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Andrew Virr - One of the best experts on this subject based on the ideXlab platform.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:Study Design. The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. Objective. To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. Summary of Background Data. Reliability data for exercise tests in lombar Spinal Stenosis are lacking. Methods. To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. Results. Test-retest reliability in terms of the intraclass correlation co-efficiant (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 96% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (ρ = 0.80; P < 0.001). Conclusions, Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:STUDY DESIGN: The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. OBJECTIVE: To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. SUMMARY OF BACKGROUND DATA: Reliability data for exercise tests in lumbar Spinal Stenosis are lacking. METHODS: To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. RESULTS: Test-retest reliability in terms of the intraclass correlation coefficient (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 95% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (rho = 0.80; P < 0.001). CONCLUSIONS: Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
R K Pratt - One of the best experts on this subject based on the ideXlab platform.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:Study Design. The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. Objective. To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. Summary of Background Data. Reliability data for exercise tests in lombar Spinal Stenosis are lacking. Methods. To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. Results. Test-retest reliability in terms of the intraclass correlation co-efficiant (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 96% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (ρ = 0.80; P < 0.001). Conclusions, Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:STUDY DESIGN: The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. OBJECTIVE: To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. SUMMARY OF BACKGROUND DATA: Reliability data for exercise tests in lumbar Spinal Stenosis are lacking. METHODS: To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. RESULTS: Test-retest reliability in terms of the intraclass correlation coefficient (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 95% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (rho = 0.80; P < 0.001). CONCLUSIONS: Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
Kazuhiro Hasegawa - One of the best experts on this subject based on the ideXlab platform.
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Specialized issue: Lumbar Spinal Stenosis.
European Journal of Orthopaedic Surgery and Traumatology, 2016Co-Authors: Samo K. Fokter, Kazuhiro HasegawaAbstract:Diagnosis and treatment are evolving in lumbar Spinal Stenosis. The lesion is world widely common and becoming more complicated as human life spam is getting longer. Foraminal Stenosis is one of examples which are often overlooked, but recent imaging technology, e.g. MRI diffusion-weighted imaging, has been improving precision of the diagnosis. Idiopathic scoliosis with degenerative disc disease and de novo degenerative scoliosis are subject to lumbar canal Stenosis. In this lesion, not only the segmental lesion, but also standing Spinal alignment should be clarified for the diagnosis and treatment strategy. In this specialized issue of European Journal of Orthopaedic Surgery and Traumatology, ‘‘Foraminal Stenosis, the hidden Stenosis’’, was reviewed by Dr. Sumihisa Orita et al. (Japan) [1], ‘‘Lumbar Spinal Stenosis in adult (elderly) Spinal deformity’’ was by Dr. Le Huec et al. (France) [2], ‘‘The global alignment in patients with lumbar Spinal Stenosis: our experience using the EOS full body images’’ was by Dr. Jean-Yves Lazennec et al. (France) [3], ‘‘Surgical and non-surgical treatments for lumbar Spinal Stenosis’’ was by Dr. Gen Inoue et al. (Japan) [4], and finally ‘‘Minimally invasive surgery for lumbar Spinal Stenosis’’ including a critical review on interspinous process devices was by Dr. Wouter Moojen and Dr. Niels A. van der Gaag (the Netherlands) [5]. We are privileged with the honour of editing this specialized issue: Lumbar Spinal Stenosis. The authors in this edition outshine among their counterparts. We are confident that our readers will gain outstanding knowledge on the up-to-date diagnosis, approaches, and techniques in the management of Spinal Stenosis, for the benefit of their patients. The authors declare no conflict of interest.
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Specialized issue: Lumbar Spinal Stenosis.
European Journal of Orthopaedic Surgery and Traumatology, 2016Co-Authors: Samo K. Fokter, Kazuhiro HasegawaAbstract:Diagnosis and treatment are evolving in lumbar Spinal Stenosis. The lesion is world widely common and becoming more complicated as human life spam is getting longer. Foraminal Stenosis is one of examples which are often overlooked, but recent imaging technology, e.g. MRI diffusion-weighted imaging, has been improving precision of the diagnosis. Idiopathic scoliosis with degenerative disc disease and de novo degenerative scoliosis are subject to lumbar canal Stenosis. In this lesion, not only the segmental lesion, but also standing Spinal alignment should be clarified for the diagnosis and treatment strategy. In this specialized issue of European Journal of Orthopaedic Surgery and Traumatology, ‘‘Foraminal Stenosis, the hidden Stenosis’’, was reviewed by Dr. Sumihisa Orita et al. (Japan) [1], ‘‘Lumbar Spinal Stenosis in adult (elderly) Spinal deformity’’ was by Dr. Le Huec et al. (France) [2], ‘‘The global alignment in patients with lumbar Spinal Stenosis: our experience using the EOS full body images’’ was by Dr. Jean-Yves Lazennec et al. (France) [3], ‘‘Surgical and non-surgical treatments for lumbar Spinal Stenosis’’ was by Dr. Gen Inoue et al. (Japan) [4], and finally ‘‘Minimally invasive surgery for lumbar Spinal Stenosis’’ including a critical review on interspinous process devices was by Dr. Wouter Moojen and Dr. Niels A. van der Gaag (the Netherlands) [5]. We are privileged with the honour of editing this specialized issue: Lumbar Spinal Stenosis. The authors in this edition outshine among their counterparts. We are confident that our readers will gain outstanding knowledge on the up-to-date diagnosis, approaches, and techniques in the management of Spinal Stenosis, for the benefit of their patients. The authors declare no conflict of interest.
Jeremy Fairbank - One of the best experts on this subject based on the ideXlab platform.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:Study Design. The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. Objective. To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. Summary of Background Data. Reliability data for exercise tests in lombar Spinal Stenosis are lacking. Methods. To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. Results. Test-retest reliability in terms of the intraclass correlation co-efficiant (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 96% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (ρ = 0.80; P < 0.001). Conclusions, Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
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the reliability of the shuttle walking test the swiss Spinal Stenosis questionnaire the oxford Spinal Stenosis score and the oswestry disability index in the assessment of patients with lumbar Spinal Stenosis
Spine, 2002Co-Authors: R K Pratt, Jeremy Fairbank, Andrew VirrAbstract:STUDY DESIGN: The Shuttle Walking Test (SWT), the Swiss Spinal Stenosis (SSS) Questionnaire, the Oxford Claudication Score (OCS), and the Oswestry Disability Index (ODI) were administered to patients with lumbar Spinal Stenosis and neurogenic claudication. OBJECTIVE: To determine reliability of the SWT, the SSS (Q1-12), the OCS, and the ODI in lumbar Spinal Stenosis assessment. SUMMARY OF BACKGROUND DATA: Reliability data for exercise tests in lumbar Spinal Stenosis are lacking. METHODS: To determine reliability, 32 clinic patients with lumbar Spinal Stenosis were assessed twice, with 1 week between assessments. Retrospective data from 17 patients assessed before surgery and 18 months after surgery for lumbar Spinal Stenosis were used to investigate the use of reliability in a clinical setting. RESULTS: Test-retest reliability in terms of the intraclass correlation coefficient (ICC) was 0.92 for the SWT, 0.92 for the SSS, 0.83 for the OCS and 0.89 for the ODI. The mean percentage scores were 51 for the SSS, 45 for the OCS, and 40 for the ODI. To achieve 95% certainty of change between assessments for a single patient, the SSS would need to change by 15, the OCS by 20, and the ODI by 16. The mean SWT was 150 m, with a change of 76 m required for 95% confidence. Cronbach's alpha was 0.91 for the SSS, 0.90 for the OCS, and 0.89 for the ODI. The change in ODI correlated most strongly with patient satisfaction after surgery (rho = 0.80; P < 0.001). CONCLUSIONS: Fluctuations in a patient's symptoms result in wide individual confidence intervals. Performance on the SSS, OCS, and ODI questionnaires are broadly similar, the most precise being the condition-specific SSS. The SWT gives a snapshot of physical function, which is acceptable for group analysis. Use of the SWT for individual assessment after surgery is feasible.
Li Sanqiang - One of the best experts on this subject based on the ideXlab platform.
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Transforaminal endoscopic decompression for thoracic Spinal Stenosis under local anesthesia.
European Spine Journal, 2018Co-Authors: Zhi-qiang Jia, Zhao Litao, Li SanqiangAbstract:Background Thoracic Spinal Stenosis is a common vertebral degenerative disease, and treatment remains challenging. In recent years, transforaminal endoscopic decompression has been widely used for treating lumbar degenerative diseases. However, the efficacy of this procedure for thoracic Spinal Stenosis has yet to be established. Herein, we report a case of thoracic Spinal Stenosis treated with transforaminal endoscopic decompression under local anesthesia. Case report An 88-year-old man presented with a 1-month history of progressive paralysis and dysesthesia in the bilateral lower extremities. A diagnosis of thoracic Spinal Stenosis was made, based on physical examination. A two-step percutaneous transforaminal endoscopic thoracic decompression was performed for Spinal canal decompression. Over a follow-up of 1 year, a favorable outcome was noted. Conclusion Transforaminal endoscopic decompression is a safe and an effective surgical approach for the treatment of thoracic Spinal Stenosis. For patients with thoracic Spinal Stenosis, accurate diagnosis and elaborate surgical planning should be highlighted, and the surgical outcome can be favorable.