Physical Therapy vs Surgical Decompression for Lumbar Spinal Stenosis
Physical Therapy Versus Surgical Decompression for Lumbar Spinal Stenosis: A Multicenter Randomized Controlled Trial
Norwegian University of Science and Technology
232 participants
Sep 1, 2020
INTERVENTIONAL
Conditions
Summary
This is a randomized controlled multicenter trail comparing physical therapy to surgical decompression in patients with lumbar spinal stenosis. The 0-hypothesis is that there is no difference in the efficacy of structured physical therapy compared to surgical decompression. Our aim is to evaluate if physical therapy can serve as a nonsurgical alternative for patients with LSS, where the severity of symptoms indicates the need of surgical decompression.
Eligibility
Inclusion Criteria5
- Patients describing intermittent neurogenic claudication when walking and symptoms revealed by flexion of the spine.
- MRI shows lumbar spinal stenosis in one or two levels measured.
- The duration of the symptoms is longer than six months
- The patient is a candidate for surgical treatment
- The patient is capable of physical exercise
Exclusion Criteria13
- Vascular intermittent claudication
- Lumbar spinal stenosis in more than two levels
- Previous low back surgery
- Symptomatic lumbar disc herniation
- Degenerative scoliosis with Cobbs angle 30 degrees or more
- Degenerative spondylolisthesis grade 2 or more
- Spondylolysis with spondylolisthesis
- Recent osteoporotic fractures in the spine (last 6 month)
- Severe symptomatic arthrosis in hip or knee
- Locally advanced or metastatic cancer
- ASA >3
- Polyneuropathy recognized by neurography
- Insufficient Norwegian language skills
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Interventions
standard decompression surgery
3 month physical therapy treatment including home activity based on a well defined program and 4 to 6 visits at physical therapy intervention center.
Locations(3)
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NCT04552145