The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

BMC Musculoskeletal Disorders

Yvette M Andreas⁷  Richard Hu⁸  Philip M Wilson¹  Kent J Stuber⁶  Stephanie Moriartey⁴  Luciana G Macedo⁵  Jocelyn Rempel²  Ashok Krishnamurthy³  Jill A Parnell³  Lynne MZ Lafave³  Christy C Tomkins-Lane³ 

[1] Department of Kinesiology, Brock University, WC25, 500 Glenridge Ave, St. Catharines, ON L2S 3A1, Canada;Department of Nursing, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada;Department of Physical Education and Recreation Studies, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada;Southport Atrium - Cubicle #1510, Alberta Health Services, 10301 Southport Lane SW, Calgary, AB T2W 1S7, Canada;Department of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB T6G 2G4, Canada;Canadian Memorial Chiropractic College, 19-8 Weston Drive SW, Calgary, AB T3H 5P2, Canada;Office of Research Services, Mount Royal University, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada;Department of Surgery, University of Calgary, Room 0492, McCaig Tower, Foothills Medical Centre, 3134 Hospital Drive NW, Calgary T2N 5A1, Canada

关键词: Treatment;    Inactivity;    Exercise;    Obesity;    Pedometer;    Nutrition;    Physical activity;    Lumbar spinal stenosis;   

Others  :  1129165
DOI  :  10.1186/1471-2474-14-322

 received in 2013-09-19, accepted in 2013-11-08,  发布年份 2013

【 摘 要 】

Background

Because of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of this intervention include pedometer-based physical activity promotion and nutrition education.

Methods/Design

The Spinal Stenosis Pedometer and Nutrition Lifestyle Intervention (SSPANLI) was developed and piloted with 10 individuals. The protocol for a randomized controlled trail comparing the SSPANLI intervention to usual non-surgical care follows. One hundred six (106) overweight or obese individuals with LSS will be recruited. Baseline and follow-up testing includes dual energy x-ray absorptiometry, blood draw, 3-day food record, 7-day accelerometry, questionnaire, maximal oxygen consumption, neurological exam, balance testing and a Self-Paced Walking Test. Intervention: During Week 1, the intervention group will receive a pedometer, and a personalized consultation with both a Dietitian and an exercise specialist. For 12 weeks participants will log on to the e-health website to access personal step goals, walking maps, nutrition videos, and motivational quotes. Participants will also have access to in-person Coffee Talk meetings every 3 weeks, and meet with the Dietitian and exercise specialist at week 6. The control group will proceed with usual care for the 12-week period. Follow-up testing will occur at Weeks 13 and 24.

Discussion

This lifestyle intervention has the potential to provide a unique, non-surgical management option for people with LSS. Through decreased fat mass and increased function, we may reduce risk for obesity, chronic diseases of inactivity, and pain. The use of e-health interventions provides an opportunity for patients to become more involved in managing their own health. Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.

Trial registration

Clinicaltrials.gov, NCT01902979

【 授权许可】

   
2013 Tomkins-Lane et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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