Effect of Integrated Exercise Protocol in Lumbar Spinal Stenosis as Compare with Conventional Physiotherapy- A Randomized Control Trial

Abstract

Background context: Lumbar Spinal Stenosis (LSS) is one of the most common spinal pathologies in India. Spinal stenosis is narrowing of the spinal canal with encroachment on the neural structures by surrounding bone and soft tissue. While it is widely held that conservative management should be the first line of approach in patients with LSS, little is known about the efficacy of non-surgical treatments for this condition. Purpose: To compare the specific integrated exercise program with conventional physical therapy programs for patients with LSS. Study design: Experimental study. Method: 30 patients (experimental group, n=15; control group, n=15) with lumbar spinal stenosis were randomized to one of two 3 week physical therapy programs. One program included exercise program (Flexibility exercise, Specific experimental canal enlargement exercise, strengthening exercise, functional/recreational activities), while the other included electrotherapy and exercise program (Hot fomentation, IFT, Flexion Exercises). Outcome measures: Perceived recovery was assessed with an Oswestry Disability Questionnaire (ODQ). Secondary outcomes included: Numeric Pain Rating Scale (NPRS), Straight Leg Raise, Slump test and Modified Schober Test (MST). Results: Result shows that the significant improvement in Quality of life, intensity of pain, lumbar ROM and Neural Flexibility was seen in Group A but it was not showing significant results in Group B. This signifies that group A has more significant improvement than Group B. Conclusion: From the result analysis we found that the integrated exercise approach has a significant effect then a conventional physiotherapy treatment.