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F Wave Studies of Neurogenic Intermittent Claudication in Lumbar Spinal Stenosis

2006; Lippincott Williams & Wilkins; Volume: 85; Issue: 2 Linguagem: Inglês

10.1097/01.phm.0000197586.91860.a1

1537-7385

Serpil Bal, Reyhan eliker, Sel uk Palaoglu, A. Cila,

Pain Management and Treatment

Bal S, Celiker R, Palaoglu S, Cila A: F wave studies of neurogenic intermittent claudication in lumbar spinal stenosis. Am J Phys Med Rehabil 2006;85:135–140. Objective: Lumbar spinal stenosis (LSS) may result in neurogenic claudication (NC), which is thought to be a result of transient ischemia during exercise. In this study we evaluated the changes in F wave studies before and immediately after walking stress in patients with NC. Design: Twenty-six patients with LSS who had signs and symptoms of NC and 20 healthy volunteers were included in this study. Routine motor and sensory nerve conduction studies and tibial F wave studies were performed in both groups. Immediately after walking stress test, tibial F wave studies were repeated. Exercise treadmill protocol was used for ambulation. Time to first symptoms and total ambulation time were recorded. Results: After completion of the baseline electrophysiological examination, a walking stress test was performed using a treadmill, and 16 patients (61.5%) experienced neurogenic claudication during the trial. The mean time to first symptoms was 2.0 ± 3.5 mins (minimum = 0, maximum = 14). In the control group 18 subjects (90%) completed the trial without any symptoms, and 2 (10%) subjects had to stop at an average of 10 mins because of generalized fatigue. Within 5 mins after the walking stress test, tibial F wave studies were repeated in both groups. There were significant increases in F latency values bilaterally in the patient group (P = 0.001 for both sides) but not in control subjects (P = 0.435 for right side and P = 0.122 for left side). Conclusion: Our data suggest that F wave studies after walking stress test provide more information for the diagnosis of NC.