{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:18:33Z","timestamp":1791364713496,"version":"4.3.1"},"reference-count":47,"publisher":"BMJ","issue":"13","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2025,2,21]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study investigated the efficacy of cognitive functional therapy (CFT) versus a sham procedure for pain intensity and disability for patients with non-specific chronic low back pain (CLBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a randomised sham-controlled trial conducted in a primary care public health service. A total of 152 participants were randomly assigned to the CFT group (n=76) and the sham group (n=76). The CFT group received six 1\u2009hour individualised sessions; the sham procedure group received six individual sessions of neutral talking+detuned photobiomodulation (low-level laser therapy) equipment. Both groups received an education booklet with information on strategies for CLBP self-management. Primary outcomes were pain intensity and disability at 6\u2009weeks. Participants were assessed preintervention, postintervention (at 6\u2009weeks), and 3 and 6\u2009months after randomisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We obtained primary outcome data from 97.4% (n=74) of participants in the CFT group and 98.7% (n=75) from the sham group. The CFT group showed greater effects in pain intensity (mean difference (MD)=\u22121.8; 95%\u2009CI \u22122.5 to \u22121.1) and disability (MD=\u22129.9; 95%\u2009CI \u221213.2 to \u22126.5) postintervention compared with the sham group. The effect remained at the 3-month and 6-month follow-ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CFT showed sustained clinical efficacy compared with a sham procedure for treating pain intensity and disability in patients with CLBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      This trial was registered in ClinicalTrials.gov,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT04518891\">NCT04518891<\/jats:ext-link>\n                      and was previously published\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35788240\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35788240\/<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2024-109012","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T07:12:48Z","timestamp":1741331568000},"page":"912-920","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of cognitive functional therapy for pain intensity and disability in patients with non-specific chronic low back pain: a randomised sham-controlled trial"],"prefix":"10.1136","volume":"59","clinical-trial-number":[{"clinical-trial-number":"nct04518891","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct04518891","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4032-5689","authenticated-orcid":false,"given":"Mariana Romano","family":"de Lira","sequence":"first","affiliation":[{"name":"Postgraduate Program in Rehabilitation and Functional Performance, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo - USP, Ribei\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2794-7299","authenticated-orcid":false,"given":"Ney","family":"Meziat-Filho","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Augusto Motta University Centre - UNISUAM, Rio de Janeiro, Brazil"},{"name":"School of Rehabilitation Science, Faculty of Health Sciences, 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