{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T21:00:32Z","timestamp":1787864432121,"version":"build-2784847793"},"reference-count":27,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,1,10]],"date-time":"2021-01-10T00:00:00Z","timestamp":1610236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the 1-year outcomes of patients with lumbar spinal stenosis treated with supervised physical therapy or unsupervised exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A single-center randomized controlled trial with concealed allocation, blinded assessor and intention-to-treat analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Spine care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>A total of 86 patients presenting with symptoms of neurogenic claudication caused by lumbar spinal stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>The physical therapy group received supervised physical therapy sessions twice a week for 6\u2009weeks and home exercise program. The home exercise group received 6-week home exercise program only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>The primary outcome was symptom severity on the Zurich claudication questionnaire at 1\u2009year. Secondary outcomes included physical function, pain, health-related quality of life and the surgery rate after 1\u2009year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At 1\u2009year, more patients in the physical therapy group than in the home exercise group achieved minimum clinically important differences in Zurich claudication questionnaire symptom severity (60.5% vs 32.6%; adjusted odds ratio [AOR] 4.3, [95% CI [1.5\u201312.3], P\u2009=\u20090.01); Zurich claudication questionnaire physical function (55.8% vs 32.6%; AOR 3.0 [1.1\u20138.1], P\u2009=\u20090.03); SF-36 bodily pain (48.8% vs 25.6%; AOR 2.8 [1.1\u20137.3], P\u2009=\u20090.03), and SF-36 general health (20.9% vs 7.0%; AOR 6.1 [1.1\u201333.0], P\u2009=\u20090.04). The surgery rate at 1\u2009year was lower in the physical therapy than in the home exercise group (7.0% vs 23.3%; AOR 0.2 [0.04\u20130.9] P\u2009=\u20090.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Supervised physical therapy produced greater improvements in symptom severity and physical function than unsupervised exercise and was associated with lower likelihood of receiving surgery within 1\u2009year.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520986688","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T19:28:31Z","timestamp":1610652511000},"page":"964-975","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Supervised physical therapy versus unsupervised exercise for patients with lumbar spinal stenosis: 1-year follow-up of a randomized controlled trial"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9906-9224","authenticated-orcid":false,"given":"Masakazu","family":"Minetama","sequence":"first","affiliation":[{"name":"Spine Care Center, Wakayama Medical University Kihoku Hospital, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2182-3132","authenticated-orcid":false,"given":"Mamoru","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Spine Care Center, Wakayama Medical University Kihoku Hospital, Wakayama, Japan"},{"name":"Department of Orthopaedic Surgery, Saiseikai Wakayama Hospital, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Teraguchi","sequence":"additional","affiliation":[{"name":"Spine Care Center, Wakayama Medical University Kihoku Hospital, Wakayama, 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