Lumbar Spinal Stenosis
Conditions
Keywords
Lumbar Spinal Stenosis, Rehabilitation, Surgery, Exercise
Brief summary
Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment.
Detailed description
Patients between 40-85 years old who are hospitalized and treated with the diagnosis of LSS in Physical Medicine and rehabilitation, Orthopedics and Neurosurgery Clinics will be included in the study. The diagnosis of LSS will be made by MR and / or CT and neurogenic claudication history. Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment, and the duration of the study is considered to be 24 months. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment. Clinical evaluation will be done by the same physician. In patients with spinal stenosis, pain (movement, rest, night) VAS, functional status walking distance and ILBDI (Istanbul waist pain disability index) inquiry form, Nottingham Extended Life Profile will be used.
Interventions
BEHAVIORALExercise and physical therapy
Decompression operation
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
40 Years to 85 Years
Inclusion criteria
1. To be between 40-85 years old 2. Defining neurogenic claudication in patient anamnesis 3. Diagnosis of lumbar stenosis in MR and / or CT imaging 4. The duration of the symptom should be at least 4 weeks 5. Other causes of low back pain have been ruled out
Exclusion criteria
1. Having had lumbar surgery before 2. Physical therapy for lumbar spinal stenosis less than 3 months ago 3. Any lumbar injection has been applied before 4. Patients with inflammatory low back pain 5. Patients with spinal stenosis due to spondylolysis and / or spondylolisthesis 6. Patients with a history of trauma and suspected Vertebral fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Evaluation 3 Istanbul waist pain disability index | 1st month | In patients with spinal stenosis, ILBDI (Istanbul waist pain disability index) form will be used. |
| Clinical Evaluation VAS (visual analog scale) for pain assessment | 1st month | Clinical evaluation will be done by the same physician. In patients with spinal stenosis, VAS (visual analog scale) for pain assessment will be used. |
| Clinical Evaluation 2 functional status walking distance | 1st month | In patients with spinal stenosis, functional status walking distance will be used. |
| Clinical Evaluation 4 Nottingham Extended Life Profile | 1st month | In patients with spinal stenosis, Nottingham Extended Life Profile will be used. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Evaluation 6 | 12th month | In patients with spinal stenosis, functional status walking distance will be used in 3rd , 6th and 12th month. |
| Clinical Evaluation 5 | 12th month | In patients with spinal stenosis, VAS will be used in 3rd , 6th and 12th month. |
| Clinical Evaluation 7 | 12th month | In patients with spinal stenosis, ILBDI (Istanbul waist pain disability index) form will be used in 3rd , 6th and 12th month. |
| Clinical Evaluation 8 | 12th month | In patients with spinal stenosis, Nottingham Extended Life Profile will be used in 3rd , 6th and 12th month. |
Countries
Turkey (Türkiye)
Outcome results
None listed