Lack of confidence in the lower limb: Cognitive Functional Therapy (CFT) for a unilateral loading impairment in chronic non-specific low back pain. Case report

Ney Meziat Filho; Roberta Mendonça; Leandro Alberto Calazans Nogueira

doi:10.1016/j.math.2016.02.007

Lack of confidence in the lower limb: Cognitive Functional Therapy (CFT) for a unilateral loading impairment in chronic non-specific low back pain. Case report

Man Ther. 2016 Sep:25:104-8. doi: 10.1016/j.math.2016.02.007. Epub 2016 Mar 12.

Authors

Ney Meziat Filho¹, Roberta Mendonça², Leandro Alberto Calazans Nogueira³

Affiliations

¹ Departamento de Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil. Electronic address: neymeziat@gmail.com.
² Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Departamento de Fisioterapia, Escola Naval, Rio de Janeiro, Brazil.
³ Departamento de Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.

PMID: 27052627
DOI: 10.1016/j.math.2016.02.007

Abstract

This case report presents the effect of Cognitive Functional Therapy (CFT) in a patient with chronic non-specific low back pain associated with unilateral loading impairment of the left lower limb. The patient believed surgery was the only possible way to treat the cause of the problem. The management of this idea was to change such belief. Manual therapy and active exercises were combined in order to encourage the patient to trust his back and lower limb again. One month and a half after the first appointment, the treatment resulted in complete absence of pain and disability. The patient returned to work and he was able to climb stairs and load his left limb normally.

Keywords: Cognitive Functional Therapy; Low back pain; Lower limb.

Publication types

Case Reports

MeSH terms

Adult
Chronic Pain / therapy*
Cognitive Behavioral Therapy / methods*
Exercise Therapy / methods*
Humans
Low Back Pain / psychology*
Low Back Pain / therapy*
Lower Extremity / physiopathology*
Male
Musculoskeletal Manipulations / methods*
Treatment Outcome