An interventional study of Cognitive Functional Therapy and Manual therapy and exercise in Chronic Low Back Pain, sponsored by University of Bergen. Completed at 1 site in Norway. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2010-05-25.
Sponsored by University of Bergen · Not applicable, Interventional, and Treatment
A randomized controlled trial of the efficacy of classification based cognitive functional physiotherapy according to the system proposed by Peter O'Sullivan as compared to manual therapy and exercise in patients with non specific chronic low back pain.
The investigators hypothesis was that treatment targeted at the mechanism behind the problem from a multidimensional perspective would be superior to traditional treatment.
NSCLBP is widely viewed as a multifactorial biopsychosocial pain syndrome. It has been proposed by several authors that NSCLBP represents a vicious cycle associated with different combinations of maladaptive; cognitive (negative beliefs, fear avoidance behaviours, catastrophising, depression, stress, lack of pacing and coping), physical (pain provocative postures, movement patterns and pain behaviours) and lifestyle (inactivity, rest) behaviours that act to promote pain and disability. However a recent systematic review suggests that this change in paradigm and our new understanding of NSCLBP has not resulted in clinical trials utilizing multidimensional classification systems or targeted interventions based on the underlying mechanisms. line with this shift in paradigm a novel multidimensional classification system has been developed incorporating the biopsychosocial model, which subgroups patients based on their presentation of. with matched interventions directed at the maladaptive cognitive, physical and lifestyle behaviours associated with the disorder.
2,373 studies on the registry are indexed under Back Pain; 284 are open to participants now.
This study's enrollment of 121 is above the median of 60 across 1,941 interventional studies indexed under Back Pain.
Browse Back Pain studies →University of Bergen is the lead sponsor of 141 studies on the registry; 19 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Other: Cognitive Functional Therapy
Other: Manual therapy and exercise
A novel multidimensional classification system has been developed incorporating the biopsychosocial model, which subgroups patients based on their presentation with matched interventions directed at the maladaptive cognitive, physical and lifestyle behaviours associated with the disorder. The intervention is called 'cognitive functional therapy' as it directly challenges these behaviours in a functionally specific and graduated manner.
Patients in this group was treated with joint mobilization or manipulation techniques applied to the spine or pelvis primarily and was designed to be consistent with best current manual therapy practice in Norway. The particular dose and techniques were at the discretion of the treating therapist, based on each participant's objective and physical examination findings. In addition most of the patients in this group was given exercises or a home exercise program.
Pain
Pain was assessed using a pain numerical rating scale from 0 to 10
Time frame: 12 months
Disability
Disability measured by Oswestry Disability Index.
Time frame: 12 months
Well being
Hopkins Symptoms Checklist.
Time frame: 12 months
Beliefs
Fear Avoidance Beliefs Questionnaire
Time frame: 12 months
Screening questionnaire
The Ørebro Pain Screening Questionnaire
Time frame: 12 months
Patient satisfaction
patient satisfaction. 5 items scale
Time frame: 12 months
This study is completed, as verified in May 2010. You cannot join it, but the record below documents what was studied.
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University of Bergen