Predictors of objectively measured walking capacity in people with degenerative lumbar spinal stenosis

作者: Christy C. Tomkins-Lane , Michele C. Battié

DOI: 10.3233/BMR-130390

关键词:

摘要: BACKGROUND: Identifying factors associated with walking capacity in people lumbar spinal stenosis (LSS) may provide a better understanding of neurogenic claudication and inform future rehabilitation research. OBJECTIVE: To examine objectively measured sample LSS self-reported limitations. METHODS: Participants included 49 individuals (65.8 years ± 10) who were at least 45 age clinically diagnosed confirmed on MRI or CT imaging. All participants completed Self-Paced Walking Test visual analog pain scales body diagrams before immediately after walking. Questionnaires the Physical Function Symptom Severity Scales Swiss Spinal Stenosis Questionnaire, Oswestry Disability Index (ODI) Health Utilities Index. Univariate linear relationships examined, followed by development multivariate regression model distance (m) as dependent variable. A post-hoc analysis was also conducted including post-test symptom variables. RESULTS: Variables retained from univariate analyses leg pain, pre-test severity, ODI, balance problems, quality life. When these variables considered for final model, only ODI problems (R 2 = 0.33). Other than balance, none entered into model. Post-hoc found presence severity to be most highly distance. In an explanatory considering two post-walking factors, added 0.42). CONCLUSIONS: Factors self-reported, pain-related function (ODI), following

参考文章(49)
Kenneth Botwin, Sanjiv Rao, Lee Ann Brown, Mark Fishman, Fluoroscopically guided caudal epidural steroid injections in degenerative lumbar spine stenosis. Pain Physician. ,vol. 10, pp. 547- 558 ,(2007)
Davies Jb, Fairbank Jc, O'Brien Jp, Couper J, The Oswestry low back pain disability questionnaire Physiotherapy. ,vol. 66, pp. 271- 273 ,(1980)
David Feeny, William Furlong, Michael Boyle, George W. Torrance, Multi-attribute health status classification systems. Health Utilities Index. PharmacoEconomics. ,vol. 7, pp. 490- 502 ,(1995) , 10.2165/00019053-199507060-00004
Anne H. Fossel, Matthew H. Liang, Gerold Stucki, Jeffrey N. Katz, Stephen J. Lipson, Contribution of neuromuscular impairment to physical functional status in patients with lumbar spinal stenosis. The Journal of Rheumatology. ,vol. 21, pp. 1338- 1343 ,(1994)
Marianne Dalgas, Gerold Stucki, Jeffrey N. Katz, Stephen J. Lipson, Diagnosis of lumbar spinal stenosis. Rheumatic Diseases Clinics of North America. ,vol. 20, pp. 471- 483 ,(1994)
Thomas Barz, Markus Melloh, Lukas Staub, Christoph Roeder, Jörn Lange, Franz-Georg Smiszek, Jean-Claude Theis, Harry R. Merk, The diagnostic value of a treadmill test in predicting lumbar spinal stenosis European Spine Journal. ,vol. 17, pp. 686- 690 ,(2008) , 10.1007/S00586-008-0593-1
Arto Herno, Olavi Airaksinen, Tapani Saari, and Teuvo Sihvonen, Surgical results of lumbar spinal stenosis. A comparison of patients with or without previous back surgery. Spine. ,vol. 20, pp. 964- 969 ,(1995) , 10.1097/00007632-199504150-00015
Richard W. Porter, Spinal stenosis and neurogenic claudication. Spine. ,vol. 21, pp. 2046- 2052 ,(1996) , 10.1097/00007632-199609010-00024