title: Lack of confidence in the lower limb: Cognitive Functional Therapy (CFT) for a unilateral loading impairment in chronic non-specific low back pain. Case report.
abstract: This case report presents the effect of Cognitive Functional Therapy (CFT) in a patient with chronic non-specific low back pain associated with unilateral loading impairment of the left lower limb. The patient believed surgery was the only possible way to treat the cause of the problem. The management of this idea was to change such belief. Manual therapy and active exercises were combined in order to encourage the patient to trust his back and lower limb again. One month and a half after the first appointment, the treatment resulted in complete absence of pain and disability. The patient returned to work and he was able to climb stairs and load his left limb normally.
authors.affiliation: Departamento de Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil. Electronic address: neymeziat@gmail.com.
authors.forename: Ney
authors.initials: N
authors.lastname: Meziat Filho
authors.affiliation: Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Departamento de Fisioterapia, Escola Naval, Rio de Janeiro, Brazil.
authors.forename: Roberta
authors.initials: R
authors.lastname: Mendonça
authors.affiliation: Departamento de Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.
authors.forename: Leandro Alberto Calazans
authors.initials: LA
authors.lastname: Nogueira
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D017116:Low Back Pain / Q000523:psychology* / Q000628:therapy*; D035002:Lower Extremity / Q000503:physiopathology*; D008297:Male; D026201:Musculoskeletal Manipulations / Q000379:methods*; D016896:Treatment Outcome
keywords: Cognitive Functional Therapy; Low back pain; Lower limb