• Carlo Ammendolia and Ngai Chow.
• Assistant Professor, Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Associate Scientist, Department of Medicine, Mount Sinai Hospital, Toronto, Canada; Assistant Professor, Department of Surgery, University of Toronto, Toronto, Canada. Electronic address: cammendolia@mtsinai.on.ca.
• J Manipulative Physiol Ther. 2015 Mar 1; 38 (3): 188-94.

ObjectiveThe purpose of this preliminary study was to assess the effectiveness of a 6-week, nonsurgical, multimodal program that addresses the multifaceted aspects of neurogenic claudication.MethodsIn this retrospective study, 2 researchers independently extracted data from the medical records from January 2010 to April 2013 of consecutive eligible patients who had completed the 6-week Boot Camp Program. The program consisted of manual therapy twice per week (eg, soft tissue and neural mobilization, chiropractic spinal manipulation, lumbar flexion-distraction, and muscle stretching), structured home-based exercises, and instruction of self-management strategies. A paired t test was used to compare differences in outcomes from baseline to 6-week follow-up. Outcomes included self-reported pain, disability, walking ability, and treatment satisfaction.ResultsA total of 49 patients were enrolled, with a mean age of 70 years. The mean difference in the Oswestry Disability Index was 15.2 (95% confidence interval [CI], 11.39-18.92), and that for the functional and symptoms scales of the Swiss Spinal Stenosis Questionnaire was 0.41 (95% CI, 0.26-0.56) and 0.74 (95% CI, 0.55-0.93), respectively. Numeric pain scores for both leg and back showed statistically significant improvements. Improvements in all outcomes were clinically important.ConclusionsThis study showed preliminary evidence for improved outcomes in patients with neurogenic claudication participating in a 6-week nonsurgical multimodal Boot Camp Program.Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

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