{"id":"https://openalex.org/W3164671237","doi":"https://doi.org/10.1097/bsd.0000000000001196","title":"Responsiveness and Minimal Clinically Important Difference of the 6-minute Walk Distance in Patients Undergoing Lumbar Spinal Canal Stenosis Surgery","display_name":"Responsiveness and Minimal Clinically Important Difference of the 6-minute Walk Distance in Patients Undergoing Lumbar Spinal Canal Stenosis Surgery","publication_year":2021,"publication_date":"2021-05-26","ids":{"openalex":"https://openalex.org/W3164671237","doi":"https://doi.org/10.1097/bsd.0000000000001196","mag":"3164671237","pmid":"https://pubmed.ncbi.nlm.nih.gov/34039891"},"language":"en","primary_location":{"id":"doi:10.1097/bsd.0000000000001196","doi":"https://doi.org/10.1097/bsd.0000000000001196","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bsd.0000000000001196","pdf_url":null,"source":{"id":"https://openalex.org/S2764663100","display_name":"Clinical Spine Surgery A Spine Publication","issn_l":"2380-0186","issn":["2380-0186","2380-0194"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Spine Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017533030","display_name":"Hiroto Takenaka","orcid":"https://orcid.org/0000-0002-9320-1893","observed_orcids":["https://orcid.org/0000-0002-9320-1893"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hiroto Takenaka","raw_affiliation_strings":["Department of Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya","Department of Rehabilitation, Asahi Hospital, Kasugai"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya","institution_ids":["https://openalex.org/I60134161"]},{"raw_affiliation_string":"Department of Rehabilitation, Asahi Hospital, Kasugai","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109852025","display_name":"Mitsuhiro Kamiya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142853","display_name":"Asahi General Hospital","ror":"https://ror.org/04nng3n69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210142853"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Mitsuhiro Kamiya","raw_affiliation_strings":["Department of Orthopedic Surgery, Asahi Hospital, Kasugai, Aichi Prefecture, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Asahi Hospital, Kasugai, Aichi Prefecture, Japan","institution_ids":["https://openalex.org/I4210142853"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070380363","display_name":"Hideshi Sugiura","orcid":"https://orcid.org/0000-0003-4703-9941","observed_orcids":["https://orcid.org/0000-0003-4703-9941"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideshi Sugiura","raw_affiliation_strings":["Department of Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya","institution_ids":["https://openalex.org/I60134161"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070319687","display_name":"Kasuri Nishihama","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Kasuri Nishihama","raw_affiliation_strings":["Department of Rehabilitation, Asahi Hospital, Kasugai"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Asahi Hospital, Kasugai","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023795571","display_name":"Atsuki Ito","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Atsuki Ito","raw_affiliation_strings":["Department of Rehabilitation, Asahi Hospital, Kasugai"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Asahi Hospital, Kasugai","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103177438","display_name":"Junya Suzuki","orcid":"https://orcid.org/0000-0002-8115-6837","observed_orcids":["https://orcid.org/0000-0002-8115-6837"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Junya Suzuki","raw_affiliation_strings":["Department of Rehabilitation, Asahi Hospital, Kasugai"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Asahi Hospital, Kasugai","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038477201","display_name":"Shuntaro Hanamura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142853","display_name":"Asahi General Hospital","ror":"https://ror.org/04nng3n69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210142853"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shuntaro Hanamura","raw_affiliation_strings":["Department of Orthopedic Surgery, Asahi Hospital, Kasugai, Aichi Prefecture, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Asahi Hospital, Kasugai, Aichi Prefecture, Japan","institution_ids":["https://openalex.org/I4210142853"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5017533030","https://openalex.org/A5023795571","https://openalex.org/A5070319687","https://openalex.org/A5103177438"],"corresponding_institution_ids":["https://openalex.org/I60134161"],"apc_list":null,"apc_paid":null,"fwci":1.8706,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.83726877,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"35","issue":"3","first_page":"E345","last_page":"E350"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.6514000296592712,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.6514000296592712,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.2996000051498413,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.006300000008195639,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/6-minute-walk-distance","display_name":"6-minute walk distance","score":0.9769999980926514},{"id":"https://openalex.org/keywords/lumbar-spinal-stenosis","display_name":"lumbar spinal stenosis","score":0.9440000057220459},{"id":"https://openalex.org/keywords/minimal-clinically-important-difference","display_name":"minimal clinically important difference","score":0.8339999914169312},{"id":"https://openalex.org/keywords/responsiveness","display_name":"responsiveness","score":0.8579999804496765},{"id":"https://openalex.org/keywords/oswestry-disability-index","display_name":"Oswestry Disability Index","score":0.9430000185966492},{"id":"https://openalex.org/keywords/anchor-based-mcid","display_name":"anchor-based MCID","score":0.6209999918937683},{"id":"https://openalex.org/keywords/distribution-based-mcid","display_name":"distribution-based MCID","score":0.878000020980835},{"id":"https://openalex.org/keywords/minimal-detectable-change","display_name":"minimal detectable change","score":0.9660000205039978},{"id":"https://openalex.org/keywords/lumbar-decompression-surgery","display_name":"lumbar decompression","score":0.7369999885559082},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.39399999380111694}],"concepts":[{"id":"https://openalex.org/C111278954","wikidata":"https://www.wikidata.org/wiki/Q17069312","display_name":"Minimal clinically important difference","level":3,"score":0.946135401725769},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8911288976669312},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.6699150204658508},{"id":"https://openalex.org/C2775998654","wikidata":"https://www.wikidata.org/wiki/Q11751687","display_name":"Oswestry Disability Index","level":4,"score":0.6552099585533142},{"id":"https://openalex.org/C2779631646","wikidata":"https://www.wikidata.org/wiki/Q17164695","display_name":"Lumbar spinal stenosis","level":3,"score":0.6548516154289246},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6466922760009766},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.5251143574714661},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.46169814467430115},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.39527392387390137},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.14898362755775452},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.14059627056121826},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08357629179954529},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000071081","descriptor_name":"Minimal Clinically Important Difference","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003251","descriptor_name":"Constriction, Pathologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D013115","descriptor_name":"Spinal Canal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016138","descriptor_name":"Walking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/bsd.0000000000001196","doi":"https://doi.org/10.1097/bsd.0000000000001196","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bsd.0000000000001196","pdf_url":null,"source":{"id":"https://openalex.org/S2764663100","display_name":"Clinical Spine Surgery A Spine Publication","issn_l":"2380-0186","issn":["2380-0186","2380-0194"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Spine Surgery","raw_type":"journal-article"},{"id":"pmid:34039891","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34039891","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical spine surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1918446412","https://openalex.org/W1987860710","https://openalex.org/W1993732405","https://openalex.org/W1998613336","https://openalex.org/W2003412384","https://openalex.org/W2023693043","https://openalex.org/W2065691469","https://openalex.org/W2088893559","https://openalex.org/W2094528068","https://openalex.org/W2108707239","https://openalex.org/W2121960517","https://openalex.org/W2141147729","https://openalex.org/W2143655903","https://openalex.org/W2150396597","https://openalex.org/W2325434671","https://openalex.org/W2339565424","https://openalex.org/W2591690217","https://openalex.org/W2792509664","https://openalex.org/W2793320726","https://openalex.org/W2920017324","https://openalex.org/W2960451385","https://openalex.org/W4245666729","https://openalex.org/W4299818699","https://openalex.org/W4406503561"],"related_works":["https://openalex.org/W4318927486","https://openalex.org/W4408830396","https://openalex.org/W4412421302","https://openalex.org/W7084761524","https://openalex.org/W3134383510","https://openalex.org/W4292280933","https://openalex.org/W3119499749","https://openalex.org/W4414580144","https://openalex.org/W7167607197","https://openalex.org/W2960451385"],"abstract_inverted_index":{"STUDY":[0],"DESIGN:":[1],"This":[2],"was":[3,157,182,199,228,242,256,272],"a":[4,122],"retrospective":[5],"review":[6],"of":[7,18,28,89,147,176,283],"prospectively":[8],"collected":[9],"data.":[10],"OBJECTIVE:":[11],"We":[12,111,138],"aimed":[13],"to":[14,130,143,305],"evaluate":[15],"the":[16,19,26,29,36,60,73,76,113,132,136,145,148,165,169,173,177,185,191,202,224,233,239,249,253,262,265,270,277,280,284,289,292,295],"responsiveness":[17,146,156,282],"6-minute":[20],"walk":[21],"distance":[22,62],"(6MWD)":[23],"and":[24,57,103,106,115,151,168,190,210,226,248,279],"determine":[25],"threshold":[27],"minimal":[30,203,266],"clinically":[31],"important":[32],"difference":[33],"(MCID)":[34],"in":[35,38,63,75,78,135,159,223,294,297],"6MWD":[37,55,77,114,211,225,271,285,296],"patients":[39,64,79,91,298],"who":[40,80],"underwent":[41,81],"surgery":[42,301],"for":[43,134,212,238,252,269],"lumbar":[44],"spinal":[45],"canal":[46],"stenosis":[47],"(LSS)":[48],"surgery.":[49,83],"SUMMARY":[50],"OF":[51,309],"BACKGROUND":[52],"DATA:":[53],"The":[54,154,179,196,207,218,230],"rapidly":[56],"objectively":[58],"assesses":[59],"walking":[61],"with":[65],"LSS.":[66],"To":[67],"date,":[68],"no":[69],"study":[70],"has":[71],"assessed":[72,104,158],"MCID":[74,133,293],"LSS":[82,300],"MATERIALS":[84],"AND":[85],"METHODS:":[86],"A":[87],"total":[88],"41":[90],"(16":[92],"women;":[93],"average":[94],"age:":[95],"69.4":[96],"y,":[97],"SD:":[98],"7.8":[99],"y)":[100],"were":[101,286],"included":[102],"preoperatively":[105],"at":[107],"6":[108],"months":[109],"postoperatively.":[110,217],"evaluated":[112,183,200],"Oswestry":[116],"Disability":[117],"Index":[118],"(ODI),":[119],"which":[120],"is":[121],"health-related":[123],"patientrReported":[124],"outcome,":[125],"used":[126,139],"as":[127],"an":[128],"anchor":[129,214,241,255],"calculate":[131],"6MWD.":[137],"2":[140,160],"different":[141],"approaches":[142],"examine":[144],"6MWD:":[149],"internal":[150,278],"external":[152,155,281],"responsiveness.":[153],"ways:":[161],"one":[162],"based":[163,171],"on":[164,172],"anchoring":[166],"questionnaire":[167],"other":[170],"scale":[174],"distribution":[175],"scale.":[178],"anchor-based":[180],"approach":[181,198],"using":[184,201,288],"Spearman":[186],"rank":[187],"correlation":[188,219],"coefficient":[189,220],"receiver":[192,234],"operating":[193,235],"characteristic":[194,236],"curve.":[195],"distribution-based":[197,263],"detectable":[204,267],"change.":[205],"RESULTS:":[206],"ODI":[208,227,240,254],"scores":[209],"each":[213],"significantly":[215],"improved":[216],"between":[221],"changes":[222],"r=-0.58.":[229],"area":[231],"under":[232],"curve":[237],"0.70":[243],"(95%":[244],"confidence":[245],"interval:":[246],"0.52-0.89),":[247],"cutoff":[250],"value":[251],"50":[257,304],"m":[258],"(sensitivity=0.57,":[259],"specificity=0.71).":[260],"In":[261],"approach,":[264],"change":[268],"105.9":[273,306],"m.":[274,307],"CONCLUSIONS:":[275],"Both":[276],"validated":[287],"ODI.":[290],"Therefore,":[291],"undergoing":[299],"ranges":[302],"from":[303],"LEVEL":[308],"EVIDENCE:":[310],"Level":[311],"III.":[312]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2021-06-07T00:00:00"}