Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study

Ishimoto, Yuyu; Yoshimura, Nagahisa; Muraki, Shigeyuki; Yamada, Hiroshi; Nagata, Keiji; Hashizume, Hiroshi; Takiguchi, Noboru; Minamide, Akihito; Oka, Hiroyuki; Kawaguchi, Hiroshi; Nakamura, Kozo; Akune, Toru; Yoshida, Munehito

doi:10.1016/j.joca.2012.06.018

Cited by 206 publications

(155 citation statements)

References 26 publications

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“…The estimated prevalence of symptomatic LSS ranges between 8.4% [2] and 9.3% in the general population, [3] and is on the rise worldwide [4]. There are an estimated 1.2 million people in the US with symptomatic LSS at any given point in time [2].…”

Section: Introductionmentioning

confidence: 99%

The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

Tomkins-Lane

Lafave

Parnell

et al. 2013

BMC Musculoskelet Disord

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BackgroundBecause of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of this intervention include pedometer-based physical activity promotion and nutrition education.Methods/DesignThe Spinal Stenosis Pedometer and Nutrition Lifestyle Intervention (SSPANLI) was developed and piloted with 10 individuals. The protocol for a randomized controlled trail comparing the SSPANLI intervention to usual non-surgical care follows. One hundred six (106) overweight or obese individuals with LSS will be recruited. Baseline and follow-up testing includes dual energy x-ray absorptiometry, blood draw, 3-day food record, 7-day accelerometry, questionnaire, maximal oxygen consumption, neurological exam, balance testing and a Self-Paced Walking Test. Intervention: During Week 1, the intervention group will receive a pedometer, and a personalized consultation with both a Dietitian and an exercise specialist. For 12 weeks participants will log on to the e-health website to access personal step goals, walking maps, nutrition videos, and motivational quotes. Participants will also have access to in-person Coffee Talk meetings every 3 weeks, and meet with the Dietitian and exercise specialist at week 6. The control group will proceed with usual care for the 12-week period. Follow-up testing will occur at Weeks 13 and 24.DiscussionThis lifestyle intervention has the potential to provide a unique, non-surgical management option for people with LSS. Through decreased fat mass and increased function, we may reduce risk for obesity, chronic diseases of inactivity, and pain. The use of e-health interventions provides an opportunity for patients to become more involved in managing their own health. Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.Trial registrationClinicaltrials.gov, NCT01902979

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Section: Introductionmentioning

confidence: 99%

The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

Tomkins-Lane

Lafave

Parnell

et al. 2013

BMC Musculoskelet Disord

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“…They also reported that the prevalence of LSS increased with age, but only 17.5 % of the participants with severe central stenosis were symptomatic. Furthermore, in the same cohort in their study, they showed that the overall prevalence of symptomatic LSS was 9.3 %, and the prevalence increased with age, particularly in women [40]. Yabuki et al [41] estimated the prevalence of LSS using a diagnostic support tool in their population-based study of 2666 subjects with a mean age of 60 years, and they showed that the prevalence of symptomatic LSS was 5.7 %, increased with age, and was particularly high in subjects aged 70-79 years ([10 %), irrespective of sex.…”

Section: Etiologymentioning

confidence: 76%

“…Moreover, walking dysfunction was more apparent in patients with LSS than in patients with osteoarthritis of the knee or hip. In their study among community-dwelling participants, Ishimoto et al [40] reported that the results of the 6-m walking test, chair-standing test, and one-leg standing test were worse in patients with symptomatic LSS than those in participants without LSS. Tomkins-Lane et al [46] analyzed the walking ability using a pedometer in subjects 55-80 years old and found that the patients with LSS had decreased 1-week walking distance, daily step counts, and 15-min walking distance and velocity than asymptomatic subjects, but there were no significant differences in the walking parameters between the patients with LSS and LBP.…”

Section: Association With Locomotive Syndromementioning

confidence: 97%

Spinal Disorders as a Cause of Locomotive Syndrome: The Influence on Functional Mobility and Activities of Daily Living

Makino

Kaito

Yonenobu

2016

Clinic Rev Bone Miner Metab

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Spinal disorders are one of the most common causes of locomotive syndrome because the spine plays an important role as the locomotive organs which provide the three functions: body frames, junction sites, and motors/ regulators. Previous reports have shown that low back pain or leg pain and/or intermittent claudication due to spinal stenosis in lumbar spine disorders, gait abnormality due to degenerative cervical myelopathy in cervical spine disorders, and trunk imbalance due to adult spinal deformity have negative effects on walking speed, walking distance, and movement ability, thereby increasing the risk of falling. Patients for whom conservative managements have failed are considered for surgical treatment. However, degenerative changes on radiographical examinations are sometimes observed in asymptomatic elderly people, which suggests that degenerative changes are not always the cause of pain or disability in the elderly, particularly non-specific low back pain and neck pain. Therefore, the evidence is insufficient regarding how effective surgical treatments can be for improving walking and movement ability and social participation of elderly patients. In addition to better evidence for the efficacy of various treatments, more attention concerning checkups and prevention of locomotive syndrome are urgently needed in aging populations.

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“…Various clinical symptoms and impaired walking are caused by nerve compression due to spinal canal stenosis 1) . An epidemiologic study of 1,009 Japanese showed a prevalence rate of 9.3% 2) . Stenosis is the most common reason for lumbar surgery for those aged over 65 years in the USA 3) .…”

Section: Introductionmentioning

confidence: 99%

Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database

et al. 2017

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Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study

Abstract: The prevalence of symptomatic LSS was approximately 10% in a cohort resembling the general Japanese population. A 6-m walking time at a maximal pace was a more sensitive index than walking at a usual pace in assessing decreased physical performance associated with symptomatic LSS.

Cited by 206 publications

References 26 publications

The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

Spinal Disorders as a Cause of Locomotive Syndrome: The Influence on Functional Mobility and Activities of Daily Living

Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database

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