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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Conclusion: We think this rare case could promote a better understanding of the dynamic nature of the central nervous system and the peripheral nervous system within intradural space. PMID: 30533275 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
Authors: Craig MH, Scott JM, Slayton RL, Walker AL, Chi DL Abstract BACKGROUND: Preschool-aged children with special health care needs (CSHCN) from low-income households are at increased risk of developing poor oral health. The study goal was to assess preventive dental care use for CSHCN enrolled in Medicaid within Washington state's Access to Baby and Child Dentistry (ABCD) program. METHODS: The authors analyzed 2012 Medicaid eligibility and claims files for children younger than 6 years in the ABCD program (N = 206,488). The authors used medical diagnosis and eligibility data to identify each child's sp...
Source: Journal of the American Dental Association - Category: Dentistry Tags: J Am Dent Assoc 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
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
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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