This will be a prospective cohort observational study observing patients with low back pain with leg pain who present for outpatient physical therapy care at Rusk Rehabilitation at NYU Langone Ambulatory Care Lake Success. Patients are eligible if they present with imaging of stenosis in their lumbar spine on MRI or CT Scan and note radicular leg symptoms with associated neurological deficits on the physical examination for at least 12 weeks.
Study Type
OBSERVATIONAL
Enrollment
67
NYU Langone Health
Lake Success, New York, United States
RECRUITINGPrevalence of directional preference (DP) among patients diagnosed with lumbar spinal stenosis (LSS)
Prevalence is calculated as the proportion of patients with DP out of the total sample of LSS patients.
Time frame: Baseline
Prevalence of DP among patients diagnosed with LSS
Prevalence is calculated as the proportion of patients with DP out of the total sample of LSS patients.
Time frame: Visit 3 (variable by participant; up to Day 365)
Prevalence of Specific Directions of Directional Preference (DP) in LSS Population
Percentage of patients with LSS demonstrating each primary DP movement direction (FLEXION, EXTENSION, or LATERAL).
Time frame: Visit 3 (variable by participant; up to Day 365)
Change in Pain Scores in LSS Patients With and Without DP
Pain is measured using the Numeric Pain Rating Scale (NPRS), a self-report scale where individuals rate their pain level on a scale of 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable.
Time frame: Baseline, Visit 3 (variable by participant; up to Day 365)
Change in Pain Scores in LSS Patients With and Without DP
Pain is measured using the Numeric Pain Rating Scale (NPRS), a self-report scale where individuals rate their pain level on a scale of 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable.
Time frame: Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months)
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) - Pain Interference Score in LSS Patients With and Without DP
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The PROMIS Pain Interference questionnaire is a 40-item measure of the extent to which pain interferes with various aspects of a person's life. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater pain interference.
Time frame: Baseline, Visit 3 (variable by participant; up to Day 365)
Change in PROMIS - Pain Interference Score in LSS Patients With and Without DP
The PROMIS Pain Interference questionnaire is a 40-item measure of the extent to which pain interferes with various aspects of a person's life. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater pain interference.
Time frame: Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months)
Change in PROMIS - Physical Function Score in LSS Patients With and Without DP
The PROMIS Physical Function questionnaire is a 165-item measure of a patient's self-reported capability to perform functional activities, including activities of daily living (ADLs) and activities in the community. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater physical function.
Time frame: Baseline, Visit 3 (variable by participant; up to Day 365)
Change in PROMIS - Physical Function Score in LSS Patients With and Without DP
The PROMIS Physical Function questionnaire is a 165-item measure of a patient's self-reported capability to perform functional activities, including activities of daily living (ADLs) and activities in the community. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater physical function.
Time frame: Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months)