اثرات درماني ورزش هاي كششي و قدرتي در بيماران با تنگي كانال نخاع كمري ثابت شده با MRI

Therapeutic Effects of Strengthening and Stretching Exercises in Lumbar Canal Stenosis Documented by MRI

Lumbar spinal stenosis is a common cause of back surgery with many morbidities, recurrence, bone-regrowth and mortality after surgery. To evaluate the effects of stretching and strengthening exercises on lumbar, abdominal, knee extensor and flexor muscles in Lumbar Spinal Stenosis (LSS) management, pain severity and maximal walking time was determined in 61 patients who had pseudocluadication and weakness on physical examination. LSS had been confirmed by MRI. Stretching and strengthening exercises were done by physiotherapists at hospital clinic for 10 days and then were continued at home. 38 patients continued out of their exercises at home for 4 months. After physiotherapy at hospital clinic, 56 patients from 61 (92%) had good pain recovery and increased maximal walking time (P<0.001). The continued home exercises in 38 patients had consistently pain improved recovery and increased walking time (P<0.001). we conclude that stretching and strengthening exercises are valuable conservative managments in LSS for pain relief and increase walking endurance and quality of life without surgical intervention.