Efﬁcacy of classiﬁcation-based cognitive functional therapy in patients with non-speciﬁc chronic low back pain
There are several interventions suggested to be useful in treating patients with non-specific chronic low back pain (NSCLBP), however evidence suggests that none of them are superior to each other. This could be due to absence of treating within the biopsychosocial framework and the lack of subgrouping of patients.
This study (RCT) investigated the effect of a classification based (subgrouping suggested by O’Sullivan (2005)) cognitive functional therapy (CB-CFT) compared to manual therapy combined with exercise (MT-EX).
A total of 121 patients were included and followed a intervention (CB-CFT or MT-EX) with a duration of 12 weeks. Follow-up took place directly after the intervention and 12 months later. The CB-CFT group showed significantly better outcomes on both pain intensity and the Oswestry Disability Index.
This study concluded that a behaviourally orientated approach to manage NSCLBP was more effective at among others reducing pain and disability than MT-EX at long term follow-up. > From: Vibe Fersum et al., Eur J Pain. 17 (2013) 916 - 928. All rights reserved to European Federation of International Association for the Study of Pain Chapters.