo, P., & Mahadini, C. (2026). Community-Based Acupuncture for Geriatric Osteoporosis: A Prospective Feasibility Case Series in Primary Health Posts. Jurnal Ilmiah Medicamento, 12(2), 266–274. https://doi.org/10.36733/medicamento.v12i2.12801

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