Cognitive functional therapy is more effective than manual therapy and exercise at reducing disability, depression/anxiety and pain-related fear, but not pain, in individuals with non-specific low back pain

In April 2019 researchers from Norway and Australia published the results of their study to assess the effect of cognitive functional therapy in individuals with non-specific chronic low back pain. A total of 30 individuals received cognitive functional therapy and 33 individuals manual therapy and exercise. At 3 years’ follow-up the individuals were reassessed to determine disability, pain intensity, levels of anxiety/depression and pain related fear. Results showed that there were significantly greater reductions in disability, levels of anxiety/depression and pain related fear in those who had received cognitive functional therapy than in those who had received manual therapy and exercise. However there was no significant difference in pain intensity between the two groups.

Fersum KV et al. Cognitive Functional Therapy in patients with Non Specific Chronic Low Back Pain A randomized controlled trial 3-year follow up. Eur J Pain. 2019 Apr 11. [Epub ahead of print]

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