Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial.
Background: Non-specific chronic low back pain disorders have been proven resistant to change, and there is still a lack of clear evidence for one specific treatment intervention being superior to another. Methods: This randomized controlled trial aimed to investigate the efficacy of a behavioural a...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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John Wiley & Sons Ltd.
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/49178 |
| _version_ | 1848758182067830784 |
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| author | Vibe Fersum, K. O'Sullivan, Peter Skouen, J. Smith, Anne Kvale, A. |
| author_facet | Vibe Fersum, K. O'Sullivan, Peter Skouen, J. Smith, Anne Kvale, A. |
| author_sort | Vibe Fersum, K. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Non-specific chronic low back pain disorders have been proven resistant to change, and there is still a lack of clear evidence for one specific treatment intervention being superior to another. Methods: This randomized controlled trial aimed to investigate the efficacy of a behavioural approach to management, classification-based cognitive functional therapy, compared with traditional manual therapy and exercise. Linear mixed models were used to estimate the group differences in treatment effects. Primary outcomes at 12-month follow-up were Oswestry Disability Index and pain intensity, measured with numeric rating scale. Inclusion criteria were as follows: age between 18 and 65 years, diagnosed with non-specific chronic low back pain for >3 months, localized pain from T12 to gluteal folds, provoked with postures, movement and activities. Oswestry Disability Index had to be >14% and pain intensity last 14 days >2/10. A total of 121 patients were randomized to either classification-based cognitive functional therapy group n = 62) or manual therapy and exercise group (n > = 59). Results: The classification-based cognitive functional therapy group displayed significantly superior outcomes to the manual therapy and exercise group, both statistically (p < 0.001) and clinically. For Oswestry Disability Index, the classification-based cognitive functional therapy group improved by 13.7 points, and the manual therapy and exercise group by 5.5 points. For pain intensity, the classification-based cognitive functional therapy improved by 3.2 points, and the manual therapy and exercise group by 1.5 points. Conclusions: The classification-based cognitive functional therapy produced superior outcomes for non-specific chronic low back pain compared with traditional manual therapy and exercise. |
| first_indexed | 2025-11-14T09:39:55Z |
| format | Journal Article |
| id | curtin-20.500.11937-49178 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:39:55Z |
| publishDate | 2013 |
| publisher | John Wiley & Sons Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-491782023-02-22T06:24:19Z Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. Vibe Fersum, K. O'Sullivan, Peter Skouen, J. Smith, Anne Kvale, A. Background: Non-specific chronic low back pain disorders have been proven resistant to change, and there is still a lack of clear evidence for one specific treatment intervention being superior to another. Methods: This randomized controlled trial aimed to investigate the efficacy of a behavioural approach to management, classification-based cognitive functional therapy, compared with traditional manual therapy and exercise. Linear mixed models were used to estimate the group differences in treatment effects. Primary outcomes at 12-month follow-up were Oswestry Disability Index and pain intensity, measured with numeric rating scale. Inclusion criteria were as follows: age between 18 and 65 years, diagnosed with non-specific chronic low back pain for >3 months, localized pain from T12 to gluteal folds, provoked with postures, movement and activities. Oswestry Disability Index had to be >14% and pain intensity last 14 days >2/10. A total of 121 patients were randomized to either classification-based cognitive functional therapy group n = 62) or manual therapy and exercise group (n > = 59). Results: The classification-based cognitive functional therapy group displayed significantly superior outcomes to the manual therapy and exercise group, both statistically (p < 0.001) and clinically. For Oswestry Disability Index, the classification-based cognitive functional therapy group improved by 13.7 points, and the manual therapy and exercise group by 5.5 points. For pain intensity, the classification-based cognitive functional therapy improved by 3.2 points, and the manual therapy and exercise group by 1.5 points. Conclusions: The classification-based cognitive functional therapy produced superior outcomes for non-specific chronic low back pain compared with traditional manual therapy and exercise. 2013 Journal Article http://hdl.handle.net/20.500.11937/49178 10.1002/j.1532-2149.2012.00252.x John Wiley & Sons Ltd. unknown |
| spellingShingle | Vibe Fersum, K. O'Sullivan, Peter Skouen, J. Smith, Anne Kvale, A. Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title | Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title_full | Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title_fullStr | Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title_full_unstemmed | Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title_short | Efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| title_sort | efficacy of classification based "cognitive functional therapy" in patients with non-specific chronic low back pain - a randomized controlled trial. |
| url | http://hdl.handle.net/20.500.11937/49178 |