Quality of life and related factors in degenerative lumbar spinal stenosis: A controlled study

Özdemir, Erdi; Paker, N.; Buğdaycı, Derya; Tekdos, Demircioglu D.

doi:10.3233/bmr-140578

Cited by 12 publications

(14 citation statements)

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“…Significant positive correlations were found between disability and anxiety ( p = .016) and depression ( p < .001), suggesting that a more severe disability is likely to lead to a higher level of anxiety and depression. This finding corresponds with the studies of Hong et al (), Özdemir, Paker, Bugdayci, and Tekdos (), and Pakarinen et al (). This result supports the findings of past studies on patients with lumbar disorders, which found that pain, depression and anxiety were significantly correlated (Hung, Liu, & Fu, ; Patton et al, ).…”

Section: Discussionsupporting

confidence: 93%

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

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Aim and objective To explore the disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Background Few studies have investigated the correlations between disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Design This study used a cross‐sectional research design. Methods Participants were 133 patients aged over 50 years who were experiencing lumbar spondylolisthesis. The research instruments included a demographic information questionnaire; the Numeric Rating Scale (NRS); the Charlson Comorbidity Index (CCI); the Chinese versions of the Oswestry Disability Index (ODI), State‐Trait Anxiety Inventory‐State (STAI‐S) and Center for Epidemiological Study‐Depression (CES‐D); and the Psychological Well‐being (PWB) Scale. Emotional distress was measured by the STAI‐S and CES‐D. Pearson's correlations coefficient, multiple linear regression and a mediating effect model were introduced to explore correlations between the variables and predictors of psychological well‐being, and details of the methods are reported in coherence to STROBE criteria. Results Eighty‐six participants (64.6%) had moderate and severe anxiety, and 42 (31.6%) experienced depression. Participants reported medium to high levels of well‐being; “satisfaction with interpersonal relationships” was rated the highest and “physical and mental health” the lowest. Disability, depression and anxiety had significant negative correlations with well‐being. Depression and anxiety mediated the relationship between disability and well‐being. Moreover, depression, family support, educational background and anxiety were predictors of well‐being, accounting for 39.1% of the total variance. Conclusions Disability and emotional distress among patients with lumbar spondylolisthesis had a negative impact on well‐being. Anxiety and depression were closely correlated with and substantially influenced well‐being. Relevance to clinical practice Health professionals will enhance the understanding of important factors influencing well‐being among patients with lumbar spondylolisthesis. This study suggests the conduct of depression and anxiety evaluations at outpatient clinics and prior to surgery, so that clinicians will be aware of the emotional distress status of patients with lumbar spondylolisthesis and, therefore, enhance their well‐being.

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Section: Discussionsupporting

confidence: 93%

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

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“…Overall, conflicting results were found based on the five studies reporting on the association between quality of life and walking capacity (distance or time) ( 15 , 37 , 40 , 41 , 44 ).…”

Section: Resultsmentioning

confidence: 99%

Physical and Psychological Factors Associated With Walking Capacity in Patients With Lumbar Spinal Stenosis With Neurogenic Claudication: A Systematic Scoping Review

et al. 2021

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Objective: The purpose of this study was to evaluate the current state of scientific knowledge regarding physical and psychological factors associated with walking capacity in patients with lumbar spinal stenosis (LSS) with neurogenic claudication.Design: Systematic scoping review.Literature Search: We searched CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE, Cochrane, PsycINFO, and SPORTDiscus databases.Study Selection Criteria: Cohorts and cross-sectional studies reporting on associations between physical or psychological factors and impaired walking capacity in patients with symptomatic LSS were included.Data Synthesis: Data were synthetized to identify associations between physical or psychological factors and either walking capacity, gait pattern characteristics, or functional tasks.Results: Twenty-four studies were included. Walking capacity was significantly correlated with several pain outcomes, disability, estimated walking distance, and cross-sectional area of the lumbar spine. Gait pattern characteristics such as speed and stride were strongly and positively correlated with disability outcomes. Functional tasks were significantly correlated with lower back and upper limb disability, lower limb endurance strength, ranges of motion, and speed. Associations with psychological factors were mostly conflicting except for the Rasch-based Depression Screener and the Pain Anxiety Symptom Scale (PASS-20) questionnaire that were associated with a decreased performance in functional tasks.Conclusion: Physical and psychological factors that are associated with walking capacity in patients with symptomatic LSS were identified. However, many associations reported between physical or psychological factors and walking capacity were conflicting, even more so when correlated with walking capacity specifically.

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“…Neurogenic claudication is a distinctive symptom of lumbar spinal stenosis (LSS) [ 32 ]. Meanwhile, the important consequences of DLSS are pain and poor quality of life [ 11 ]. Non-surgical management including drugs, physiotherapy, and injections is recommended for LSS before surgical intervention; however, the long-term use of painkillers remains unclear and the efficacy of physiotherapy and injections is unclear [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…As patients with DLSS experience gradually aggravated symptoms, they may have neurogenic claudication with hypoesthesia and numbness in the lateral lower legs and feet; additionally, some patients may have bowel and bladder disturbances [ 9 , 10 ]. DLSS patients have a poor quality of life, especially elderly patients [ 11 ]. In accordance with the guidelines of the North American Spine Society, treatment options comprise surgical therapy, epidural steroid injections and physical therapy, and transcutaneous electrical stimulation.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acupuncture for treatment of intermittent claudication in patients with degenerative lumbar spinal stenosis: protocol for a randomized controlled trial

Zhou

Liu

Sun

et al. 2020

Trials

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Background Degenerative lumbar spinal stenosis (DLSS) is a common condition secondary to degenerative changes. Acupuncture may be effective for treating DLSS. However, there is a lack of sufficient evidence showing the efficacy of acupuncture. The aim of this study is to assess the efficacy and safety of acupuncture for relieving neurogenic claudication in patients with DLSS. Methods A total of 196 patients will be randomly assigned to an acupuncture group or a sham acupuncture group at a ratio of 1:1. Patients will receive 18 sessions of treatment for 6 continuous weeks. The primary outcome will be the change in the Modified Roland-Morris Disability Questionnaire score from baseline to week 6. The secondary outcomes will include the change in the scores from baseline for the Numerical Rating Scale, Swiss Spinal Stenosis Questionnaire, and Anxiety and Depression Scale. Additionally, the expectancy of acupuncture, blinding, and safety will also be assessed. All analysis will be performed based on intention-to-treat. Discussion The aim of this study is to evaluate the efficacy and safety of acupuncture for the treatment of neurogenic claudication in patients with DLSS. A limitation of this study is that acupuncturists cannot be blinded according to the characteristics of acupuncture, which may introduce some bias. Trial registration ClinicalTrials.gov NCT03784729 and protocol ID 2018-161-KY. Registered on 18 December 2018.

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Quality of life and related factors in degenerative lumbar spinal stenosis: A controlled study

Abstract: As a result, quality of life was decreased in subjects with LSS. The factors related with the quality of life were the walking distance, severity of the disability and emotional status in LSS.

Cited by 12 publications

References 0 publications

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Physical and Psychological Factors Associated With Walking Capacity in Patients With Lumbar Spinal Stenosis With Neurogenic Claudication: A Systematic Scoping Review

Efficacy of acupuncture for treatment of intermittent claudication in patients with degenerative lumbar spinal stenosis: protocol for a randomized controlled trial

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