Disability in Patients With Degenerative Lumbar Spinal Stenosis

Abstract 

Lin S-I, Lin R-M, Huang L-W. Disability in patients with degenerative lumbar spinal stenosis.

Objective

To determine factors associated with disability in patients with degenerative lumbar spinal stenosis.

Design

One-group cross-sectional study.

Setting

University hospital.

Participants

One hundred eight patients with degenerative lumbar spinal stenosis.

Interventions

Not applicable.

Main Outcome Measures

Oswestry Disability Index and 4 categories of factors, including patient demographics (age, sex, number of comorbidities, medications), symptom-related factors (intensity, location, onset duration, neurogenic claudication), body structure and function as described in the International Classification of Functioning, Disability and Health model (muscle strength, vibration sense, spine flexibility), and stenotic condition (type and number of spinal segments involved).

Results

Patients with symptoms in both back and leg reported greater disability than those with symptoms only in the leg or back (P=.008). Greater disability correlated significantly with greater symptom intensity (r=.385, P<.001) and higher vibration threshold (r=.236, P=.014). While controlling the variance in patient demographics in the regression analysis, vibration sense and symptom location each added 10% of the variance in disability, and symptom intensity and strength each added 5%, with a total of 44% variance explained (P=.044).

Conclusions

Symptom intensity and location, vibration sense, and muscle strength were identified as significant factors and, together with patient demographics, accounted for 44% of the variance explained in disability. Further investigations are needed to determine if causal relationships exist between these factors and disability.

Key Words:  Disability evaluation , Rehabilitation , Sensation , Spinal stenosis