scholarly journals Effects of a Home Exercise Program on the Self-report Disability Index and Gait Parameters in Patients with Lumbar Spinal Stenosis

2014 ◽  
Vol 26 (2) ◽  
pp. 305-307 ◽  
Author(s):  
Eui-Ryong Kim ◽  
Min-Hyeok Kang ◽  
Yang-Gon Kim ◽  
Jae-Seop Oh
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Exercise Program ◽  
The Self ◽  
Self Report ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Gait Parameters ◽  
Lumbar Spinal

Low-impact exercise program for patients with symptomatic lumbar spinal stenosis awaiting surgery: a controlled pilot study

2019 ◽  
Vol 22 (2) ◽  
pp. 97-105
Author(s):  
Elisabeth Thornes ◽  
Hilde Stendal Robinson ◽  
Stefan Moosmayer ◽  
Arne Ekeland ◽  
Nina Køpke Vøllestad
Keyword(s):  
Pilot Study ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Exercise Program ◽  
Impact Exercise ◽  
Lumbar Spinal

Supervised physical therapy versus unsupervised exercise for patients with lumbar spinal stenosis: 1-year follow-up of a randomized controlled trial

2021 ◽  
pp. 026921552098668
Author(s):  
Masakazu Minetama ◽  
Mamoru Kawakami ◽  
Masatoshi Teraguchi ◽  
Ryohei Kagotani ◽  
Yoshimasa Mera ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Physical Function ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Symptom Severity ◽  
Therapy Group ◽  
Controlled Trial ◽  
Exercise Group ◽  
Home Exercise ◽  
Lumbar Spinal

Objective: To compare the 1-year outcomes of patients with lumbar spinal stenosis treated with supervised physical therapy or unsupervised exercise. Design: A single-center randomized controlled trial with concealed allocation, blinded assessor and intention-to-treat analysis. Setting: Spine care center. Subjects: A total of 86 patients presenting with symptoms of neurogenic claudication caused by lumbar spinal stenosis. Interventions: The physical therapy group received supervised physical therapy sessions twice a week for 6 weeks and home exercise program. The home exercise group received 6-week home exercise program only. Main measures: The primary outcome was symptom severity on the Zurich claudication questionnaire at 1 year. Secondary outcomes included physical function, pain, health-related quality of life and the surgery rate after 1 year. Results: At 1 year, more patients in the physical therapy group than in the home exercise group achieved minimum clinically important differences in Zurich claudication questionnaire symptom severity (60.5% vs 32.6%; adjusted odds ratio [AOR] 4.3, [95% CI [1.5–12.3], P = 0.01); Zurich claudication questionnaire physical function (55.8% vs 32.6%; AOR 3.0 [1.1–8.1], P = 0.03); SF-36 bodily pain (48.8% vs 25.6%; AOR 2.8 [1.1–7.3], P = 0.03), and SF-36 general health (20.9% vs 7.0%; AOR 6.1 [1.1–33.0], P = 0.04). The surgery rate at 1 year was lower in the physical therapy than in the home exercise group (7.0% vs 23.3%; AOR 0.2 [0.04–0.9] P = 0.04). Conclusions: Supervised physical therapy produced greater improvements in symptom severity and physical function than unsupervised exercise and was associated with lower likelihood of receiving surgery within 1 year.

scholarly journals Adherence to Self-managed Exercises for Patients with Persistent Subacromial Pain: The Ad-Shoulder Feasibility Study

2020 ◽  
Author(s):  
Daniel H. Major ◽  
Margreth Grotle ◽  
Chris Littlewood ◽  
Jens Ivar Brox ◽  
Dagfinn Matre ◽  
...  
Keyword(s):  
Physical Activity ◽  
Adverse Events ◽  
Feasibility Study ◽  
Exercise Program ◽  
Exercise Adherence ◽  
The Self ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Activity Measures

Abstract Background: Exercise is recommended for patients with subacromial pain. It has been suggested that good exercise adherence improves clinical outcomes. Despite this, little attention has been paid to the need for behavioural frameworks to enhance adherence to home exercise programs for patients with subacromial pain.Methods: A feasibility study with pre-post design was used. Participants aged > 18 years, with subacromial pain, who had received conservative treatment during the past six months, were recruited. The Ad-Shoulder intervention consisted of 1-5 individual sessions provided over 3 months and was based on 5 self-management skills, which aimed to enhance the patients’ self-efficacy and adherence to self-managed exercises. The primary objectives were assessed according to predefined progression criteria: 1) The recruitment rate (10 patients enrolled within 12 weeks); 2) Follow-up rate (≥80% on all self-reported measures); 3) Objective physical activity measures (≥80% of participants would contribute valid data at each time point), 4) Adherence with the self-managed exercises (≥80% of the participants would adhere to ≥80% of the assigned home exercise program); 5) Fidelity of the delivery of the intervention (The therapists delivered the intervention according to the protocol); 6) Adverse events (<30% would report adverse events (including mild)). The results were reported using descriptive statistics.Results: Eleven patients were recruited during 16 weeks. Ten patients completed the self-reported measures at baseline and Week 12. Objective physical activity measures were successfully obtained for 100% at baseline, 64% at week six and 82% at week 12. 55% of the participants satisfactorily completed at least 80% of their home exercise program. All sessions were delivered according to the protocol. None of the patients reported any adverse events. Conclusions: Objective physical activity data measures at baseline and week 12, follow-up, the physiotherapists’ fidelity to the intervention and adverse events met our pre-specified progression criteria. Recruitment and adherence to the self-managed exercise program were both below the anticipated level. Further intervention development is necessary to understand whether adherence to the self-managed exercises could be enhanced and additional methods of recruitment would need to be considered, including additional recruitment sites, in any planning for a future main trial.Trial registration: ClinicalTrials.gov NCT04190836, Registered December 9, 2019 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04190836

Supervised physical therapy vs. home exercise for patients with lumbar spinal stenosis: a randomized controlled trial

2019 ◽  
Vol 19 (8) ◽  
pp. 1310-1318 ◽  
Author(s):  
Masakazu Minetama ◽  
Mamoru Kawakami ◽  
Masatoshi Teraguchi ◽  
Ryohei Kagotani ◽  
Yoshimasa Mera ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Therapy ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Controlled Trial ◽  
Home Exercise ◽  
Randomized Controlled ◽  
Lumbar Spinal
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