MedPath

Better outcomes for older people with spinal trouble

Not Applicable
Completed
Conditions
eurogenic claudication, Spinal stenosis
Nervous System Diseases
Neurogenic claudication, Spinal stenosis
Registration Number
ISRCTN12698674
Lead Sponsor
Oxford University Hospitals NHS Foundation Trust
Brief Summary

2018 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/30341124 protocol (added 30/10/2019) 2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32878759/ protocol for causal mediation analysis (added 07/09/2020) 2022 Other publications in https://pubmed.ncbi.nlm.nih.gov/36104131/ (added 15/09/2022) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35279025/ (added 30/09/2022) 2023 Other publications in https://pubmed.ncbi.nlm.nih.gov/36755265/ Economic evaluation (added 10/02/2023) 2019 Other publications in https://pubmed.ncbi.nlm.nih.gov/30935673/ Development and delivery of the BOOST intervention (added 06/06/2024) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/38127693/ (added 06/06/2024)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
435
Inclusion Criteria

1. Aged 65 years and over
2. Registered with a primary care practice
3. Living in the community, including sheltered or supported housing
4. Willing and able to give informed consent for participation in the trial
5. Reports symptoms consistent with neurogenic claudication

Exclusion Criteria

1. Living in a residential care or nursing home
2. Has a terminal condition with a life expectancy of less than 6 months
3. Any substantial health or social concern that, in the opinion of the patient’s general practitioner, would place the patient at increased risk or inability to participate including known inability to provide informed consent e.g. Dementia
4. Unable to walk 3 meters without the help of another person
5. On a surgical waiting list
6. Presents with cauda equina syndrome or signs of serious pathology requiring immediate referral for investigations
7. Cognitive impairment (defined as an Abbreviated Mental Test score of 6 or less)
8. Registered blind
9. Unable to follow verbal instructions which would make participation in the exercise group impractical including severe hearing impairment not corrected by a hearing aid or inability to follow simple safety instructions (eg English comprehension)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Functional Disability is measured using the Oswestry Disability Index at baseline, 6, 12, 24 months.
Secondary Outcome Measures
NameTimeMethod
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