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Individualised cognitive functional therapy compared with a combined exercise and pain education class for patients with non-specific chronic low back pain: study protocol for a multi-centre randomised controlled trial

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posted on 2023-01-17, 16:09 authored by Mary O'Keeffe, HELEN PURTILLHELEN PURTILL, Norelee KennedyNorelee Kennedy, Peter B. O'Sullivan, Wim Dankaerts, Aidan Tighe, Lars Allworthy, Louise Donlan, NORMA BARGARYNORMA BARGARY, KIERAN O'SULLIVANKIERAN O'SULLIVAN
Introduction: Non-specific chronic low back pain (NSCLBP) is a very common and costly musculoskeletal disorder associated with a complex interplay of biopsychosocial factors. Cognitive functional therapy (CFT) represents a novel, patientcentred intervention which directly challenges painrelated behaviours in a cognitively integrated, functionally specific and graduated manner. CFT aims to target all biopsychosocial factors that are deemed to be barriers to recovery for an individual patient with NSCLBP. A recent randomised controlled trial (RCT) demonstrated the superiority of individualised CFT for NSCLBP compared to manual therapy combined with exercise. However, several previous RCTs have suggested that class-based interventions are as effective as individualised interventions. Therefore, it is important to examine whether an individualised intervention, such as CFT, demonstrates clinical effectiveness compared to a relatively cheaper exercise and education class. The current study will compare the clinical effectiveness of individualised CFT with a combined exercise and pain education class in people with NSCLBP

History

Publication

BMJ Open;5:e007156

Publisher

BMJ Publishing Group

Note

peer-reviewed

Language

English

Department or School

  • Allied Health
  • Mathematics & Statistics

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