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Trial Shows Cognitive Functional Therapy Provides Three-Year Relief for Chronic Back Pain

Research indicates that biofeedback adds no extra benefit, prompting exploration of CFT’s adoption in health systems outside Australia

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Overview

  • The RESTORE randomized trial enrolled over 1,000 Australian adults with chronic disabling low back pain and followed about 300 participants to a three-year endpoint.
  • Participants who completed eight CFT sessions over six months reported significantly greater reductions in pain intensity and activity limitation than those receiving usual care.
  • Outcomes for the CFT plus biofeedback group were statistically indistinguishable from CFT alone, confirming that biofeedback offers no added therapeutic advantage.
  • Published in The Lancet Rheumatology in August 2025, the study delivers the first robust evidence of lasting benefits from a psychotherapy-based approach to chronic low back pain.
  • Investigators and clinicians are now prioritizing clinician training, scaling up CFT delivery and assessing its effectiveness in more diverse international populations