Long-term Follow-up of Conservative and Surgical Treatment Results of Patients With Lumbar Spinal Stenosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Clinical Evaluation 3 Istanbul waist pain disability index
研究概览
简要总结
Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment.
详细描述
Patients between 40-85 years old who are hospitalized and treated with the diagnosis of LSS in Physical Medicine and rehabilitation, Orthopedics and Neurosurgery Clinics will be included in the study. The diagnosis of LSS will be made by MR and / or CT and neurogenic claudication history.
Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment, and the duration of the study is considered to be 24 months. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment.
Clinical evaluation will be done by the same physician. In patients with spinal stenosis, pain (movement, rest, night) VAS, functional status walking distance and ILBDI (Istanbul waist pain disability index) inquiry form, Nottingham Extended Life Profile will be used.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •To be between 40-85 years old
- •Defining neurogenic claudication in patient anamnesis
- •Diagnosis of lumbar stenosis in MR and / or CT imaging
- •The duration of the symptom should be at least 4 weeks
- •Other causes of low back pain have been ruled out
排除标准
- •Having had lumbar surgery before
- •Physical therapy for lumbar spinal stenosis less than 3 months ago
- •Any lumbar injection has been applied before
- •Patients with inflammatory low back pain
- •Patients with spinal stenosis due to spondylolysis and / or spondylolisthesis
- •Patients with a history of trauma and suspected Vertebral fracture
结局指标
主要结局
Clinical Evaluation 3 Istanbul waist pain disability index
时间窗: 1st month
In patients with spinal stenosis, ILBDI (Istanbul waist pain disability index) form will be used.
Clinical Evaluation 4 Nottingham Extended Life Profile
时间窗: 1st month
In patients with spinal stenosis, Nottingham Extended Life Profile will be used.
Clinical Evaluation VAS (visual analog scale) for pain assessment
时间窗: 1st month
Clinical evaluation will be done by the same physician. In patients with spinal stenosis, VAS (visual analog scale) for pain assessment will be used.
Clinical Evaluation 2 functional status walking distance
时间窗: 1st month
In patients with spinal stenosis, functional status walking distance will be used.
次要结局
- Clinical Evaluation 5(12th month)
- Clinical Evaluation 6(12th month)
- Clinical Evaluation 8(12th month)
- Clinical Evaluation 7(12th month)
研究者
Aylin Ayyıldız
Medical Doctor in Physical Medicine and Rehabilitation
Sisli Hamidiye Etfal Training and Research Hospital