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Wahyuni Ramadhani Suaib
NEUROLOGY RESIDENT
Neuroscience

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ACUPRESSURE AS METHOD FOR REDUCING HEAD PAIN IN TENSION TYPE HEADACHE: CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.641 KB) | DOI: 10.21776/ub.jphv.2022.003.01.3

Abstract

Background: Acupressure is a method that can reduce or eliminate headaches without using drugs. It works by stimulating certain points through pressure / massage on the surface of the body by using fingers or blunt objects for fitness purposes or to relieve pain in tension headaches. Tension type headache (TTH) is the most common headache that tends to be considered not serious because it causes mild symptoms in some cases. TTH is a pain that is felt in the back of the head (occipitalis) and in the front (frontalis) which is tense due to the permanent contraction of the muscles of the scalp, forehead and neck accompanied by extracranial vasoconstriction that can persist for a certain period of time. Benefits of acupressure can calm the nerves caused by discomforts such as tension which is common in tension headache. Summary of case: A 37-year-old woman presented with headaches that is described as being tied to a rope around her head and heavy in the neck area since a week ago. She is diagnosed with tension type headaches and received doctor's treatment. However, headaches are still felt sometimes when she has a lot of thoughts. Acupressure through suppression and massage has been done as a non-pharmacological treatment to reduce the patient's headache at the acupressure point for one week in 10 minutes each session, showing a decrease in pain intensity through VAS (Visual Analogue Scale) decreased pain rate from 6 to 2 after acupressure. She experienced an improvement and decreased intensity of headache attacks after undergoing acupressure. Conclusion: Acupressure can be an alternative and complementary therapy to reduce the intensity and frequency of tension type headache attacks Keyword : Acupressure, tension type headache, complementary therapy.
EFFECT OF MIRROR THERAPY THROUGH FUNCTIONAL ACTIVITIES TO IMPROVE MOVEMENT AS CENTRAL POST-STROKE PAIN TREATMENT: A CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (449.047 KB) | DOI: 10.21776/ub.jphv.2022.003.01.4

Abstract

Background: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke. Keyword: Stroke, central post-stroke pain, mirror therapy.
ACUPRESSURE AS METHOD FOR REDUCING HEAD PAIN IN TENSION TYPE HEADACHE: CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2022.003.01.3

Abstract

Background: Acupressure is a method that can reduce or eliminate headaches without using drugs. It works by stimulating certain points through pressure / massage on the surface of the body by using fingers or blunt objects for fitness purposes or to relieve pain in tension headaches. Tension type headache (TTH) is the most common headache that tends to be considered not serious because it causes mild symptoms in some cases. TTH is a pain that is felt in the back of the head (occipitalis) and in the front (frontalis) which is tense due to the permanent contraction of the muscles of the scalp, forehead and neck accompanied by extracranial vasoconstriction that can persist for a certain period of time. Benefits of acupressure can calm the nerves caused by discomforts such as tension which is common in tension headache. Summary of case: A 37-year-old woman presented with headaches that is described as being tied to a rope around her head and heavy in the neck area since a week ago. She is diagnosed with tension type headaches and received doctor's treatment. However, headaches are still felt sometimes when she has a lot of thoughts. Acupressure through suppression and massage has been done as a non-pharmacological treatment to reduce the patient's headache at the acupressure point for one week in 10 minutes each session, showing a decrease in pain intensity through VAS (Visual Analogue Scale) decreased pain rate from 6 to 2 after acupressure. She experienced an improvement and decreased intensity of headache attacks after undergoing acupressure. Conclusion: Acupressure can be an alternative and complementary therapy to reduce the intensity and frequency of tension type headache attacks Keyword : Acupressure, tension type headache, complementary therapy.
EFFECT OF MIRROR THERAPY THROUGH FUNCTIONAL ACTIVITIES TO IMPROVE MOVEMENT AS CENTRAL POST-STROKE PAIN TREATMENT: A CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2022.003.01.4

Abstract

Background: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke. Keyword: Stroke, central post-stroke pain, mirror therapy.
Co-Authors Laksono Trisnantoro Shahdevi Nandar Kurniawan, Shahdevi Nandar