{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:07:06Z","timestamp":1785859626533,"version":"3.56.0"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T00:00:00Z","timestamp":1607385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Chronic low-back pain is a major individual, social, and economic burden. The impairment ranges from deterioration of gait, limited mobility, to psychosocial distress. Due to this complexity, the demand for multimodal treatments is huge. Our purpose is to compare the effects of a multimodal movement intervention (MI) (coordinative\u2013cognitive exercises and dancing program) with standard physical therapy (PT) on gait, physical function, and quality of life in patients with lumbar spinal stenosis (LSS). The study design is based on a 6-week intervention with a two (group: MI\/PT) by two (measurement time points: pre-\/post-test) parallel group design with random assignment. Twenty-four subjects (18 female\/6 male, 70.8 \u00b1 10.6 years old) diagnosed with LSS were included and randomly allocated to the MI or PT group. The primary outcomes are minimum toe clearance (MTC) and double step length (DSL) variability and the Timed \u201cUp &amp;amp; Go\u201d test (TUG). Secondary outcomes are the Brief Pain Inventory, the short Fall Efficacy Scale\u2013International (sFES-I), and the Oswestry Disability Index. Nine subjects for each group could be analyzed. The MTC variability revealed a significant between-group difference in the posttest (<jats:italic>p<\/jats:italic> = 0.008) showing a lower MTC variability for the MI compared to the PT group. The MI group displayed an improved TUG (<jats:italic>p<\/jats:italic> = 0.031) and a reduced sFES-I (<jats:italic>p<\/jats:italic> = 0.044). The decreased MTC variability and fear of falling as well as the improved functional mobility may contribute to a reduced risk of falling. For the subsequent study, further kinematic and cognitive parameters should be analyzed, and the number of participants has to be increased.<\/jats:p><jats:p><jats:bold>Clinical Trial Registration:<\/jats:bold> German Clinical Trial Register (ID: DRKS00021026\/URL: <jats:ext-link>https:\/\/www.drks.de\/drks_web\/navigate.do?navigationId=trial.HTML&amp;amp;TRIAL_ID=DRKS00021026<\/jats:ext-link>).<\/jats:p>","DOI":"10.3389\/fmed.2020.540070","type":"journal-article","created":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T07:11:55Z","timestamp":1607411515000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and\/or Degenerative Spondylolisthesis\u2014A Pilot Study"],"prefix":"10.3389","volume":"7","author":[{"given":"Kim-Charline","family":"Broscheid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Behrendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Hamacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svantje","family":"B\u00f6ker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabea","family":"Gagelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Caspari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Meiler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Napiontek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Franke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutz","family":"Schega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2020,12,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1590\/S0034-8910.2015049005874","article-title":"Prevalence of chronic low back pain: systematic review","volume":"49","author":"Meucci","year":"2015","journal-title":"Rev Saude Publica"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"B3","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1007\/s00586-006-1072-1","article-title":"Chapter 4: European guidelines for the management of chronic nonspecific low back pain","volume":"15","author":"Airaksinen","year":"2006","journal-title":"Eur Spine J."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1050","DOI":"10.1097\/BRS.0b013e3181e70488","article-title":"The trend in total cost of back pain in The Netherlands in the period 2002 to 2007","volume":"36","author":"Lambeek","year":"2011","journal-title":"Spine"},{"key":"B5","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1136\/aim.22.4.178","article-title":"Biomechanics of back pain","volume":"22","author":"Adams","year":"2004","journal-title":"Acupunct Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.ocl.2011.07.009","article-title":"Management of degenerative disk disease and chronic low back pain","volume":"42","author":"Karppinen","year":"2011","journal-title":"Orthop Clin North Am."},{"key":"B7","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1007\/s00586-016-4892-7","article-title":"Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? 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