There is evidence of three randomized controlled trials that face-to-face CFT reduces disability compared with active interventions for adults with chronic low back pain. The pandemic enabled the popularization of tele rehabilitation around the globe, but there are still no clinical trial testing the effectiveness of Cognitive Functional Therapy (CFT) via tele rehabilitation for elderly people with chronic low back pain. The aim of this study is to investigate the effectiveness of CFT compared with Pilates, both via tele rehabilitation in elderly patients with chronic low back pain.
A main complaint of pain in the area between the 12th rib and buttock crease with or without accompanying non-radicular leg pain;
Episode of ongoing low back pain for at least 12 weeks' duration;
Presenting to a primary care clinician at least 6 weeks ago for this episode of LBP;
Being able to walk independently (with or without aids);
Known or suspected red flag disorders like fracture, malignancy/cancer, cauda equina syndrome or progressive neurological disorder, inflammatory or infective diseases of the spine;
Suspected radicular pain (dominant leg pain, positive neural tissue provocation tests and/or any two of altered strength, reflexes or sensation for the same nerve root, assessed clinically);
Spinal surgery < 6 months previously;
Invasive procedures for pain relief (ex: epidural injection, rhizotomy) in the last three months;