A Qualitative Study of Preparation for Lumbar Spinal Stenosis Surgery: Perceptions of Patients and Physical Therapists

Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research

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CONCLUSION: There is a clear need for standardized pre-operative LSS care and education. This may decrease misunderstandings of LSS surgery and its treatments in the future as well as improve coordinated care between surgeons and PTs. J Orthop Sports Phys Ther, Epub 30 Oct 2019. doi:10.2519/jospt.2020.8887. PMID: 31663813 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Rationale: A postoperative spinal epidural hematoma (PSEH) is among the most devastating complications following spine and spinal cord surgery, and it should be considered before performing microendoscopic decompression as part of minimally invasive surgery, since early recovery is one of the advantages of this procedure. Patient concerns: A 70-year-old woman with lumbar spinal stenosis at L4-5 underwent tubular surgery with the assistance of endoscopic laminectomy (MEL), but 2 days after the surgery, the patient noticed decreased lower limb sensation and power of the right leg, and she developed numbness from the lev...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Lumbar spinal stenosis (LSS) is a common and often debilitating condition in older people. It is characterized by neurogenic claudication, consisting of lower limb pain and neurological symptoms exacerbated by walking [1]. Patients with LSS often avoid walking because of neurogenic claudication, and have reduced walking distance and physical activity [2,3]. Inadequate physical activity is linked to the development of many chronic diseases such as cardiovascular diseases, type 2 diabetes, neurodegenerative diseases, and certain cancers [4].
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
Exercise has been reported to improve short-term outcomes for patients with LSS in terms of disability and back and leg pain. However, no studies have compared supervised exercise with unsupervised exercise or quantified physical activity using a pedometer to confirm compliance with a home exercise program.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
Study Design. A retrospective study. Objective. The aim of this study was to examine practice variation in the treatment of lumbar spinal stenosis and identify targets for reducing variation. Summary of Background Data. Lumbar spinal stenosis is a degenerative condition susceptible to practice variation. Reducing variation aims to improve quality, increase safety, and lower costs. Establishing differences in surgeons’ practices from a single institution can help identify personalized variation. Methods. We identified adult patients first diagnosed with lumbar spinal stenosis between 2003 and 2015 in three ...
Source: Spine - Category: Orthopaedics Tags: SURGERY Source Type: research
AbstractPurpose of ReviewWith an aging population and increased prevalence of the disease, we set out to evaluate the validity of current diagnostic criteria for neurogenic claudication as well as the efficacy of the treatment options for the main cause, lumbar spinal stenosis (LSS).Recent FindingsEpidural steroid injections (ESI) were most efficacious when the injectate is a steroid combined with lidocaine or lidocaine only. There are promising results regarding the efficacy of the minimally invasive lumbar decompression (MILD) procedure as well as interspinous process spacers (IPS) compared to surgical alternatives. Spin...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
To examine the effectiveness of epidural steroid injection (ESI) and back education with and without physical therapy (PT) in patients with lumbar spinal stenosis (LSS).
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
To examine the effectiveness of epidural steroid injection (ESI) and back education with and without physical therapy (PT) in individuals with lumbar spinal stenosis (LSS).
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Tags: Original research Source Type: research
Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparati...
Source: BMC Complementary and Alternative Medicine - Category: Complementary Medicine Authors: Tags: Research article Source Type: research
Condition:   Lumbar Spinal Stenosis Intervention:   Other: Physical therapy intervention Sponsor:   Texas Tech University Health Sciences Center Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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