20.500.12556/RUL-184004 Učinki vadbe in vadbenega svetovanja pri pacientih z ledveno spinalno stenozo Effects of exercise and exercise counselling in patients with lumbar spinal stenosis Ledvena spinalna stenoza je pogost degenerativni vzrok bolečine v križu in nevrogene klavdikacije, ki pomembno omejuje hojo, funkcionalno zmogljivost in kakovost življenja. Namen raziskave je bil ovrednotiti učinke 12-tedenske vadbene intervencije kot oblike konzervativnega zdravljenja pri bolnikih z ledveno spinalno stenozo (LSS) ter preveriti, ali program postopnega podaljševanja prehojene razdalje in izvajanja vaj v domačem okolju pomembno izboljša funkcionalne izide. V raziskavo je bilo vključenih 60 preiskovancev; 31 udeležencev v eksperimentalni skupini (68,10 ± 5,55 leta) je izvajalo vadbo dvakrat tedensko 12 tednov, 29 udeležencev v kontrolni skupini (65,44 ± 8,46 leta) pa je nadaljevalo z običajnim načinom življenja. Meritve smo izvedli pred intervencijo, po 8 tednih in po 12 tednih. V eksperimentalni skupini se je Oswestryjev indeks prizadetosti (ODI) statistično značilno zmanjšal za Δ = 9,74 točke (27,51 %), kar je skladno s pragom minimalno klinično pomembne spremembe (MCID). Analiza ponovljenih meritev je pokazala značilen učinek časa (p = 0,001; ηp² = 0,20) in interakcijo čas × skupina (p = 0,019; ηp² = 0,07). Pri 6-minutnem testu hoje se je v eksperimentalni skupini prehojena razdalja povečala za 105,09 m (26,88 %); učinek časa (p = 0,001) in interakcija čas × skupina (p = 0,001) sta bila statistično značilna. Rezultati kažejo, da 12-tedenska strukturirana vadbena intervencija pri bolnikih z LSS pomembno izboljša funkcionalno oviranost in hojo v primerjavi z običajnim načinom obravnave. Lumbar spinal stenosis is a common degenerative condition and a major cause of low back pain and neurogenic claudication, often leading to impaired walking capacity, functional limitations, and reduced quality of life. This study aimed to evaluate the effects of a 12-week exercise intervention as a form of conservative management in patients with lumbar spinal stenosis (LSS), and to examine whether a home-based programme combining progressive walking-distance increase and targeted exercises improves functional outcomes. Sixty participants were included; 31 in the experimental group (mean age 68.10 ± 5.55 years) completed a supervised programme twice weekly for 12 weeks, while 29 controls (65.44 ± 8.46 years) continued their usual lifestyle without a structured exercise programme. Outcomes were assessed at baseline, after 8 weeks, and after 12 weeks. In the experimental group, the Oswestry Disability Index (ODI) improved significantly by Δ = 9.74 points (27.51%), consistent with the minimal clinically important difference (MCID) for low back pain. Repeated-measures analysis indicated a significant main effect of time (p = 0.001; ηp² = 0.20) and a significant time × group interaction (p = 0.019; ηp² = 0.07). For the 6-minute walk test, the experimental group increased walking distance by 105.09 m (26.88%); both the main effect of time (p = 0.001) and the time × group interaction (p = 0.001) were significant. These findings suggest that a 12-week structured exercise programme can meaningfully reduce disability and improve walking performance in patients with LSS compared with usual care. ledvena spinalna stenoza vadba program funkcionalna zmogljivost hoja bolečina kakovost življenja randomizirana kontrolirana raziskava Lumbar spinal stenosis exercise exercise program functional capacity walking pain quality of life randomized controlled trial true false false Slovenski jezik Angleški jezik Slovenija Od avgusta 2024 do aprila 2025 / From August 2024 to April 2025 Neznano 2026-06-23 21:27:55 2026-06-24 08:14:48 2026-06-25 04:12:04 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 PREBERIME.txt PREBERIME.txt PREBERIME 1 92BD106D3226E0CF1BA76AB6EDB41320 c9c700d22bf38ce96e56d09f8cc7b7fccce36e72aaec8a7fb98a318ea471a0da 0963cf87-6f3f-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=236442 README.txt README.txt README 1 0D3FEF23B1663949E1915295F97FD186 2dcb66cf0799d2568f878f5cddce6c846f23edcc64433b1a10edeb2ecdcc29ba a8f548bc-6f3b-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=236435 LSS_codebook.xlsx LSS_codebook.xlsx LSS codebook 1 5B7F72969953EAFC2E88069E72AACEAA 3239a38ffdcbbc02130fedcc32c1dc3ffa857e3fa9e66cd07f34a0faf0950b9c e579c40b-6f3e-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=236440 SF-36.pdf SF-36.pdf SF-36 1 5E0CE86282A53EECA27128FF3CA982FD e44ac06bd0551c9e99f52d537c2cea72a43e1a815ec23677251ff098c3804fac d4ec21ce-6f3b-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=236437 OSWESTRY_DISABILITY_INDEX.docx OSWESTRY_DISABILITY_INDEX.docx Oswestry disability index 1 D5063CCCF693B9FDF40FA20234F6F8E3 6e66da52ed4debde014c4ac63e396415d454e5a55208d56b376e8b4a54e5e420 994d7e87-6f3b-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=236434 Fakulteta za šport Samoizpolnjeni vprašalnik: Papir/svinčnik 0 0 0