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Physical Therapy vs Surgical Decompression for Lumbar Spinal Stenosis

RecruitingNAAges 50 Years - 80 YearsAllNorwegian University of Science and Technology
NCT04552145 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This is a randomized controlled multicenter trail comparing physical therapy to surgical decompression in patients with lumbar spinal stenosis. The 0-hypothesis is that there is no difference in the efficacy of structured physical therapy compared to surgical decompression. Our aim is to evaluate if physical therapy can serve as a nonsurgical alternative for patients with LSS, where the severity of symptoms indicates the need of surgical decompression.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients describing intermittent neurogenic claudication when walking and symptoms revealed by flexion of the spine. * MRI shows lumbar spinal stenosis in one or two levels measured. * The duration of the symptoms is longer than six months * The patient is a candidate for surgical treatment * The patient is capable of physical exercise Exclusion Criteria: * Vascular intermittent claudication * Lumbar spinal stenosis in more than two levels * Previous low back surgery * Symptomatic lumbar disc herniation * Degenerative scoliosis with Cobbs angle 30 degrees or more * Degenerative spondylolisthesis grade 2 or more * Spondylolysis with spondylolisthesis * Recent osteoporotic fractures in the spine (last 6 month) * Severe symptomatic arthrosis in hip or knee * Locally advanced or metastatic cancer * ASA \>3 * Polyneuropathy recognized by neurography * Insufficient Norwegian language skills
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What it tests

  • surgery
  • Physiotherapy
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Where

3 sites
Innlandet Hospital Trust
Lillehammer, Norway
Martina Hansen's Hospital
Oslo, Norway
St Olavs Hospital
Trondheim, Norway
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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