アブストラクト
Japanese
| Title | 腰部脊柱管狭窄症に対する運動療法の効果とそのエビデンス |
|---|---|
| Subtitle | トピックス シンポジウムIII 『慢性疼痛に対する運動療法の効果とそのエビデンス』 |
| Authors | 峯玉賢和1), 川上守2), 隅谷政1), 中川雅文1), 山本義男1), 松尾咲愛1), 北野智子1), 中川幸洋1) |
| Authors (kana) | |
| Organization | 1)和歌山県立医科大学附属病院紀北分院 脊椎ケアセンター, 2)済生会和歌山病院 整形外科 |
| Journal | 日本運動器疼痛学会誌 |
| Volume | 13 |
| Number | 2 |
| Page | 123-127 |
| Year/Month | 2021 / |
| Article | 報告 |
| Publisher | 日本運動器疼痛学会 |
| Abstract | 「要旨」: 腰部脊柱管狭窄症(LSS)の治療は, 保存療法が第一選択され, その中でも運動療法の位置づけは高い. 理学療法士が監視下で行う積極的な運動療法は, 痛みや歩行能力に対して有効で, 適切な運動療法が行われることにより, 手術を回避できる可能性もある. また, LSS患者の身体活動量には痛みに対する不安や恐怖などの心理的因子が深く関係しており, 術後の運動療法においては心理面や栄養に対する介入の有効性が示されている. 本稿では, LSSに対する運動療法のエビデンスについて概説する. |
| Practice | 臨床医学：外科系 |
| Keywords | 腰部脊柱管狭窄症 (Lumbar spinal stenosis), 運動療法 (Exercise therapy), 理学療法 (Physical therapy) |
English
| Title | Evidence of exercise therapy for patients with lumbar spinal stenosis |
|---|---|
| Subtitle | |
| Authors | Masakazu Minetama1), Mamoru Kawakami2), Tadashi Sumiya1), Masafumi Nakagawa1), Yoshio Yamamoto1), Sachika Matsuo1), Tomoko Kitano1), Yukihiro Nakagawa1) |
| Authors (kana) | |
| Organization | 1)Spine Care Center, Wakayama Medical University, Kihoku Hospital, 2)Department of Orthopaedic Surgery, Saiseikai Wakayama Hospital |
| Journal | Journal of Musculoskeletal Pain Research |
| Volume | 13 |
| Number | 2 |
| Page | 123-127 |
| Year/Month | 2021 / |
| Article | Report |
| Publisher | Japanese Association for the Study of Musculoskeletal Pain |
| Abstract | [Abstract]: Exercise therapy is one of the most often recommended nonsurgical treatments for patients with lumbar spinal stenosis (LSS). Supervised physical therapy for patients with LSS has been reported to lead to better outcomes in terms of pain and disability than unsupervised exercise, and to be associated with lower likelihood of receiving surgery within 1 year. Psychological factors such as anxiety and fear-avoidance beliefs about pain are more closely associated with physical activity than are back and leg pain in patients with LSS. Psychological treatments or protein nutrition in combination with exercise are effective for patients who underwent surgery for LSS. This paper summarizes the evidence of exercise therapy for patients with LSS. |
| Practice | Clinical surgery |
| Keywords | Lumbar spinal stenosis, Exercise therapy, Physical therapy |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Ishimoto Y, Yoshimura N, Muraki S, et al. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Osteoarthritis Cartilage 2011; 20: 1103-8.
- 2) Katz JN, Harris MB. Lumbar spinal stenosis. N Engl J Med 2008; 358: 818-25.
- 3) Rousing R, Jensen RK, Fruensgaard S, et al. Danish national clinical guidelines for surgical and nonsurgical treatment of patients with lumbar spinal stenosis. Eur Spine J 2019; 28: 1386-96.
- 4) Kanbara S, Yukawa Y, Ito K, et al. Dynamic changes in the dural sac of patients with lumbar canal stenosis evaluate d by multidetector-row computed tomography after myelography. Eur Spine J 2014; 23: 74-9.
- 5) Kanno H, Ozawa H, Koizumi Y, et al. Dynamic change of dural sac cross-sectional area in axial loaded magnetic resonance imaging correlates with the severity of clinical symptoms in patients with lumbar spinal canal stenosis. Spine 2012; 37: 207-13.
残りの23件を表示する
- 6) Backstrom KM, Whitman JM, Flynn TW. Lumbar spinal stenosis-diagnosis and management of the aging spine. Man Ther 2011; 16: 308-17.
- 7) Oguz H, Levendoglu F, Ogun TC, et al. Loading is more effective than posture in lumbar spinal stenosis: a study with a treadmill equipment. Eur Spine J 2007; 16: 913-8.
- 8) Pua YH, Cai CC, Lim KC. Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for lumbar spinal stenosis: a randomised controlled trial. Aust J Physiother 2007; 53: 83-9.
- 9) Macedo LG, Hum A, Kuleba L, et al. Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review. Phys Ther 2013; 93: 1646-60.
- 10) Delitto A, Piva SR, Moore CG, et al. Surgery versus nonsurgical treatment of lumbar spinal stenosis: a randomized trial. Ann Intern Med 2015; 162: 465-73.
- 11) Minetama M, Kawakami M, Nakagawa M, et al. A comparative study of 2-year follow-up outcomes in lumbar spinal stenosis patients treated with physical therapy alone and those with surgical intervention after less successful physical therapy. J Orthop Sci 2018; 23: 470-6.
- 12) Fritz JM, Lurie JD, Zhao W, et al. Associations between physical therapy and long-term outcomes for individuals with lumbar spinal stenosis in the SPORT study. Spine J 2014; 14: 1611-21.
- 13) Schneider MJ, Ammendolia C, Murphy DR, et al. Comparative clinical effective-ness of nonsurgical treatment methods in patients with lumbar spinal stenosis: a randomized clinical trial. JAMA Netw Open 2019; 2: e186828.
- 14) Ammendolia C, Cote P, Southerst D, et al. Comprehensive nonsurgical treatment versus self-directed care to improve walking ability in lumbar spinal stenosis: a randomized trial. Arch Phys Med Rehabil 2018; 99: 2408-19.
- 15) Minetama M, Kawakami M, Teraguchi M, et al. Supervised physical therapy vs. home exercise for patients with lumbar spinal stenosis: a randomized controlled trial. Spine J 2019; 19: 1310-8.
- 16) Minetama M, Kawakami M, Teraguchi M, et al. Supervised physical therapy versus unsupervised exercise for patients with lumbar spinal stenosis: 1-year follow-up of a randomized controlled trial. Clin Rehabil 2021; 35: 964-75.
- 17) Minetama M, Miyake T, Moriki T, et al. Multimodal assessments of effectiveness of physical therapy for patients with lumbar spinal stenosis. J J Physiother Exercise 2016; 2: 016.
- 18) Minetama M, Kawakami M, Teraguchi M, et al. Therapeutic advantages of frequent physical therapy sessions for patients with lumbar spinal stenosis. Spine 2020; 45: E639-46.
- 19) Winter CC, Brandes M, Muller C, et al. Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study. BMC Musculoskelet Disord 2010; 11: 233.
- 20) Matsuo S, Kawakami M, Minetama M, et al. Clinical features of sarcopenia in patients with lumbar spinal stenosis. Spine 2020; 45: E1105-10.
- 21) Minetama M, Kawakami M, Teraguchi M, et al. Associations between psycho-logical factors and daily step count in patients with lumbar spinal stenosis. Physiother Theory Pract; in press. doi: 10.1080/09593985.2020.1855685.
- 22) Monticone M, Ferrante S, Teli M, et al. Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial. Eur Spine J 2014; 23: 87-95.
- 23) Yamamoto Y, Kawakami M, Minetama M, et al. Psychological predictors of satisfaction after lumbar surgery for lumbar spinal stenosis. Asian Spine J; in press. doi: 10.31616/asj.2020.0402.
- 24) Coronado RA, George SZ, Devin CJ, et al. Pain sensitivity and pain catastro-phizing are associated with persistent pain and disability after lumbar spine surgery. Arch Phys Med Rehabil 2015; 96: 1763-70.
- 25) Burgstaller JM, Wertli MM, Steurer J, et al. The influence of pre- and post-operative fear avoidance beliefs on post-operative pain and disability in patients with lumbar spinal stenosis: analysis of the Lumbar Spinal Outcome Study(LSOS)data. Spine 2017; 42: E425-32.
- 26) de Luis DA, Culebras JM, Aller R, et al. Surgical infection and malnutrition. Nutr Hosp 2014; 30: 509-13.
- 27) Cheng H, Kong J, Underwood C, et al. Systematic review and meta-analysis of the effect of protein and amino acid supplements in older adults with acute or chronic conditions. Br J Nutr 2018; 119: 527-42.
- 28) Minetama M, Kawakami M, Teraguchi M, et al. Effectiveness of amino-acid supple-mentation after decompression surgery for lumbar spinal stenosis: a randomized controlled trial. ISSLS annual meeting 2021.
