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    Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain

    Access Status
    Fulltext not available
    Authors
    O'Sullivan, P.
    Caneiro, JP
    O'Keeffe, M.
    Smith, Anne
    Dankaerts, W.
    Fersum, K.
    O'Sullivan, K.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    O'Sullivan, P. and Caneiro, J. and O'Keeffe, M. and Smith, A. and Dankaerts, W. and Fersum, K. and O'Sullivan, K. 2018. Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain. Physical Therapy. 98 (5): pp. 408-423.
    Source Title
    Physical Therapy
    DOI
    10.1093/ptj/pzy022
    ISSN
    0031-9023
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/72172
    Collection
    • Curtin Research Publications
    Abstract

    © 2018 American Physical Therapy Association. Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain and disability may partly explain this situation. Although many approaches and subgrouping systems for disabling LBP have been proposed in an attempt to deal with this complexity, they have been criticized for being unidimensional and reductionist and for not improving outcomes. Cognitive functional therapy was developed as a flexible integrated behavioral approach for individualizing the management of disabling LBP. This approach has evolved from an integration of foundational behavioral psychology and neuroscience within physical therapist practice. It is underpinned by a multidimensional clinical reasoning framework in order to identify the modifiable and nonmodifiable factors associated with an individual's disabling LBP. This article illustrates the application of cognitive functional therapy to provide care that can be adapted to an individual with disabling LBP.

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