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. 2013 Aug 21;18(6):893–900. doi: 10.1007/s00776-013-0455-5

Table 1.

The items of a self-administered, self-reported history questionnaire (SSHQ) as a diagnostic support tool for LSS

Item
Q1 Numbness and/or pain in the thighs down to the calves and shins
Q2 Numbness and/or pain increase in intensity after walking for a while, but are relieved by taking a rest
Q3 Standing for a while brings on numbness and/or pain in the thighs down to the calves and shins
Q4 Numbness and/or pain are reduced by bending forward
Q5 Numbness is present in both legs
Q6 Numbness is present in the soles of both feet
Q7 Numbness arises around the buttocks
Q8 Numbness is present, but pain is absent
Q9 A burning sensation arises around the buttocks
Q10 Walking nearly causes urination