Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women
Study DesignA cross-sectional, case-control study.PurposeTo investigate associations between physical fitness measures and disabilities related to back pain and quality of life (QOL) by the presence of symptomatic lumbar spinal stenosis (LSS) in elderly Korean women.Overview of LiteratureLSS leads t...
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Language: | English |
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Korean Spine Society
2017-04-01
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Series: | Asian Spine Journal |
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Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-11-256.pdf |
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author | Saejong Park Ho Sung Han Gang-Un Kim Sung Shik Kang Ho-Joong Kim Mihyun Lee Soo Hyun Park Kyu Hwan Choi Sung-Ho Kim Jin S. Yeom |
author_facet | Saejong Park Ho Sung Han Gang-Un Kim Sung Shik Kang Ho-Joong Kim Mihyun Lee Soo Hyun Park Kyu Hwan Choi Sung-Ho Kim Jin S. Yeom |
author_sort | Saejong Park |
collection | DOAJ |
description | Study DesignA cross-sectional, case-control study.PurposeTo investigate associations between physical fitness measures and disabilities related to back pain and quality of life (QOL) by the presence of symptomatic lumbar spinal stenosis (LSS) in elderly Korean women.Overview of LiteratureLSS leads to decreased functioning and reduced QOL. However, correlations among physical fitness, disability, and QOL have not been investigated in elderly women with LSS.MethodsParticipants included women aged 65 years and older (n=192), divided into a study group (n=38) and a control group (n=154) based on the presence/absence of LSS. All participants underwent physical function and fitness tests. Oswestry disability index (ODI) scores and EuroQol five-dimensional questionnaire (EQ-5D-5L) scores were used to assess disability and health-related QOL.ResultsThe results for the handgrip strength, sit-and-reach, functional reach, and timed up and go (TUG) tests were significantly higher in the control group than the LSS group. ODI scores were significantly higher and EQ-5D-5L scores significantly lower in the LSS group. TUG and functional reach test scores were significantly correlated with ODI scores, and handgrip strength was strongly interrelated with ODI and EQ-5D-5L scores in the LSS group. No other physical fitness measures showed statistically significant relationships with ODI or EQ-5D-5L scores.ConclusionsIn elderly Korean women with LSS, back pain-related disability and QOL are significantly associated with some physical fitness parameters such as handgrip strength. Handgrip strength reflects general muscle strength, which is significantly interrelated with the level of disability and QOL. Our results suggest that enhancing generalized muscle strength helps to reduce disability due to back pain and improve QOL in patients with LSS. |
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id | doaj.art-e4b649811a2e46c99e6375b961d8a113 |
institution | Directory Open Access Journal |
issn | 1976-1902 1976-7846 |
language | English |
last_indexed | 2024-04-12T06:03:28Z |
publishDate | 2017-04-01 |
publisher | Korean Spine Society |
record_format | Article |
series | Asian Spine Journal |
spelling | doaj.art-e4b649811a2e46c99e6375b961d8a1132022-12-22T03:44:57ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462017-04-0111225626310.4184/asj.2017.11.2.256213Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean WomenSaejong Park0Ho Sung Han1Gang-Un Kim2Sung Shik Kang3Ho-Joong Kim4Mihyun Lee5Soo Hyun Park6Kyu Hwan Choi7Sung-Ho Kim8Jin S. Yeom9Department of Sports Science, Korea Institute of Sports Science, Seoul, Korea.Department of Orthopaedic Surgery, Spine Center, National Medical Center, Seoul, Korea.Department of Orthopaedic Surgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Department of Orthopaedic Surgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Department of Orthopaedic Surgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Department of Sports Science, Korea Institute of Sports Science, Seoul, Korea.Department of Sports Science, Korea Institute of Sports Science, Seoul, Korea.Department of Sports Science, Sungkyunkwan University, Suwon, Korea.Department of Sports Medicine, Kyung Hee University, Yongin, Korea.Department of Orthopaedic Surgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Study DesignA cross-sectional, case-control study.PurposeTo investigate associations between physical fitness measures and disabilities related to back pain and quality of life (QOL) by the presence of symptomatic lumbar spinal stenosis (LSS) in elderly Korean women.Overview of LiteratureLSS leads to decreased functioning and reduced QOL. However, correlations among physical fitness, disability, and QOL have not been investigated in elderly women with LSS.MethodsParticipants included women aged 65 years and older (n=192), divided into a study group (n=38) and a control group (n=154) based on the presence/absence of LSS. All participants underwent physical function and fitness tests. Oswestry disability index (ODI) scores and EuroQol five-dimensional questionnaire (EQ-5D-5L) scores were used to assess disability and health-related QOL.ResultsThe results for the handgrip strength, sit-and-reach, functional reach, and timed up and go (TUG) tests were significantly higher in the control group than the LSS group. ODI scores were significantly higher and EQ-5D-5L scores significantly lower in the LSS group. TUG and functional reach test scores were significantly correlated with ODI scores, and handgrip strength was strongly interrelated with ODI and EQ-5D-5L scores in the LSS group. No other physical fitness measures showed statistically significant relationships with ODI or EQ-5D-5L scores.ConclusionsIn elderly Korean women with LSS, back pain-related disability and QOL are significantly associated with some physical fitness parameters such as handgrip strength. Handgrip strength reflects general muscle strength, which is significantly interrelated with the level of disability and QOL. Our results suggest that enhancing generalized muscle strength helps to reduce disability due to back pain and improve QOL in patients with LSS.http://www.asianspinejournal.org/upload/pdf/asj-11-256.pdfLumbar vertebraeSpinal stenosisPhysical fitnessOswestry disability indexEuroQol five-dimensional questionnaire |
spellingShingle | Saejong Park Ho Sung Han Gang-Un Kim Sung Shik Kang Ho-Joong Kim Mihyun Lee Soo Hyun Park Kyu Hwan Choi Sung-Ho Kim Jin S. Yeom Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women Asian Spine Journal Lumbar vertebrae Spinal stenosis Physical fitness Oswestry disability index EuroQol five-dimensional questionnaire |
title | Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women |
title_full | Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women |
title_fullStr | Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women |
title_full_unstemmed | Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women |
title_short | Relationships among Disability, Quality of Life, and Physical Fitness in Lumbar Spinal Stenosis: An Investigation of Elderly Korean Women |
title_sort | relationships among disability quality of life and physical fitness in lumbar spinal stenosis an investigation of elderly korean women |
topic | Lumbar vertebrae Spinal stenosis Physical fitness Oswestry disability index EuroQol five-dimensional questionnaire |
url | http://www.asianspinejournal.org/upload/pdf/asj-11-256.pdf |
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