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2010, Number 1

Rev Mex Med Fis Rehab 2010; 22 (1)

Rittenberg program effectiveness in patient with degenerative lumbar spinal stenosis

Sánchez RJM, Montes CML, Barrera GMI
Full text How to cite this article

Language: Español
References: 22
Page: 7-11
PDF size: 114.36 Kb.


Key words:

Lumbar spinal stenosis, Rittenberg´s exercise.

ABSTRACT

Introduction: The surgical manage has been the most spread for the Degenerative Lumbar Spinal Stenosis. The non-operative treatments are also an effective strategy. Objective: To determine the effectiveness of the exercises proposed by Rittenberg in patients with degenerative lumbar spinal stenosis with the follow up to 12 weeks. Material and methods: Quasiexperimental. Group of 40 patients; clinical diagnostic confirmed with magnetic resonance imaging, the initial and final valoration with scale of pain, Schober test, tolerance to the march, functionality questionnaires (Oswestry) and quality of life (SF-36). Statistic analysis with t Student for related samples. Results: Evaluation of pain through visual analog scale presented improvement of 2.1 points. The mobility of the dorsolumbar spinal cord, with Schober’s technique improved the flexion 0.5 cm and for the extension 0.2 cm. The tolerance to the gaite with a media difference of 145.3 meters positive. Functionality of the Lumbar Spinal with Oswestry’s questionnaire with diminish of final disability of 13%, life quality with SF-36 final profit of 11 points. Conclusion: Rittenberg’s exercise program is effective to improve the clinic evolution and quality of life with the follow up to 12 weeks, in patients with degenerative and systematized lumbar spinal stenosis.

References

  1. Fritz JM, Delitto A, Welch WC, Erhard RE. Lumbar spinal stenosis: a review of current concepts in evaluation, management, and outcome measurements. Arch Phys Med Rehabil 1998; (79): 700-708.

  2. Ciricillo SF, Weinstein PR. Lumbar spinal stenosis. West J Med 1993; (158): 171-177.

  3. Atenógenes H, Saldívar G. Lumbalgia en trabajadores. Epidemiología. Rev Med IMSS 2003; 41(3): 203-209.

  4. Santhosh AT. Spinal stenosis: history and physical examination. Phys Med Rehabil Clin N Am 2003; (14): 29-39.

  5. Bodack MP, Monteiro MP. Therapeutic exercise in the treatment of patients with lumbar spinal stenosis. Clin Orthop 2001; (384): 144-152.

  6. Ávila RJ, Aguilar LR, Ávila CR. El síndrome de estenosis lumbar adquirida. Características clínicas, tratamiento quirúrgico y resultados. Análisis prospectivo de 62 casos. Rev Mex Neuroci 2006; 7(1): 80-84.

  7. Arnoldi CC, Brodsky AE, Cauchoix J. Lumbar spinal stenosis and nerve root encroachment syndromes: definition and classification. Clin Orthop 1996; (115): 4-5.

  8. Graaf I, Prak A, Bierma-Zeinstra S, Thomas T, Peul W, Koes B. Diagnosis of lumbar spinal stenosis. Spine 2006; 31(10): 1168-1176.

  9. Tan SB. Spinal canal stenosis. Singapore Med J 2003; (44): 168-169.

  10. Amundsen T, Weber H, Lilleas F. Lumbar spinal stenosis: clinical and radiologic features. Spine 1995; (20): 1178-1186.

  11. Benítez MJ, Montes CM, Escobar RD, Barrera GM. Efectividad del programa de ejercicios de Rittenberg contra ejercicios de Williams, para pacientes con diagnóstico de canal lumbar estrecho degenerativo sistematizado (tesis). México DF: UMAN, 2008: 3-51.

  12. Katz JN, Lipson SJ, Brick GW, Grobler LJ, Weinstein JN, Fossel AH. Clinical correlates of patients satisfaction after laminectomy for degenerative lumbar spinal stenosis. Spine 1995; (20): 1155-1160.

  13. Katz JN, Dalgas M, Strucki G. Degenerative lumbar spinal stenosis: diagnosis value of the history and physical examination. Arthritis Rheum 1995; (38): 1236-1241.

  14. Roach KE, Brown MD, Albin RD. The sensitive and specify of pain response to activity and position in categorizing patients with low back pain. Phys Ther 1997; (77): 730.

  15. Eisenstein S. The three foil configuration of the lumbar vertebral canal. J Bone Joint Surg 1980; (1): 73-77.

  16. Jonsonn RE, Rosen I, Uden A. Neurophysiologic investigation of patients with spinal stenosis. Spine 1987; (12): 483-487.

  17. Turner JA, ErsekM, Herron L. Surgery for lumbar stenosis: attempted meta-analysis of the literature. Spine 1992; (17): 1-8.

  18. Amunsend T, Weber H, Nordal HJ, Magnaes B, Abdelnoor M, Lilleas F. Lumbar spinal stenosis. Spine 2000; 25(11): 1424-1436.

  19. Simotas AC, Dorey FJ, Hansraj KK, Cammisa F. Nonoperative treatment for lumbar spinal stenosis. Spine 2000; 25(2): 197-204.

  20. Rittenberg JD, Ross AE. Functional rehabilitation for degenerative lumbar spinal stenosis. Phys Med Rehabil Clin N Am 2003; (14): 11-120.

  21. Whitman JM, FlynnTW, Childs JD, Wainer RS, Gill HE, Ryder MG. A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis. Spine 2006; 31(22): 2541-2549.

  22. Dilek O, Md, Hidayet S, Md and Donmez, Md. Lumbar spinal stenosis: clinical/radiologic therapeutic evaluation in 145 patients. Conservative Treatment or Surgical Intervention? Spine 1993; 18(2): 291-98.

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Rev Mex Med Fis Rehab. 2010;22