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Research ArticleLumbar Spine

Physical Inactivity Before Surgery for Lumbar Spinal Stenosis Is Associated With Inferior Outcomes at 1-Year Follow-Up: A Cohort Study

Thomas Torstensson, Arkan Sayed-Noor and Björn Knutsson
International Journal of Spine Surgery October 2022, 16 (5) 916-920; DOI: https://doi.org/10.14444/8347
Thomas Torstensson
1 Department of Public Health and Caring Science, Uppsala university, Uppsala, Sweden
PT, PhD
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Arkan Sayed-Noor
2 Department of Surgical and Perioperative Sciences, Orthopedics, Umeå University, Umeå, Sweden
MD, PhD
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Björn Knutsson
2 Department of Surgical and Perioperative Sciences, Orthopedics, Umeå University, Umeå, Sweden
MD, PhD
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    Figure

    Flowchart for inclusion of patients in the study.

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    Table 1

    Characteristics of the study group at baseline.

    CharacteristicRegular Exercise
    (n = 3031)
    No Regular Exercise
    (n = 8925)
    P Value
    Female sex, % (n)52 (1587)56 (4950)0.002
    Current smoking, % (n)9 (255)13 (1171)<0.001
    Previous back surgery, % (n)16 (492)20 (1754)<0.001
    Workload, % (n)  <0.001
     Not employed55 (1554)72 (5836) 
     Easy work18 (501)11 (887) 
     Medium work19 (530)11 (845) 
     Strenous work8 (219)6 (514) 
    Age, y, mean (SD)65 (10)69 (10)<0.001
    BMI, mean (SD)27 (4)28 (4)<0.001
    ODI, mean (SD)39 (15)45 (15)<0.001
    Back pain, VAS, mean (SD)51 (27)57 (26)<0.001
    Leg pain, VAS, mean (SD)60 (25)63 (25)<0.001
    • Abbreviations: BMI, body mass index; ODI, Oswestry Disability Index; VAS, visual analog scale.

    • Note: Categorical variables are presented as % (n) and continuous variables as mean (SD). Differences in characteristics were compared using the no exercise group as reference. Base line values of BMI, function ODI and pain on the VAS.

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    Table 2

    Improvements in ODI and back and leg pain in VAS scores between inclusion and the 1-year follow-up.

    Outcome MeasureRegular ExerciseNo Regular Exercise P Value
    ODI19.2 (18.5–19.8) n = 251115.9 (15.5–16.3) n = 6892<0.001
    Back pain (VAS)25.2 (24.2–26.3) n = 247621.8 (21.2–22.5) n = 6844<0.001
    Leg pain (VAS)32.5 (31.3–33.6) n = 248428.8 (28.1–29.5) n = 6826<0.001
    • Abbreviations: ODI, Oswestry Disability Index; VAS, visual analog scale.

    • Note: Data presented as mean (95% CI). The n is the number included in the complete case analysis for each outcome. Results are from the adjusted analysis of covariance models. The results are adjusted for age, gender, smoking, body mass index, earlier back surgery, workload, and the baseline value of the variable studied.

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International Journal of Spine Surgery
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1 Oct 2022
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Physical Inactivity Before Surgery for Lumbar Spinal Stenosis Is Associated With Inferior Outcomes at 1-Year Follow-Up: A Cohort Study
Thomas Torstensson, Arkan Sayed-Noor, Björn Knutsson
International Journal of Spine Surgery Oct 2022, 16 (5) 916-920; DOI: 10.14444/8347

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Physical Inactivity Before Surgery for Lumbar Spinal Stenosis Is Associated With Inferior Outcomes at 1-Year Follow-Up: A Cohort Study
Thomas Torstensson, Arkan Sayed-Noor, Björn Knutsson
International Journal of Spine Surgery Oct 2022, 16 (5) 916-920; DOI: 10.14444/8347
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Keywords

  • lumbar spinal stenosis
  • inactivity
  • low back pain
  • leg pain
  • physical function
  • physical activity
  • spinal surgery

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