Low back pain (LBP) - as you are likely aware - is now the leading cause of disability worldwide! Disabling LBP in the absence of serious pathology is now regarded as a neurobiological and behavioural condition, opined by many to occur as a result of disruption of one’s body, lifestyle or social circumstances. An individual’s response is modulated by several neuroendocrine-immuno-motor reactions, that are influenced by a combination of genetic, pathoanatomical, physical, psychological, social, lifestyle and health-related factors. These factors interact to influence inflammation, pain intensity, pain perception, distress and behavioural responses.
Understanding these interacting factors demands the clinician utilize a flexible multidimensional clinical framework, invariably enabling patients make sense of their pain and develop an individualized management plan aligned with their personal goals. This paper is a review of Cognitive Functional Therapy; an approach towards managing disabling LBP using these above-mentioned foundational principles…LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW!
low back pain
THIS WEEK'S RESEARCH REVIEW: “Cognitive Functional Therapy – An Integrated Behavioural Approach for the Management of Disabling Low Back Pain”
This paper was published in Physical Therapy (2018) and this Review is posted in Recent Reviews, Low Back Pain and the 2019 Archive.
Cognitive Functional Therapy (CFT) is an integrated individualized behavioural approach for those with disabling LBP, based on a multidimensional clinical reasoning framework. Clinicians and patients together attempt to identify and target modifiable biopsychosocial factors that drive pain, pain-related distress and disability. The goal is to help the patient to develop strategies to break the cycle of distress and disability, enabling their return to valued functional activities and healthy lifestyle behaviours. CFT is not only meant for treating disabling LBP. It can be applied to a range of clinical MSK scenarios where the patient is hampered from living their desired life due to pain. 

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