Evidence map›Paper›PMID 35597961›Full record

ArticleBioPsychoSocial medicine2022

The effect of cognitive functional therapy for chronic nonspecific low back pain: a systematic review and meta-analysis.

Takahiro Miki, Yu Kondo, Hiroshi Kurakata, Eva Buzasi, Tsuneo Takebayashi, Hiroshi Takasaki

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BioPsychoSocial medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05480982 (Cognitive Functional Therapy Compared With Pilates in Elderly Patients With Chronic Low Back Pain Treated Via Telerehabilitation), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT05480982 narecruitingnot on this map

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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

6 authors at 3 institutions in 2 countries.

Takahiro MikiSapporo Maruyama Orthopedic Hospital, N7 W 27 Chuo Hokkaido, Sapporo, 006-0007, Japan. tkhr.mk@gmail.com.ORCID http://orcid.org/0000-0002-0648-2675
Yu KondoSapporo Maruyama Orthopedic Hospital, N7 W 27 Chuo Hokkaido, Sapporo, 006-0007, Japan.
Hiroshi KurakataYumenomachi Home Nursing Care and Rehabilitation Service, Chiba, Japan.
Eva BuzasiDivision of Surgery and Interventional Science, University College London, London, UK.
Tsuneo TakebayashiSapporo Maruyama Orthopedic Hospital, N7 W 27 Chuo Hokkaido, Sapporo, 006-0007, Japan.
Hiroshi TakasakiDepartment of Physical Therapy, Saitama Prefectural University, Koshigaya, Saitama, Japan.
Health Sciences University of Hokkaido · JPSaitama Prefectural University · JPUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo apply the Bio-Psych-Social (BPS) model into clinical practice, it is important not to focus on psychosocial domains only since biomedical factors can also contribute to chronic pain conditions. The cognitive functional therapy (CFT) is the management system based on the BPS model for chronic nonspecific low back pain (CNSLBP).

objectivesThis study aimed to compare CFT with the other interventions for CNSLBP regarding pain, disability/functional status, QoL and psychological factors.

designThis study was a systematic review and meta-analysis of a randomised controlled trial.

methodLiterature Search was conducted in electronic search engines. Enrolled participants included 1) CNSLBP and 2) primary, secondary, or tertiary care patients. CFT was the interventions included. Comparisons were any types of treatment.

resultsThree studies met the eligibility criteria. The total number of participants was 336. For pain intensity, MD [95% CIs] was -1.38 [-2.78 - 0.02] and -1.01 [-1.92 - -0.10] at intermediate and long term for two studies, respectively. About disability/functional status, SMD [95% CIs] was -0.76 [-1.46 - -0.07] at the intermediate for three studies and MD [95% CIs] was -8.48 [-11.47 - -5.49] at long term for two studies. About fear of physical activity, MD [95% CIs] was -3.01 [-5.14 - -0.88] and -3.56 [-6.43 - -0.68] at intermediate and long term for two studies, respectively. No studies reported scores associated with QOL. All the quality of the evidence was very low.

conclusionsThree studies were included and the quality of all the evidence was very low. Although the study found statistically significant differences in some measures, the effectiveness of the CFT will need to be re-evaluated in the future.

trial registrationPROSPERO registration number CRD42020158182 .

Indexed as

Chronic nonspecific low back painCognitive functional therapyFear of physical activity

Identifiers

PMID35597961
PMCPMC9123771
OpenAlexW4281263266

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.