Comparative Effects of Cognitive Functional Therapy With Kinetic Control Training on Non-specific Low Back Pain

NCT07282925 | Recruiting DMC

• 2 other identifiers: UBAS/ERB/FoRS/25/021U1111-1331-9059
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare Cognitive Functional Therapy (CFT) with Kinetic Control Training (KCT) in participants with non-specific low back pain. The study wants to see which approach helps lower pain, reduce disability and improve movement control. The main questions it aims to answer is

• Is there difference between Cognitive Functional Therapy and Kinetic control training on pain intensity, disability and movement control in participants with Non Specific Low Back Pain?
• Is there difference between Cognitive Functional Therapy and Kinetic control training on pain catastrophizing and self-efficacy in participants with Non Specific Low Back Pain? Researcher will compare the both CFT and KCT group to see if one treatment is superior to other in treating participants with non-specific back pain. Participants will
• Attend treatment sessions based on the group they are placed in.
• Take session three times each week for eight weeks.
• They will be asked short questions about their pain, daily activity, and movement throughout the study.

Conditions

Low Back Pain; Non Specific Chronic Low Back Pain

Keywords

Low Back Pain; Non Specific Low Back Pain; Chronic Low Back Pain; Cognitive Functional Therapy; Kinetic Control Training; Pain; Disability; Movement Control

Outcome Measures

Primary Outcomes (3)

• Pain Intensity Measured by Numeric Pain Rating Scale

  Pain intensity will be measured with an 11 point Numeric Pain Rating Scale that is measured from 0 to 10. 0 is no pain, 1-3 indicates mild pain, 4-6 indicates moderate pain and 7-10 is the most severe pain imaginable.

  It will be measured at baseline, 4 weeks and at 8 weeks.

• Disability measured by Roland Morris Disability Questionnaire

  Disability will be measured by Roland Morris Disability Questionnaire (RMDQ). The RMDQ is a valid and reliable tool for estimating the level of disability in Low Back Pain patients. It is composed of 24 questions that are to be answered by the patients with answers of either 'Yes' or 'No'. The variation of the total score may range from a score of 0 (no disability) to a score of 24 (maximum disability).

  It will be measured at baseline, 4 weeks and 8 weeks

• Lumbar Motor Control measured by the Luomajoki Motor Control Test Battery

  To evaluate lumbar motor control, the Luomajoki Motor Control Test Battery is employed. This battery includes six individual tests that examine movement control in various positions such as standing, sitting, quadruped, and prone. Each test is scored either 0 or 1, with a total score of 3 or higher indicates impaired motor control

  baseline, 4 week and 8 week

Secondary Outcomes (2)

• Catastrophizing pain will be measured by Pain Catastrophizing Scale.

  baseline, 4 weeks and 8 weeks

• Self-efficacy will be measured by Pain Self Efficacy Scale

  Baseline, 4 weeks and 8 weeks

Study Arms (2)

Cognitive Functional Therapy

EXPERIMENTAL

Behavioral: Cognitive Functional Therapy

Kinetic Control Training

ACTIVE COMPARATOR

Other: Kinetic Control Training

Interventions

Kinetic Control Training OTHER

Patients will receive 24 sessions. In each session, Standard Physical Therapy will be applied which will be the same in both groups. In Kinetic Control Training (KCT), patients will first undergo direction specific movement control tests. These tests will identify direction-specific movement faults (e.g., flexion, extension, rotation control deficits) that contribute to symptoms. Based on these tests, individualized retraining will be provided to the patients. This retraining will improve control of specific muscles which will help reduce pain and improve disability.

Kinetic Control Training

Cognitive Functional Therapy BEHAVIORAL

Patients will receive 24 sessions over a period of 8 weeks. Each session will be of 1 hour 15 minutes. Standard Physical Therapy will be provided in which patient will receive Hot pack with TENS and perform a set of exercises including Curl up, Bird dog and side bridge back exercises for 5 repetitions. Then Cognitive Functional Therapy (CFT) will be applied from day one. CFT is structured into three phases: (1) making sense of pain, (2) exposure with control, and (3) lifestyle changes. Making Sense of Pain : This component reflects the cognitive aspect of Cognitive Functional Therapy. It involves hearing patient's personal narrative about their chronic pain. Exposure with Control: It involves graded exposure to feared movements and functional tasks. Lifestyle Changes: This component focuses on lifestyle factors that contribute to pain and disability. It involves modifying sedentary lifestyle behaviors and encouraging healthy routine.

Cognitive Functional Therapy

Eligibility Criteria

• Age: 19 Years - 39 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients of both sexes
• Aged between 19 to 39
• Patients who score 6 points or higher on the Roland-Morris Disability Questionnaire (RMDQ) at the time of screening
• Patients who will have Non-Specific Chronic Low Back pain for at least 3 months duration

You may not qualify if:

• If the primary pain area is not the lumbar spine.
• If leg pain is the primary problem.
• If patient have inflammatory disease.
• If patient have progressive neurological disease.
• If patient have red flag disorders (malignancy/cancer, traumas such as fracture).
• Pregnant females.

Sponsors & Collaborators

• Lahore University of Biological and Applied Sciences: lead

Study Sites (1)

Private Physical Therapy Clinic

Lahore, Punjab Province, Pakistan

RECRUITING

MeSH Terms

Conditions

Low Back Pain; Pain

Condition Hierarchy (Ancestors)

Back Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Nayab Naseem

  Lahore University of Biological and Applied Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nayab Naseem

CONTACT

+92 334 4769616; nayabmalik1016@gmail.com

Umber Nawaz

CONTACT

+92 333 4888279; umber.nawaz@ubas.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 2, 2025
• First Posted: December 15, 2025
• Study Start: December 15, 2025
• Primary Completion (Estimated): May 25, 2026
• Study Completion (Estimated): July 20, 2026
• Last Updated: April 2, 2026

Record last verified: 2025-12

Locations

PA (1)