Cognitive functional therapy for lower back pain: A meta-analytical assessment of pain and disability outcomes in randomized controlled trials.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-09-03 DOI:10.3233/BMR-240230

Mahmoud Kandeel, Mohamed A Morsy, Khalid M Al Khodair, Sameer Alhojaily

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引用次数: 0

Abstract

Background: Cognitive functional therapy (CFT) aims to address low back pain (LBP) comprehensively by considering physical, psychological, and social factors.

Objective: The objective was to evaluate the effectiveness of CFT in reducing pain and disability in individuals with LBP over various time intervals.

Method: A comprehensive literature search was conducted to identify relevant randomized controlled trials (RCTs) assessing the effects of CFT on LBP.

Results: In this study, 1510 records were initially identified, and 7 studies were included in the analysis. Disability scores were significantly reduced after CFT had been applied for 6 to 8 weeks (SMD =-0.46, 95% CI [-0.74, -0.19]), 12 weeks to 3 months (SMD =-0.54, 95% CI [-0.72, -0.36]), 6 months (MD =-5.82, 95% CI [-9.82, -1.82]), and 12 months (SMD =-0.4, 95% CI [-0.55, -0.26]). There were also significant reductions in pain scores observed after 12 weeks to 3 months (SMD =-0.49, 95% CI [-0.68, -0.3]), 6 months (MD =-0.75, 95% CI [-1.5, -0.0001]), and 12 months (SMD =-0.27, 95% CI [-0.42, -0.12]).

Conclusion: CFT showed potential for improving disability scores for individuals with LBP across various time intervals. However, its impacts on pain scores varied.

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治疗下背痛的认知功能疗法：随机对照试验中疼痛和残疾结果的元分析评估。

背景：认知功能疗法（CFT认知功能疗法（CFT）旨在通过考虑生理、心理和社会因素，全面解决腰背痛（LBP）问题：目的：评估认知功能疗法在不同时间间隔内减少腰背痛患者疼痛和残疾的有效性：方法：进行了全面的文献检索，以确定评估 CFT 对腰椎间盘突出症影响的相关随机对照试验（RCT）：结果：本研究初步确定了 1510 条记录，其中 7 项研究被纳入分析。在应用 CFT 6 至 8 周（SMD =-0.46，95% CI [-0.74，-0.19]）、12 周至 3 个月（SMD =-0.54，95% CI [-0.72，-0.36]）、6 个月（MD =-5.82，95% CI [-9.82，-1.82]）和 12 个月（SMD =-0.4，95% CI [-0.55，-0.26]）后，残疾评分均有明显降低。12周后至3个月（SMD =-0.49，95% CI [-0.68，-0.3]）、6个月（MD =-0.75，95% CI [-1.5，-0.0001]）和12个月（SMD =-0.27，95% CI [-0.42，-0.12]），疼痛评分也有明显降低：CFT显示出在不同时间间隔内改善腰椎间盘突出症患者残疾评分的潜力。结论：在不同的时间间隔内，CFT 有可能改善腰椎间盘突出症患者的残疾评分，但对疼痛评分的影响各不相同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.