Expression of Concern: Group‐based task‐oriented exercises aimed at managing kinesiophobia improved disability in chronic low back pain
Abstract
Background There are still doubts concerning the clinical impact of multidisciplinary cognitive behavioural rehabilitation programmes conducted in group-based settings and about their long-term effects on subjects with chronic low back pain (CLBP). This randomized, parallel-group superiority-controlled trial aimed at evaluating the effect of such a programme on disability, kinesiophobia, catastrophizing, pain and quality of life in CLBP. Methods One hundred and fifty patients were randomly assigned to a 5-week group-based multidisciplinary programme of task-oriented exercises integrated with cognitive behavioural therapy mainly aimed at managing kinesiophobia (experimental group, 75 subjects) or group-based traditional exercises (control group, 75 subjects). Before treatment, 5 weeks later (post-treatment), 12 and 24 months after the end of treatment, the Oswestry Disability Index, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, a pain Numerical Rating Scale and the Short Form Health Survey were assessed. A linear mixed model for repeated measures was used for each outcome measure. Results Significant group (p Conclusion This light group-based multidisciplinary cognitive behavioural rehabilitation programme was superior to traditional exercises in reducing disability, kinesiophobia, catastrophizing, and enhancing the quality of life of subjects with CLBP. The effects lasted for at least 2 years after the end of the intervention.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The review initially included three additional CBT versus AC studies (401 participants) and one CBT versus TAU study (92 participants) in analyses.
“We initially included three additional CBT versus AC studies (401 participants) in our analyses (Monticone 2013; Monticone 2016; Monticone 2017), and one study of 92 participants in CBT versus TAU (Castel 2012)”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Monticone 2016
For Monticone 2013, Monticone 2016, and Monticone 2017, no explanations were offered by the authors as to why the data were major outliers from all other studies, why the efficacy estimates were so positive, and why there was no attrition.
“For Monticone 2013, Monticone 2016, and Monticone 2017, no explanations were oFered by the authors as to why the data were major outliers from all other studies in the field and, in particular, why the eFicacy estimates were so positive and why there was no attrition, unlike other studies.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Monticone 2016
Monticone 2016 and Monticone 2017 reported increase in pain in both conditions.
“Monticone 2016 and Monticone 2017 reported increase in pain in both conditions.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Monticone 2016
The review wrote to the authors for comment on its proposed strategy of exclusion from the main findings; it received no answer from one (Castel 2012), and no satisfactory explanation was given for the anomalous sizes of outcome and completeness of follow-up data in the remaining three (Monticone 2013; Monticone 2016; Monticone 2017).
“We wrote to the authors for comment on our proposed strategy of exclusion from the main findings. We received no answer from one (Castel 2012), and no satisfactory explanation was given for the anomalous sizes of outcome and completeness of follow-up data in the remaining three (Monticone 2013; Monticone 2016; Monticone 2017).”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Monticone 2016
Cites
Crombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999) · Pain · doi:10.1016/s0304-3959(98)00229-2 · Cited by 1,662 · see citing works
Behavioural treatment for chronic low-back pain
Henschke, N., Ostelo, R. W., van Tulder, M. W., Vlaeyen, J. W., Morley, S., Assendelft, W. J., & Main, C. J. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002014.pub3 · Cited by 718 · see citing works
Krismer, M., & van Tulder, M. (2007) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2006.08.004 · Cited by 694 · see citing works
MMRM vs. LOCF: A Comprehensive Comparison Based on Simulation Study and 25 NDA Datasets
Siddiqui, O., Hung, H. M. J., & O'Neill, R. (2009) · Journal of Biopharmaceutical Statistics · doi:10.1080/10543400802609797 · Cited by 301 · see citing works
Brox, J. I., Reikerås, O., Nygaard, Y., Srensen, R., Indahl, A., Holm, I., Keller, A., Ingebrigtsen, T., Grundnes, O., Lange, J. E., et al. (2006) · Pain · doi:10.1016/j.pain.2006.01.027 · Cited by 296 · see citing works
A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain
Jensen, I. B., Bergström, G., Ljungquist, T., & Bodin, L. (2005) · Pain · doi:10.1016/j.pain.2005.03.005 · Cited by 188 · see citing works
Morley, S. (2011) · Pain · doi:10.1016/j.pain.2010.10.042 · Cited by 172 · see citing works
Monticone, M., Ambrosini, E., Rocca, B., Magni, S., Brivio, F., & Ferrante, S. (2014) · European Spine Journal · doi:10.1007/s00586-014-3478-5 · Cited by 107 · see citing works
Self-citationStorheim, K., Brox, J. I., Holm, I., Koller, A. K., & Bø, K. (2003) · Journal of Rehabilitation Medicine · doi:10.1080/16501970310010484 · Cited by 104 · see citing works
Dufour, N., Thamsborg, G., Oefeldt, A., Lundsgaard, C., & Stender, S. (2010) · Spine · doi:10.1097/brs.0b013e3181b8db2e · Cited by 92 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605 · see citing works
George, S. Z., Fritz, J. M., Silfies, S. P., Schneider, M. J., Beneciuk, J. M., Lentz, T. A., Gilliam, J. R., Hendren, S., & Norman, K. S. (2021) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2021.0304 · Cited by 607 · see citing works
Exercise therapy for chronic low back pain
Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009790.pub2 · Cited by 589 · see citing works
Schütze, R., Rees, C., Smith, A., Slater, H., Campbell, J. M., & O'Sullivan, P. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2017.09.010 · Cited by 231 · see citing works
Ho, E. K.-Y., Chen, L., Simic, M., Ashton-James, C. E., Comachio, J., Wang, D. X. M., Hayden, J. A., Ferreira, M. L., & Ferreira, P. H. (2022) · BMJ · doi:10.1136/bmj-2021-067718 · Cited by 220 · see citing works
Chronic pain and sex-differences; women accept and move, while men feel blue
Rovner, G. S., Sunnerhagen, K. S., Björkdahl, A., Gerdle, B., Börsbo, B., Johansson, F., & Gillanders, D. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175737 · Cited by 179 · see citing works
Behavioral therapy approaches for the management of low back pain: an up-to-date systematic review
Vitoula, K., Venneri, A., Varrassi, G., Paladini, A., Sykioti, P., Adewusi, J., & Zis, P. (2018) · Pain and Therapy · doi:10.1007/s40122-018-0099-4 · Cited by 60 · see citing works
“and enhancing quality of life of LBP sufferers [22, 27, 37].”
BackgroundInvestigating the veracity of a sample of divergent published trial data in spinal pain
O'Connell, N. E., Moore, R. A., Stewart, G., Fisher, E., Hearn, L., Eccleston, C., & Williams, A. C. D. C. (2023) · Pain · doi:10.1097/j.pain.0000000000002659 · Cited by 36 · see citing works
- Authors
- Monticone, M., Ambrosini, E., Rocca, B., Cazzaniga, D., Liquori, V., & Foti, C.
- Affiliations
- Fondazione Salvatore Maugeri (IT)
- University of Rome Tor Vergata (IT)
- Corresponding author
- Monticone, M.
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2015-07-22
- Volume
- 20
- Issue
- 4
- Pages
- 541-551
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W1755993115
- Cited by
- 80
- References
- 10
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 16 · 2022: 10 · 2021: 15 · 2020: 6 · 2019: 11 · 2018: 1 · 2017: 2
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Update notices
- expression_of_concern (2025-07-25)
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic low back pain, kinesiophobia, cognitive behavioral therapy, task-oriented training, group-based rehabilitation, multidisciplinary rehabilitation, disability, pain catastrophizing, quality of life, long-term follow-up
- MeSH terms
- Exercise Therapy, Female, Humans, Male, Middle Aged, Pain Measurement, Phobic Disorders, Quality of Life, Task Performance and Analysis, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Low Back Pain, Catastrophization, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
