1. Therapeutic Advantages of Frequent Physical Therapy Sessions for Patients With Lumbar Spinal Stenosis
- Author
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Yoshimasa Mera, Masafumi Nakagawa, Masakazu Minetama, Mamoru Kawakami, Sachika Matsuo, Tomoko Kitano, Yoshio Yamamoto, Tadashi Sumiya, Yukihiro Nakagawa, Nana Sakon, Masatoshi Teraguchi, Ryohei Kagotani, and Tomohiro Nakatani
- Subjects
Male ,medicine.medical_specialty ,Lumbar vertebrae ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Spinal Stenosis ,Randomized controlled trial ,law ,Surveys and Questionnaires ,Back pain ,medicine ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Prospective cohort study ,Physical Therapy Modalities ,Aged ,Pain Measurement ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,Lumbar Vertebrae ,business.industry ,Lumbar spinal stenosis ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Exercise Therapy ,medicine.anatomical_structure ,Back Pain ,Orthopedic surgery ,Physical therapy ,Female ,Neurology (clinical) ,medicine.symptom ,Claudication ,business ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
STUDY DESIGN A retrospective study of a randomized clinical trial and a prospective study of patients with lumbar spinal stenosis (LSS). OBJECTIVE The aim of this study was to identify the effects of the number of physical therapy (PT) sessions on clinical outcomes of patients with LSS. SUMMARY OF BACKGROUND DATA Supervised PT for patients with LSS has been reported to lead to better short-term outcomes in terms of disability and leg pain than unsupervised exercise. However, no studies have investigated the relationship between the number of PT sessions and the therapeutic effects in patients with LSS. METHODS All patients received exercise therapy for 6 weeks. Included were 43 patients receiving supervised PT twice a week (P2 group), 38 patients receiving supervised PT once a week (P1 group), and 43 patients receiving a home exercise program alone (HE group). Clinical outcomes were measured using the Zurich Claudication Questionnaire (ZCQ), a numerical rating scale (NRS) of back pain and leg pain, the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) at baseline and at 6 weeks. RESULTS At 6 weeks, the P2 group showed significant improvements in ZCQ physical function, back and leg pain on the NRS compared with the P1 group (P
- Published
- 2019