Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Changes in Objectively Measured Physical Activity (Performance) After Epidural Steroid Injection for Lumbar Spinal Stenosis (2012) |
Auteurs : | Christy C. Tomkins-Lane ; Justin Conway ; Charles Hepler ; Andrew J. Haig |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/11, 2012) |
Article en page(s) : | pp. 2008-2014 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activité motrice ; Indice de masse corporelle ; Rééducation et réadaptation |
Mots-clés: | Body mass index ; Injections ; Epidural ; Injections épidurales ; Spinal Stenosis ; Sténose du canal vertébral ; Motor Activity ; Walking ; Marche à pied |
Résumé : |
"Objective To examine changes in objectively measured physical activity (performance) at 1 week following epidural steroid injection for lumbar spinal stenosis. Design Prospective cohort. Setting University spine program. Participants Individuals (N=17) who were undergoing fluoroscopically guided epidural steroid injection for symptomatic lumbar spinal stenosis (mean age + SD, 70.1+6.7; 47% women). Intervention Fluoroscopically guided epidural injection. Main Outcome Measure(s) The 2 primary outcomes, measured with accelerometers, were total activity (performance) measured over 7 days and maximum continuous activity (capacity). Walking capacity was also assessed with the Self-Paced Walking Test, and subjects completed the Oswestry Disability Index, Swiss Spinal Stenosis Questionnaire, Medical Outcomes Study 36-Item Short-Form Health Survey, visual analog pain scales, and body diagrams. Results At 1 week postinjection, 58.8% of the subjects demonstrated increased total activity and 53% had increased maximum continuous activity, although neither change was statistically significant. Significant improvements were observed in a number of the self-report instruments, including the Physical Function Scale of the Swiss Spinal Stenosis Questionnaire, general health (Medical Outcomes Study 36-Item Short-Form Health Survey), role-limitation emotional (Medical Outcomes Study 36-Item Short-Form Health Survey), leg pain intensity (visual analog pain scales), and presence of leg weakness. Conclusions While patients perceived improvements in pain and function following injection, these improvements were not reflected in significant changes in performance or capacity. Future studies will continue to find value in subjective measures of pain and quality of life. However, with modern technology, performance is no longer a subjective variable. Use of activity monitors to objectively measure performance can result in more rigorous validation of treatment effects, while simultaneously highlighting the potential need for additional postinjection rehabilitation aimed at improving performance." |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993(12)00359-0/abstract |