Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators

Publication date: May 2018Source: Annals of Physical and Rehabilitation Medicine, Volume 61, Issue 3Author(s): Charlotte Pauwels, Alexandra Roren, Adrien Gautier, Jonathan Linières, François Rannou, Serge Poiraudeau, Christelle NguyenAbstractBackgroundLumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain.ObjectivesTo assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS).MethodsWe conducted a retrospective mixed-method study. Patients ≥ 50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened. The intervention consisted of a single supervised session followed by home-based sessions of cycling, with dose (number of sessions and duration, distance and power per session) self-determined by patient preference. The primary outcome was assessed by a qualitative approach using semi-structured interviews at baseline and 3 months and was the identification of barriers and facilitators to the intervention. Secondary outcomes were assessed by a quantitative approach and were adherence monitored by a USB stick connected to the bicycle, burden of treatment assessed by the Exercise Therapy Burden Questionnaire (ETBQ) and clinical efficacy assessed by change in lumbar pain, radicular pain, disability, spine-specific activ...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research

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Publication date: June 2019Source: Technological Forecasting and Social Change, Volume 143Author(s): Anne-Sophie Barbe, Caroline HusslerAbstractMarket organizations of the sharing economy have gained economic and social prominence. Most of these market organizations incorporate decentralized evaluation systems into their digital platform. However, these market organizations involve users and organizers with different ideas on what is valuable and what is not in sharing-economy transactions. Building on neo-institutional insights coupled with French pragmatist sociology, we investigate the role of decentralized evaluation s...
Source: Technological Forecasting and Social Change - Category: Science Source Type: research
Authors: Mostafavian Z, Vakilian F, Torkmanzade L, Moghiman T Abstract Introduction: Heart failure with reduced ejection fraction (HFrEF) is a debilitating disease in which Left Ventricular Ejection Fraction (LVEF) is ≤ 40%, and it involves various organs. Regarding the novelty of stem cell therapy in HF, we aimed at studying the effect of stem cell therapy on the QoL of patients with HFrEF. Materials and Methods: In a prospective study, 30 patients diagnosed with HFrEF who had undergone stem cell injection (study group) and 30 patients with HFrEF receiving guideline-directed medical therapy (control group) were...
Source: Journal of Medicine and Life - Category: General Medicine Tags: J Med Life Source Type: research
Publication date: May 2018Source: Annals of Physical and Rehabilitation Medicine, Volume 61, Issue 3Author(s): Charlotte Pauwels, Alexandra Roren, Adrien Gautier, Jonathan Linières, François Rannou, Serge Poiraudeau, Christelle NguyenAbstractBackgroundLumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain.ObjectivesTo assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS).MethodsWe conducted a retrospective mixed-method s...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
ConclusionsThe 30-degreed endoscopy had the advantages of obtaining a wider view. Full endoscopic decompression using 30-degreed endoscopy allowed satisfactory result clinically and reduction of surgical infection. It could be alternative method of microscopic laminectomy.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
ConclusionsThe 30-degreed endoscopy had the advantages of obtaining a wider view. Full endoscopic decompression using 30-degreed endoscopy allowed satisfactory result clinically and reduction of surgical infection. It could be alternative method of microscopic laminectomy.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
Conclusions For people with LSS, home-based cycling is a feasible intervention.
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
Conclusions For people with LSS, home-based cycling is a feasible intervention. ClinicalTrials.gov identifier NCT03325309. First Posted: October 30, 2017. Last Update Posted: October 30, 2017.
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
Conclusions The 30-degreed endoscopy had the advantages of obtaining a wider view. Full endoscopic decompression using 30-degreed endoscopy allowed satisfactory result clinically and reduction of surgical infection. It could be alternative method of microscopic laminectomy.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
CONCLUSIONS: Neuropathic pain was slightly less frequently associated with chronic LBP in the elderly. Pregabalin was effective in reducing pain in patients with chronic LBP accompanied with neuropathic pain. Lumbar spinal stenosis and lower limb symptoms were observed in patients with neuropathic pain. We recommend the use of pregabalin for patients after evaluating a screening score, clinical symptoms and magnetic resonance imaging studies. PMID: 25901238 [PubMed]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusion Impaired lumbar proprioception seems to improve shortly after decompressive surgery but tends to deteriorate again with longer follow-up despite the sustaining favorable clinical outcome. The surgery did not affect either the feed-forward or the feed-back muscle function, which indicates that the abnormal muscle activity in LSS is at least partly irreversible.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
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