Abstract
Introduction
Lumbar Spinal Stenosis (LSS) limits walking ability.Sensor technology makes it possible to monitor walking in everyday life.
This study investigates the impact of LSS on walking in daily living.
Method
Patients ≥ 60 years diagnosed with LSS at the Spine Centre of Southern Denmark, Lillebaelt Hospital, were invited to participate. Data from participants ≥ 60 years in LOFUS were used for comparison. Both groups wore an accelerometer on the thigh for seven days. Accelerometer data were processed to assess the length and number of periods of continuous walking above four seconds. Multiple linear regression was used to investigate differences between groups after adjusting for age, BMI and education.
Results
We included 84 individuals with LSS and 1639 individuals from the LOFUS background population. The mean (SD) age was 72 (6) years in the LSS group and 69 (6) years in the LOFUS sample.
LSS patients walked a median (Inter Quartile Range, IQR) of 142 (107) periods of continuous walking per day, which lasted a median (IQR) of 9 (10) seconds. The LOFUS participants walked a median (IQR) of 166 (143) periods of continuous walking per day, lasting for a median (IQR) of 12 (15) seconds.
The median (IQR) of the longest walking distance per day in LSS patients was 124 (207) seconds compared to 149 (282) seconds in LOFUS participants. The mean (SD) number of periods of continuous walking per day that lasted ≥ 90 seconds were 2.3 (3.0) and 4.1 (3.7) in the LSS and the LOFUS population, respectively.
Conclusion
LSS patients had fewer and shorter periods of continuous walking compared to a background population. It seems that the walking disability of LSS patients keeps them from walking stretches during daily life. Accelerometer monitoring of walking during everyday activities could provide opportunities for clinically relevant outcome measures, which could help form appropriate health policies and clinical practice.
Lumbar Spinal Stenosis (LSS) limits walking ability.Sensor technology makes it possible to monitor walking in everyday life.
This study investigates the impact of LSS on walking in daily living.
Method
Patients ≥ 60 years diagnosed with LSS at the Spine Centre of Southern Denmark, Lillebaelt Hospital, were invited to participate. Data from participants ≥ 60 years in LOFUS were used for comparison. Both groups wore an accelerometer on the thigh for seven days. Accelerometer data were processed to assess the length and number of periods of continuous walking above four seconds. Multiple linear regression was used to investigate differences between groups after adjusting for age, BMI and education.
Results
We included 84 individuals with LSS and 1639 individuals from the LOFUS background population. The mean (SD) age was 72 (6) years in the LSS group and 69 (6) years in the LOFUS sample.
LSS patients walked a median (Inter Quartile Range, IQR) of 142 (107) periods of continuous walking per day, which lasted a median (IQR) of 9 (10) seconds. The LOFUS participants walked a median (IQR) of 166 (143) periods of continuous walking per day, lasting for a median (IQR) of 12 (15) seconds.
The median (IQR) of the longest walking distance per day in LSS patients was 124 (207) seconds compared to 149 (282) seconds in LOFUS participants. The mean (SD) number of periods of continuous walking per day that lasted ≥ 90 seconds were 2.3 (3.0) and 4.1 (3.7) in the LSS and the LOFUS population, respectively.
Conclusion
LSS patients had fewer and shorter periods of continuous walking compared to a background population. It seems that the walking disability of LSS patients keeps them from walking stretches during daily life. Accelerometer monitoring of walking during everyday activities could provide opportunities for clinically relevant outcome measures, which could help form appropriate health policies and clinical practice.
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 31. aug. 2023 |
| Status | Udgivet - 31. aug. 2023 |
| Begivenhed | 18th International Forum for Back and Neck Pain Research in Primary Care: Embracing complexity - University Medical Center Groningen, Groningen, Holland Varighed: 29. aug. 2023 → 1. sep. 2023 https://www.lbpforum2023.com/ |
Konference
| Konference | 18th International Forum for Back and Neck Pain Research in Primary Care |
|---|---|
| Lokation | University Medical Center Groningen |
| Land/Område | Holland |
| By | Groningen |
| Periode | 29/08/2023 → 01/09/2023 |
| Internetadresse |