Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomized, controlled, three-arm, parallel group, phase 3, clinical trial
- Cognitive functional therapy (CFT) as a treatment approach emphasizes patient involvement in goal making and priorities of treatment.
BACKGROUND & OBJECTIVE
Persistent low back pain and the associated disability, lost work, and healthcare costs continue to increase globally despite ongoing efforts to mitigate chronic pain (1). The Lancet 2021 series. “Rethinking Chronic Pain” addresses the ongoing challenge and the need of options to provide accessible effective care for pain through a multimodal and interdisciplinary approach (2).
Cognitive Functional Therapy (CFT) is an example of a patient-focused framework that aims to meet this need for enacting a biopsychosocial or biobehavioral approach to care. CFT has been studied for efficacy with the short-term effect that is shown for most interventions (3,4).
In this study, the authors designed a larger multi-center study to assess the effectiveness and economic efficiency of CFT compared to usual care for patients with chronic low back pain.
We must abandon the biomedical approach to care and put in place protocols and training to address the complexity of the human in pain.
This is a randomized, controlled, 3-arm parallel group design. Treatment occurred in 20 primary care physiotherapy clinics in Australis (Perth and Sydney). Participants were locally recruited, 18+ years old, and had average back pain intensity of 4/10 or more for