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This will be a prospective cohort observational study observing patients with low back pain with leg pain who present for outpatient physical therapy care at Rusk Rehabilitation at NYU Langone Ambulatory Care Lake Success. Patients are eligible if they present with imaging of stenosis in their lumbar spine on MRI or CT Scan and note radicular leg symptoms with associated neurological deficits on the physical examination for at least 12 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbar stenosis patients | Patients undergoing physical therapy treatment at an outpatient clinic will be enrolled. Data collection will include patient outcome measures, if directional preference is present and results from the functional tests performed by 3 licensed physical therapists who also hold their diploma in the McKenzie Method of Mechanical Diagnosis and Therapy (specialized training in recognizing directional preference) as a part of routine care (not research) for the enrolled patients. Data will be collected at initial onset, at discharge, and at a 6 months follow up. |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of directional preference (DP) among patients diagnosed with lumbar spinal stenosis (LSS) | Prevalence is calculated as the proportion of patients with DP out of the total sample of LSS patients. | Baseline |
| Prevalence of DP among patients diagnosed with LSS | Prevalence is calculated as the proportion of patients with DP out of the total sample of LSS patients. | Visit 3 (variable by participant; up to Day 365) |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of Specific Directions of Directional Preference (DP) in LSS Population | Percentage of patients with LSS demonstrating each primary DP movement direction (FLEXION, EXTENSION, or LATERAL). | Visit 3 (variable by participant; up to Day 365) |
| Change in Pain Scores in LSS Patients With and Without DP |
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Inclusion Criteria:
Exclusion Criteria:
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All patients that choose to participate are undergoing a course of outpatient physical therapy care on their own accord with a referral to physical therapy. The participants have the ability to drop out or withdraw at any point of the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bob Chang | Contact | 516-467-8731 | Bob.chang@nyulangone.org |
| Name | Affiliation | Role |
|---|---|---|
| William Oswald, DPT | NYU Langone Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NYU Langone Health | Recruiting | Lake Success | New York | 11042 | United States |
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| ID | Term |
|---|---|
| D003251 | Constriction, Pathologic |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Pain is measured using the Numeric Pain Rating Scale (NPRS), a self-report scale where individuals rate their pain level on a scale of 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable. |
| Baseline, Visit 3 (variable by participant; up to Day 365) |
| Change in Pain Scores in LSS Patients With and Without DP | Pain is measured using the Numeric Pain Rating Scale (NPRS), a self-report scale where individuals rate their pain level on a scale of 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable. | Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months) |
| Change in Patient-Reported Outcomes Measurement Information System (PROMIS) - Pain Interference Score in LSS Patients With and Without DP | The PROMIS Pain Interference questionnaire is a 40-item measure of the extent to which pain interferes with various aspects of a person's life. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater pain interference. | Baseline, Visit 3 (variable by participant; up to Day 365) |
| Change in PROMIS - Pain Interference Score in LSS Patients With and Without DP | The PROMIS Pain Interference questionnaire is a 40-item measure of the extent to which pain interferes with various aspects of a person's life. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater pain interference. | Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months) |
| Change in PROMIS - Physical Function Score in LSS Patients With and Without DP | The PROMIS Physical Function questionnaire is a 165-item measure of a patient's self-reported capability to perform functional activities, including activities of daily living (ADLs) and activities in the community. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater physical function. | Baseline, Visit 3 (variable by participant; up to Day 365) |
| Change in PROMIS - Physical Function Score in LSS Patients With and Without DP | The PROMIS Physical Function questionnaire is a 165-item measure of a patient's self-reported capability to perform functional activities, including activities of daily living (ADLs) and activities in the community. Each item is rated on a Likert scale from 1-5; the raw score is the sum of item responses. The raw score is standardized into an overall T-score ranging from 0-100, with a mean of 50 and standard deviation of 10. Higher scores indicate greater physical function. | Baseline, 6 Months Post-Visit 3 (variable by participant; up to Day 365 + 6 Months) |