Cognitive functional therapy: a new approach on chronic pain in people with musculoskeletal conditions - A scoping revew

• Autor(a) principal: Castanho, Beatriz Cunha Pinto Costa
• Data de Publicação: 2021
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.22/19721
• topic: Cognitive functional therapy; Physiotherapy; Chronic pain; Scoping revew

While some studies have been previously conducted to appraise the operationalization of Cognitive Functional Therapy (CFT) in chronic pain conditions, this topic is as far from being exhausted as a research area. The present study undertakes a scoping review to: (1) map the evidence of CFT to identify main concepts, theories, sources and knowledge gaps; (2) examine the extent, range and nature of the intervention and ascertain how it is operationalized for the management of chronic pain in people with musculoskeletal conditions. This scoping review undertakes the methodological framework according to the PRISMA-ScR guidelines. Online databases MEDLINE (PubMed), Cochrane Library, PEDro and PsycInfo were searched, to identify papers published of relevance without year of publication restriction. Two reviewers used inclusion criteria based on the ‘Population–Concept–Context’ framework to independently screen titles and abstracts of articles considered for inclusion. Full-text screening of relevant eligible articles have been carried out by two reviewers. Ultimately, a total of 14 studies were included in this scoping review. Most publications included in this review are Case-reports (28,6%; n=4). The remaining quantitative studies were Randomized Controlled Trials (RCT) (14,3%; n=2), a Single Case Experimental Design study (SCEDs), a Quasi-experimental Design study (pretest-posttest intervention) and a Cohort study. Regarding the qualitative studies, there are two noninterventional Cross-sectional (66.7%, n=2) and a Descriptive comprehensive review (33.3%; n=1). Among the Mixed-method studies, there is a Case report and a Case series. CFT is a flexible integrated behavioral approach for individualizing care for people with disabling LBP. It is based on a multidimensional clinical reasoning framework designed to identify and target modifiable factors that drive pain, pain-related distress, and disability. CFT takes individuals with disabling LBP on a clinical journey that provides a multidimensional understanding of their pain within the context of their own story. In addition, pain and behavioral control strategies are used to allow individuals to return to valued functional activities and healthful lifestyle behaviors. The aim of this process is to build self-efficacy to break the cycle of pain-related distress and disability.