Barriers and Facilitators to Cycling for Lumbar Spinal Stenosis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-08-29

Study Completion Date

2016-12-21

Brief Summary

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The purpose of this study is to determine whether a home-based cycling program for patients with lumbar spinal stenosis is a feasible and acceptable

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Detailed Description

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Lumbar spinal stenosis is a prevalent and disabling condition in elderly individuals. Lumbar spinal stenosis results in lumbar and/or radicular leg pain when standing and walking, while symptoms regress in lumbar flexion positions and at rest. The inability to stand or walk impairs functioning and health-related quality of life of elders, and has an important healthcare cost. The 2 main treatment options for lumbar spinal stenosis are conservative or surgical. Laminectomy may be more effective on pain and function than conservative therapy. However, the benefit-risk balance of surgery should be considered in this population with numerous co-morbidities, and evidence is inconsistent. Therefore, conservative therapy is usually the first line option to avoid or delay surgery. Data regarding exercise therapy are scarce. Lumbar-flexion-based exercises are usually recommended. A pilot study suggested that lumbar-flexion-based endurance training, namely cycling, could be an effective and safe method to improve pain, function and health-related quality of life in elderly patients with chronic low back pain but barriers to adhering to the program were detected. Investigators aim to assess barriers and facilitators to a 3-month home-based cycling program in lumbar spinal stenosis.

Conditions

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Lumbar Spinal Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Home-based cycling

A single outpatient supervised session followed by a 3-month home-based cycling program tailored to patients' preferences

Home-based cycling

Intervention Type OTHER

A single outpatient supervised session followed by a 3-month home-based cycling program tailored to patients' preferences

Interventions

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Home-based cycling

A single outpatient supervised session followed by a 3-month home-based cycling program tailored to patients' preferences

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Fulfilment of International Society for the Study of Lumbar Spine clinical diagnosis criteria for lumbar spinal stenosis with the presence of at least 6 out of the 7 following criteria: "pain in the buttocks or legs while walking"; "flex forward to relieve symptoms"; "feel relief when using a shopping cart or bicycle"; "motor or sensory disturbance while walking"; "normal and symmetric foot pulses"; "lower extremity weakness"; and "low back pain"
* Lumbar spinal stenosis qualitatively detected on MRI or CT-scan

Exclusion Criteria

* Inability to speak or read French
* Impossibility or refusal to have an ergometric bicycle at home
* Ongoing lumbar-flexion-based endurance training
* History of spinal surgery
* Cognitive impairment
* Neurological or vascular disorder involving the lower limbs
* Contraindication to cycling

Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No