M54 M48.0 M54.5 M54.4 M54.16 M41.5 M43.1 M42.1 M51.2 M47.8 M53.2
Conditions
Interventions
Group 1: Intervention group: In addition to the standard therapy the patients will participate in the multimodal movement intervention (main focus on dance therapeutic elements combined with strengthe
Sponsors
Otto-von-Guericke Universität Magdeburg, Institut III, Bereich Sportwissenschaft
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: - 50 years or older - Patients with degenerative spinal diseases - Back pain (for at least 3 months) and/or claudicatio spinalis - NRS over the last 4 weeks = 4 - Informed consent
Exclusion criteria
Exclusion criteria: > 2 previous operations of the spine - fusion > 3 segments - Patients with strength reductions < 4/5 (according to Janda) - Walking aids or free walking distance under 300m - congenital spinal defects - neurological diseases (stroke, MS) - Other diseases (musculoskeletal, cardiovascular, mental) that would prevent the intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pre (t1), post (t1+3 months) and follow-up measurement (t1+6 months) 1) Instrument: Timed Up-and-Go Test (TUG); Content: mobility, walking ability, balance, risk of falling | — |
Secondary
| Measure | Time frame |
|---|---|
| Pre (t1)- Post (t1+3 months) and follow-up (t1+6 months) measurements Mobility/ Pain: 1) Instrument: Oswestry Disability Index (ODI) by Fairbank et al. (2000) - German version by Mannion et al. (2006); Content: Functional status and quality of life restrictions 2) Instrument: European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5); Content: Health Status/Quality of Life 5 Dimensions: Agility/mobility, ability to take care of oneself, everyday activities, pain/ physical complaints and fear/depression 3) Gait analysis with wireless inertial sensors; content: kinematic variables gait speed, double step length, width, cadence; Minimal Toe Clearance (MTC)) and their variability 4) 6-min walking test; contents: gait stability, risk of falling and cardiovascular/pulmonary performance 5)Balance performance assessment on a force plate 6) numerical rating scale (NRS) from 0 - no pain to-10 - pain as bad as it could be ; Content: Subjective perception of pain 7) Deutscher Schmerzfragebogen(German pain questionnaire) (Deutsche Schmerzgesellschaft e.V.: 2015.2); content: individual questions on chronic pain 8) Freiburger Fragebogen zur körperlichen Aktivität (Freiburg questionnaire on physical activity) (Frey et al. 1999); content: self-assessment of everyday activity 9) sensor-based measuring device (mobbe® med) will be used to assess trunk range of motion Cognition: 1) Performance in the dual-task task (calculating and walking at the same time); Content: estimation of cognitive and motor reserves; ability to perform two tasks simultaneously 2) Functional near-infrared spectroscopy (fNIRS); contents: oxy- and deoxyhaemoglobin concentrations of the prefontal cortex, premotor cortex, supplementary motor areas 3) Farb-Wort-Interferenztest (Colour-word interference test) (FWIT) (Bäumler, 1985); Contents: congruence, incongruence; reaction time (s) - processing speed, influence of stress 4) Trail Making Test (TMT-A, TMT-B; Reitan, 1958); Content: divided attention; ex | — |
Countries
Germany
Contacts
Public ContactAnne Wustmann
Klinikum Magdeburg gGmbh, Klinik für Orthopädie II
Outcome results
None listed