Association between lumbar spine kinematics and falls in patients with lumbar spinal stenosis: a cross-sectional study.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2025-03-07 DOI:10.1007/s00586-025-08748-6

Takashi Wada, Yuki Kitsuda, Shinji Tanishima, Michihiro Osumi, Chikako Takeda, Mari Osaki, Hideki Nagashima

{"title":"Association between lumbar spine kinematics and falls in patients with lumbar spinal stenosis: a cross-sectional study.","authors":"Takashi Wada, Yuki Kitsuda, Shinji Tanishima, Michihiro Osumi, Chikako Takeda, Mari Osaki, Hideki Nagashima","doi":"10.1007/s00586-025-08748-6","DOIUrl":null,"url":null,"abstract":"Purpose: The purpose of the present study was to quantitatively assess the characteristics of lumbar spine motor function in patients with lumbar spinal stenosis (LSS) who experienced falls and to determine the association between falls and lumbar spine motion.Methods: This cross-sectional study enrolled consecutive patients with clinically and radiologically defined LSS indicated for surgical treatment at a single center. The lumbar motion task consisted of bending forward to the maximum range of motion of the lumbar spine in the standing position, followed by a return to the upright position. The occurrence of falls in the past year was recorded. Binomial logistic regression analysis was performed to evaluate the association between falls and lumbar spine motion while using basic characteristics, general fall risk assessment, and known fall-related factors in patients with LSS as adjustment variables.Results: A total of 102 participants were analyzed; 43 participants had a history of falls. Binomial logistic regression analysis showed that delayed lumbar spine motion was significantly associated with the occurrence of falls (odds ratio, 2.56; 95% confidence interval, 1.09-6.03).Conclusion: The results of this study suggest that delayed lumbar motion is an important factor associated with falls in patients with LSS.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Spine Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00586-025-08748-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The purpose of the present study was to quantitatively assess the characteristics of lumbar spine motor function in patients with lumbar spinal stenosis (LSS) who experienced falls and to determine the association between falls and lumbar spine motion.

Methods: This cross-sectional study enrolled consecutive patients with clinically and radiologically defined LSS indicated for surgical treatment at a single center. The lumbar motion task consisted of bending forward to the maximum range of motion of the lumbar spine in the standing position, followed by a return to the upright position. The occurrence of falls in the past year was recorded. Binomial logistic regression analysis was performed to evaluate the association between falls and lumbar spine motion while using basic characteristics, general fall risk assessment, and known fall-related factors in patients with LSS as adjustment variables.

Results: A total of 102 participants were analyzed; 43 participants had a history of falls. Binomial logistic regression analysis showed that delayed lumbar spine motion was significantly associated with the occurrence of falls (odds ratio, 2.56; 95% confidence interval, 1.09-6.03).

Conclusion: The results of this study suggest that delayed lumbar motion is an important factor associated with falls in patients with LSS.

查看原文本刊更多论文

腰椎管狭窄患者腰椎运动学与跌倒之间的关系：一项横断面研究。

目的：本研究的目的是定量评估腰椎管狭窄症（LSS）患者跌倒后腰椎运动功能的特征，并确定跌倒与腰椎运动之间的关系。方法：本横断面研究纳入了临床和放射学明确的LSS患者，在单一中心接受手术治疗。腰椎运动任务包括在站立位置向前弯曲至腰椎的最大运动范围，然后恢复到直立位置。记录了过去一年的跌势。采用二项logistic回归分析，以LSS患者的基本特征、一般跌倒风险评估和已知的跌倒相关因素作为调整变量，评估跌倒与腰椎运动之间的关系。结果：共分析102名受试者；43名参与者有跌倒史。二项logistic回归分析显示，腰椎运动延迟与跌倒发生显著相关(优势比2.56；95%置信区间为1.09-6.03)。结论：本研究结果表明，腰椎运动延迟是与LSS患者跌倒相关的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe