Lumbar Spinal Stenosis Musculoskeletal Diseases Lumbar spinal stenosis
Conditions
Interventions
Individualized Rehabilitation Group: Manual physical therapy, exercise, body weight supported treadmill ambulation
Traditional Rehabilitation Group: Flexion exercises, level treadmill ambulation, and
Sponsors
Wilford Hall Medical Center (USA)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age greater than or equal to 50 years and eligible for military health care 2. Magnetic resonance imaging (MRI) findings consistent with LSS (evidence of compression of lumbar spinal nerve root(s) by degenerative lesions of the facet joint, disc, and/or ligamentum flavum) 3. Chief complaint of pain in the low back, buttock and/or lower extremity(s) 4. Rates sitting as a better position with respect to symptom severity than standing or walking 5. Lives within one hour of either Brooke Army Medical Center or Wilford Hall Medical Center 6. Can attend regular physical therapy appointments for six weeks (2 appointments per week) and three examination appointments (baseline, end of treatment, and 1 year after completion of treatment) 7. Sufficient English reading and language skills and mental capability to complete pain and functional assessment questionnaires
Exclusion criteria
Exclusion criteria: 1. Severe vascular, pulmonary or coronary artery disease which limits ambulation (as determined by the referring physician, the specialist, or the therapist) 2. Other orthopedic conditions or physical impairments of unrelated nature which would limit ambulation or prevent the subject from fully participating in any other aspect of the rehabilitation exercises (as determined by the referring physician, the specialist, or the therapist) 3. Previous spinal surgery 4. History of spinal tumors, spinal infection, or lumbar vertebral fractures other than spondylolisis or spondylolisthesis 5. Inability to have an MRI scan of the lumbar spine. As with any standard MRI scan, the MRI clinic staff will determine if a subject may or may not complete the test. The following conditions may exclude a patient from being able to have the MRI scan: pacemaker, biomedical implants, a history of metal work or hobbies including metal work, cochlear implants, metal in the eye, claustrophobia, obesity (over 440 lbs).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Global Rating of Change | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Oswestry, Treadmill Test, Swiss Spinal Stenosis Scale, NPRS, Patient Specific Functional Scale | — |
Countries
United States of America
Outcome results
None listed