Effects of CFT in Individuals With CNLBP

International Hellenic University

Status: Completed

Conditions: Neuropathic Low Back Pain; Chronic Pain

Treatments: Other: Cognitive Functional Therapy; Other: Exercise program:

Study type: Interventional

Funder types: Other

Identifiers

NCT05351008

IntHellenicUniv

Details and patient eligibility

About

This research aims to deepen the understanding of the interplay between chronic neuropathic low back pain and its effects on physical health, mental well-being, and overall quality of life. Additionally, it will evaluate the impact of cognitive functional therapy (CFT) and core strengthening programs on managing chronic neuropathic low back pain. The study is grounded in the hypothesis that CFT will offer a comprehensive, multidisciplinary, and holistic therapeutic approach for individuals suffering from chronic neuropathic low back pain.

Full description

In July 2020, the International Association for the Study of Pain (IASP) revised the definition of pain, according to which pain is an unpleasant aesthetic and emotional experience related to, or appears to be related to, real or potential tissue damage. Chronic pain is characterized by a long duration, exceeding 6 months. Chronic neuropathic pain is caused by damage or disease of the somatosensory nervous system.

Cognitive Functional Therapy (CFT) is a multidimensional, patient-centred intervention that directly explores and manages cognitive, psychological and social factors deemed to be barriers to recovery in chronic low back pain (Vibe Fersum K et al., 2013; Meziat Filho, 2015; Meziat Filho et al., 2016; O'Keeffe et al., 2015a; Rabey et al., 2015; Meziat-Filho et al., 2018). The CFT approach centres on the retraining of maladaptive movement patterns, reconceptualising patient pain beliefs, and addressing any relevant cognitive, psychological, social or lifestyle factors (O'Sullivan P., 2005). CFT is an integrated behavioral approach for individualizing the management of people with disabling LBP once serious (eg, malignancy, infection, inflammatory disorder, and fracture) and specific pathology (eg, nerve root compression with progressive neurological deficit with or without cauda equina symptoms) has been excluded (O'Sullivan et al., 2018).

Enrollment: 52 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Eligible participants were

• adults (aged ≥18 years) with chronic (≥ 3 months) low back pain prior to surgery,
• who consent and compliance with all aspects of the study protocol, methods, providing data during follow-up contact.

Exclusion criteria were

• serious spinal pathology (eg, fracture, infection, or cancer),
• any medical condition that prevented being physically active,
• being pregnant or having given birth within the previous year,
• inadequate Greek literacy for the study's questionnaires and instructions,
• surgery scheduled within 4 months,
• BMI greater than 40 kg/m2,
• history of psychogenic illness or manic episode,
• history of other neuromuscular disorder.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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52 participants in 2 patient groups

Cognitive Functional Therapy group

Experimental group

Description:

The group will receive 4 months 1 times per week of cognitive functional therapy.

Treatment:

Other: Cognitive Functional Therapy

Core strengthening group

Active Comparator group

Description:

The group will receive 4 months 1 times per week of an exercise program aming core strengthening.

Treatment:

Other: Exercise program: