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Table 1 Comparison of demographic data between the physical therapy and surgery groups at the baseline

From: Supervised physical therapy versus surgery for patients with lumbar spinal stenosis: a propensity score-matched analysis

 

Before matching

After matching

Physical therapy

(n = 38)

Surgery

(n = 186)

P

Physical therapy

(n = 33)

Surgery

(n = 33)

P

Age (years)

72.5 ± 7.0

70.9 ± 8.4

0.28*

72.1 ± 7.3

71.1 ± 7.9

0.80‡

Sex

Female: 21

Female: 94

0.60†

Female: 19

Female: 19

1.00†

 

Male: 17

Male: 92

 

Male: 14

Male: 14

 

Body mass index (kg/m2)

23.4 ± 2.8

23.9 ± 3.3

0.38‡

23.5 ± 2.9

23.8 ± 3.4

0.73*

Duration of symptoms (months)

31.2 ± 29.7

25.2 ± 27.7

0.10‡

26.7 ± 26.0

25.8 ± 28.0

0.61‡

Comorbidities, n (%)

 Hypertension

25 (66)

121 (65)

0.93‡

22 (67)

17 (52)

0.21†

 Diabetes

10 (26.3)

45 (24.2)

0.78‡

9 (27)

7 (21)

0.57†

 Heart disease

8 (21)

27 (15)

0.31‡

7 (21)

4 (12)

0.32†

 Pulmonary disease

4 (11)

12 (7)

0.37‡

4 (12)

1 (3)

0.16†

Smoking, n (%)

  

0.25‡

  

0.42†

 Never

25 (66)

130 (70)

 

23 (70)

26 (79)

 

 ex-smoker

11 (29)

35 (19)

 

8 (24)

4 (12)

 

 current smoker

2 (5)

21 (11)

 

2 (6)

3 (9)

 

Severity of stenosis at most stenotic level

  

< 0.01†

  

< 0.17†

 Minor (Grade A)

7 (18)

10 (5)

 

6 (18)

1 (3)

 

 Moderate (Grade B)

15 (40)

50 (27)

 

12 (36)

12 (36)

 

 Severe (Grade C)

16 (42)

121 (65)

 

15 (46)

19 (58)

 

 Extreme (Grade D)

0 (0)

5 (3)

 

0 (0)

1 (3)

 

Total number of severe stenoses (more than grade C)

0.6 ± 0.8

1.0 ± 0.9

< 0.01‡

0.7 ± 0.9

0.8 ± 0.7

0.42‡

Spondylolisthesis, n (%)

25 (66)

108 (58)

0.38†

21 (64)

24 (73)

0.43†

% slippage (mm)

7.2 ± 6.8

8.9 ± 9.5

0.50‡

7.5 ± 7.2

8.4 ± 7.6

0.75‡

Severe LSS symptoms*

6 (16)

62 (33)

0.03†

5 (15)

7 (21)

0.52†

Zurich claudication questionnaire

 Symptom severity

3.2 ± 0.5

3.5 ± 0.6

0.02‡

3.3 ± 0.5

3.3 ± 0.6

0.52‡

 Physical function

2.4 ± 0.6

2.7 ± 0.6

0.01‡

2.4 ± 0.6

2.4 ± 3.1

0.97*

Numerical rating scale

      

 Back pain

5.3 ± 2.5

5.8 ± 2.7

0.21‡

5.1 ± 2.5

5.2 ± 2.5

0.77*

 Leg pain

6.4 ± 2.2

6.8 ± 2.6

0.17‡

6.4 ± 2.2

6.2 ± 2.7

0.98‡

 Leg numbness

5.7 ± 2.7

5.9 ± 3.0

0.50‡

5.9 ± 2.7

6.4 ± 2.7

0.36‡

Japanese orthopedic association back pain evaluation questionnaire

 Pain-related disorders

56.0 ± 30.2

44.2 ± 33.5

0.04‡

57.7 ± 30.8

53.3 ± 31.6

0.59‡

 Lumbar dysfunction

63.1 ± 27.7

57.5 ± 28.3

0.27‡

62.9 ± 28.8

65.9 ± 23.0

0.81‡

 Gait disturbance

40.7 ± 27.2

31.8 ± 24.8

0.06‡

39.5 ± 27.3

41.3 ± 24.9

0.83‡

 Social life dysfunction

44.2 ± 18.1

36.8 ± 20.5

0.03‡

44.4 ± 19.1

46.0 ± 17.6

0.89‡

 Psychological disorders

50.9 ± 14.2

43.8 ± 17.5

0.01‡

50.3 ± 14.4

48.8 ± 13.8

0.62‡

SF-36

 Physical functioning

60.5 ± 20.3

45.6 ± 22.7

< 0.01‡

57.9 ± 20.2

59.1 ± 20.6

0.81*

 Bodily pain

38.3 ± 14.3

31.1 ± 15.5

< 0.01‡

38.8 ± 15.0

39.2 ± 17.5

0.83‡

 Role physical

53.5 ± 25.5

40.3 ± 25.8

< 0.01‡

55.5 ± 26.4

50.8 ± 24.8

0.46*

 Role emotional

61.8 ± 27.5

46.5 ± 30.1

< 0.01‡

63.9 ± 28.3

57.3 ± 23.9

0.16‡

 Mental health

62.6 ± 21.6

57.1 ± 20.6

< 0.05‡

60.5 ± 21.8

59.4 ± 21.1

0.62‡

 Social functioning

70.7 ± 26.8

59.7 ± 27.7

0.02‡

70.1 ± 27.6

69.7 ± 28.1

0.98‡

 Vitality

53.5 ± 19.2

46.7 ± 22.2

0.07‡

52.1 ± 20.1

51.9 ± 17.8

0.98‡

 General health

49.3 ± 14.8

49.1 ± 16.7

0.86‡

48.8 ± 14.0

50.5 ± 14.1

0.61*

Hospital anxiety and depression scale

 Depression

5.2 ± 3.1

5.9 ± 3.9

0.46‡

5.6 ± 3.1

5.3 ± 2.8

0.72*

 Anxiety

4.2 ± 2.6

5.7 ± 3.9

0.03‡

4.5 ± 2.6

4.4 ± 3.1

0.95‡

Pain catastrophizing scale

28.0 ± 10.4

31.9 ± 11.0

0.03‡

29.4 ± 10.1

30.9 ± 9.7

0.55*

Pain anxiety symptoms  scale-20

37.1 ± 17.2

43.0 ± 16.8

> 0.05*

39.7 ± 16.2

44.8 ± 15.0

0.20*

  1. Values are mean ± SD, *Student’s t test, †χ2 test, ‡Mann–Whitney U test.
  2. § Patients with Zurich Claudication Questionnaire symptom severity score exceeding the 75th percentile (≥ 3.8 points) at baseline were defined as severe lumbar spinal stenosis symptoms.
  3. SF-36, Medical Outcomes Study 36-Item Short-Form General Health Survey