Christy C Tomkins-Lane

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STUDY DESIGN Measurement (validity) study. OBJECTIVE Examine validity and reproducibility of self-report measures of walking capacity for use in patients with lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA Treatment outcomes in patients with LSS are often determined using data from self-report questionnaires. Despite some validity evidence(More)
OBJECTIVE To examine changes in objectively measured physical activity (performance) at 1 week following epidural steroid injection for lumbar spinal stenosis. DESIGN Prospective cohort. SETTING University spine program. PARTICIPANTS Individuals (N=17) who were undergoing fluoroscopically guided epidural steroid injection for symptomatic lumbar spinal(More)
STUDY DESIGN A systematic review. OBJECTIVES The aim of this study is to evaluate the effectiveness of different types of surgery compared with different types of nonsurgical interventions in adults with symptomatic lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA LSS is a debilitating condition associated with degeneration of the spine with(More)
STUDY DESIGN Delphi. OBJECTIVE The aim of this study was to obtain an expert consensus on which history factors are most important in the clinical diagnosis of lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA LSS is a poorly defined clinical syndrome. Criteria for defining LSS are needed and should be informed by the experience of expert(More)
BACKGROUND CONTEXT Owing to mobility limitations, people with lumbar spinal stenosis (LSS) are at risk for diseases of inactivity, including obesity. Therefore, weight management in LSS is critical. Body mass index is the strongest predictor of function in LSS, suggesting that weight loss may promote physical activity and provide a unique treatment option.(More)
OBJECTIVE To examine predictors of community walking performance and walking capacity in people with lumbar spinal stenosis (LSS), compared with people with low back pain and asymptomatic control subjects. DESIGN Retrospective analysis. SETTING University spine program. PARTICIPANTS Participants (N=126; 50 LSS, 44 low back pain, 32 asymptomatic(More)
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(More)
BACKGROUND CONTEXT Evidence supporting an association between obesity and low back pain (LBP) continues to grow; yet little is known about the cause and effect of this relationship. Even less is known about the mechanisms linking the two. Physical activity is a logical suspect, but no study has demonstrated its role. PURPOSE This study was designed to(More)
To investigate what interventions can improve walking ability in neurogenic claudication with lumbar spinal stenosis. We searched CENTRAL, Medline, EMBASE, CINAHL and ICL databases up to June 2012. Only randomized controlled trials published in English and measuring walking ability were included. Data extraction, risk of bias assessment, and quality of the(More)