La thérapie fonctionnelle cognitive dans la prise en charge de la lombalgie chronique non spécifique

Abstract

IntroductionNon-specific chronic low back pain (NSCLBP) is a condition that accounts for almost one-third of patients treated by physical therapists. Although only one in ten low back pain patients suffers from NSCLBP, it represents up to 80 % of healthcare costs for this disease. NSCLBP is the leading cause of work absenteeism, and healthcare costs have tripled over the past 40 years. Many therapies and techniques are being developed and studied, including Cognitive Functional Therapy (CFT), which provides a new approach based on a precise assessment and awareness of all dimensions of the condition.The aim of this study is to determine the prevalence of CFT among physical therapists and to identify the determinants of its importance in their practice. MethodA literature review followed by a questionnaire administered to licensed physical therapists and physical therapy students. ResultsIn all, 80% of physical therapy students and 67.9% of licensed physical therapists surveyed were not familiar with CFT. Among the licensed physical therapists, more than 50% frequently use this therapy and find it effective in treating NSCLBP. Among the students, 93.1% were interested in studying this therapy as part of their initial training. The lack of training among physical therapists in this area and the importance of patient impact as a barrier to CFT may explain its limited use in practice. The main limitations of this therapy are described by the study's authors.