Depression and associated factors in patients with lumbar spinal stenosis

Sinikallio, Sanna; Aalto, Timo; Airaksinen, Olavi; Herno, Arto; Kröger, Heikki; Savolainen, Sakari; Turunen, Veli; Viinamäki, Heimo

doi:10.1080/09638280500192462

Cited by 60 publications

(54 citation statements)

References 54 publications

(40 reference statements)

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“…In A-and B-groups, all outcome measures significantly (p \ 0.05) improved after the operation [31][32][33][34][35][36]. Figure 1 reveals that 7/50 patients in A-group were not able to undertake the anticipated (6/12) physiotherapy visits (3-6 months postoperatively), and there was one dropout leaving 42 patients in the ''as-rehabilitated-group'' (A 0 -group) for statistical analysis.…”

Section: Resultsmentioning

confidence: 98%

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Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up

et al. 2011

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Section: Resultsmentioning

confidence: 98%

“…The study subjects were 102 patients with clinically and radiologically defined LSS [31][32][33][34][35][36]. Selection for surgery (secondary level care) was made by the orthopaedist or neurosurgeon between October 2001 and October 2004 in the University Hospital.…”

Section: Patientsmentioning

confidence: 99%

Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up

et al. 2011

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“…However, a previous spine operation or coexisting disc herniation was not an exclusion criterion. The surgeons sent information on potential study patients to the Department of Physical and Rehabilitation Medicine, which organized the study [34,35].…”

Section: Methodsmentioning

confidence: 99%

“…At the final 2-year follow-up (n = 96), four patients had died, one patient had dropped out and one patient had missing BDI data. The collection of sample data has been described in more detail by Sinikallio et al [34,35].…”

Section: Study Samplementioning

confidence: 99%

Life dissatisfaction is associated with a poorer surgery outcome and depression among lumbar spinal stenosis patients: a 2-year prospective study

et al. 2009

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The aim of this study was to examine the life satisfaction of lumbar spinal stenosis (LSS) patients up to the 2-year postoperative phase. Patients (N = 102, mean age, 62 years) with symptomatic LSS underwent decompressive surgery. Data collection took place with the same set of questionnaires before surgery and 3 months, 6 months, 1 year and 2 years postoperatively. Life satisfaction was assessed with the four-item Life Satisfaction scale and depression symptoms with the 21-item Beck Depression Inventory (BDI). In addition, a depression burden variable was included, comprising the sum of preoperative, 3-and 6-month BDI scores. Physical functioning and pain were assessed with the Oswestry disability index, Stucki questionnaire, self-reported walking ability, visual analogy scale and pain drawing. Two years postoperatively, 18% of the LSS patients was dissatisfied with their lives. As a whole, the life satisfaction of the LSS patients improved during the postoperative follow-up, reaching the level of the healthy adult Finnish population. However, 2 years postoperatively, dissatisfied patients reported significantly more pain, a poorer functional ability and more depressive symptoms and depression than the patients who were satisfied with life. This difference was seen throughout the postoperative follow up. In regression analyses, the only significant associations were between the depression burden and postoperative life dissatisfaction. Thus, subjective well-being as well as depression among LSS patients should be assessed pre-and postoperatively in order to enable early intervention for those at risk of poorer life satisfaction.

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“…It has been hypothesized that the appearance of IC is the result of direct mechanical compression of the nerve 10) , relative ischemia 11) or venous stasis 12) in microcirculation of the spinal nerve root or cauda equina. Patients with IC are greatly restricted in daily living because of their narrow range of activities 13) , and it often leads to psychological problems or a decline in the quality of life 14) . Thus, the evaluation of IC is essential in this disease.…”

Section: Introductionmentioning

confidence: 99%

Muscle Strength During Active Straight Leg Raising Correlates with Walking Capacity in Patients with Lumbar Spinal Canal Stenosis with Neurogenic Intermittent Claudication

et al. 2011

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Abstract.[Purpose] The purpose of this study was to investigate the factors related to walking capacity (WC) reflecting neurogenic intermittent claudication (IC). [Subjects and Methods] We selected 56 female patients (69.6 ± 8.0 years) with Lumber Spinal Canal Stenosis (LCS) with IC. We measured WC on a flat floor, and demonstrated that 3 factors predict the relationship with IC as follows: trunk forward bending in the standing position (finger-floor distance), muscle strength during active straight leg raising (ASLR) on the symptomatic side, and the degree of subjective pain soon after standing upright for 30 s.[Results] WC and muscle strength in ASLR were not affected by age. WC was correlated with ASLR strength.[Conclusion] These results suggest that the motion of ASLR leads to canal or foraminal stenosis, and that this test will be useful for patients with LCS.

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Depression and associated factors in patients with lumbar spinal stenosis

Cited by 60 publications

References 54 publications

Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up

Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up

Life dissatisfaction is associated with a poorer surgery outcome and depression among lumbar spinal stenosis patients: a 2-year prospective study

Muscle Strength During Active Straight Leg Raising Correlates with Walking Capacity in Patients with Lumbar Spinal Canal Stenosis with Neurogenic Intermittent Claudication

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