Evidence map›Paper›PMID 23208945›Full record

Trial reportEuropean journal of pain (London, England)2013

Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: a randomized controlled trial.

K Vibe Fersum, P O'Sullivan, J S Skouen, A Smith, A Kvåle

5 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of pain (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 150 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 15 pooled it
17.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01882686 nacompletednot on this map

Efficacy of a Classification Based 'Cognitive Functional Therapy' in Nurses With Non Specific Chronic Low Back Pain - a Series of Case-controls

TypeinterventionalSponsorKU LeuvenRan2012 to 2016Enrolled41ConditionsChronic Low Back PainArmsClassification Based Cognitive Functional Therapy
NCT02145728 nacompletednot on this mapstarted 2014, after this paper: background citation

The Effect of Cognitive Functional Therapy on Patients With Non-specific Chronic Low Back Pain: a Multi-centre Randomized Trial

TypeinterventionalSponsorUniversity of LimerickRan2014 to 2018Enrolled208ConditionsChronic Low Back PainArmsIndividual Cognitive Functional Therapy, Group Exercise Classes
NCT03221439 nacompletednot on this mapstarted 2017, after this paper: background citation

Cognitive Functional Therapy (CFT) Compared With a Combined Manual Therapy and Motor Control Exercise in Patients With Non-specific Chronic Low Back Pain: a Multicentre Randomized Controlled Trial

TypeinterventionalSponsorCentro Universitário Augusto MottaRan2017 to 2020Enrolled148ConditionsLow Back Pain, Back Pain, Pain, Signs and SymptomsArmsCognitive Functional Therapy, Manual Therapy and Motor Control Exercise
NCT03273114 nacompletednot on this mapstarted 2017, after this paper: background citation

Cognitive Functional Therapy (CFT) Compared With a Combined Core Training Exercise and Manual Therapy (CORE-MT) in Patients With Non-specific Chronic Low Back Pain: a Randomized Controlled Trial

TypeinterventionalSponsorCentro Universitário Augusto MottaRan2017 to 2020Enrolled148ConditionsLow Back Pain, Back Pain, Pain, Signs and SymptomsArmsCognitive Functional Therapy, Core Training Exercise and Manual Therapy
NCT05480982 narecruitingnot on this mapstarted 2022, after this paper: background citation

Cognitive Functional Therapy Compared With Pilates in Elderly Patients With Chronic Low Back Pain Treated Via Telerehabilitation: A Randomized Controlled Trial

TypeinterventionalSponsorCentro Universitário Augusto MottaRan2022 to 2028Enrolled200ConditionsLow Back PainArmsCognitive functional therapy via tele rehabilitation, Pilates via tele rehabilitation
3 · Its place in the literature

Who cites it

150 citing papers in PubMed, 15 syntheses or guidelines pooled it, 474 citations in OpenAlex.

  1. Advances in physiotherapy for chronic low-back pain: a level I systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Pooled it
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  4. Guideline
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  8. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
    Pooled it
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  12. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis.The spine journal : official journal of the North American Spine Society · 2018
    Pooled it
  13. Do MRI findings identify patients with low back pain or sciatica who respond better to particular interventions? A systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016
    Pooled it
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  15. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain.The Cochrane database of systematic reviews · 2014
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90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

K Vibe FersumPhysiotherapy Research Group, Department of Public Health and Primary Health Care, University of Bergen, Norway. kjartan.fersum@isf.uib.no
P O'Sullivan
J S Skouen
A Smith
A Kvåle
Curtin University · AUUniversity of Bergen · NOHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-specific chronic low back pain disorders have been proven resistant to change, and there is still a lack of clear evidence for one specific treatment intervention being superior to another.

methodsThis randomized controlled trial aimed to investigate the efficacy of a behavioural approach to management, classification-based cognitive functional therapy, compared with traditional manual therapy and exercise. Linear mixed models were used to estimate the group differences in treatment effects. Primary outcomes at 12-month follow-up were Oswestry Disability Index and pain intensity, measured with numeric rating scale. Inclusion criteria were as follows: age between 18 and 65 years, diagnosed with non-specific chronic low back pain for >3 months, localized pain from T12 to gluteal folds, provoked with postures, movement and activities. Oswestry Disability Index had to be >14% and pain intensity last 14 days >2/10. A total of 121 patients were randomized to either classification-based cognitive functional therapy group n = 62) or manual therapy and exercise group (n > = 59).

resultsThe classification-based cognitive functional therapy group displayed significantly superior outcomes to the manual therapy and exercise group, both statistically (p < 0.001) and clinically. For Oswestry Disability Index, the classification-based cognitive functional therapy group improved by 13.7 points, and the manual therapy and exercise group by 5.5 points. For pain intensity, the classification-based cognitive functional therapy improved by 3.2 points, and the manual therapy and exercise group by 1.5 points.

conclusionsThe classification-based cognitive functional therapy produced superior outcomes for non-specific chronic low back pain compared with traditional manual therapy and exercise.

Indexed as

Cognitive Behavioral TherapyAdultChronic PainDisability EvaluationExercise TherapyFemaleHumansLow Back PainMaleMiddle AgedMusculoskeletal ManipulationsPain MeasurementPhysical Therapy ModalitiesPostureTreatment Outcome

Identifiers

PMID23208945
PMCPMC3796866
OpenAlexW2096958731

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.