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Cognitive functional therapy for disabling non-specific chronic low back pain: a multiple case cohort study

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dc.contributor.author O'Sullivan, Kieran
dc.contributor.author Dankaerts, Wim
dc.contributor.author O'Sullivan, Leonard
dc.contributor.author O'Sullivan, Peter B.
dc.date.accessioned 2016-11-16T15:56:09Z
dc.date.available 2016-11-16T15:56:09Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/10344/5348
dc.description peer-reviewed en_US
dc.description.abstract Background. Multiple dimensions across the biopsychosocial spectrum are relevant in the management of nonspecific chronic low back pain (NSCLBP). Cognitive functional therapy is a behaviorally targeted intervention that combines normalization of movement and abolition of pain behaviors with cognitive reconceptualization of the NSCLBP problem while targeting psychosocial and lifestyle barriers to recovery. Objective. The purpose of this study was to examine the effectiveness of cognitive functional therapy for people with disabling NSCLBP who were awaiting an aDesign. A multiple case-cohort study (n 26) consisting of 3 phases (A1–B–A2) was conducted.ppointment with a specialist medical consultant. Methods. Measurement phase A1 was a baseline phase during which measurements of pain and functional disability were collected on 3 occasions over 3 months for all participants. During phase B, participants entered a cognitive functional therapy intervention program involving approximately 8 treatments over an average of 12 weeks. Finally, phase A2 was a 12-month, no-treatment follow-up period. Outcomes were analyzed using repeated-measures analysis of variance or Friedman test (with post hoc Bonferroni correction) across 7 time intervals, depending on normality of data distribution. Results. Statistically significant reductions in both functional disability and pain were observed immediately postintervention and were maintained over the 12-month follow-up period. These reductions reached clinical significance for both disability and pain. Secondary psychosocial outcomes, including depression, anxiety, back beliefs, fear of physical activity, catastrophizing, and self-efficacy, were significantly improved after the intervention. Limitations. The study was not a randomized controlled trial. Although primary oConclusions. These promising results suggest that cognitive functional therapy should be compared with other conservative interventions for the management of disabling NSCLBP in secondary care settings in large randomized clinical trials. en_US
dc.language.iso eng en_US
dc.publisher American Physical Therapy Association en_US
dc.relation.ispartofseries Physical Therapy;95, (11), pp. 1478-1488
dc.relation.uri http://dx.doi.org/10.2522/ptj.20140406
dc.rights Copyright © 2015 American Physical Therapy Association en_US
dc.subject chronic low back pain en_US
dc.subject physical therapy en_US
dc.title Cognitive functional therapy for disabling non-specific chronic low back pain: a multiple case cohort study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2016-11-16T15:40:54Z
dc.description.version PUBLISHED
dc.identifier.doi 10.2522/ptj.20140406
dc.contributor.sponsor HRB en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1589194
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Physical Therapy
dc.description.status peer-reviewed


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