Open Journal of Therapy and Rehabilitation, 2017, 5, 36-42 http://www.scirp.org/journal/ojtr ISSN Online: 2332-1830 ISSN Print: 2332-1822 DOI: 10.4236/ojtr.2017.51004 February 15, 2017 Lumbar Stenosis of the Aging Spine: Evaluation and Treatment According to the Evidence Based Medicine for the Improvement of the Quality of Life Luca Collebrusco 1,2* , Luca Palmieri 3 , Giovanna Censi 4 , Rita Lombardini 5 1 Research Department C.R.O.M.O.N., EDUCAM School, Rome, Italy 2 Rehabilitation Unit, National Health Service of Umbria, Perugia, Italy 3 Freelance Consultant, Perugia, Italy 4 INRCA University Polytechnic of Marche, Ancona, Italy 5 Departmen of Medicine, University of Perugia, Perugia, Italy Abstract The lumbar spinal stenosis (LSS) is a syndrome with a wide economic and so- cial impact on the adult population. It is a particular form of narrowing of the lumbar vertebral canal or the intervertebral foramina which can compress the neural and vascular elements in the lumbar spine. It is a degenerative process which predominantly affects the geriatric population. The increase of the life expectancy has increased the health needs of this target of population. The (LSS) is a syndrome that can manifest itself with lower back pain and pain to the inferior limbs, and functional disabilities which affects mobility and motor skills. Given the complexity of the clinical presentation, an accurate clinical- functional evaluation is needed that includes: The combination of clinical signs from the patient’s history, a physical evaluation and diagnostic imaging, excluding possible red flags. In this respect, the use of Rehabilitative Ultra- sound Imaging (RUSI) might be useful in the evaluation and treatment process, enhancing the effectiveness and documenting the benefits of it. The aim of this work is to propose an integrated evidence-based approach that may be useful for improving the quality of life of LSS patients. Keywords Physical Therapy, Lumbar Spinal Stenosis, Rehabilitative Ultrasound Imaging, Regional Interdependence, Rehabilitation How to cite this paper: Collebrusco, L., Palmieri, L., Censi, G. and Lombardini, R. (2017) Lumbar Stenosis of the Aging Spine: Evaluation and Treatment According to the Evidence Based Medicine for the Improve- ment of the Quality of Life. Open Journal of Therapy and Rehabilitation, 5, 36-42. https://doi.org/10.4236/ojtr.2017.51004 Received: December 14, 2016 Accepted: February 12, 2017 Published: February 15, 2017 Copyright © 2017 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access