The risk assessment of a fall in patients with lumbar spinal stenosis

Ho Joong Kim, Heoung Jae Chun, Chang Dong Han, seonghwan moon, Kyoung Tak Kang, Hak Sun Kim, Jin Oh Park, Eun Su Moon, Bo Ram Kim, Joon Seok Sohn, Seung Yup Shin, Ju Woong Jang, Kwang Il Lee, Hwan Mo Lee

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Study Design.: A prospective case control study. Objectives.: To investigate the risk of a fall by using functional mobility tests in patients with lumbar spinal stenosis (LSS) via a comparison with patients with knee osteoarthritis (KOA). Summary of Background Data.: LSS is a degenerative arthritic disease in the spine that results in decreasing function, impaired balance, and gait deficit, with increased levels of leg and back pain. This physical impairment may result in an increased risk of fall later in the disease process, as shown in KOA. However, there has been no study regarding the association between the risk of a fall and LSS. Methods.: The study was an age- and weight-matched case control study consisting of two groups: one group consisting of 40 patients with LSS who were scheduled to undergo spine surgery (LSS group) and the other group consisting of 40 patients with advanced osteoarthritis in both knees, scheduled to undergo TKA on both knees (KOA group). For both groups, four functional mobility tests, such as a Six-Meter-Walk Test (SMT), Sit-to-Stand test (STS), Alternative-Step Test (AST), and Timed Up and Go Test (TUGT), were performed. Results.: There was no difference in demographic data between both groups except for body mass index. For the SMT and STS, the patients in the LSS group spent significantly more time performing these tests than the patients in the KOA. For the AST, however, patients in the KOA group presented a statistically worse performance in functional mobility, compared with the LSS group. The mean TUGT time was not statistically different between the two groups. CONCLUSIONS.: The current study highlights that patients with symptomatic LSS have a risk of a fall comparable with the patients who had degenerative KOA based on the results of functional mobility tests (SMT, STS, AST, and TUGT).

Original languageEnglish
JournalSpine
Volume36
Issue number9
DOIs
Publication statusPublished - 2011 Apr 20

Fingerprint

Spinal Stenosis
Knee Osteoarthritis
Exercise Test
Osteoarthritis
Case-Control Studies
Knee
Spine
Back Pain
Gait
Leg
Body Mass Index
Demography
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Kim, Ho Joong ; Chun, Heoung Jae ; Han, Chang Dong ; moon, seonghwan ; Kang, Kyoung Tak ; Kim, Hak Sun ; Park, Jin Oh ; Moon, Eun Su ; Kim, Bo Ram ; Sohn, Joon Seok ; Shin, Seung Yup ; Jang, Ju Woong ; Lee, Kwang Il ; Lee, Hwan Mo. / The risk assessment of a fall in patients with lumbar spinal stenosis. In: Spine. 2011 ; Vol. 36, No. 9.
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title = "The risk assessment of a fall in patients with lumbar spinal stenosis",
abstract = "Study Design.: A prospective case control study. Objectives.: To investigate the risk of a fall by using functional mobility tests in patients with lumbar spinal stenosis (LSS) via a comparison with patients with knee osteoarthritis (KOA). Summary of Background Data.: LSS is a degenerative arthritic disease in the spine that results in decreasing function, impaired balance, and gait deficit, with increased levels of leg and back pain. This physical impairment may result in an increased risk of fall later in the disease process, as shown in KOA. However, there has been no study regarding the association between the risk of a fall and LSS. Methods.: The study was an age- and weight-matched case control study consisting of two groups: one group consisting of 40 patients with LSS who were scheduled to undergo spine surgery (LSS group) and the other group consisting of 40 patients with advanced osteoarthritis in both knees, scheduled to undergo TKA on both knees (KOA group). For both groups, four functional mobility tests, such as a Six-Meter-Walk Test (SMT), Sit-to-Stand test (STS), Alternative-Step Test (AST), and Timed Up and Go Test (TUGT), were performed. Results.: There was no difference in demographic data between both groups except for body mass index. For the SMT and STS, the patients in the LSS group spent significantly more time performing these tests than the patients in the KOA. For the AST, however, patients in the KOA group presented a statistically worse performance in functional mobility, compared with the LSS group. The mean TUGT time was not statistically different between the two groups. CONCLUSIONS.: The current study highlights that patients with symptomatic LSS have a risk of a fall comparable with the patients who had degenerative KOA based on the results of functional mobility tests (SMT, STS, AST, and TUGT).",
author = "Kim, {Ho Joong} and Chun, {Heoung Jae} and Han, {Chang Dong} and seonghwan moon and Kang, {Kyoung Tak} and Kim, {Hak Sun} and Park, {Jin Oh} and Moon, {Eun Su} and Kim, {Bo Ram} and Sohn, {Joon Seok} and Shin, {Seung Yup} and Jang, {Ju Woong} and Lee, {Kwang Il} and Lee, {Hwan Mo}",
year = "2011",
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Kim, HJ, Chun, HJ, Han, CD, moon, S, Kang, KT, Kim, HS, Park, JO, Moon, ES, Kim, BR, Sohn, JS, Shin, SY, Jang, JW, Lee, KI & Lee, HM 2011, 'The risk assessment of a fall in patients with lumbar spinal stenosis', Spine, vol. 36, no. 9. https://doi.org/10.1097/BRS.0b013e3181f92d8e

The risk assessment of a fall in patients with lumbar spinal stenosis. / Kim, Ho Joong; Chun, Heoung Jae; Han, Chang Dong; moon, seonghwan; Kang, Kyoung Tak; Kim, Hak Sun; Park, Jin Oh; Moon, Eun Su; Kim, Bo Ram; Sohn, Joon Seok; Shin, Seung Yup; Jang, Ju Woong; Lee, Kwang Il; Lee, Hwan Mo.

In: Spine, Vol. 36, No. 9, 20.04.2011.

Research output: Contribution to journalArticle

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T1 - The risk assessment of a fall in patients with lumbar spinal stenosis

AU - Kim, Ho Joong

AU - Chun, Heoung Jae

AU - Han, Chang Dong

AU - moon, seonghwan

AU - Kang, Kyoung Tak

AU - Kim, Hak Sun

AU - Park, Jin Oh

AU - Moon, Eun Su

AU - Kim, Bo Ram

AU - Sohn, Joon Seok

AU - Shin, Seung Yup

AU - Jang, Ju Woong

AU - Lee, Kwang Il

AU - Lee, Hwan Mo

PY - 2011/4/20

Y1 - 2011/4/20

N2 - Study Design.: A prospective case control study. Objectives.: To investigate the risk of a fall by using functional mobility tests in patients with lumbar spinal stenosis (LSS) via a comparison with patients with knee osteoarthritis (KOA). Summary of Background Data.: LSS is a degenerative arthritic disease in the spine that results in decreasing function, impaired balance, and gait deficit, with increased levels of leg and back pain. This physical impairment may result in an increased risk of fall later in the disease process, as shown in KOA. However, there has been no study regarding the association between the risk of a fall and LSS. Methods.: The study was an age- and weight-matched case control study consisting of two groups: one group consisting of 40 patients with LSS who were scheduled to undergo spine surgery (LSS group) and the other group consisting of 40 patients with advanced osteoarthritis in both knees, scheduled to undergo TKA on both knees (KOA group). For both groups, four functional mobility tests, such as a Six-Meter-Walk Test (SMT), Sit-to-Stand test (STS), Alternative-Step Test (AST), and Timed Up and Go Test (TUGT), were performed. Results.: There was no difference in demographic data between both groups except for body mass index. For the SMT and STS, the patients in the LSS group spent significantly more time performing these tests than the patients in the KOA. For the AST, however, patients in the KOA group presented a statistically worse performance in functional mobility, compared with the LSS group. The mean TUGT time was not statistically different between the two groups. CONCLUSIONS.: The current study highlights that patients with symptomatic LSS have a risk of a fall comparable with the patients who had degenerative KOA based on the results of functional mobility tests (SMT, STS, AST, and TUGT).

AB - Study Design.: A prospective case control study. Objectives.: To investigate the risk of a fall by using functional mobility tests in patients with lumbar spinal stenosis (LSS) via a comparison with patients with knee osteoarthritis (KOA). Summary of Background Data.: LSS is a degenerative arthritic disease in the spine that results in decreasing function, impaired balance, and gait deficit, with increased levels of leg and back pain. This physical impairment may result in an increased risk of fall later in the disease process, as shown in KOA. However, there has been no study regarding the association between the risk of a fall and LSS. Methods.: The study was an age- and weight-matched case control study consisting of two groups: one group consisting of 40 patients with LSS who were scheduled to undergo spine surgery (LSS group) and the other group consisting of 40 patients with advanced osteoarthritis in both knees, scheduled to undergo TKA on both knees (KOA group). For both groups, four functional mobility tests, such as a Six-Meter-Walk Test (SMT), Sit-to-Stand test (STS), Alternative-Step Test (AST), and Timed Up and Go Test (TUGT), were performed. Results.: There was no difference in demographic data between both groups except for body mass index. For the SMT and STS, the patients in the LSS group spent significantly more time performing these tests than the patients in the KOA. For the AST, however, patients in the KOA group presented a statistically worse performance in functional mobility, compared with the LSS group. The mean TUGT time was not statistically different between the two groups. CONCLUSIONS.: The current study highlights that patients with symptomatic LSS have a risk of a fall comparable with the patients who had degenerative KOA based on the results of functional mobility tests (SMT, STS, AST, and TUGT).

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