Biomedical Science & Research Journals | Impact of Pain on Stroke and Hypertension as Comorbidities In Parkinson’s Disease

Purpose: Pain is one of the most common non-motor symptom of Parkinson’s Disease (PD) and related to disability, while the presence of comorbidity can deteriorate patient’s quality of life. The relationship between pain and comorbidity in PD has not been clearly explored. Understanding pain and patient comorbidity especially stroke and hypertension is crucial in the management of PD.
Objectives: This study aimed to report the prevalence and type of pain in patient with PD, and to determine the relationship between each type of pain and comorbidities (stroke and hypertension).
Methods: This was a cross sectional study design. Data obtained from questionnaire filled by patients and hospital data registry at Bethesda Hospital, Yogyakarta. Pain was assessed using King’s Parkinson’s Disease Pain Scale (KPPS) questionnaire. Data were analysed descriptively and chi-square test for the pain correlation.
Results: Thirty-one PD patients were recruited for this study, and most subjects were >70 years old (45.1%). Pain was present in over 22 patients (70.96%) consisted of 13 male (59.1%) and 9 females (40.9%). 20 subjects (64.5%) were in stage III Hoehn and Yahr as the most common severity level of disease. Stroke (74.2%) was more common than hypertension (38.7%) in PD patient. Musculoskeletal pain (45.2%) was the most common type of pain in PD patients and significantly correlate with stroke (45.2%, p<0.05), and orofacial pain (0%) as the least common type of pain. Chronic pain was also correlated with hypertension (16.1%, p<0.05).

Conclusion: Pain is a frequent complaint in PD. Furthermore, some types of pain were correlated with stroke as well as hypertension as comorbidities in PD.

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