International Journal For Multidisciplinary Research

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Effectiveness of Task Oriented Training Combined With Cognitive Behavioral Therapy On Occupational Performance Among Patients With Low Back Pain

Author(s) Ms. Sharmistha Mohanty, Dr. Pankaj Kumar, Dr. B. Nibedita Priyadarshinee, Dr. Priyadarshini Rout
Country India
Abstract Aim: The study objective was to ascertain the effectiveness of task-oriented training combined with cognitive behavioral therapy on occupational performance among individuals with low back pain.
Materials and Methods: The study used a randomized control trial research methodology to examine the effect of task-oriented training combined with cognitive behavioral therapy on occupational performance among individuals with low back pain. The study was carried out at Chettinad Hospital and Research Institute, Chennai. Ethics approval for the study was obtained from the institutional human ethical committee (Protocol No: IHEC-I/3760/25) and clinical trial registry-India registration (CTRI/2025/06/088726). Non-specific chronic low back pain subjects (n=60) were enrolled in the study using a convenient sampling method. They were randomly assigned to experimental and control groups using sealed opaque envelope randomization. COPM was utilized to measure occupational performance among subjects prior to and after intervention. The experimental group was subjected to task-oriented training coupled with cognitive behavioral therapy for 45 minutes each session for six days each week over a period of four weeks, equating to 24 sessions. In contrast, the control group was subjected to routine care. The intervention comprised of functional task practice, graded activities, cognitive restructuring, positive self-talk, relaxation breathing, activity pacing, and thought monitoring techniques. Pre-test and post-test data were statistically analyzed to determine the effectiveness of the intervention on occupational performance.
Results: The findings from the study showed that there was a significant improvement in occupational performance as a result of applying the combination of task oriented training and cognitive behavior therapy to patients suffering from low back pain. There was considerable increase in the COPM scores among the experimental subjects. On the performance score, the average COPM score increased from 3.94 to 6.74 with the difference being 2.8 ± 0.29. On the other hand, the average COPM satisfaction scores increased from 4.08 to 6.95 with the change in mean being 2.87 ± 0.31. However, among the control group, there was an insignificant increase in the COPM scores. On the performance scores, the average score rose from 3.93 to 4.31 and on the satisfaction scores the average increased from 4.05 to 4.43. There were highly significant differences between the two groups as found out through paired and independent t-tests (p < 0.001). The findings indicate that the combined intervention effectively improved occupational performance, participation in daily activities, and occupational satisfaction among patients with chronic low back pain.
Conclusion: The findings of the study revealed that task-oriented training along with cognitive behavioral therapy is a useful method of rehabilitation for enhancing occupational functioning and satisfaction in patients suffering from chronic low back pain. The two methods, when used together, were found to effectively tackle both the physical and psychological aspects that hinder occupational functioning such as restricted functional mobility, fear-avoidance behaviors, and negative thinking styles. The participants who underwent treatment showed significant improvement in their engagement in productive activities and functional independence than those in the control group. The findings support the effectiveness of a biopsychosocial and occupation-centered rehabilitation approach in occupational therapy practice for individuals with chronic low back pain.
Keywords Low Back Pain, Task-Oriented Training, Cognitive Behavioral Therapy, Occupational Performance, Occupational Therapy, COPM
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-05-22
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.79218
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