Comparative Effects of Cognitive Functional Therapy With Kinetic Control Training on Non-specific Low Back Pain
NCT ID: NCT07282925
Last Updated: 2025-12-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
70 participants
INTERVENTIONAL
2025-12-15
2026-07-20
Brief Summary
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* Is there difference between Cognitive Functional Therapy and Kinetic control training on pain intensity, disability and movement control in participants with Non Specific Low Back Pain?
* Is there difference between Cognitive Functional Therapy and Kinetic control training on pain catastrophizing and self-efficacy in participants with Non Specific Low Back Pain? Researcher will compare the both CFT and KCT group to see if one treatment is superior to other in treating participants with non-specific back pain.
Participants will
* Attend treatment sessions based on the group they are placed in.
* Take session three times each week for eight weeks.
* They will be asked short questions about their pain, daily activity, and movement throughout the study.
Detailed Description
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NSLBP is multifactorial and mostly new cases recover within a short time but the condition frequently recurs and may become persistent. An extensive review regarding the management of LBP has stated that exercise plays a fundamental role in treating patients with NSLBP. However, the results regarding the appropriate type of exercise are the subject of controversy. Over the past decades, researchers have advised a variety of exercises. However, despite applying various treatment approaches, conservative treatment for NSLBP yields small effect sizes.
Cognitive Functional Therapy (CFT) is a contemporary exercise intervention developed by Peter O'Sullivan, to address the multidimensional nature of non-specific low back pain. The CFT is structured into three phases: (1) making sense of pain, (2) exposure with control, and (3) lifestyle changes. Rather than adopting a one size fits all approach, CFT provides clinicians with the opportunity to explore the multidimensional nature of NSLBP.
Kinetic Control Training (KCT) developed by Comerford, is a clinical framework focused on the assessment and correction of uncontrolled movement. KCT emphasizes identifying direction-specific movement faults (e.g., flexion, extension, rotation control deficits) that contribute to symptom provocation. KCT utilizes a three-stage retraining process: (1) cognitive facilitation of correct muscle activation; (2) integration into low-load, non-provocative tasks; and (3) progression to complex, functional movements under load and fatigue.
Despite the promising evidence supporting both CFT and KCT, a clear comparative study of their effectiveness in addressing NSLBP is lacking. Most existing studies have focused on one technique or compared it with general exercise. This study seeks to address this gap by evaluating and comparing the effects of Cognitive Functional Therapy and Kinetic Control Training in individuals with NSLBP.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Cognitive Functional Therapy
Cognitive Functional Therapy
Patients will receive 3 sessions per week for 8 weeks for a total of 24 sessions. Each session will be of 1 hour 15 minutes.
Standard Physical Therapy will be provided in which patient will receive Hot pack with TENS and perform a set of exercises including Curl up, Bird dog and side bridge back exercises for 5 repetitions.
Then Cognitive Functional Therapy (CFT) will be applied from day one. CFT is structured into three phases: (1) making sense of pain, (2) exposure with control, and (3) lifestyle changes. Making Sense of Pain : This component reflects the cognitive aspect of Cognitive Functional Therapy. It involves hearing patient's personal narrative about their chronic pain. Exposure with Control: It involves graded exposure to feared movements and functional tasks. Lifestyle Changes: This component focuses on lifestyle factors that contribute to pain and disability. It involves modifying sedentary lifestyle behaviors and encouraging healthy routine.
Kinetic Control Training
Kinetic Control Training
Patients will receive 3 sessions per week for 8 weeks. In each session, Standard Physical Therapy will be applied which will be the same in both groups.
In Kinetic Control Training (KCT), patients will first undergo direction specific movement control tests. These tests will identify direction-specific movement faults (e.g., flexion, extension, rotation control deficits) that contribute to symptoms. Based on these tests, individualized retraining will be provided to the patients. This retraining will improve control of specific muscles which will help reduce pain and improve disability.
Interventions
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Cognitive Functional Therapy
Patients will receive 3 sessions per week for 8 weeks for a total of 24 sessions. Each session will be of 1 hour 15 minutes.
Standard Physical Therapy will be provided in which patient will receive Hot pack with TENS and perform a set of exercises including Curl up, Bird dog and side bridge back exercises for 5 repetitions.
Then Cognitive Functional Therapy (CFT) will be applied from day one. CFT is structured into three phases: (1) making sense of pain, (2) exposure with control, and (3) lifestyle changes. Making Sense of Pain : This component reflects the cognitive aspect of Cognitive Functional Therapy. It involves hearing patient's personal narrative about their chronic pain. Exposure with Control: It involves graded exposure to feared movements and functional tasks. Lifestyle Changes: This component focuses on lifestyle factors that contribute to pain and disability. It involves modifying sedentary lifestyle behaviors and encouraging healthy routine.
Kinetic Control Training
Patients will receive 3 sessions per week for 8 weeks. In each session, Standard Physical Therapy will be applied which will be the same in both groups.
In Kinetic Control Training (KCT), patients will first undergo direction specific movement control tests. These tests will identify direction-specific movement faults (e.g., flexion, extension, rotation control deficits) that contribute to symptoms. Based on these tests, individualized retraining will be provided to the patients. This retraining will improve control of specific muscles which will help reduce pain and improve disability.
Eligibility Criteria
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Inclusion Criteria
* Aged between 19 to 39
* Patients who score 6 points or higher on the Roland-Morris Disability Questionnaire (RMDQ) at the time of screening
* Patients who will have Non-Specific Chronic Low Back pain for at least 3 months duration
Exclusion Criteria
* If leg pain is the primary problem.
* If patient have inflammatory disease.
* If patient have progressive neurological disease.
* If patient have red flag disorders (malignancy/cancer, traumas such as fracture).
* Pregnant females.
19 Years
39 Years
ALL
No
Sponsors
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Lahore University of Biological and Applied Sciences
OTHER
Responsible Party
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Umber Nawaz
Assistant Professor
Principal Investigators
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Nayab Naseem
Role: PRINCIPAL_INVESTIGATOR
Lahore University of Biological and Applied Sciences
Locations
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Ghurki Trust Teaching Hospital
Lahore, Punjab Province, Pakistan
Private Physical Therapy Clinic
Lahore, Punjab Province, Pakistan
Countries
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Central Contacts
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Other Identifiers
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U1111-1331-9059
Identifier Type: REGISTRY
Identifier Source: secondary_id
UBAS/ERB/FoRS/25/021
Identifier Type: -
Identifier Source: org_study_id