Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis
Abstract. Prospective case-control study This study aimed to investigate the effect of self-quarantine on the changes in low back symptoms and activities of daily living (ADL) due to low physical activity because of the COVID-19 pandemic in patients with lumbar spinal stenosis (LSS). The frequency a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-06-01
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| Series: | Medicine |
| Online Access: | http://journals.lww.com/10.1097/MD.0000000000029388 |
| _version_ | 1811236900598448128 |
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| author | Kazunori Hayashi, MD, PhD Toru Tanaka, MD, PhD Akira Sakawa, MD, PhD Tsuneyuki Ebara, MD, PhD Hidekazu Tanaka, MD Hiroaki Nakamura, MD, PhD |
| author_facet | Kazunori Hayashi, MD, PhD Toru Tanaka, MD, PhD Akira Sakawa, MD, PhD Tsuneyuki Ebara, MD, PhD Hidekazu Tanaka, MD Hiroaki Nakamura, MD, PhD |
| author_sort | Kazunori Hayashi, MD, PhD |
| collection | DOAJ |
| description | Abstract. Prospective case-control study
This study aimed to investigate the effect of self-quarantine on the changes in low back symptoms and activities of daily living (ADL) due to low physical activity because of the COVID-19 pandemic in patients with lumbar spinal stenosis (LSS).
The frequency and intensity of low back and leg pain have reportedly increased in healthy subjects because of self-quarantine.
Patients with LSS who self-quarantined from baseline (SQ group) were matched to controls who did not self-quarantine (non-SQ group), based on age, sex, medication, ADL, and the numeric rating scale score for low back symptoms. The change in low back symptoms, ADL, and health-related quality of life between baseline and follow-up were compared between the groups.
The SQ and non-SQ group included 80 and 60 patients, respectively. Compared with the baseline, the numeric rating scale score for low back pain at follow-up in the SQ group significantly improved (P = .004, median; 1 point), but not in the non-SQ group. No significant difference was found regarding changes in leg pain or numbness. Low back pain improvement did not lead to ADL improvement. The short form 12 evaluation revealed the role/social component score in the SQ group to be significantly lower than that in the non-SQ group; no difference was found for the physical or mental components at follow-up.
Self-quarantine with conservative treatment effected short-term low back pain improvement in patients with LSS. However, no improvement in ADL was found. Self-quarantine had an unfavorable impact for health-related quality of life. The effect of self-quarantine can influence the treatment results of LSS. |
| first_indexed | 2024-04-12T12:17:13Z |
| format | Article |
| id | doaj.art-caf5477e462348d885b6c498c5074d5f |
| institution | Directory Open Access Journal |
| issn | 0025-7974 1536-5964 |
| language | English |
| last_indexed | 2024-04-12T12:17:13Z |
| publishDate | 2022-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Medicine |
| spelling | doaj.art-caf5477e462348d885b6c498c5074d5f2022-12-22T03:33:24ZengWolters KluwerMedicine0025-79741536-59642022-06-0110124e2938810.1097/MD.0000000000029388202206170-00002Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosisKazunori Hayashi, MD, PhDToru Tanaka, MD, PhDAkira Sakawa, MD, PhDTsuneyuki Ebara, MD, PhDHidekazu Tanaka, MDHiroaki Nakamura, MD, PhDAbstract. Prospective case-control study This study aimed to investigate the effect of self-quarantine on the changes in low back symptoms and activities of daily living (ADL) due to low physical activity because of the COVID-19 pandemic in patients with lumbar spinal stenosis (LSS). The frequency and intensity of low back and leg pain have reportedly increased in healthy subjects because of self-quarantine. Patients with LSS who self-quarantined from baseline (SQ group) were matched to controls who did not self-quarantine (non-SQ group), based on age, sex, medication, ADL, and the numeric rating scale score for low back symptoms. The change in low back symptoms, ADL, and health-related quality of life between baseline and follow-up were compared between the groups. The SQ and non-SQ group included 80 and 60 patients, respectively. Compared with the baseline, the numeric rating scale score for low back pain at follow-up in the SQ group significantly improved (P = .004, median; 1 point), but not in the non-SQ group. No significant difference was found regarding changes in leg pain or numbness. Low back pain improvement did not lead to ADL improvement. The short form 12 evaluation revealed the role/social component score in the SQ group to be significantly lower than that in the non-SQ group; no difference was found for the physical or mental components at follow-up. Self-quarantine with conservative treatment effected short-term low back pain improvement in patients with LSS. However, no improvement in ADL was found. Self-quarantine had an unfavorable impact for health-related quality of life. The effect of self-quarantine can influence the treatment results of LSS.http://journals.lww.com/10.1097/MD.0000000000029388 |
| spellingShingle | Kazunori Hayashi, MD, PhD Toru Tanaka, MD, PhD Akira Sakawa, MD, PhD Tsuneyuki Ebara, MD, PhD Hidekazu Tanaka, MD Hiroaki Nakamura, MD, PhD Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis Medicine |
| title | Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis |
| title_full | Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis |
| title_fullStr | Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis |
| title_full_unstemmed | Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis |
| title_short | Effects of self-quarantine during the COVID-19 pandemic on patients with lumbar spinal stenosis |
| title_sort | effects of self quarantine during the covid 19 pandemic on patients with lumbar spinal stenosis |
| url | http://journals.lww.com/10.1097/MD.0000000000029388 |
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