![]() Of the 431 respondents, 297 (median age 72 years, range 65-91 years 158 men and 139 women) were analyzed (68.9%). The model was improved based on a modified index. This hypothetical model was tested by structural equation modeling. (ii) pain, dysesthesia, and kinesiophobia separately affect HRQOL. (i) physical activity affects pain, dysesthesia, and kinesiophobia. ![]() ![]() Missing values were complemented by the stochastic regression imputation. The frequency of physical activity, pain, dysesthesia, kinesiophobia (somatic focus and activity avoidance), and HRQOL were investigated using a questionnaire. We included 431 elderly patients who underwent surgery for lumbar spinal stenosis at two hospitals. This study assessed the validity of a hypothesized model predicting that physical activity improves health-related quality of life (HRQOL) in older Japanese adults with pain, dysesthesia, and kinesiophobia following lumbar surgery.
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