SPINE
Physical therapy yields similar physical function to surgery in lumbar spinal stenosis
This report has been verified
by one or more authors of the
original publication.
Ann Intern Med. 2015 Apr 7;162(7):465-73
169 patients, aged 50 years or older, who were considered surgical candidates for lumbar spinal stenosis (LSS) received either surgical decompression or 6 weeks of physical therapy. Physical function scores (SF-36) were assessed after treatment and during the 2-year follow-up period. Both groups achieved similar improvements in physical function and symptom relief using intention-to-treat analyses and compiler average causal effect with inverse probability analyses to account for cross over between groups. A similar proportion of patients achieved a clinically meaningful level of improvement. It should be noted that 57% of the physical therapy group crossed over to surgery during the trial period.
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