Spinal stenosis affects gait…and today they’re working with “smart
shoes” to measure gait irregularities and connected
distorted walking patterns! Our Richmond chiropractic
patients experiencing spinal stenosis often remark
that they walk differently. That makes sense! Johnson Chiropractic can help relieve
Richmond back pain and the related effects of spinal stenosis.
SPINAL STENOSIS AND ITS SIDE EFFECTS
Older folks are ever
more affected by frailty and locomotive syndrome, and those
who also have lumbar spinal stenosis find themselves even more
affected. In a study of such patients who were going to undergo surgery for lumbar spinal stenosis, all but 1 of the 234
patients were documented to have locomotive syndrome while 24.8% had frailty. Post-surgically,
those with frailty exhibited improvement in locomotion.
(1) Yet surgery does not necessarily improve gait
for all spinal stenosis patients. Researchers evaluated the
sagittal vertical axis using a gait motion analysis with lumbar spinal stenosis
patients before and after they underwent decompression surgery to determine
if there was any improvement in spatiotemporal – how and how quickly a person walks
in terms of stride, pace, width of step, etc. - gait parameters. There wasn’t a variation in sagittal vertical axis, but there
was significant change in spatiotemporal parameters. (2) Cox®
flexion distraction treatment produced significant improvement to
lumbar spinal stenosis patients in terms of
improved function, symptomatology, and performance-based
mobility. Further all of their subjective improvement outcomes were
statistically and clinically meaningful. (3) This is beneficial!
SPINAL STENOSIS AND POSTURE
It’s also good to understand
that lumbar spinal stenosis (LSS) patient’s static spine and pelvic posture are
related to their symptoms. A new study investigated the subject of how dynamic alignment
of the spine and pelvic might be related to lumbar spinal
function in the everyday life of LSS sufferers and discovered
that weak hip or trunk extensor muscles, a more pronounced pelvic
tilt angle, or smaller spinal flexion during gait resulted
in decreased daily-life lumbar function. (4) Johnson Chiropractic
aims to enhance the quality of life for our Richmond
spinal stenosis patients and values studies that disclose
what works. A future study’s goal is to form
a set of data that can assist in defining and/or altering patient treatment plans, signs for surgery, and practices
for post-surgery rehab for lumbar spinal stenosis patients who choose
to have surgery. These patients come with a unique set of
issues regarding posture, balance, ambulation biomechanics,
paraspinal muscle quality and fatigue rates, as well as symptoms. (5) All of
these play a role in a lumbar spinal stenosis
patient’s care at Johnson Chiropractic and outcome.
SPINAL STENOSIS AND BACK PAIN AND SMART SHOES!
To ensure as
good an outcome as viable, technology may be of help. With lumbar spinal stenosis come gait
abnormalities like reduced gait speed and unevenness due to muscle weakness and pain in the lower extremities. Don’t
worry though. There are “smart shoes” to help. Smart shoes are wearable sensors that can detect
gait variations quicker, easier, and cheaper. (6) In the meantime while their accuracy and cost-effectiveness are explored - since
smart shoes may not be for everyone - the old fashioned in-clinic
tests remain effective, and Johnson Chiropractic knows them well!
Find out during your exam!
CONTACT Johnson Chiropractic
Listen to this PODCAST
with Dr. Nate McKee on The
Back Doctors Podcast with Dr. Michael Johnson as he
describes how The Cox® Technic System of Spinal Pain
Management helps relieve spinal stenosis and improve
Make your Richmond chiropractic
appointment today to see us especially if you find
your gait being “off” and/or have back pain. Spinal stenosis
may be the culprit, and Johnson Chiropractic knows how to deal with it!