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2013, Number 1

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Rev Mex Med Fis Rehab 2013; 25 (1)

Conservative treatment in rehabilitation of patients with lumbar spinal stenosis: systematic review

Cruz-Medina E, Coronado-Zarco R, Arellano-Hernández A, Lerma CME, Nava-Bringas TI

Language: Spanish
References: 54
Page: 8-17
PDF size: 176.49 Kb.


ABSTRACT

Introduction: Efficacy of conservative interventions as part of rehabilitation programs in lumbar spinal stenosis is controversial. Objective: Assess efficacy of conservative treatment interventions in rehabilitation of lumbar spinal stenosis. Method: We performed a search in electronic data bases (MEDLINE, CINAHL, Cochrane Library, Cochrane Controlled Trials and Systematic Reviews, EBSCOB, and references of selected articles. Eligible studies were reviewed for fulfillment of study criteria. Each study was evaluated in an independent and blind way by three revisers. Previously train to do data extraction, classification and calcification of methodological quality. Results: A total of 244 eligible studies were evaluated. Only seven studies fulfill criteria. Methodological Quality ranged from 0.62 to 0.81, with masking level B. Studies with better methodological quality involved multiple interventions. High heterogeneity in studies criteria, interventions and outcome measurements, prevented to performed a meta-analysis. Conclusion: It was not possible to establish efficacy of conservative interventions during rehabilitation of lumbar spinal stenosis. It is necessary to increase methodological quality and unified outcome measurements to improve evidence levels in rehabilitation process.


REFERENCES

  1. NASS Clinical Guidelines for Multidisciplinary spine care diagnosis and treatment of degenerative lumbar spinal stenosis, 2006.

  2. Haig AJ, Tomkins CC. Diagnosis and management of lumbar spinal stenosis. JAMA. 2010; 303(1): 71-72.

  3. Genevay S, Atlas S. Lumbar spinal stenosis. Best Practice & Research Clinical Rheumatology. 2010; 24: 253-265.

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

  5. Chad D. Lumbar spinal stenosis. Neurol Clin. 2007; 25: 407-418.

  6. Kirkaldy GW, Wedge J, Yong K et al. Lumbar spinal nerve lateral entrapment. Clin Orthop and Related Res. 1982; 169: 171-178.

  7. Sahin F, Yilmaz F, Kotevoglu N, Kuran B. The efficacy of physical therapy and physical therapy plus calcitonin in the treatment of lumbar spinal stenosis. Yonsei Med J. 2009; 50(5): 683-688.

  8. Katz J, Harris M. Lumbar spinal stenosis. N Engl J Med. 2008; 358: 818-825.

  9. Watters W, Baisden J, Gilbert T, Kreiner S, Resnick D, Bono Ch et al. Degenerative lumbar spinal stenosis: an evidence-based clinical guidelines for the diagnosis and treatment of degenerative lumbar spinal stenosis. The Spine Journal. 2008; 8(2): 305-310.

  10. Best J. Understanding spinal stenosis. Orthop Nursing. 2002; 21(3): 48-54.

  11. Goh K, Khalifa W, Anslow P, Hudson T, Donagy M. The clinical syndrome associated with lumbar spinal stenosis. European Neurology. 2004; 52: 242-249.

  12. Chou R, Qaseem A, Snow V et al. Diagnosis and treatment of low back pain: a joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007; 147: 478-491.

  13. Haig A, Geisser M, Tong H et al. Electromyography and magnetic resonance imaging to predict lumbar stenosis low back pain and no back symptoms. JBJS Am. 2007; 89: 358-366.

  14. Comer C, Johnson M, Marchant P, Redmon A, Bird H et al. The effectiveness of walking stick use for neurogenic claudication: results from a randomized trial and the effects on walking tolerance and posture. Arch Phys Med Rehabil. 2010; 91: 15-19.

  15. Wiltse L, Kirkaldy H, McIvor G. The treatment of spinal stenosis. Clinical Orthop and Rel Res. 1976; 115: 83-91.

  16. Yuan P, Albert T. Nonsurgical and surgical management of lumbar spinal stenosis. JBJS. 2004; 86-A (10): 2320- 2330.

  17. Chang Y, Singer D, Wu Y, Keller R, Atlas S. The effect of surgical and no surgical treatment on longitudinal outcomes of lumbar spinal stenosis over 10 years. J Am Geriatr Soc. 2005; 53: 785-792.

  18. Delgado P, Rodríguez A, Castilla J, Martín V, Fernández O. Papel de la cirugía en la enfermedad degenerativa espinal. Análisis de revisiones sistemáticas sobre tratamientos quirúrgicos y conservadores desde el punto de vista de la medicina basada en la evidencia. Neurocirugía. 2005; 16: 142-157.

  19. Weinstein J, Tosteson T, Lurie J et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med. 2008; 358: 794-810.

  20. Sinikallio S, Aalto T, Airaksinen O, Herno A et al. Depression and associated factors in patients with lumbar spinal stenosis. Disability and Rehabilitation. 2006; 28(7): 415-422.

  21. Sengupta D, Herkowitz H. Lumbar spinal stenosis treatment. Orthop Clin N Am. 2003; 34: 281-295.

  22. Herno A. Airaksinen O. Saari T. Luuhhonen M. Lumbar spinal stenosis: a matched-pair study of operated and no operated patients. British J Neurosurgery. 1996; 10(5): 461-465.

  23. Murphy D, Hurwitz E, Gregory A, Clary R. A nonsurgical approach to the management of lumbar spinal stenosis: a prospective observational cohort study. BMC Musc Disorders. 2006; 7(16): 1-8.

  24. Oneal D, Sar H, Dönmez C et al. Lumbar spinal stenosis: clinical/radiological therapeutic evaluation in 145 patients. Conservative or surgical intervention? Spine. 1993; 18(2): 291-298.

  25. Yaksi A, Özgönenel L, Özgönenel B. The efficacy of gabapentin therapy in patients with lumbar spinal stenosis. Spine. 2007; 32(9): 939-42.

  26. Whitman JM, FLynn TW, Childs JD, Wainner RS, Gill HB, Ryder MG et al. A comparison between two physical therapy programs for patients with lumbar spinal stenosis. A randomized clinical trial. Spine. 2006; 31(22): 2541-2549.

  27. Pua YH, Cai CC, Lim KC. Treadmill walking UIT body weight support is no more effective than cycling when added to an exercise program for lumbar spinal stenosis: a randomized controlled trial. Aust J Physiother. 2007; 53(2): 83-89.

  28. Clarke J, van Tulder M, Blomberg S et al. Traction for low back pain with or without sciatica: an updated systematic review within the framework of the Cochrane Collaboration. Spine. 2006; 31(14): 1591-1599.

  29. Snyder D, Doggett D, Turkelson CH. Treatment of degenerative lumbar spinal stenosis. Am Fam Phys. 2004; 70(3): 518-520.

  30. Podichetty VK, Segal AM, Lieber M et al. Effectiveness of salmon calcitonin nasal spray in the treatment of lumbar canal stenosis: a double-blind, randomized, placebo-controlled, parallel group trial. Spine. 2004; 29(21): 2343-2349.

  31. Waikakul W, Waikakul S. Methylcobalamin as an adjuvant medication in conservative treatment of lumbar spinal stenosis. J Med Assoc Thai. 2000; 83(8): 825-831.

  32. Iwamoto J, Takeda T, Ichimura S. Effect of administration of lipoprostaglandin E(1) on physical activity and bone resorption in patients with intermittent claudication. J Orthop Sci. 2001; 6(3): 242-247.

  33. Murakami M et al. Effects of intravenous lipoprostaglandin E(1) on neurogenic intermittent claudication. J Spinal Disord. 1997; 10(6): 499-504.

  34. Coronado R, Cruz E, Arellano A et al. Effectiveness of calcitonin in intermittent claudication treatment of patients with lumbar spinal stenosis: a systematic review. Spine. 2009; 34(22): E818-822.

  35. Reiman M, Harris J, Cleland J. Manual therapy interventions for patients with lumbar spinal stenosis: systematic review. NZ Journal of Physiotherapy. 2009; 37(1): 17-28.

  36. Scholz M, Firsching R, Lanksch W. Long term follow up in lumbar spinal stenosis. Spinal Cord. 1998; 36: 200-204.

  37. Sieber E, Prüss H, Klingebiel R et al. Lumbar spinal stenosis: syndrome, diagnostics and treatment. Nat Rev Neurol. 2009; 5: 392-403.

  38. van Tulder M, Furlan A, Bombadier C et al. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine. 2003; 28: 1290-1299.

  39. Amundsen T, Weber H, Nordal H, Magnaes B, Abdelnoor M, Lilleas F. Lumbar spinal stenosis: conservative or surgical management? Spine. 2000; 25(11): 1424-1436.

  40. Atlas SJ, Keller RB, Robson D, Deyo RA, Singer DE. Surgical and nonsurgical management of lumbar spinal stenosis. Spine. 2000; 25(5): 556-562.

  41. Atlas SJ, Keller RB, Wu YA, Deyo RA, Singer DE. Long term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from Maine lumbar spine study. Spine. 2005; 30(8): 936-943.

  42. Atlas SJ, Delitto A. Spinal stenosis. Surgical versus nonsurgical treatment. Clin Orthop Rel Res. 2006; 443: 198-207.

  43. Bodack MP, Monteiro ME. Therapeutic exercise in the treatment of patients with lumbar spinal stenosis. Clin Ortop Rel Res. 2001; 384: 144-152.

  44. Fast A. Low back disorders: conservative management. Arch Phys Med Rehabil. 1988; 69: 880-891.

  45. 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(9): 700-708.

  46. Kim S, Rodríguez SW, Mansfield F. Nonoperative treatment for lumbar disc herniation with radiculopathy and for lumbar spinal stenosis. Curr Opin Orthop. 1999; 10: 137-141.

  47. Malmivaara A, Slätis P, Heliövaara M, Sainio P, Kinnunen H, Kankare J et al. Surgical or nonoperative treatment for lumbar spinal stenosis? Spine. 2007; 32(1): 1-8.

  48. Mannion AF, Denzler R, Dvorak J, Müntener M, Grob D. A randomized controlled trial of postoperative rehabilitation after surgical decompression of the lumbar spine. Eur Spine J. 2007; 16: 1101-1117.

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

  50. Vo AN, Kamen LB, Shih VC, Bitar AA, Stitik TP, Kaplan RJ. Rehabilitation of orthopedic and rheumatologic disorders. Lumbar spinal stenosis. Arch Phys Med Rehabil. 2005; 86(3 Suppl. 1): S69-S76.

  51. Iversen M, Kale M, Sullivan J. Pilot case control study of postural sway and balance performance in aging adults with degenerative lumbar spinal stenosis. J Geriatric Physical Therapy. 2009; 32: 1-9.

  52. Koc Z, Ozcakir S, Sivrioglu K, Gurbet A, Kucukoglu S. Effectiveness of physical therapy and epidural steroid injection in lumbar spinal stenosis. Spine. 2009; 34(10): 985-989.

  53. Goren A, Yildiz N, Topuz O, Findikoglu G et al. Efficacy of exercise and ultrasound in patients with lumbar spinal stenosis: a prospective randomized controlled trial. Clinical Rehabilitation. 2010; 24: 623-631.

  54. Tran Q, Duong S, Finlayson R. Lumbar spinal stenosis: a brief review of the nonsurgical management. Can J Anesth. 2010; 57: 694-703.




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