Failed Back Surgery Syndrome (FBSS)

Cognitive Functional Therapy (CFT) compared with Core Training Exercise (CTE) in patients with Failed Back Surgery Syndrome (FBSS): a study protocol for a randomized controlled trial.:

Publication date: Available online 14 September 2020
Source: Journal of Bodywork and Movement Therapies
Author(s): Leonardo Avila, Marcos Lisboa Neves, André Rogério Abreu, Cibelle Ramos Fiuza, Leandro Fukusawa, Ney Meziat-Filho, Adair Roberto Soares Santos

Failed back surgery syndrome (also called FBSS, or failed back syndrome) is a misnomer, as it is not actually a syndrome - it is a very generalized term that is often used to describe the condition of patients who have not had a successful result with back surgery or spine surgery and have experienced continued pain


Author links open overlay panelLeonardoAvila125Marcos LisboaNeves12André RogérioAbreu12Cibelle RamosFiuza23LeandroFukusawa4NeyMeziat-Filho4Adair RobertoSoares Santos12
1
Postgraduate Program of Neuroscience, Center of Biological Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
2
Laboratory of Neurobiology of Pain and Inflammation, Department of Physiological Sciences, Center of Biological Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
3
Multicenter Postgraduate Program in Physiological Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
4
Masters and Doctoral Programs in Medical Sciences, Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil
5
Postgraduate Program of Rehabilitation Science, Centro Universitário Augusto Motta/UNISUAM, Rio de Janeiro, RJ, Brazil
Received 26 November 2019, Revised 9 July 2020, Accepted 29 August 2020, Available online 14 September 2020.

https://doi.org/10.1016/j.jbmt.2020.08.016Get rights and content
Abstract
Objective
This study aims to investigate the efficacy of cognitive functional therapy (CFT) compared to core training exercise (CTE) on pain and specific disability of patients with failed back surgery syndrome (FBSS).

Design
This will be a randomized controlled clinical trial of two groups with blinded evaluators.

Setting
The study will be conducted at the Federal University of Santa Catarina (UFSC) and a private clinic in Florianópolis, SC, Brazil.

Participants
A total of 80 participants, of both sexes, with FBSS.

Intervention
Subjects will be randomized into two groups: one group receiving CFT or CTE. Individuals will be assisted once a week, for a maximum period of 12 weeks, with four being the minimum number of visits and 12 being the maximum number of visits.

Measure
ments: The primary outcomes will be pain and specific disability.

Conclusions
This is the first study investigating whether CFT is efficacious for patients with FBSS and chronic low back pain. The study's sample size was calculated to detect the effect of clinically relevant treatment with a low risk of bias. This clinical trial was designed to be able to reproduce an approach as a physiotherapist trained in CFT would do. That is, in a pragmatic way, increasing the significance of this study. CTE comprises a strategy widely used by physiotherapists to treat low back pain. Given that the scientific evidence of its efficacy for pain management is limited, the findings of this study will assist physiotherapists in their clinical decision-making.

Keywords
failed back surgery syndromepost-laminectomy syndromeback painlow back painlaminectomydiscectomyspinal fusioncognitive therapyexercise and exercise therapy