Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis

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dc.contributor.buuauthorKoç, Zarife
dc.contributor.buuauthorÖzçakır, Şüheda
dc.contributor.buuauthorSivrioğlu, Koncuy
dc.contributor.buuauthorGurbet, Alp
dc.contributor.buuauthorKüçükoğlu, Selçuk
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-0851-3620tr_TR
dc.contributor.orcid0000-0002-6503-8232tr_TR
dc.contributor.researcheridAAH-5375-2021tr_TR
dc.contributor.researcheridAAG-8193-2021tr_TR
dc.contributor.researcheridAAG-8211-2021tr_TR
dc.contributor.researcheridA-7994-2018tr_TR
dc.contributor.scopusid22935203300tr_TR
dc.contributor.scopusid15757855500tr_TR
dc.contributor.scopusid56245687600tr_TR
dc.contributor.scopusid35618853300tr_TR
dc.contributor.scopusid6603550418tr_TR
dc.date.accessioned2021-10-25T19:35:23Z
dc.date.available2021-10-25T19:35:23Z
dc.date.issued2009-05-01
dc.description.abstractStudy Design. Randomized single-blind controlled trial. Objective. We aimed to compare the effects of epidural steroid injections and physical therapy program on pain and function in patients with lumbar spinal stenosis (LSS). Summary of Background Data. LSS is one of the most common degenerative spinal disorders among elderly population. Initial treatment of this disabling painful condition is usually conservative including analgesics, nonsteroidal anti-inflammatory drugs, exercise, physical therapy, or epidural steroid injections. Owing to lack of sufficient data concerning the effectiveness of conservative treatment in LSS, we aimed to compare the effectiveness of epidural steroid injections and physical therapy program in a randomized controlled manner. Methods. A total of 29 patients diagnosed as LSS were randomized into 3 groups. Group 1 (n = 10) received an inpatient physical therapy program for 2 weeks, group 2 (n = 10) received epidural steroid injections, and group 3 (n = 9) served as the controls. All study patients additionally received diclofenac and a home-based exercise program. The patients were evaluated at baseline, 2 weeks, 1 month, 3 months, and 6 months after treatment by finger floor distance, treadmill walk test, sit-to-stand test, weight carrying test, Roland Morris Disability Index, and Nottingham Health Profile. Results. Both epidural steroid and physical therapy groups have demonstrated significant improvement in pain and functional parameters and no significant difference was noted between the 2 treatment groups. Significant improvements were also noted in the control group. Pain and functional assessment scores (RMDI, NHP physical activity subscore) were significantly more improved in group 2 compared with controls at the second week. Conclusion. Epidural steroid injections and physical therapy both seem to be effective in LSS patients up to 6 months of follow-up.en_US
dc.identifier.citationKoç, Z. vd. (2009). "Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis". Spine, 34(10), 985-989.en_US
dc.identifier.endpage989tr_TR
dc.identifier.issn0362-2436
dc.identifier.issue10tr_TR
dc.identifier.pubmed19404172tr_TR
dc.identifier.scopus2-s2.0-67650311672tr_TR
dc.identifier.startpage985tr_TR
dc.identifier.urihttps://doi.org/10.1097/BRS.0b013e31819c0a6b
dc.identifier.urihttps://journals.lww.com/spinejournal/Fulltext/2009/05010/Effectiveness_of_Physical_Therapy_and_Epidural.2.aspx
dc.identifier.urihttp://hdl.handle.net/11452/22475
dc.identifier.volume34tr_TR
dc.identifier.wos000265677900001tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.collaborationYurt içitr_TR
dc.relation.journalSpineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural steroid injectionen_US
dc.subjectLumbar spinal stenosisen_US
dc.subjectPhysical therapyen_US
dc.subjectMorris-disability-questionnaireen_US
dc.subjectNonoperative treatmenten_US
dc.subjectConservative treatmenten_US
dc.subjectExercise treadmillen_US
dc.subjectControlled-trialen_US
dc.subjectTurkish versionen_US
dc.subjectRadicular painen_US
dc.subjectInfiltrationen_US
dc.subjectPopulationen_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectOrthopedicsen_US
dc.subject.emtreeBupivacaineen_US
dc.subject.emtreeDiclofenacen_US
dc.subject.emtreeTriamcinolone acetonideen_US
dc.subject.emtreeAntiinflammatory agenten_US
dc.subject.emtreeDiclofenacen_US
dc.subject.emtreeNonsteroid antiinflammatory agenten_US
dc.subject.emtreeSteroiden_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeClinical trialen_US
dc.subject.emtreeConservative treatmenten_US
dc.subject.emtreeControlled clinical trialen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeDisabilityen_US
dc.subject.emtreeExerciseen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFollow upen_US
dc.subject.emtreeFunctional assessmenten_US
dc.subject.emtreeHome careen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeLumbar spine stenosisen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNottingham Health Profileen_US
dc.subject.emtreePainen_US
dc.subject.emtreePain assessmenten_US
dc.subject.emtreePhysiotherapyen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeRating scaleen_US
dc.subject.emtreeRandomized controlled trialen_US
dc.subject.emtreeRoland Morris disability indexen_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSingle blind procedureen_US
dc.subject.emtreeStatistical significanceen_US
dc.subject.emtreeTreadmillen_US
dc.subject.emtreeTreatment outcomeen_US
dc.subject.emtreeTreatment responseen_US
dc.subject.emtreeVertebral canal stenosisen_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeComparative studyen_US
dc.subject.emtreeDaily life activityen_US
dc.subject.emtreeDrug effecten_US
dc.subject.emtreeEpidural drug administrationen_US
dc.subject.emtreeFitnessen_US
dc.subject.emtreeKinesiotherapyen_US
dc.subject.emtreeLow back painen_US
dc.subject.emtreeLumbar vertebraen_US
dc.subject.emtreeMethodologyen_US
dc.subject.emtreePathologyen_US
dc.subject.emtreePathophysiologyen_US
dc.subject.emtreePatient satisfactionen_US
dc.subject.emtreePhysiologyen_US
dc.subject.emtreeRadiographyen_US
dc.subject.emtreeStatisticsen_US
dc.subject.emtreeVertebral canal stenosisen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.meshActivities of daily livingen_US
dc.subject.meshAgeden_US
dc.subject.meshAnti-inflammatory agentsen_US
dc.subject.meshAnti-inflammatory agents, non-steroidalen_US
dc.subject.meshDiclofenacen_US
dc.subject.meshExercise therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInjections, epiduralen_US
dc.subject.meshLow back painen_US
dc.subject.meshLumbar vertebraeen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshPatient satisfactionen_US
dc.subject.meshPhysical fitnessen_US
dc.subject.meshPhysical therapy modalitiesen_US
dc.subject.meshSingle-blind methoden_US
dc.subject.meshSpinal stenosisen_US
dc.subject.meshSteroidsen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.scopusEpidural Drug Administration; Spinal Stenosis; Radiculopathyen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosOrthopedicsen_US
dc.titleEffectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosisen_US
dc.typeArticle
dc.wos.quartileQ1 (Orthopedics)en_US
dc.wos.quartileQ2 (Clinical neurology)en_US

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