Comparing Cognitive Functional Therapy and Pilates for Chronic Low Back Pain in the Elderly

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of Cognitive Functional Therapy (CFT) delivered via tele rehabilitation compared to Pilates for elderly patients suffering from chronic low back pain. A total of 200 participants will be randomized to receive either CFT or Pilates over a treatment period of up to 12 weeks. Assessments will be conducted at baseline, post-intervention, and at 24 and 48 weeks to evaluate outcomes such as pain intensity, disability, and quality of life. The study also includes qualitative research to understand participants' perceptions and experiences during treatment.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* A main complaint of pain in the area between the 12th rib and buttock crease with or without accompanying non-radicular leg pain;
* Episode of ongoing low back pain for at least 12 weeks' duration;
* Presenting to a primary care clinician at least 6 weeks ago for this episode of LBP;
* Being able to walk independently (with or without aids);
* Ability to understand Portuguese well enough to be able to fill in the questionnaires.
* Medium or high risk score on STartback screening tool.

Exclusion Criteria:

* Known or suspected red flag disorders like fracture, malignancy/cancer, cauda equina syndrome or progressive neurological disorder, inflammatory or infective diseases of the spine;
* Suspected radicular pain (dominant leg pain, positive neural tissue provocation tests and/or any two of altered strength, reflexes or sensation for the same nerve root, assessed clinically);
* Spinal surgery \< 6 months previously;
* Invasive procedures for pain relief (ex: epidural injection, rhizotomy) in the last three months;
* Scoliosis (if considered the primary cause of pain);
* Unstable heart conditions;
* Chikungunya or Dengue virus disease transmitted by mosquitoes;
* Relevant cognition deficit measured by 10 point cognitive screener, with a cut-off point of less than 8 points, 18 for participants with elementary education, and 26 for participants with secondary and/or higher education;
* Post Covid-19 sequelae of pain.

Where it's running

• Centro Universitário Augusto Motta
  Rio de Janeiro, Rio de Janeiro, Brazil Recruiting

Study contacts

• Study coordinator: Jessica Fernandez, PhD Student
• Email: jessicafmg@gmail.com
• Phone: +5521988778037

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• A novel multi angular isometric lumbar exercise for chronic low back pain

  This trial tests MAILE, a new lumbar exercise method, to see if it helps adults with nonspecific chronic low back pain more than standard lumbar stabilization and core exercises.

  Recruiting Hamad Medical Corporation · Doha · NCT07908693

• Pain catastrophizing, fear of movement, and activity in postmenopausal women with chronic low back pain

  This observational study looks at how negative pain thoughts and fear of moving relate to how active postmenopausal women with long‑standing low back pain are.

  Recruiting Istanbul Medipol University Hospital · Istanbul, Istanbul · NCT07856498

• Analgesia boost from adding a sacral submultifidus block to SIJ injection

  This study tests whether adding a sacral submultifidus block to a standard image-guided sacroiliac joint injection provides better pain relief and function for adults with chronic SIJ‑related pain.

  Recruiting Fayoum University Hospital · Al Fayyum · NCT07814729

• Telerehabilitation after spine surgery

  This trial tests different ways of delivering post-operative instructions to people who had spinal decompression surgery to see how it affects recovery and healthcare use.

  Recruiting Kuopio University Hospital · Kuopio · NCT07795697

• How patient education helps people with chronic musculoskeletal pain stick to home exercise for pain relief

  A structured patient education program is tested to see if it helps people with chronic low back pain, knee osteoarthritis, and shoulder problems stick with their home exercise plan to relieve pain.

  Recruiting Imam Abdulrahman Bin Faisal University · Dammam, Eastern Province · NCT07764354

• Core endurance vs segmental stabilization for low back pain in recreational athletes

  This trial tests whether core endurance exercises or segmental stabilization exercises better help recreational athletes with non-specific low back pain.

  Recruiting Uskudar University · Istanbul · NCT07760103

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.