Pedometry as an External Measure of Spinal Cord Stimulation Patient Outcomes

Neuromodulation : Journal of the International Neuromodulation Society
Steven LangeJulie G Pilitsis

Abstract

Chronic pain is a debilitating biologic and psychologic condition which affects nearly one third of the American population with an annual cost of $560 to $635 billion from associated health care costs and lost productivity. Treatment of chronic pain is difficult to objectively evaluate as it relies on subjective measure. An objective measure would be beneficial in assessing treatment efficacy and towards developing a closed loop system. We assess the efficacy of pedometry as an objective measure of treatment efficacy in spinal cord stimulation (SCS). Participants who had back and/or leg pain and were scheduled for permanent thoracic SCS implantation were offered inclusion. Preoperatively and at three months post-operatively, patients underwent a battery of tests including the Oswestry Disability Index (ODI), Pain Catastrophization Scale (PCS), McGill Pain Questionnaire-Short Form (MPQ), Likert Pain Scale, Visual Analog Scale (VAS), Insomnia Severity Scale (ISS), and Epworth Sleepiness Scale (ESS). They also wore a pedometer for 48 hours prior to SCS implantation and for 48 hours at three months. Walking distance, step count, and steps per hour were documented. Additionally, patients were asked to record their activity level in...Continue Reading

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Citations

Sep 25, 2018·Neuromodulation : Journal of the International Neuromodulation Society·Vishwanath SankarasubramanianScott F Lempka
Nov 20, 2018·Neuromodulation : Journal of the International Neuromodulation Society·Cormac G RyanDenis J Martin
Nov 14, 2019·Journal of Aging and Physical Activity·Allison NaberBrooke Poppe
Sep 16, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Dennis Møgeltoft PoulsenKaare Meier
May 15, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Lisa GoudmanMaarten Moens

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