Author(s): Prabha Mohan Kumar, J Mohana Krishnan and Jimshad Tu

Abstract: Background: Cognitive functional therapy is an integrated, patient-centered, goal-orientated management approach for chronic non specific low back pain (CNLBP). Core stability training has gained wide acceptance for injury prevention and rehabilitation of musculoskeletal conditions. Objective: To compare effectiveness of cognitive functional therapy with core muscle training on function and disability in subjects with chronic low back pain Design: Quasi Experimental design. Method: Total of 40 subjects with chronic low back pain, aged between 18-40 years was recruited for the study. All subjects were divided into group A and group B, the group A had 20 subjects, who received cognitive functional therapy while the group B had 20 subjects, who received core muscle training. Both the groups underwent treatment for 3 months. The outcome parameter was pain (VAS), functional outcome (STarT back screening tool), Disability (Quebec back pain disability scale tool) which were analyzed statistically. Results: Significant changes in the outcomes were found in both, within and between the groups. The post treatment values were: VAS in group A was 1.79 and in group B was 2.68 (clinically significant with p<.004); STarT back screening tool in group A was 1.95 and in group B was 2.74 (statistically significant p<.001); Quebec back pain disability scale tool score in group A was 11.97 and in group B was 16.79 (statistically significant p<.25).Conclusion: Both cognitive functional training and core muscle training improves function and reduce disability in individuals with CNLBP, however cognitive functional training gives better outcome.

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