| Impairment in activities of daily living and related factors in elderly patients with severe lumbar spinal stenosis before hospitalization |
Daigo Ishizuka1,2 
, Susumu Nozaki1,3, Hiroshi Minezaki4, Tsuyoshi Ota4, Yasuyoshi Asakawa1 |
1Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo,Japan
2Department of Physical Therapy, Faculty of Rehabilitation Science, Faculty of Health Sciences, University of Human Sciences, Saitama, Japan
3Nissay Seirei Health and Welfare Foundation, Matsudo Nissay Seirei Clinic, Chiba, Japan
4Department of Rehabilitation Medicine, Saitama Saiseikai Kawaguchi General Hospital, Saitama Branch of Saiseikai Foundation, Saitama, Japan |
Correspondence:
Daigo Ishizuka,
Email: daigo_ishizuka@human.ac.jp
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Received: 2 August 2024 • Revised: 3 October 2024 • Accepted: 13 November 2024 |
| Abstract |
Background
Lumbar spinal stenosis (LSS) impairs activities of daily living (ADL) in older adults. Factors associated with ADL impairment in LSS have not been identified. This study aimed to ascertain the pre-admission living conditions in elderly patients with LSS and investigate the factors associated with impairment in ADL.
Methods
A total of 261 community-dwelling elderly adults aged ≥65 years with LSS, scheduled for surgery were included. The Oswestry Disability Index (ODI) was used to assess ADL impairment. The Life-Space Assessment was used to assess the extent and frequency of outings. pain, numbness, continuous walking distance, and health-related quality of life as psychosomatic functions. Falls self-efficacy, and the degree of social isolation were assessed as social life status. Factors associated with ADL impairment were examined using multiple logistic regression analysis.
Results
Significant differences were found in psychosomatic functioning, living space, and falls self-efficacy depending on the presence or absence of ADL impairment. The ODI sub-components showed a stronger degree of impairment in pain intensity, walking, standing, and social life. There were significant differences in the frequency of going outside the home and inside the neighborhood, ADL impairment was shown to affect the frequency of outings within close proximity to their lives. Numbness was associated with ADL disability (odds ratio, 1.2; 95% confidence interval: 1.1–1.4).
Conclusion
Assessing the degree of numbness is important in predicting ADL impairment in older adults with LSS. Additionally, assessing the living conditions and taking an appropriate approach before admission can help prevent ADL impairment. |
| Key Words:
Spinal Stenosis, Activities of Daily Living, Aged |
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