Fysioterapeuten: Cognitive function-oriented treatment ... approach for physiotherapists ...treatment of long-term musculoskeletal pain, 2020, Iversen

A familiar approach in this peer reviewed article on biopsychosocial approach to persistent musculoskeletal pain. This is published in the journal for Norwegian physiotherapists. The abstract is in English, the rest in Norwegian, so quotes are google translated. KFB stands for Cognitive function-oriented treatment and this seems to be heavily inspired by the Australian physiotherapist Peter O´Sullivan and his research group.

Fysioterapeuten: Kognitiv funksjonsrettet behandling som tilnærming for fysioterapeuter ved behandling av langvarige muskel- og skjelettsmerter

google translation: Cognitive funtion-oriented treatment as an approach for physiotherapists in the treatment of long-term musculoskeletal pain

"Understanding pain" involves developing a biopsychosocial understanding of pain, which can help change the patient's thought pattern. The process is based on the individual's unique situation and the experiences from the movement experiments. Central to the learning process is that the individual becomes aware of their own biopsychosocial factors that can contribute to forming a vicious circle of pain, anxiety and limitation. It is important for the patient to understand that this vicious circle acts as an obstacle to achieving desired changes. When an increased understanding of pain is achieved, the patient reflects with the physiotherapist on how the patient can break out of this vicious circle (8). Of patients who underwent KFB, patients who developed a biopsychosocial understanding of pain achieved reduced pain intensity and functional limitation,while patients who maintained a biomedical understanding did not achieve change in treatment (20).

...

Criticism of the literature is included:

KFB was developed by Peter O'Sullivan (13) and his research group, and few outside this group have researched the approach. Thus, the original research group is responsible for the majority of the articles about KFB and several in the group have reported getting paid to hold courses in KFB (8.9). Such financial interests may increase the risk that the research group overestimates its own approach and presents KFB in an excessively positive light. In almost all of our included articles, the approach is presented in a very positive light. The only studies that have highlighted some of the challenges with KFB are qualitative studies (16,19,20), which showed that not everyone experienced the effect of the treatment.

But that does not stand in the way of concluding:

KFB is a modern and knowledge-based approach that focuses on self-mastery, and is tailored to the individual patient. The approach requires a lot from the physiotherapist, but seems to be a clinical framework that physiotherapists can look at when treating long-term musculoskeletal pain.

 

The truly important bit. That people who need to feel inspired / challenged / fulfilled in their jobs get that opportunity regardless of any real value to the patient.

 

Copy-paste research strikes again. This has been tried thousands of times before. Always identical. And they are still going at it. Still pretending this new identical copy is somehow different from the thousands of past identical copies.

At which point does this constitute mental illness? Seriously this is genuinely pathological behavior. At the very least this is pervasive misconduct. On top, somehow, of oversight misconduct.

"If at first you don't succeed, try again identically thousands of times over" I guess is the new saying. It's always the same conclusions anyway.