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THE DEPICTION OF GENERAL PHYSICIAN’S KNOWLEDGE LEVEL OF PARKINSON’S DISEASE IN INDONESIA Neila Raisa; Adeliza Firzarosany Insanitaqwa; Masruroh Rahayu
MNJ (Malang Neurology Journal) Vol. 9 No. 2 (2023): 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.2023.009.02.10

Background: Parkinson's disease still requires special attention considering that this condition is a progressive disease that leads to a decrease in the quality of life and life expectancy of the patient. Objective: This study aims to determine the level of understanding of general practitioners regarding Parkinson's disease and other movement disorders. Methods: We conducted a one group pretest posttest design study on 124 general practitioners who attended the World Parkinson Day Seminar. . The research instrument was a questionnaire with 20 questions, filled in by the participants independently. Knowledge level categories are good (76-100), sufficient (56-75), and poor (<55). Results: The result of the study showed that 18% [22 respondents] had a good level of understanding, 58% [72 respondents] had sufficient knowledge, and 24% [30 respondents] had poor knowledge in terms of the pretest score. There was an increase in the average score (from 65.93 to 78.9) of the respondents after attending the seminar (p<0.05). Conclusion: This study identified that there was a significantly increased level of knowledge of Parkinson's disease symptoms after the seminar for general practitioners in Indonesia.

NECK PAIN IN MOVEMENT DISORDERS: BURDEN OF CERVICAL DYSTONIA Raisa, Neila
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi 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.jphv.2024.005.01.1

Cervical dystonia (CD) is a form of focal dystonia clinically manifesting as sustained or intermittent contractions of the neck muscles, resulting in abnormal movements, repetitive postures, or both, often leading to pain in most patients. This condition not only impacts patients' mobility, self-care, and daily activities but also presents with sensory and cognitive changes, contributing significantly to disability and social isolation. Despite being the most common type of focal dystonia with an incidence of 4.98/100,000 in Europe, CD is often underdiagnosed or misdiagnosed, leading to delays in appropriate treatment. This paper explores the epidemiology, clinical diagnosis, and assessment of pain in CD, highlighting the challenges in diagnosing this condition due to its similarity to other movement disorders.

THE CORRELATION OF COGNITIVE FUNCTION TO BRAIN GYM IN THE ELDERLY Rianawati, Sri Budhi; Harahap, Herpan Syafii; Raisa, Neila; Setianto, Catur Ari; Nikmahtustsani, Mulika Ade Fitria; Maliga, Helnida Anggun
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.2024.010.02.06

Background: A decline in cognitive function is often considered normal in the elderly, but the advanced stages of cognitive decline can decrease the ability to perform functional activities. Brain gym is one of the physical activity therapies that is proven to improve cognitive function. The purpose of this study is to know the effect of brain gym on cognitive function. Objective: This study aims to determine the correlation of cognitive function to brain gym in elderly. Methods: This is a queasy experimental study in 70 respondent with a pre and post-test group design. The subjects were elderly who were examined with Montreal Cognitive Assessment Indonesian (MoCA-Ina) and Visual Reproduction Test (VRT) on the first day and given brain gym 13 times, which was done 2 times in 1 week and re-examined MoCA-Ina and VRT after the intervention. Results: The research results show improvement in the MoCA-Ina and VRT pre and post-examinations after being given intervention. In the MoCA-INA examination, the mean score of the pretest was 23.30 and the mean score of the post-test was 24.50, while in the VRT examination, the mean score of the pretest was 10.08, and the post-test mean score was 10.83. However, there was no significant difference between MoCA-Ina or VRT in pre- and post-interventional brain gym (p>0.05). Conclusion: There is a relationship between cognitive function which is marked by an increase in the results of Moca INA and VRT with brain gym in the elderly at Balearjosari Malang

Parkinson’s Disease Quality of Life: Disease Severity Outweighs Pain Impact Raisa, Neila; Maziya, Yulianda; Rahma, Annisa; Harbiyanti, Novita Titis; Kurniawan, Shahdevi Nandar
Jurnal Kesehatan Prima Vol 18, No 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1657

Introduction: Parkinson's disease is the second most common neurodegenerative disorder after Alzheimer's disease, progressively affecting both motor and non-motor systems in patients. In addition to the commonly recognized motor symptoms such as tremor, rigidity, and bradykinesia, non-motor symptoms such as chronic pain are often underdiagnosed. Pain in Parkinson's patients can manifest in various forms, including musculoskeletal pain, neuropathic pain, and dystonic pain. While pain is not a primary symptom defining Parkinson's, its impact on patients' quality of life is profound, contributing to reduced mobility, sleep disturbances, increased risk of falls, and poor mental health, including depression and anxiety. This study aimed to explore the relationship between the severity of Parkinson's disease, pain levels, and quality of life in Parkinson's patients. Method: A cross-sectional observational study was conducted at the Neurology Clinic of RSUD Dr. Saiful Anwar in East Java from October 2023 to March 2024, using purposive sampling techniques. We assessed Parkinson's severity (Hoehn & Yahr scale), pain levels (Numeric Rating Scale), and quality of life (Parkinson's Disease Questionnaire-39 (PDQ-39) Indonesian Version). Result: The study found that PDQ-39 INA scores were significantly associated with Parkinson's disease severity (n = 11, p = 0.012), indicating a significant impact of disease severity on quality of life. However, no significant relationship was found between PDQ-39 scores and pain levels (p = 0.117). Pearson correlation analysis showed no significant relationship between Parkinson's severity scale and pain level (r = 0.461, p = 0.154). Specifically, Parkinson's severity significantly affected PDQ-39 scores (p = 0.001), while pain levels did not have a significant effect (p = 0.399). Conclusion: This study reveals that while pain is a critical issue, it is the severity of Parkinson's disease that has a more substantial impact on patients' quality of life.

Parkinsonâ€™s Disease Quality of Life: Disease Severity Outweighs Pain Impact Raisa, Neila; Maziya, Yulianda; Rahma, Annisa; Harbiyanti, Novita Titis; Kurniawan, Shahdevi Nandar
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1657

Introduction: Parkinson's disease is the second most common neurodegenerative disorder after Alzheimer's disease, progressively affecting both motor and non-motor systems in patients. In addition to the commonly recognized motor symptoms such as tremor, rigidity, and bradykinesia, non-motor symptoms such as chronic pain are often underdiagnosed. Pain in Parkinson's patients can manifest in various forms, including musculoskeletal pain, neuropathic pain, and dystonic pain. While pain is not a primary symptom defining Parkinson's, its impact on patients' quality of life is profound, contributing to reduced mobility, sleep disturbances, increased risk of falls, and poor mental health, including depression and anxiety. This study aimed to explore the relationship between the severity of Parkinson's disease, pain levels, and quality of life in Parkinson's patients. Method: A cross-sectional observational study was conducted at the Neurology Clinic of RSUD Dr. Saiful Anwar in East Java from October 2023 to March 2024, using purposive sampling techniques. We assessed Parkinson's severity (Hoehn & Yahr scale), pain levels (Numeric Rating Scale), and quality of life (Parkinson's Disease Questionnaire-39 (PDQ-39) Indonesian Version). Result: The study found that PDQ-39 INA scores were significantly associated with Parkinson's disease severity (n = 11, p = 0.012), indicating a significant impact of disease severity on quality of life. However, no significant relationship was found between PDQ-39 scores and pain levels (p = 0.117). Pearson correlation analysis showed no significant relationship between Parkinson's severity scale and pain level (r = 0.461, p = 0.154). Specifically, Parkinson's severity significantly affected PDQ-39 scores (p = 0.001), while pain levels did not have a significant effect (p = 0.399). Conclusion: This study reveals that while pain is a critical issue, it is the severity of Parkinson's disease that has a more substantial impact on patients' quality of life.

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