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All Journal MNJ (Malang Neurology Journal) Acta Neurologica Indonesia
Pratiwi, Ni Made Dwita
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Medicine & Pharmacology Neuroscience Public Health

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THE EFFECT OF DRY NEEDLING THERAPY ON MYOFASCIAL PAIN SYNDROME Pratiwi, Ni Made Dwita; Sutama, I Komang Reno; Widyadharma, I Putu Eka
MNJ (Malang Neurology Journal) Vol. 10 No. 2 (2024): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.02.04

Abstract

Background: One of the nonpharmacological management that can currently be used to treat Myofascial Pain Syndrome  (MPS) is dry needling (DN). Dry needling is a pain intervention technique by inserting a solid needle into the skin to stimulate myofascial trigger points (TrPs). In a previous study conducted at Central Hospital in Bali, DN was shown to reduce pain and oral analgetic usage in patients with upper trapezius muscle MTrPs, but the effect of DN on overall life quality (such as sleep quality and depression) is still lacking. Objective: This research was conducted to find out whether there was an improvement in pain scale, depression and quality of sleep of health employees in Sanglah Hospital who experienced myofascial pain syndrome after dry needling therapy. Methods: an observational experimental design, which compares the difference of the Numerical Pain rating score, Pittsburg Sleep Quality Index, and Hamilton Depression Scale before and after DN. The study used a consecutive sampling method to reach the designated sample size. Results: A total of 53 samples followed the entire series of studies. The mean difference between NPRS before DN and after DN showed a significant result of p= 0.00 (<0.05), but in the aspect of PSQI and HDS no statistical difference. Conclusion: There is a trend of improvement in the quality of life after DN from pain scale, mood condition and sleep quality. However, this research still cannot show a link between DN therapy with depressive disorders and sleep quality.
Role of Visual Evoked Potential in Direct Traumatic Optic Neuropathy: A Case Report : VEP in Direct TON Vania, Aurelia; Arimbawa, I Komang; Pratiwi, Ni Made Dwita
Acta Neurologica Indonesia Vol. 2 No. 01 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i01.16

Abstract

Traumatic optic neuropathy (TON) is a rare cause of visual impairment following blunt or sharp trauma and the diagnosis is established clinically. Lesions on the optic nerve may not always be visible in neuroimaging examinations. Studies on Visual Evoked Potential (VEP) in TON patients are still limited, despite being beneficial for objectively detecting optic nerve lesions. A 16-year-old male patient was referred to the neurology clinic with a sudden loss of vision in the left eye approximately 25 days after a head injury due to a motor vehicle accident. The patient had epidural bleeding and fractures in the orbital and facial bones, as revealed by a head CT scan. Neurological examination showed a visual acuity of 1/300 in the left eye, left midriasis, and a negative light reflex in the left eye. VEP examination of the left eye revealed prolonged P100 latency and a decrease in P100 amplitude (>50%), indicating a lesion in the left optic nerve. This visual impairment persisted for up to 6 months post-head trauma. TON is a vision-threatening disorder that should be considered in patients with ocular or head trauma and visual impairment. A decrease in amplitude ratio <50% and prolonged P100 latency >140 ms are associated with poor visual function recovery. VEP examination is an objective assessment of visual pathway integrity and serves as one modality for early TON diagnosis and a predictor of visual function prognosis in TON patients.   Keywords: diagnostic; prognostic; traumatic optic neuropathy; visual evoked potential
Co-Authors Arimbawa, I Komang I Putu Eka Widyadharma Sutama, I Komang Reno Vania, Aurelia