Cognitive Functional Therapy (CFT) Compared With Core Training Exercise and Manual Therapy (CORE-MT) in Patients With Chronic Low Back Pain
Low Back Pain, Back Pain, Pain
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring back pain, physiotherapy, exercise therapy, cognitive functional therapy, low back pain, backache, lower back pain, lumbago, multidimensional, biopsychosocial
Eligibility Criteria
Inclusion Criteria:
- Aged between 18 and 65 years
- Low back pain for more than 3 months
- Disability score of 14% or more on the Oswestry Disability Index (ODI)
- Being able to walk independently with or without support
- Understand Portuguese well enough to be able to fill in the questionnaires
Exclusion Criteria:
- Main pain area is not the lumbar spine (from T12 to buttocks)
- Main pain as leg pain (eg: nerve root compression or herniated disc with radicular pain / radiculopathy, lateral and central stenosis)
- Less than 6 months after lumbar spine, lower limb or abdomen surgery
- Invasive procedures for pain relief (ex: epidural injection, rhizotomy) in the last 3 months
- Pregnancy
- Inflammatory/rheumatological diseases (e.g., rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, systemic lupus erythematosus, Scheuermann's disease)
Sites / Locations
- Instituto da Coluna
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Cognitive Functional Therapy (CFT)
Core Training Exercise and Manual Therapy (CORE-MT)
Cognitive Functional Therapy (CFT) is a behavioral intervention that addresses multiple aspects of low back pain. This approach focuses on changing the patient's beliefs, confronting their fears, educating them about pain mechanisms, increasing mental strength, and control of their body. This is done with functional tasks performed by individuals training them to reduce excessive muscle activity in the trunk and generate behavioral changes related to pain, from postures and provocative movements.
The active comparator will be the combination of Core Training Exercise and Manual Therapy (CORE-MT).