The lumbar spinal stenosis (LSS) is a syndrome with a wide economic and social impact on the adult population. It is a particular form of narrowing of the lumbar vertebral canal or the intervertebral foramina which can compress the neural and vascular elements in the lumbar spine. It is a degenerative process which predominantly affects the geriatric population. The increase of the life expectancy has increased the health needs of this target of population. The (LSS) is a syndrome that can manifest itself with lower back pain and pain to the inferior limbs, and functional disabilities which affects mobility and motor skills. Given the complexity of the clinical presentation, an accurate clinical-functional evaluation is needed that includes: The combination of clinical signs from the patient’s history, a physical evaluation and diagnostic imaging, excluding possible red flags. In this respect, the use of Rehabilitative Ultrasound Imaging (RUSI) might be useful in the evaluation and treatment process, enhancing the effectiveness and documenting the benefits of it. The aim of this work is to propose an integrated evidence-based approach that may be useful for improving the quality of life of LSS patients.
Kalichman, L., Cole, R., Kim, D.H., et al. (2009) Spinal Stenosis Prevalence and Association with Symptoms: The Framingham Study. The Spine Journal, 9, 545-550.
O’Lynnger, T.M., Zuckerman, S.L., Morone, P.J., et al. (2015) Trends for Spine Surgery for the Elderly: Implications for Access to Healthcare in North America. Neurosurgery, 77, S136-S141. https://doi.org/10.1227/NEU.0000000000000945
Sizer, P., Brismee, J.M. and Cook, C. (2007) Medical Screening for Red Flags in the Diagnosis and Management of Musculoskeletal Spine Pain. Pain Practice, 7, 53-71.
Collebrusco, L., Lombardini, R. and Censi, G. (2016) Regional Interdependence: A Model That Needs to Be Integrated in the Functional Evaluation and Physiotherapy Treatment—Part1. Open Journal of Therapy and Rehabilitation, 4, 117-124.
Haig, A.J., Tong, H.C., Yamakawa, K.S., et al. (2005) The Sensitivity and Specificity of Electrodiagnostic Testing for the Clinical Syndrome of Lumbar Spinal Stenosis. Spine, 30, 2667-2676. https://doi.org/10.1097/01.brs.0000188400.11490.5f
Bressler, H.B., Keyes, W.J., Rochon, P.A. and Badley, E. (1999) The Prevalence of Low Back Pain in the Elderly. A Systematic Review of the Literature. Spine, 24, 1813-1819. https://doi.org/10.1097/00007632-199909010-00011
Richardson, C.A., Hodges, P. and Hides, J.A. (2004) Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific Basis and Clinical Approach. 2nd Edition, Churchill Livingstone, Edinburgh.
Van, K., Hides, J.A. and Richardson, C.A. (2006) The Use of Real-Time Ultrasound Imaging for Biofeedback of Lumbar Multifidus Muscle Contraction in Healthy Subjects. Journal of Orthopaedic & Sports Physical Therapy, 36, 920-925.
Richardson, C.A., Jull, G.A., Toppenberg, R. and Comerford, M. (1992) Techniques for Active Lumbar Stabilization for Spinal Protection: A Pilot Study. Australian Journal of Physiotherapy, 38, 105-112.
Teyhen, D.S., Miltenberger, C.E., Deiters, H.M., et al. (2005) The Use of Ultrasound Imaging of the Abdominal Drawing-in Maneuver in Subjects With Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy, 35, 346-355.
Hodges, P.W. and Richardson, C.A. (1997) Feedforward Contraction of Transversus Abdominis Is Not Influenced by the Direction of Arm Movement. Experimental Brain Research, 114, 362-370. https://doi.org/10.1007/PL00005644