Physical therapy treatment options for lumbar spinal stenosis
Language: 
English
Abstract: 

BACKGROUND: Given the dearth of high quality research on conservative treatment for spinal stenosis, an empirical understanding of the scope of physical therapy provided in the community can help focus research and build standards of care. OBJECTIVES: Provide preliminary insight into current physical therapy practice in the treatment of lumbar spinal stenosis (LSS), from both patient and physical therapist perspectives. METHODS: Patients greater than 50 years of age with LSS diagnosed by a spine surgeon were recruited to participate in a telephone survey regarding treatment. Physical therapists were recruited to complete a survey regarding treatments offered to patients with LSS. RESULTS: Of the patients participating in the study (n=75), 44 (59%) reported receiving physical therapy treatment. Treatments most frequently reported by patients were massage (27%), strengthening exercises (23%), flexibility exercises (18%), and heat/ice (14%). The most frequently advocated treatments by the 76 physical therapists included flexibility (87%), stabilization (86%) and strengthening exercises (83%), followed by heat/ice (76%), acupuncture (63%) and joint mobilization (62%). CONCLUSIONS: These results can guide both clinical research priorities and standards of care for physical therapy treatments of LSS. Based on the results of this study, future research foci should include massage, flexibility and strengthening exercises, stabilization techniques and heat/ice treatments.

Author(s): 
Tomkins, Christy C.
Dimoff, Katherine H.
Forman, Holly S.
Gordon, Emily S.
McPhail, Jennifer
Wong, Joyce R.
Battié, Michele C.
Item Type: 
Journal Article
Publication Title: 
Journal of Back and Musculoskeletal Rehabilitation
Journal Abbreviation: 
J Back Musculoskelet Rehabil
Publication Date: 
2010
Publication Year: 
2010
Pages: 
31-37
Volume: 
23
Issue: 
1
ISSN: 
1878-6324
DOI: 
10.3233/BMR-2010-0245
Library Catalog: 
PubMed
Extra: 
PMID: 20231787

Turabian/Chicago Citation

Christy C. Tomkins, Katherine H. Dimoff, Holly S. Forman, Emily S. Gordon, Jennifer McPhail, Joyce R. Wong and Michele C. Battié. 2010. "Physical therapy treatment options for lumbar spinal stenosis." Journal of Back and Musculoskeletal Rehabilitation 23: 1: 31-37. 10.3233/BMR-2010-0245.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.3233/BMR-2010-0245 | issn = 1878-6324 | volume = 23 | pages = 31-37 | last = Tomkins | first = Christy C. | coauthors = Dimoff, Katherine H., Forman, Holly S., Gordon, Emily S., McPhail, Jennifer, Wong, Joyce R., Battié, Michele C. | title = Physical therapy treatment options for lumbar spinal stenosis | journal = Journal of Back and Musculoskeletal Rehabilitation | date = 2010 | pmid = | pmc = }} </ref>