Abstract
Objective:To evaluate the efficacy of core stability exercise versus conventional exercise in the treatment of lumbar spinal stenosis.Methods:Between January 2014 and May 2017, patients with lumbar spinal stenosis were recruited and divided into group of core stability exercise or conventional exercise randomly. All the patients were treated using middle frequency electrotherapy, in addition to that, the patients in group of core stability exercise were treated using core stability exercise. The patients in group of conventional exercise were treated using conventional exercise. The outcome was evaluated using Japanese Orthopedic Association (JOA) score, self-reported walking capacity and lumbar lordosis angle at baseline and after treatment.Results:In the current study, sixty-two patients with lumbar spinal stenosis met the inclusion and exclusion criteria, in which 33 patients were included in group of core stability exercise and 29 in group of conventional exercise. After treatment, both Japanese Orthopedic Association scores (p<0.05) and self-reported walking capacity (p<0.05) increased significantly in each group when compared with baseline. The self-reported walking capacity and JOA scores in the group of core stability exercise were significantly higher than those in the conventional exercise group (p<0.05). However, both the intragroup and intergroup comparison of lumbar lordosis presented with no significance (p>0.05).Conclusion:Core stability exercise presents with better efficacy than conventional exercise in the treatment of lumbar spinal stenosis.
Highlights
Lumbar spinal stenosis (LSS) is one of the common spinal disorders in old adults, which affects the life quality of patients, and remains a major cause of morbidity, disability and lost productivity[1], exerting a heavy burden on social security systems.[2]
Sixty-two patients with LSS who met the inclusion and exclusion criteria were included in the current study, in which 33 were assigned in group of core stability exercise and 29 in group of conventional exercise
The baseline clinical characteristics of the two groups are shown in Table-I, there were no significant differences in age, gender, stenosis level, and disease course between the two groups (p>0.05)
Summary
Lumbar spinal stenosis (LSS) is one of the common spinal disorders in old adults, which affects the life quality of patients, and remains a major cause of morbidity, disability and lost productivity[1], exerting a heavy burden on social security systems.[2]. In a study of forty-five cases with LSS, Ahmet found that the leg pain and disability score in patients treated using exercises decreased significantly.[6] In another study of fifty-one cases, Fang found the visual analogue score decreased and Japanese orthopedic association score increased significantly in patients treated using lumbar extension exercise.[7] Some other studies drew the similar conclusions[8,9], demonstrating the satisfying effectiveness of exercises in treating LSS
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