[Erratum] Pilot study on lumbar canal diameter and walking distance in patients with lumbar spinal stenosis: a multivariate prediction model

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e5063

Keywords:

Lumbar vertebrae, Magnetic resonance imaging, Neurogenic claudication, Spinal stenosis, Walking

Abstract

INTRODUCTION: Neurogenic claudication (NC) is the classic clinical presentation of patients with Lumbar Spinal Stenosis (LSS). These patients may or may not present with symptoms of leg pain and difficulty walking. These symptoms are exacerbated while walking and standing and are eased by sitting or bending forward. METHOD: Patients with LSS, having a lumbar canal diameter of ≤12mm, were recruited from a recognized Tertiary care hospital. Each subject's demographic characteristics and anthropometrics were noted, and the testing procedure was explained. The canal diameter was documented with the help of an MRI report. A self-paced walking test was used to assess the walking distance. STATISTICAL ANALYSIS: Depending on the normality of the data, the Pearson correlation coefficient (r) was used to find the correlation between canal diameter at different lumbar levels and walking distance in patients with LSS. RESULT: Pearson correlation coefficient (r) determined a fair positive correlation (r = 0.29) between lumbar canal diameter and walking distance. Stepwise multiple regression analysis was done, and a prediction equation was found for different levels of canal stenosis. CONCLUSION: Findings of our present study suggest a fair positive correlation between walking distance and canal diameter at L5-S1. This study may also be useful in predicting the approximate canal diameter by estimating the walking distance of the patient with symptoms of LSS and vice-versa.

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References

(1) Wei W, Xu C, Yang XJ, Lu CB, Lei W, Zhang Y. Analysis of Dynamic Plantar Pressure before and after the Occurrence of Neurogenic Intermittent Claudication in Patients with Lumbar Spinal Stenosis: An Observational Study. Biomed Res Int. 2020;2020:5043583. https://doi.org/10.1155/2020/5043583

(2) Grelat M, Gouteron A, Casillas JM, Orliac B, Beaurain J, Fournel I, et al. Walking Speed as an Alternative Measure of Functional Status in Patients with Lumbar Spinal Stenosis. World Neurosurg. 2019;122:591-97. https://doi.org/10.1016/j.wneu.2018.10.109

(3) Anasuya DG, Jayashree A, Moorthy NLN, Madan S. Anatomical study of lumbar spinal canal diameter on MRI to assess spinal canal stenosis. Int J Anat Res. 2015;3(3):1441-44. http://www.ijmhr.org/ijar.3.3/IJAR.2015.261.html

(4) Dutta S, Bhave A, Patil S. Correlation of 1.5 Tesla magnetic resonance imaging with clinical and intraoperative findings for lumbar disc herniation. Asian Spine J. 2016;10(6):1115-21. https://doi.org/10.4184%2Fasj.2016.10.6.1115

(5) Elhassan YAM, Ahmed AO, Ali QM, Handady SOM. Clinical Presentation of Lumbosacral Spinal Canal Stenosis Among Sudanese Patients. Glob J Orthop Res. 2019;1(3). http://dx.doi.org/10.33552/GJOR.2019.01.000512

(6) Bumann H, Nüesch C, Loske S, Byrnes SK, Kovacs B, Janssen R, et al. Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking. Spine J. 2020;20(1):112-20. https://doi.org/10.1016/j.spinee.2019.08.016

(7) Comer CM, Redmond AC, Bird HA, Conaghan PG. Assessment and management of neurogenic claudication associated with lumbar spinal stenosis in a UK primary care musculoskeletal service: A survey of current practice among physiotherapists. BMC Musculoskelet Disord. 2009;10:121. https://doi.org/10.1186/1471-2474-10-121

(8) Ahmad T, Goel P, Babu CSR. A study of lumbar canal by M.R.I. in clinically symptomatic and asymptomatic subjects. J Anat Soc India. 2011;60(2):184–7. https://doi.org/10.1016/S0003-2778(11)80022-5

(9) Ammendolia C, Chow N. Clinical outcomes for neurogenic claudication using a multimodal program for lumbar spinal stenosis: A retrospective study. J Manipulative Physiol Ther [Internet]. 2015;38(3):188–94. http://dx.doi.org/10.1016/j.jmpt.2014.12.006

(10) Jain N, Acharya S, Adsul NM, Haritwal MK, Kumar M, Chahal RS, et al. Lumbar canal stenosis: A prospective clinicoradiologic analysis. J Neurol Surgery, Part A Cent Eur Neurosurg. 2020;81(5):387–91. https://doi.org/10.1055/s-0039-1698393

(11) Tomkins CC, Battié MC, Rogers T, Jiang H, Petersen S. A criterion measure of walking capacity in lumbar spinal stenosis and its comparison with a treadmill protocol. Spine (Phila Pa 1976). 2009;34(22):2444–9. https://doi.org/10.1097/brs.0b013e3181b03fc8

(12) World Medical Association. Declaration of Helsinki, ethical principles for scientific requirements and research protocols. Bull World Health Organ. 2001;79(4):373-74. Cited: PMID: 11357217

(13) Portney LG, Watkins MP. Foundations of clinical Research applications to practice. 3a ed. C.A.Davis; 2015.

(14) Fors M, Enthoven P, Abbott A, Öberg B. Effects of pre-surgery physiotherapy on walking ability and lower extremity strength in patients with degenerative lumbar spine disorder: Secondary outcomes of the PREPARE randomised controlled trial. BMC Musculoskelet Disord. 2019;20:468. https://doi.org/10.1186/s12891-019-2850-3

(15) Gaur P, Goyal M, Singh G. Manual therapy and canal enlargement exercises versus conventional physiotherapy in lumbar stenosis – a study protocol. Rev Pesqui Fisioter. 2021;11(3):549-60. https://doi.org/10.17267/2238-2704rpf.v11i3.3864

(16) Kuittinen P, Sipola P, Saari T, Aalto TJ, Sinikallio S, Savolainen S, et al. Visually assessed se verity of lumbar spinal canal stenosis is paradoxically associated with leg pain and objective walking ability. BMC Musculoskelet Disord. 2014;15:348. https://doi.org/10.1186/1471-2474-15-348

(17) Lee BH, Moon SH, Suk KS, Kim HS, Yang JH, Lee HM. Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review. Asian Spine J. 2020;14(5):682–93. https://doi.org/10.31616%2Fasj.2020.0472

(18) Lai MKL, Cheung PWH, Samartzis D, Cheung JPY. Prevalence and Definition of Multilevel Lumbar Developmental Spinal Stenosis. Glob Spine J. 2022;12(6):1084-90. https://doi.org/10.1177%2F2192568220975384

(19) Mahato NK. Disc spaces, vertebral dimensions, and angle values at the lumbar region: a radioanatomical perspective in spines with L5-S1 transitions. J Neurosurg Spine. 2011;15(4):371-79. https://doi.org/10.3171/2011.6.spine11113

(20) Hirano K, Imagama S, Hasegawa Y, Muramoto A, Ishiguro N. Impact of spinal imbalance and BMI on lumbar spinal canal stenosis determined by a diagnostic support tool: cohort study in community-living people. Arch Orthop Trauma Surg. 2013;133(11):1477-82. https://doi.org/10.1007/s00402-013-1832-4

(21) Samartzis D, Karppinen J, Chan D, Luk KDK, Cheung KMC. The association of lumbar intervertebral disc degeneration on magnetic resonance imaging with body mass index in overweight and obese adults: a population-based study. Arthritis Rheum. 2012;64(5):1488-96. https://doi.org/10.1002/art.33462

(22) Andrasinova T, Adamova B, Buskova J, Kerkovsky M, Jarkovsky J, Bednarik J. Is there a correlation between degree of radiologic lumbar spinal stenosis and its clinical manifestation? Clin Spine Surg. 2018;31(8):403-08. https://doi.org/10.1097/bsd.0000000000000681

Published

02/07/2023

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Original Articles

How to Cite

1.
Singh G, Samuel AJ, Singh M, Chahal A. [Erratum] Pilot study on lumbar canal diameter and walking distance in patients with lumbar spinal stenosis: a multivariate prediction model. Rev Pesq Fisio [Internet]. 2023 Feb. 7 [cited 2024 Jul. 3];13:e5063. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/5063

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