Nonsurgical treatment in patients with lumbar spinal stenosis

Objective: The purpose of this study was to explore potential baseline physical examination and demographic predictors of clinical outcomes in patients with lumbar spinal stenosis. Methods: This was a secondary analysis of data obtained from a pilot randomized controlled trial. Primary and secondary outcome measures were the Swiss Spinal Stenosis (SSS) Questionnaire and visual analog scale (VAS) for leg pain. Multiple regression models were used to assess 2 different outcomes: SSS at completion of care and VAS at completion of care. Separate regression models were built for each of the 2 outcomes to identify the best subset of variables that predicted improvement. Predictors with a significant contribution were retained in a final “best” model. Results: Three variables were identified as having an associationwith SSS score at completion of care: baseline SSS score, qualitative description of leg pain, and age (adjusted R = 33.2). Four variables were identified as having an association with VAS score at completion of care: baseline VAS score, qualitative description of leg pain, body mass index, and age (adjusted R = 38.3). Conclusion: This study provides preliminary evidence supporting an association between certain baseline characteristics and nonsurgical clinical outcomes in patients with lumbar spinal stenosis. (J Manipulative Physiol Ther 2015;xx:1-7) Key Indexing Terms: Spinal Stenosis; Manipulation; Chiropractic; Low Back Pain; Complementary Therapies; Lumbar Vertebrae; Radiculopathy