Lumbar Stenosis of the Aging Spine: Evaluation and Treatment According to the Evidence Based Medicine for the Improvement of the Quality of Life

作     者：Luca Collebrusco Luca Palmieri Giovanna Censi Rita Lombardini 

作者机构：Research Department C.R.O.M.O.N. EDUCAM School Rome Italy Rehabilitation Unit National Health Service of Umbria Perugia Italy Freelance Consultant Perugia Italy INRCA University Polytechnic of Marche Ancona Italy Departmen of Medicine University of Perugia Perugia Italy 

出 版 物：《Open Journal of Therapy and Rehabilitation》 (康复医学（英文）)

年 卷 期：2017年第5卷第1期

页      面：36-42页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Physical Therapy Lumbar Spinal Stenosis Rehabilitative Ultrasound Imaging Regional Interdependence Rehabilitation 

摘      要：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.