Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial.
Saved in:
| Title: | Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial. |
|---|---|
| Authors: | Yalfani, Ali (AUTHOR), Asgarpoor, Azadeh (AUTHOR) |
| Source: | Disability & Rehabilitation. Aug2025, Vol. 47 Issue 17, p4443-4452. 10p. |
| Subjects: | Chronic pain treatment, Phobias, Effect sizes (Statistics), Dynamics, Blind experiment, Visual analog scale, Statistical sampling, Two-way analysis of variance, Biofeedback training, Diagnosis, Gait in humans, Treatment effectiveness, Randomized controlled trials, Descriptive statistics, Pre-tests & post-tests, Pain management, Analysis of variance, Cognitive therapy, Body movement, Data analysis software, Ground reaction forces (Biomechanics), Lumbar pain, Evaluation |
| Abstract: | Purpose of the article: Walking disorders are a significant issue for patients with low back pain. The aim of clinical trials is to compare the effects of cognitive functional therapy (CFT) and neurofeedback training (NFBT) on gait kinetics in chronic non-specific low back pain (CNSLBP) patients. Materials and Methods: Sixty females with chronic non-specific low back pain were recruitment for clinical trials. They were randomly divided into experimental and one control groups (Each group 20 patients). The experimental group received the relevant interventions for eight weeks. The primary outcome was pain, kinesiophobia and disability. The secondary outcome was vertical ground reaction force (VGRF) parameters. Two-Way Repeated Measures ANOVA statistical method was used for data analysis. Results: Within-group comparisons showed that neurofeedback training and cognitive functional therapy groups experienced significant improvement in pain intensity, disability and kinesiophobia after eight-week (p < 0.05). However, the cognitive functional therapy group improved the vertical ground reaction force parameters better than the neurofeedback training group (p < 0.05). Conclusions: cognitive functional therapy intervention had a greater effect on the vertical ground reaction force parameters. The reason for the greater effect of cognitive functional therapy intervention on vertical ground reaction force parameters can be partially explained due to the multimodal therapy used through cognitive exercises and motor control. IMPLICATIONS FOR REHABILITATION: Cognitive functional therapy and neurofeedback training was shown to reduce pain intensity, disability, and kinesiophobia, Consequently improving vertical ground reaction force parameters in patients with Chronic non-specific low back pain. Among the psychological interventions used, the cognitive functional therapy significantly showed more effectiveness in improving the vertical ground reaction force parameters of patients with chronic non-specific low back pain. Our research may inform clinical decision-making and guide the development of therapeutic interventions for patients with chronic non-specific low back pain. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 188362982 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Yalfani%2C+Ali%22">Yalfani, Ali</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Asgarpoor%2C+Azadeh%22">Asgarpoor, Azadeh</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Aug2025, Vol. 47 Issue 17, p4443-4452. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Chronic+pain+treatment%22">Chronic pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Phobias%22">Phobias</searchLink><br /><searchLink fieldCode="DE" term="%22Effect+sizes+%28Statistics%29%22">Effect sizes (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Dynamics%22">Dynamics</searchLink><br /><searchLink fieldCode="DE" term="%22Blind+experiment%22">Blind experiment</searchLink><br /><searchLink fieldCode="DE" term="%22Visual+analog+scale%22">Visual analog scale</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Two-way+analysis+of+variance%22">Two-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Biofeedback+training%22">Biofeedback training</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Gait+in+humans%22">Gait in humans</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Body+movement%22">Body movement</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Ground+reaction+forces+%28Biomechanics%29%22">Ground reaction forces (Biomechanics)</searchLink><br /><searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose of the article: Walking disorders are a significant issue for patients with low back pain. The aim of clinical trials is to compare the effects of cognitive functional therapy (CFT) and neurofeedback training (NFBT) on gait kinetics in chronic non-specific low back pain (CNSLBP) patients. Materials and Methods: Sixty females with chronic non-specific low back pain were recruitment for clinical trials. They were randomly divided into experimental and one control groups (Each group 20 patients). The experimental group received the relevant interventions for eight weeks. The primary outcome was pain, kinesiophobia and disability. The secondary outcome was vertical ground reaction force (VGRF) parameters. Two-Way Repeated Measures ANOVA statistical method was used for data analysis. Results: Within-group comparisons showed that neurofeedback training and cognitive functional therapy groups experienced significant improvement in pain intensity, disability and kinesiophobia after eight-week (p < 0.05). However, the cognitive functional therapy group improved the vertical ground reaction force parameters better than the neurofeedback training group (p < 0.05). Conclusions: cognitive functional therapy intervention had a greater effect on the vertical ground reaction force parameters. The reason for the greater effect of cognitive functional therapy intervention on vertical ground reaction force parameters can be partially explained due to the multimodal therapy used through cognitive exercises and motor control. IMPLICATIONS FOR REHABILITATION: Cognitive functional therapy and neurofeedback training was shown to reduce pain intensity, disability, and kinesiophobia, Consequently improving vertical ground reaction force parameters in patients with Chronic non-specific low back pain. Among the psychological interventions used, the cognitive functional therapy significantly showed more effectiveness in improving the vertical ground reaction force parameters of patients with chronic non-specific low back pain. Our research may inform clinical decision-making and guide the development of therapeutic interventions for patients with chronic non-specific low back pain. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=188362982 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09638288.2025.2451219 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 4443 Subjects: – SubjectFull: Chronic pain treatment Type: general – SubjectFull: Phobias Type: general – SubjectFull: Effect sizes (Statistics) Type: general – SubjectFull: Dynamics Type: general – SubjectFull: Blind experiment Type: general – SubjectFull: Visual analog scale Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Two-way analysis of variance Type: general – SubjectFull: Biofeedback training Type: general – SubjectFull: Diagnosis Type: general – SubjectFull: Gait in humans Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Pre-tests & post-tests Type: general – SubjectFull: Pain management Type: general – SubjectFull: Analysis of variance Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Body movement Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Ground reaction forces (Biomechanics) Type: general – SubjectFull: Lumbar pain Type: general – SubjectFull: Evaluation Type: general Titles: – TitleFull: Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Yalfani, Ali – PersonEntity: Name: NameFull: Asgarpoor, Azadeh IsPartOfRelationships: – BibEntity: Dates: – D: 15 M: 08 Text: Aug2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 47 – Type: issue Value: 17 Titles: – TitleFull: Disability & Rehabilitation Type: main |
| ResultId | 1 |