Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain
© 2018 American Physical Therapy Association. Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of t...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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American Physical Therapy Association
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/72172 |
| _version_ | 1848762679030710272 |
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| author | O'Sullivan, P. Caneiro, JP O'Keeffe, M. Smith, Anne Dankaerts, W. Fersum, K. O'Sullivan, K. |
| author_facet | O'Sullivan, P. Caneiro, JP O'Keeffe, M. Smith, Anne Dankaerts, W. Fersum, K. O'Sullivan, K. |
| author_sort | O'Sullivan, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2018 American Physical Therapy Association. Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain and disability may partly explain this situation. Although many approaches and subgrouping systems for disabling LBP have been proposed in an attempt to deal with this complexity, they have been criticized for being unidimensional and reductionist and for not improving outcomes. Cognitive functional therapy was developed as a flexible integrated behavioral approach for individualizing the management of disabling LBP. This approach has evolved from an integration of foundational behavioral psychology and neuroscience within physical therapist practice. It is underpinned by a multidimensional clinical reasoning framework in order to identify the modifiable and nonmodifiable factors associated with an individual's disabling LBP. This article illustrates the application of cognitive functional therapy to provide care that can be adapted to an individual with disabling LBP. |
| first_indexed | 2025-11-14T10:51:24Z |
| format | Journal Article |
| id | curtin-20.500.11937-72172 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:51:24Z |
| publishDate | 2018 |
| publisher | American Physical Therapy Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-721722018-12-13T09:34:32Z Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain O'Sullivan, P. Caneiro, JP O'Keeffe, M. Smith, Anne Dankaerts, W. Fersum, K. O'Sullivan, K. © 2018 American Physical Therapy Association. Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain and disability may partly explain this situation. Although many approaches and subgrouping systems for disabling LBP have been proposed in an attempt to deal with this complexity, they have been criticized for being unidimensional and reductionist and for not improving outcomes. Cognitive functional therapy was developed as a flexible integrated behavioral approach for individualizing the management of disabling LBP. This approach has evolved from an integration of foundational behavioral psychology and neuroscience within physical therapist practice. It is underpinned by a multidimensional clinical reasoning framework in order to identify the modifiable and nonmodifiable factors associated with an individual's disabling LBP. This article illustrates the application of cognitive functional therapy to provide care that can be adapted to an individual with disabling LBP. 2018 Journal Article http://hdl.handle.net/20.500.11937/72172 10.1093/ptj/pzy022 American Physical Therapy Association restricted |
| spellingShingle | O'Sullivan, P. Caneiro, JP O'Keeffe, M. Smith, Anne Dankaerts, W. Fersum, K. O'Sullivan, K. Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title | Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title_full | Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title_fullStr | Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title_full_unstemmed | Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title_short | Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain |
| title_sort | cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain |
| url | http://hdl.handle.net/20.500.11937/72172 |