The Shoulder Physio Podcast #49: Cognitive Functional Therapy with Prof. Peter O'Sullivan
In this candid and wide-ranging conversation, Dr Jared Powell is joined once again by Professor Peter O’Sullivan, one of the most influential voices in musculoskeletal care.
Pete unpacks the rationale and findings of the landmark RESTORE trial published in The Lancet, which provides some of the most compelling evidence to date for cognitive functional therapy (CFT) in people with chronic low back pain. He discusses how CFT works, its philosophical divergence from traditional “find-it, fix-it” approaches, and how it centres the patient’s experience, goals, and context.
You’ll also hear:
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A simple explanation of the 3 pillars of CFT
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The real-world training model used in the RESTORE trial
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The importance of behaviour change, flare-up planning, and self-efficacy
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What to do when CFT “doesn’t work”
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Pete’s reflections on burnout, clinician support, and the importance of community
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A behind-the-scenes look at the Evolve Pain Care Academy: a new initiative to democratize pain education globally
This episode is packed with practical insights, personal reflections, and a compelling vision for the future of musculoskeletal care.
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Key papers:
Listen to me, learn from me. Slater et al 2022.
The RESTORE trial 3 year follow-up
Connect with Jared and guests:
Jared on Instagram: @shoulder_physio
Jared on X: @jaredpowell12
Pete X: @peteosullivanpt
See our Disclaimer here: The Shoulder Physio - Disclaimer