The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication

• Published in: The Korean journal of pain Vol. 34; no. 4; pp. 471 - 478
• Main Authors: Gunes, Musa, Ozmen, Tarik, Guler, Tugba Morali
• Format: Journal Article
• Language: Korean
• Published: 대한통증학회 31-10-2021
• Subjects: Accidental Falls; Catastrophization; Disability Evaluation; Doppler; Fear; Intermittent Claudication; Low Back Pain; Peripheral Vascular Diseases; Postural Balance; Spinal Stenosis; Ultrasonography; Disability Evaluation; Intermittent Claudication; Fear; Spinal Stenosis; Ultrasonography, Doppler; Peripheral Vascular Diseases; Low Back Pain; Catastrophization; Accidental Falls; Postural Balance
• ISSN: 2005-9159; 2093-0569

Background: The effect of lumbar spinal stenosis (LSS) and peripheral vascular disease (PVD), which occurs with similar degenerative conditions, when seen together, has not been studied. The aim of this study is to examine and compare the relationship between pain, balance, disability, fear of falling, and kinesiophobia in LSS patients with intermittent vascular claudication (IVC).
Methods: Seventy-two patients diagnosed with LSS using magnetic resonance imaging participated in this study. Thirty-five patients with IVC symptoms and showing vascular lesions by lower extremity venous and arterial Doppler ultrasonography imaging were included in the IVC-LSS group. The pain, static balance, dynamic balance, disability, fear of falling, and kinesiophobia were evaluated using the numeric rating scale, single leg stance test, Time Up and Go (TUG), the Oswestry Disability Index (ODI), Fall Efficacy Scale-International (FES-I), and Tampa Scale for Kinesiophobia (TSK), respectively.
Results: Age and female sex were found to be higher in the IVC-LSS group (P = 0.024; P = 0.012). The IVC-LSS group had a shorter single leg stance time and TUG test duration, pain intensity, ODI, FES-I, and TSK scores were higher than patients with LSS (P = 0.001). Pain, fear of falling, and kinesiophobia were moderately correlated with disability in the IVC-LSS group. No relationship was found between pain and dynamic balance. Also, the pain was not related to kinesiophobia.
Conclusions: The findings indicated that IVC causes loss of balance and an increase in pain, disability, fear of falling, and kinesophobia in patients with LSS.