Examination of Frailty and Related Factors in Lumbar Spinal Stenosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 91
- Locations
- 1
- Primary Endpoint
- Dynamic balance
Study Overview
Brief Summary
Lumbar spinal stenosis (LSS) is generally seen with advanced age, but it manifests itself with an increase in both physical and psychological health problems. Frailty is an important parameter that has become increasingly important in recent years and affects both the physical and psychological health of individuals. It has been examined in various disease groups in the literature and is reported to increase in patients with low back pain. However, the level of frailty and related factors in LSS are unknown. Since physical and psychological health are important in maintaining daily life, it is important to examine frailty in these individuals who present with chronic pain symptoms.
Detailed Description
Lumbar spinal stenosis (LSS) is a degenerative disease that occurs due to compression of neurological structures as a result of narrowing of the spinal canal, and is particularly common in elderly individuals. LSS is characterized by pain, neurogenic claudication, decreased walking capacity, and functional disability. This condition can limit patients' daily living activities, leading to decreased physical activity levels, balance disorders, and increased fear of falling. At the same time, disability and decreased quality of life due to the disease can negatively affect individuals' physical and psychosocial health status, leading to increased frailty levels. Frailty is an important geriatric concept that requires multidisciplinary approaches and is associated with increased dependency and risk of falling in elderly individuals. Demonstrating the relationship between frailty and parameters such as pain, disability, quality of life, physical activity, balance, and fear of falling in individuals with LSS can contribute to the development of more effective rehabilitation strategies for the management of the disease.
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 45 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients diagnosed with lumbar spinal stenosis by MRI,
- •Patients between the ages of 45-80,
- •Patients who can stand independently,
- •Volunteer to participate in the study
Exclusion Criteria
- •Patients who did not agree to participate in the study,
- •Those with a chronic disease that would affect walking,
- •Those who had undergone surgery in the lumbar region within the last year,
- •Those with advanced joint disease in the lower extremity,
- •Those with malignancy in the spine,
- •Those with vision and/or vestibular system problems,
- •Those who did not cooperate well were not included in the study.
Arms & Interventions
Patients with frail LSS
Patients with LSS who are frail according to Fried criteria will be assigned to this group. According to the Frid criteria, patients who score 3 or more on the following symptoms have a frailty level: weight loss, weakness, exhaustion, decreased mobility, and physical inactivity.
Patients without frail LSS
Patients with LSS who are not frail according to Fried criteria will be assigned to this group.
Outcomes
Primary Outcomes
Dynamic balance
Time Frame: Baseline
Dynamic balance will be assessed with Timed up and Go test. Time will be recorded in seconds
Disability
Time Frame: Baseline
Disability will be assessed using the Oswestry Disability Index. The scale is scored from 0 to 100. A higher score indicates greater disability.
Pain severity
Time Frame: Baseline
Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain. Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain. Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain.
Static balance
Time Frame: Baseline
Static balance will be assessed with the one-legged standing test. The test is terminated when it is 30 seconds or more, and there is a balance disorder below 10 seconds. Static balance will be assessed with the one-legged standing test. The test is terminated when it is 30 seconds or more, and there is a balance disorder below 10 seconds.
Fear of Falling
Time Frame: Baseline
Fear of falling will be assessed with the Fall Efficacy Scale-International. It is scored between 16-64, the higher the score, the greater the fear of falling.
Health related quality of life
Time Frame: Baseline
Quality of life will be assessed with Short Form-36. It is scored between 0-100, the higher the score, the higher the quality of life.
Secondary Outcomes
No secondary outcomes reported
Investigators
Musa Güneş
Principal Investigator, PhD
Karabuk University