Ghobad Ramezani, Azam Norouzi, Seyed Kamran Soltani Arabshahi, Zohreh Sohrabi, Atefeh Zabihi Zazoli, Shahrzad Saravani, Ghadir Pourbairamian
Study of medical students' learning approaches and their association with academic performance and problem-solving styles
Journal of education and health promotion
lumbar spinal stenosis lss spondylolisthesis spl characterized degenerative spinal pathologies share considerable similarities however opinions vary whether recommend exercise restrict diseases studies objectively compared effects daily physical activity lss spl impossible restrict activities ethnically practically investigated effect restricting physical activity due social distancing sod lss spl focusing aspect healthcare burden changes pandemic period included firstvisit patients diagnosed exclusively lss spl 2017 followed two years implementation sod policy controls patients first visited 2015 followed four years without sod analyzed common data model employed analyze patients diagnostic codes treatments hospital visits medical costs analyzed regression discontinuity time control temporal effects dependent variables among 33484 patients 2615 lss 446 spl included significant decrease hospital visits observed lss difference 394 timesmonth100 patients p 0023 spl difference 344 timesmonth100 patients p 0026 groups sod decrease observed data control group concerning medical costs lss group showed statistically significant reduction median copayment difference 45monthpatient p 0001 sod whereas significant change observed spl group difference 19monthpatient p 0160 restricted physical activity sod period decreased healthcare burden patients lss conversely significantly affect patients spl circumstances physical inactivity patients lss may underrate symptoms maintaining appropriate activity level may beneficial patients spl