The aim of this study is to determine the effectiveness of a 6-week specific rehabilitation program combining education and exercises on walking capacity in patients with LSS causing NC. The intervention group will receive standardized education and specific exercises while the control group will only receive standardized education. The program in both groups will last for 6 weeks with 4 evaluation timepoints (baseline, week 2, week 4 and post-intervention assessment). The primary outcomes will be walking capacity measured with the Self-Paced Walking Test and the secondary outcomes will be back and leg pain intensity, LSS-related disability, self-efficacy, level of physical activity, anxiety and depression, physical activity level, gait pattern characteristics, balance, and global perceived change.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
66
Exercises: 3 training sessions per week that will last for 30 minutes. Sessions will start with 5 minutes of activation (walking on a treadmill or cycling). Then, participants will be asked to complete 5 exercises targeting lower limb strengthening (time: 18 minutes) followed by 2 exercises designed to improve balance and 3 stretching exercises for the lower limb (time: 7 minutes). Education: Two one-on-one sessions (during week 2 and week 4 assessments) during which participants will receive information directly related to LSS and NC using illustration and videos. Participants will also be invited to ask their questions.
Education: Two one-on-one sessions (during week 2 and week 4 assessments) during which participants will receive information directly related to LSS and NC using illustration and videos. Participants will also be invited to ask their questions.
Université du Québec à Trois-Rivières
Trois-Rivières, Quebec, Canada
RECRUITINGChange from baseline in walking capacity
Walking capacity measure with the Self-Paced Walking Test (time)
Time frame: Baseline, week 2, week 4, week 6, week 12
Change from baseline in leg and back pain intensity
Leg and back pain intensity will be independently assessed using a 11-point numerical rating scale (from 0 to 10 points). Higher score indicates higher pain.
Time frame: Baseline, week 2, week 4, week 6, week 12
Change from baseline in lumbar spinal stenosis related disabiltity
Lumbar spinal stenosis related disability is measured with the French-Canadian version of the Swiss Spinal Stenosis Questionnaire. Pain, function and satisfaction related to lumbar spinal stenosis. Pain subscale score range from 7 to 35 with higher values indicate a worst outcome, Function subscale score range from 5 to 20 with higher values indicate a worst outcome, Satisfaction subscale score range from 6 to 24 with higher values indicate a worst outcome. The total score is composed of the three subscales and range from 18 to 79.
Time frame: Baseline, week 6, week 12
Changes from baseline in self-efficacy
Measured with Self-efficacy measured with the French-Canadian Chronic Pain Self-Efficacy Scale. Each question is rated on a numerical scale (from 1 to 10). Total is calculated using the mean of the 33-items scores and ranges from 1 to 10 with a higher score indicate higher self-efficacy.
Time frame: Baseline, week 6, week 12
Change from baseline in anxiety and depression
Measured with the French-Canadian adaptation of the Hospital Anxiety and Depression Scale. Total score range from 0 to 21 with higher score indicating symptoms of anxiety and/or depression.
Time frame: Baseline, week 6, week 12
Change from baseline in physical activity level
Physical activity level assessed with the \[Physical Activity Questionnaire for the Elderly\]. The questionnaire allows to place participants into one of the 3 categories (low, moderate or high physical activity level). Physical activity level is measured in time per day.
Time frame: Baseline, week 6, week 12
Patient's global impression of change
Global impression of change will be measured using a 7-point scale that ranges from 'very much improved' to 'very much worse' with 'no change' as the mid-point.
Time frame: changes of the global impression of change throughout the study (baseline, week 2, week 4, week 6, week 12)
Change from baseline in biomechanical parameters of gait
Spatio-temporal parameters of gait measured with wearable inertial sensors (velocity (m/s))
Time frame: Baseline, week 2, week 4, week 6, week 12
Change from baseline in biomechanical parameters of gait
Spatio-temporal parameters of gait measured with wearable inertial sensors measured in meters (stride length, swing witdh, toe clearance)
Time frame: Baseline, week 2, week 4, week 6, week 12
Change from baseline in biomechanical parameters of gait
Spatio-temporal parameters of gait measured with wearable inertial sensors measured in % (walking phases, assymetry, variability)
Time frame: Baseline, week 2, week 4, week 6, week 12
Change from baseline in lower extremity physical function and balance
Lower extremity physical function and balance measured with the Short Physical Performance Battery. Total score ranges from 0 to 12 with higher score indicating a better lower extremity physical function and balance.
Time frame: Baseline, week 6, week 12
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