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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Main Authors: 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
Format: Article
Language:English
Published: Korean Spine Society 2017-04-01
Series:Asian Spine Journal
Subjects:
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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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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