Preliminary results of the use of a two-stage treadmill test as a clinical diagnostic tool in the differential diagnosis of lumbar spinal stenosis

Journal of Spinal Disorders and Techniques

Volumn 10, Issue 5, 1997, Pages 410-416

  Fritz, Julie M ^a   Erhard, Richard E ^a,b   Delitto, Anthony ^a,b   Welch, William C ^b   Nowakowski, Patricia E ^c  

^a UNIVERSITY OF PITTSBURGH   (United States)

^b UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^c W New York Physical Therapy Group   (United States)

Author keywords

Likelihood ratios; Lumbar spinal stenosis; Neurogenic claudication; Treadmill

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; DIFFERENTIAL DIAGNOSIS; DISCRIMINANT ANALYSIS; HUMAN; LUMBAR SPINE; MAXIMUM LIKELIHOOD METHOD; PRIORITY JOURNAL; TREADMILL; VERTEBRAL CANAL STENOSIS; WALKING;

ADULT; AGED; DIAGNOSIS, DIFFERENTIAL; EXERCISE TEST; FEMALE; HUMANS; LOW BACK PAIN; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; PAIN MEASUREMENT; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; SPINAL STENOSIS; WALKING;

EID: 0030819237     PISSN: 15360652     EISSN: 15392465     Source Type: Journal    
DOI: 10.1097/00024720-199710000-00009     Document Type: Article

References (44)

1. Amundsen T, Weber H, Lilleas F, et al.: Lumbar spinal stenosis: Clinical and radiologic features. Spine 20:1178-1186, 1995.
2. Amoldi CC, Brodsky AE, Cachoix J, et al.: Lumbar spinal stenosis and nerve root entrapment: Syndromes, definition, and classification. Clin Orthop 115:4-5, 1976.
3. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW: Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. J Bone Joint Surg [Am] 72:403-408, 1990.
4. Boleander NF, Schonstrom NR, Spengler DM: Role of computed tomography and myelography in the diagnosis of central spinal stenosis. J Bone Joint Surg [Am] 67:240-246, 1985.
5. Ciol MA, Deyo RA, Howell E, Kreif S: An assessment of surgery for spinal stenosis: Time trends, geographic variations, complications and reoperations. J Am Geriatr Soc 44:285-290, 1996.
6. Deen HG, Zimmerman RS, Lyons MK, et al.: Measurement of exercise tolerance on the treadmill in patients with symptomatic lumbar spinal stenosis: A useful indicator of functional status and surgical outcome. J Neurosurg 83:27-30, 1995.
7. Deyo RA, Cherkin DC, Loeser JD, et al.: Morbidity and mortality in association with operations on the lumbar spine: The influence of age, diagnosis and procedure. J Bone Joint Surg [Am] 74:536-543, 1992.
8. Dong GX, Porter RW: Walking and cycling test in neurogenic and intermittent claudication. Spine 14:965-969, 1989.
9. Dyck P: The Stoop-Test in lumbar entrapment radiculopathy. Spine 4:89-92, 1979.
10. Dyck P, Doyle JB: Bicycle test of van Gelderen in diagnosis of intermittent cauda equina compression syndrome. J Neuroswg 46:667-670, 1977.
11. Ganz JC: Lumbar spinal stenosis: postoperative results in terms of preoperative posture-related pain. J Neurosurg 72:71-74, 1990.
12. Graves EJ: Detailed diagnoses and procedures: National Hospital Discharge Survey 1987; National Center for Health Statistics. Vital Health Stat 12:100, 1989.
13. Herno A, Airaksinen O, Saari T, Miettinen H: The predictive value of preoperative myelography in lumbar spinal stenosis. Spine 19:1335-1338, 1994.
14. Herron LL, Trippi AC: L4-5 degenerative sponylolesthesis: The results of treatment by decompressive laminectomy without fusion. Spine 14:534-538, 1989.
15. Hirsch AT, Munnings F: Intermittent claudication: steps for evaluation and management. Pliys Sports Ato 121:125-138, 1993.
16. Hitselberger WE, Witten RM: Abnormal myelograms in asymptomatic patients. J Neurosurg 28:204-206, 1968.
17. Hudson-Cook N, Tomes-Nicholson K, Breen A: A revised Oswestry Disability Questionnaire. In: Back Pain: New Approaches to Rehabilitation and Education, ed by Roland MO, Jenner JR, New York, Manchester University Press, 1989, pp 187-204.
18. Johnsson KE, Rosen I, Uden A: The natural course of lumbar spinal stenosis. Clin Orthop 279:82-86, 1992.
19. Johnsson KE, Willner S, Pettersson H: Analysis of operated cases with lumbar spinal stenosis. Acta Orthop Scand 52:427-433, 1981.
20. Jonsson B, Stromqvist B: Symptoms and signs in degeneration of the lumbar spine: A prospective, consecutive study of 300 operated patients. J Bone Joint Surg [Brj 75:381-385, 1993.
21. Katz JN, Dalgas M, Stucki G, et al.: Degenerative lumbar spinal stenosis: Diagnostic value of the history and physical examination. Arthritis Rheum 38:1236-1241, 1995.
22. Katz JN, Dalgas M, Stucki G, Lipson SG: Diagnosis of lumbar spinal stenosis. Rheum Dis Clin North Am 20:471-483, 1994.
23. Katz JN, Lipson SJ, Brick GW, et al.: Clinical correlates of patient satisfaction after laminectomy for degenerative lumbar spinal stenosis. Spine 20:1155-1160, 1995.
24. Katz JN, Lipson SJ, Chang LC, et al.: Seven-to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 21:92-98, 1996.
25. Katz JN, Lipson SJ, Larson MG, Mclnnes JM, Fossel AH, Liang MH: The outcome of decompressive laminectomy for degenerative lumbar stenosis. J Bone Joint Surg [Am] 73:809-816, 1991.
26. Kent DL, Haynor DR, Larson EB, Deyo RA: Diagnosis of lumbar spinal stenosis in adults: a meta-analysis of the accuracy of CT, MR, and myelography. AJR Am J Roentgenol 158:1135-1144, 1992.
27. Kleiner JB, Thorne RP, Curd JG: The value of buvicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol 18:422-427, 1991.
28. McNamara MJ, Barrett KG, Christie MJ, et al.: Lumbar spinal stenosis and lower extremity arthroplasty. J Arthroplasty 8:273-277,1993.
29. Onel D, Sari H, Donmez C: Lumbar spinal stenosis: clinical/radiologic therapeutic evaluation in 145 patients. Spine 18:291-298,1993.
30. Penning L: Functional pathology of lumbar spinal stenosis. Clin Bio-mech 7:3-17, 1992.
31. Porter RW: Pathophysiology of neurogenic claudication. In: The Lumbar Spine, ed by Wiesel SW, Weinstein JN, Herkowitz H, Philadelphia, WB Saunders, 1996, pp 717-723.
32. Porter RW: Spinal stenosis and neurogenic claudication. Spine 21:2046-2052, 1996.
33. Porter RW, Ward D: Cauda equina dysfunction: The significance of two-level pathology. Spine 17:9-15, 1992.
34. Rudy TE, Delitto A, Boston JR, Stacey BR: Reliability of a new computerized three-dimensional electrogoniometer for measuring motion of the lumbar spine. Paper presented at the annual meeting of the Interdisciplinary World Congress on Low Back Pain, San Diego, November 1995.
35. Sackett DL, Haynes RB, Guyatt GH, Tugwell P: Clinical Epidemiology: A Basic Science for Clinical Medicine, Boston, Little Brown, 1991, pp 119-139.
36. Schonstrom N, Lindahl S, Willen J, et al.: Dynamic changes in the dimensions of the lumbar spinal canal: an experimental study in vitro. J Orthop Res 7:115-121, 1989.
37. Simel DL, Samsa GP, Matchar DB: Likelihood ratios with confidence: sample size estimation for diagnostic test studies. J Clin Epidemiol 44:763-770, 1991.
38. Sortland O, Magnaes B, Hauge T: Functional myelography with metrizamide in the diagnosis of lumbar spinal stenosis. Acta Radiol 355(suppl):42-54, 1977.
39. Stucki G, Liang MH, Lipson SJ, Fossel AH, Katz KN: Contribution of neuromuscular impairment to physical functional status in patients with lumbar spinal stenosis. J Rheumatol 21:1338-1343, 1994.
40. Taylor VM, Deyo RA, Cherkin DC, Kreuter W: Low back pain hospitalizations: recent United States trends and regional variations. Spine 19:1207-1213, 1994.
41. Tuite GF, Stern JD, Doran SE, et al.: Outcome after laminectomy for lumbar spinal stenosis. Part I: clinical correlations. J Neurosurg 81:699-706, 1994.
42. Turner JA, Ersek M, Herron L, Deyo R: Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine 17:1-8,1992.
43. Verbeist H: Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral column: A review of twenty-seven years experience. J Bone Joint Sttrg [Br] 59:181-188, 1977.
44. Volinn E, Mayer J, Diehr P, et al.: Small area analysis of surgery for low back pain. Spine 17:575-581, 1992.