Cognitive behavioural interventions led by a physiotherapist in chronic non-specific low back pain: A systematic review and meta-analysis.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2025;13(4):44 J Bodyw Mov Ther . 2024 Jul:39:635-644.¿Qué significa esto para mi consulta?
Cognitive behavioural interventions (CBI), particularly cognitive functional therapy (CFT), may offer small benefits in disability management for chronic non-specific low back pain (NSLBP); however, its overall effectiveness remains uncertain due to significant heterogeneity across studies. There was no demonstrated improvement in quality of life, and no conclusions could be drawn regarding catastrophization. In terms of clinical practice, CFT may serve as a valuable addition to physiotherapy, but standardized protocols and adequate training are necessary to enhance its effectiveness. Study limitations include high heterogeneity in study design, intervention protocols, and therapist training levels, which restrict the generalizability of the findings.
Resumen del estudio
Fourteen randomized controlled trials (RCTs) including 1,741 patients with chronic non-specific low back pain (NSLBP) were analyzed in this systematic review and meta-analysis. The study compared the effects of physiotherapist-led cognitive behavioral interventions (CBI), either alone or combined with physiotherapy, against conventional physiotherapy on quality of life (QoL), disability, and catastrophization. Pooled results from three studies showed no significant improvement in QoL at 3 months. Nine studies evaluating disability found no significant differences between groups at 3, 6, and 12 months. The results suggest that while CBI, particularly cognitive functional therapy (CFT), shows promise in disability management, its benefits remain uncertain due to substantial heterogeneity across studies.
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