The clinical effectiveness of a physiotherapy delivered physical and psychological group intervention for older adults with neurogenic claudication: the BOOST randomized controlled trial

Review written by Dr Mariana Wingood info

Key Points

  1. 1 in 10 older adults have neurogenic claudication, which increases their risk of muscle weakness, falls, and functional limitation.
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BACKGROUND & OBJECTIVE

Approximately 1 in 10 older adults have neurogenic claudication (NC) (1). Symptoms include back pain and/or pain or other symptoms such as tingling, numbness, or heaviness that travels from the back into the buttocks or legs (1). Symptoms are exacerbated by standing or walking and alleviated by bending forward (1). These symptoms result in decreased activity levels and increased risk of muscle weakness, falls, and functional limitations. Despite the consequence of NC, there is limited guidance on conservative interventions.

The aim of this study was to estimate the clinical effectiveness of a physiotherapist delivered physical and psychological intervention for older adults with NC compared to best practice advice.

Approximately 1 in 10 older adults have neurogenic claudication.
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At the 12-month follow-up, it was identified that completing the BOOST program led to a 40% fall risk reduction.

METHODS

Design: Randomized controlled trial

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