“Every patient teaches you something new”: experiences of physiotherapists delivering cognitive functional therapy for chronic, disabling low back pain in a randomised controlled trial

Review written by Dr Sarah Haag info

Key Points

  1. This study described the experiences of physiotherapists providing Cognitive Functional Therapy (CFT), as they developed their skills in real time.
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BACKGROUND & OBJECTIVE

The impact of low back pain (LBP) is undeniable, resulting in the most years lived with disability and is estimated to impact more than 800 million people by 2025 (1). One of the challenges in treating LBP is the training of healthcare professionals, which continue to have a biomedical focus and is not well-suited to address the multidimensional nature of pain.

The aim of this study was to explore the experience of physiotherapists delivering a biopsychosocial intervention to people with chronic, disabling LBP in the RESTORE RCT.

The impact of low back pain is undeniable, resulting in the most years lived with disability and is estimated to impact more than 800 million people by 2025.
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With support and education, physiotherapists were able to deliver competent care while developing their skills and confidence in delivering cognitive functional therapy.

METHODS

  • This qualitative study was nested within the RESTORE RCT trial. The 15 therapists involved in the RESTORE trial were interviewed. Each physiotherapist had been trained and achieved competency to deliver Cognitive Functional Therapy (CFT).
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