Spine J: Supervising the effects of physiotherapy vs home exercise to treat lumbar spinal stenosis

Exercise has been reported to improve short-term outcomes for lSS patients with disability, back and leg painHowever, no studies have been studied to compare supervised exercise with unsupervised exercise, nor have it studied the use of pedometers to quantify physical activity to confirm compliance with family exercise programsto compare the effectiveness of patients with lumbar spinal stenosis (LSS) under supervised physiotherapy (PT) with unsupervised movementThe study conducted a single-center, open-label, randomized controlled trial that included patients with neurogenic lameness symptoms caused by LSS, confirmed by magnetic resonance imagingthe main result of thewas an improvement in the severity score of symptoms on the Zurich lame-lame questionnaire (ZCQ) after 6 weeksSecondary results include body function on the ZCQ, self-walking test (SPWT) performance, pain expressed using a numerical score sheet (NRS), and daily steps measured by a pedometerpatients with LSS were randomly assigned to the PT group, twice a week under supervision of THE PT, for 6 weeks, or at home exercise (HE) groupPT courses include hand therapy, individually customized stretching and intensive exercises, cycling and weight-supported treadmill walkingresults, 43 patients were randomly assigned to the PT group and 43 patients were assigned to the HE groupCompared to the HE group, the proportion of respondents in the PT group who achieved the smallest clinically important difference in the severity of ZCQ symptoms (percentage difference between groups (95% confidence interval) 302% (9.1-48.6), p.01), ZCQ Body Function (32.6% ,11.6-50.6, p.01), SPWT Walking Distance (39.5% .18.8-56 7, p.01), NRS leg pain (34.9% (13.9-52.7), p.01) and daily steps (25.6% (4.9-43.9), p.01), the results show that PT monitored in LSS patients can significantly improve symptom severity, physical function, walking distance, pain and physical activity in the short term compared to unsupervised exercise