Physiotherapy Review

Full text

3/2026 vol. 30
Research paper

Interest of Nigerian physiotherapists in the use of cognitive behavioural therapy in managing chronic musculoskeletal pain: a cross-sectional study

  1. Department of Physiotherapy, University of Maiduguri, Maiduguri, Nigeria

  2. Department of Physiotherapy, Bayero University Kano, Kano, Nigeria

  3. Department of Physiotherapy, Maryam Abacha American University of Nigeria, Kano, Nigeria

  4. Department of Physiotherapy, National Ear Care Centre, Kaduna, Nigeria

Physiotherapy Review, 2026, 30(3), 70-79

Data publikacji online: 2026/09/28
Article file
art7_3_2026.pdf
  1. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD11). Pain. 2019; 160 (1): 19–27.
  2. Cimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2011; 25 (2): 173–183.
  3. Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis. Lancet. 2021; 396 (10267): 2006–2017.
  4. Kahere M, Hlongwa M, Ginindza TG. A scoping review on the epidemiology of chronic low back pain among adults in sub-Saharan Africa. Int J Environ Res Public Health. 2022; 19 (5): 2964.
  5. Koechlin H, Whalley B, Welton NJ, Locher C. The best treatment option(s) for adult and elderly patients with chronic primary musculoskeletal pain: a protocol for a systematic review and network meta-analysis. Syst Rev. 2019; 8 (1): 269.
  6. Shin DW, Shin JI, Koyanagi A, Jacob L, Smith L, Lee H, et al. Global, regional, and national neck pain burden in the general population, 1990–2019: an analysis of the Global Burden of Disease Study 2019. Front Neurol. 2022; 13: 955367.
  7. Haskell SG, Ning Y, Krebs E, Goulet J, Mattocks K, Kerns R, et al. Prevalence of painful musculoskeletal conditions in female and male veterans in 7 years after return from deployment in Operation Enduring Freedom/Operation Iraqi Freedom. Clin J Pain. 2012; 28 (2): 163–167.
  8. Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017; 31 (2): 160–168.
  9. Dieppe P. Chronic musculoskeletal pain. BMJ. 2013; 346: f3146.
  10. Hannerz H, Holtermann A, Madsen IEH. Musculoskeletal pain as a predictor of depression in the general working population of Denmark. Scand J Public Health. 2021; 49 (6): 589–597.
  11. Al-Maharbi S, Abolkhair AB, Al Ghamdi H, Haddara M, Tolba Y, El Kabbani A, et al. Prevalence of depression and its association with sociodemographic factors in patients with chronic pain: a cross-sectional study in a tertiary care hospital in Saudi Arabia. Saudi J Anaesth. 2018; 12 (3): 419–425.
  12. Tran ST, Jastrowski Mano KE, Hainsworth KR, Medrano GR, Anderson Khan K, Weisman SJ, et al. Distinct influences of anxiety and pain catastrophizing on functional outcomes in children and adolescents with chronic pain. J Pediatr Psychol. 2015; 40 (8): 744–755.
  13. Feinstein AB, Sturgeon JA, Darnall BD, Dunn AL, Rico T, Kao MC, et al. The effect of pain catastrophizing on outcomes: a developmental perspective across children, adolescents, and young adults with chronic pain. J Pain. 2017; 18 (2): 144–154.
  14. Martinez-Calderon J, Flores-Cortes M, Morales-Asencio JM, Luque-Suarez A. Pain-related fear, pain intensity and function in individuals with chronic musculoskeletal pain: a systematic review and meta-analysis. J Pain. 2019; 20 (12): 1394–1415.
  15. Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ, et al. Risk factors associated with transition from acute to chronic low back pain in US patients seeking primary care. JAMA Netw Open. 2021; 4 (2): e2037371.
  16. Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020; 72 (2): 149–162.
  17. Murphy JL, Cordova MJ, Dedert EA. Cognitive behavioral therapy for chronic pain in veterans: evidence for clinical effectiveness in a model program. Psychol Serv. 2022; 19 (1): 95–102.
  18. David D, Cristea I, Hofmann SG. Why cognitive behavioral therapy is the current gold standard of psychotherapy. Front Psychiatry. 2018; 9: 4.79Physiotherapy Review | Volume XXX Issue 3/2026
  19. Monticone M, Ferrante S, Rocca B, Baiardi P, Dal Farra F, Foti C. Effect of a long-lasting multidisciplinary program on disability and fear-avoidant behaviors in patients with chronic low back pain. Clin J Pain. 2013; 29 (11): 929–938.
  20. Richmond H, Hall AM, Hansen Z, Williamson E, Davies D, Lamb SE. Exploring physiotherapists’ experiences of implementing a cognitive behavioural approach for managing low back pain and identifying barriers to long-term implementation. Physiotherapy. 2018; 104 (1): 107–115.
  21. van der Windt D, Hay E, Jellema P, Main C. Psychosocial interventions for low back pain in primary care: lessons learned from recent trials. Spine (Phila Pa 1976). 2008; 33 (1): 81–89.
  22. Moore JE. Chronic low back pain and psychosocial issues. Phys Med Rehabil Clin N Am. 2010; 21 (4): 801–815.
  23. Fordham B, Sugavanam T, Edwards K, Stallard P, Howard R, das Nair R, et al. The evidence for cognitive behavioural therapy in any condition, population or context: a meta-review of systematic reviews and panoramic meta-analysis. Psychol Med. 2021; 51 (1): 21–29.
  24. Mbada CE, Onigbinde OA, Oyewole OO, Binuyo OT, Gebrye T, Egwu MO, et al. Professional practice profile, treatment preferences, and the bases for clinical, educational, and research among Nigerian physiotherapists. Bull Fac Phys Ther. 2023; 28 (1): 45.
  25. Adje M, Steinhäuser J, Stevenson K, Mbada CE, Karstens S. Patients’ and physiotherapists’ perspectives on implementing a tailored stratified treatment approach for low back pain in Nigeria: a qualitative study. BMJ Open. 2022; 12 (6): e059736.
  26. Beissner K, Henderson CR Jr, Papaleontiou M, Olkhovskaya Y, Wigglesworth J, Reid MC. Physical therapists’ use of cognitive-behavioral therapy for older adults with chronic pain: a nationwide survey. Phys Ther. 2009; 89 (5): 456–469.
  27. Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench. 2013; 6 (1): 14–17.
  28. Abaraogu UO, Onah U, Abaraogu OD, Fawole HO, Kalu ME, Seenan CA. Knowledge, attitudes, and the practice of health promotion among physiotherapists in Nigeria. Physiother Can. 2019; 71 (1): 92–100.
  29. Onyeso OKK, Umunnah JO, Ezema CI, et al. Profile of practitioners and factors influencing home care physiotherapy model of practice in Nigeria. Home Health Care Serv Q. 2020; 39 (3): 168–183.
  30. Hamson-Utley JJ, Martin S, Walters J. Athletic trainers’ and physical therapists’ perceptions of the effectiveness of psychological skills within sport injury rehabilitation programs. J Athl Train. 2008; 43 (3): 258–264.
  31. Scott-Dempster C, Toye F, Truman J, Barker K. Physiotherapists’ experiences of activity pacing with people with chronic musculoskeletal pain: an interpretative phenomenological analysis. Physiother Theory Pract. 2014; 30 (5): 319–328.
  32. Walsh S, Moseley GL, Gray RJ, et al. Use of behavioural activation to manage pain: a systematic scoping review. BMJ Open. 2022; 12 (6): e056404.
  33. Casson S, Jones MD, Cassar J, Kwai N, Lloyd AR, Barry BK, et al. The effectiveness of activity pacing interventions for people with chronic fatigue syndrome: a systematic review and meta-analysis. Disabil Rehabil. 2023; 45 (23): 3788–3802.
  34. Pintea S, Maier P. Mind over chronic pain: a meta-analysis of cognitive restructuring in chronically ill adults. J Psychosom Res. 2024; 184: 111837.
  35. Najafipour F, Najafipour F, Norozi A, Ahmadi A. Effect of imagery technique on chronic low back pain. J Arch Mil Med. 2014; 2 (4): e22869.
  36. Bani Mohammad E, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: a randomized controlled trial. Palliat Support Care. 2019; 17 (1): 29–34
  37. Greenwood J, Johnson FA, McCarthy C, Middlebrook N, Hearn JH. Barriers and facilitators towards physiotherapists’ use of behaviour change techniques (BCTs) to improve patients’ adherence to treatment. J Eval Clin Pract. 2025; 31 (8): e70339
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