Učinki vadbe in vadbenega svetovanja pri pacientih z ledveno spinalno stenozo

Plaskan, Katja (author), Vodičar, Miha (mentor), Pajek, Maja (comentor)

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.

• Language: Slovenian
• Keywords: ledvena spinalna stenoza, vadba, program, funkcionalna zmogljivost, hoja, bolečina, kakovost življenja, randomizirana kontrolirana raziskava
• Typology: 2.20 - Complete scientific database of research data
• Geographic coverage: Slovenija
• Time coverage: Od avgusta 2024 do aprila 2025 / From August 2024 to April 2025
• Organization: FŠ - Faculty of Sport
• Year: 2026
• PID: 20.500.12556/RUL-184004
• Data col. methods: Self-completed questionnaire: Paper/pencil
• Publication date in RUL: 24.06.2026

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: English
• Title: Effects of exercise and exercise counselling in patients with lumbar spinal stenosis

Abstract

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.

• Keywords: Lumbar spinal stenosis, exercise, exercise program, functional capacity, walking, pain, quality of life, randomized controlled trial