Frailty and Associated Factors in Lumbar Spinal Stenosis

Karabuk University91 enrolled

Overview

Lumbar spinal stenosis (LSS) is generally seen with advanced age, but it manifests itself with an increase in both physical and psychological health problems. Frailty is an important parameter that has become increasingly important in recent years and affects both the physical and psychological health of individuals. It has been examined in various disease groups in the literature and is reported to increase in patients with low back pain. However, the level of frailty and related factors in LSS are unknown. Since physical and psychological health are important in maintaining daily life, it is important to examine frailty in these individuals who present with chronic pain symptoms.

Lumbar spinal stenosis (LSS) is a degenerative disease that occurs due to compression of neurological structures as a result of narrowing of the spinal canal, and is particularly common in elderly individuals. LSS is characterized by pain, neurogenic claudication, decreased walking capacity, and functional disability. This condition can limit patients' daily living activities, leading to decreased physical activity levels, balance disorders, and increased fear of falling. At the same time, disability and decreased quality of life due to the disease can negatively affect individuals' physical and psychosocial health status, leading to increased frailty levels. Frailty is an important geriatric concept that requires multidisciplinary approaches and is associated with increased dependency and risk of falling in elderly individuals. Demonstrating the relationship between frailty and parameters such as pain, disability, quality of life, physical activity, balance, and fear of falling in individuals with LSS can contribute to the development of more effective rehabilitation strategies for the management of the disease.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Lumbar Spinal Stenosis

Medical Language ↔ Plain English

Inclusion Criteria: * Patients diagnosed with lumbar spinal stenosis by MRI, * Patients between the ages of 45-80, * Patients who can stand independently, * Volunteer to participate in the study Exclusion Criteria: * Patients who did not agree to participate in the study, * Those with a chronic disease that would affect walking, * Those who had undergone surgery in the lumbar region within the last year, * Those with advanced joint disease in the lower extremity, * Those with malignancy in the spine, * Those with vision and/or vestibular system problems, * Those who did not cooperate well were not included in the study.

Outcomes

Primary Outcomes

Pain severity

Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain. Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain. Pain will be assessed with the numerical pain scale (NRS). NRS varies between 0-10. The higher the score, the greater the pain.

Time frame: Baseline

Static balance

Static balance will be assessed with the one-legged standing test. The test is terminated when it is 30 seconds or more, and there is a balance disorder below 10 seconds. Static balance will be assessed with the one-legged standing test. The test is terminated when it is 30 seconds or more, and there is a balance disorder below 10 seconds.

Time frame: Baseline

Dynamic balance

Dynamic balance will be assessed with Timed up and Go test. Time will be recorded in seconds

Time frame: Baseline

Disability

Disability will be assessed using the Oswestry Disability Index. The scale is scored from 0 to 100. A higher score indicates greater disability.

Time frame: Baseline

Fear of Falling

Fear of falling will be assessed with the Fall Efficacy Scale-International. It is scored between 16-64, the higher the score, the greater the fear of falling.

Time frame: Baseline

Health related quality of life

Quality of life will be assessed with Short Form-36. It is scored between 0-100, the higher the score, the higher the quality of life.

Time frame: Baseline

Frailty and Associated Factors in Lumbar Spinal Stenosis

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes