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Cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain

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Show simple item record O'Sullivan, Peter B. Caneiro, J.P. O'Keeffe, Mary Smith, Anne Dankaerts, Wim Fersum, Kjartan O'Sullivan, Kieran 2018-09-13T14:16:08Z 2018-09-13T14:16:08Z 2018
dc.description peer-reviewed en_US
dc.description.abstract 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. en_US
dc.language.iso eng en_US
dc.publisher Oxford University Press en_US
dc.relation.ispartofseries Physical Therapy;98 (5), pp. 408-423
dc.subject disabling low back pain (LBP) en_US
dc.subject health care cost en_US
dc.subject management en_US
dc.title Cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain 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.identifier.doi 10.1093/ptj/pzy022
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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