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Review Paper: The impact of social deprivation on chronic back pain outcomes

Institute of Rehabilitation, University of Hull, 215 Anlaby Road, Hull HU3 2PG, UK

Jennifer A. Klaber Moffett

Institute of Rehabilitation, University of Hull, 215 Anlaby Road, Hull HU3 2PG, UK, j.k.moffett{at}hull.ac.uk

Chronic low back pain is the commonest cause of disability for adults of working age. It is a complex problem frequently encapsulated as a bio-psychosocial issue, yet the social element has received less attention than it deserves, particularly for low-income and socially deprived patients. Rehabilitation programmes are often based on increasing function through cognitive and behavioural techniques, which, for many reasons, may be less effective for the socially disadvantaged. In this paper we discuss the potential barriers to successful rehabilitation in socially deprived groups and we look at possible factors that may need to be considered when designing interventions.

Key Words: Chronic low back pain • disability • rehabilitation programmes • social deprivation • outcomes

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