Complaint Of Low Back Pain Research Articles

Hubungan Postur Kerja Terhadap Keluhan Low Back Pain Pemetik Teh PT Perkebunan Tambi Wonosobo

Tea pickers are workers in the plantation sector who still do their work manually, with repetitive movement, and carry out the load in their back during labor, which can cause non-ergonomic work posture. This causes ergonomic complaints in workers, known as low back pain which is a complaint of back pain caused by several factors, including unnatural work posture, age, and years of service. The research was observational analytic with a cross-sectional design. The sampling technique in this research was total sampling with the total respondents of 36 tea pickers at PT Perkebunan Tambi Wonosobo, Block Bismo of UP Bedakah. This study used the RULA measurement method to measure work posture and the Oswestry Low Back Pain Disability Questionnaire to measure low back pain complaints. Data analysis techniques used the Somers'd correlation test to determine the correlation between work posture and low back pain Tea Pickers at PT Perkebunan Tambi Wonosobo. The results of the research on 36 respondents showed that there was a significant correlation between work posture and low back pain among tea pickers with a p-value = 0.014 (p<0.05) and a correlation coefficient (r) is 0.410 which is included in a moderate correlation with a positive correlation direction. The conclusion of this study there was a correlation between work posture and low back pain complaints of tea pickers at PT Perkebunan Tambi Wonosobo, Bismo Block of UP Bedakah.

The Most Common Causes of Low Back Pain in Surabaya Hajj General Hospital

Introduction: Low back pain (LBP) become one of the major complaints among the worldwide population leading to morbidity increase. LBP affects the patient's productivity and quality of life. Frequent hospital visits among patients due to the unknown cause of LBP. This study aimed to determine the most common causes among LBP patients at Surabaya Hajj General Hospital.
 Methods: This is an observational study with a cross-sectional approach. Patients with complaints of LBP who came to the Physical Medicine and Rehabilitation Installation of Surabaya Hajj General Hospital from May to September 2019 were included in this study.
 Results: This study involved a total of 223 participants. Chronic LBP was reported to occur mostly in the mean age of 58.37 years and female participants. The average BMI in this study fell within the obesity range. The three most common causes of LBP included sacroiliac joint (35.4%), piriformis syndrome (27.3%), and facet joint (23.7), followed by other causes such as myofascial trigger point syndrome, canal stenosis, discogenic, and radiculopathy. 
 Conclusion: The most common causes of LBP patients at Haji General Hospital are sacroiliac joint, piriformis syndrome, and facet joint. It is important for the physician to determine the cause of LBP to treat the patient appropriately.

AYURVEDIC MANAGEMENT OF SCIATICA (GHRIDHRASI) W.S.R. TO LUMBAR DISC HERNIATION - A SINGLE CASE STUDY

Sciatica is a result of the sciatic nerve root pathology. It causes pain and paresthesia in the sciatic nerve distribution area. The most common cause of sciatica is a herniated or bulging lumbar intervertebral disc. Unresolved sciatic nerve compression causes increased pain over time, paresthesia and loss of muscular strength in the affected leg, loss of bowel and bladder function, permanent nerve damage. In Ayurveda it is correlated with Ghridhrasi. Case Report - A 73 yr male having complaints of Low back pain radiating to right lower limb, difficulty and pain while walking and sitting, tingling and numbness in right leg. Aim - To evaluate the effect of Ayurvedic treatment such as Yog Basti, Panchtikta-Ksheerbasti and Shaman Chikitsa for relieving the signs and symptoms of Lumbar disc herniation co-related to Ghridhrasi. Result - Patient got marked relief in SLRT, Femoral Stretch Test, Braggard’s Sign Test, The Roland-Morris low back pain and disability questionnaire. Conclusion-The mentioned Ayurvedic therapy gives symptomatic relief for the management of Sciatica (Gridhrasi).

ID: 214211 Spinal Cord Stimulation for Treatment of Horizontal Low Back Pain: A Retrospective Analysis

Chronic pain resulting from injury to the lumbar disc is often vaguely described as “axial low back pain” (ALBP). ALBP implies a vertical pain surrounding the axial spine, however patients with true ALBP often have pain that is reproducible on exam with either percussion and/or direct pressure. In addition, in our experience, patients with complaints of Horizontal LBP (HLBP) appear to have consistent radiological evidence of lumbar degenerative disc disease (DDD) and/or injury. Moreover, HLBP putatively exhibits a referred pain-pattern associated with lumbar disc pathology. Here, we describe a single-site, observational analysis of patients diagnosed with horizontal, low back pain (LBP) with radiographically-confirmed lumbar DDD who were treated using Spinal Cord Stimulation (SCS).

Pengaruh Back Exercise Terhadap Keluhan Low Back Pain (LBP) pada Pekerja Area Sorting di TPA Talang Gulo Kota Jambi

Low back pain is the most common musculoskeletal disorder experienced by workers, one of which is sorting workers. Back exercise is useful for strengthening the abdominal and back muscles so that the body is physiologically upright. This study aimed to determine the effect of back exercise on complaints of low back pain in TPA Talang Gulo sorting workers, in Jambi City. This type of research was a quantitative study with a quasi-experimental method. The research population was the Talang Gulo landfill sorting workers with a sample of 34 people. Data collection used questionnaires and visual analogue scale (VAS) pain scale sheets. The results of data analysis used the chi-square test to show that there was no relationship between age (p=0.363>0.05), gender (p=0.202>0.05), years of service (p=0.1000>0.05), and BMI (p=0.1000>0.05). Then, there is a relationship between exercise habits (p= 0.004<0.05), workload (p= 0.021<0.05), repetition (p =0.029<0.05), and work attitude (p = 0.010<0.05). On complaints of low back pain in sorting workers at TPA Talang Gulo. The paired sample t-test data analysis shows an effect of back exercise on complaints of low back pain (p=0.000 <0.021).There is a relationship between exercise habits, workload, repetition, and work attitude with complaints of lower back pain, and back exercise exercises affect complaints of low back pain in Talang Gulo TPA Sorting workers.Sorting workers exercise at least 3 times a week to reduce complaints of low back pain, apply good work attitudes such as not slouching and stretching while working on their hands and waist.

Success of the pain relief drug injections in management of the bertolloti syndrome: case report and review of the literature

Introduction: Low back pain accompanied by the lumbosacral transitional vertebra (LSTV) is called the Bertolotti syndrome. This report discussed a case treated with combined corticosteroid and local anesthetic injections based on the literature. Case report: A 35-year-old female patient was admitted to the hospital suffering from low back pain. On neurological exam, her left sacroiliac joint was painful on palpation. Her muscle strength was full, but the left patella reflex was hypoactive. X-ray images revealed “Castellvi Type IIa” LSTV on the left side; therefore, it was considered that the patient might have Bertolotti Syndrome. Because şhedid not accept surgical intervention, “betamethasone dipropionate+betamethasone sodium” and “bupivacaine hydrochloride” were injected into her bilateral sacroiliac joints, bilateral L3-4, and L4-5 facets, and left LSVT joint under fluoroscopy. Her low back pain vanished immediately after the procedure, and she was discharged from the hospital with a full recovery. With an interval of about six months, she was hospitalized 5 more times with complaints of recurrent low back pain, and at each hospitalization, "local anesthetic" (LA) alone or "local anesthetic+corticosteroid" (LA+S) combination was injected into the primary trigger zones. During long-term follow-up, she continued his daily life without any problems. Discussion: This case report showed that sequential LA and LA+S administrations could be curative for patients with Bertolotti syndrome who do not accept surgical treatment, or who cannot undergo surgical intervention. Thus, it was concluded that it would be beneficial to conduct studies with larger samples to obtain more precise information about this method.

SUPPORTING EXAMINATION OF CT-SCAN ON POLYCYSTIC KIDNEY DISEASE PATIENT AT DUSTIRA HOSPITAL CIMAHI INDONESIA

Polycystic Kidney Disease (PKD) is the growth of many kidney cysts. PKD is divided into Autosomal Dominant Polycystic Kidney Disease (ADPKD) and Autosomal Recessive Polycystic Kidney Disease (ARPKD). ADPKD prevalence 1:500 and ARPKD 1:6000-40000. The patient, a 34-year-old male, came to the hospital with the main complaint of bilateral low back pain. Patients are given symptomatic treatment by diclofenac sodium 50mg 2 dd 1—supporting Examination for PKD diagnosis with CT-Scan. The author is interested in studying more about PKD because it is asymptomatic and only becomes symptomatic at the age of 30-40 years in ADPKD and has high mortality in the ARPKD type.

MANAGEMEN FISIOTERAPI DENGAN TERAPI LATIHAN PADA KASUS LOW BACK PAIN ET. CAUSA ISCHIALGIA: A CASE REPORT

Background: Ischialgia is a manifestation of low back pain that occurs due to clamping of the ischiadicus nerve which causes paraesthesia/tingling along the course of the ischiadicus nerve roots, this condition will cause low back pain. Complaints are felt such as discomfort, limited movement that interferes with functional activities. Exercise therapy is given an effect in repairing, recovering, and increasing the body's physiology and physical function. The types of exercise therapy given are stretching, core stability and strengthening. Objektive: Knowing physiotherapy management with exercise therapy methods in case of low back pain et. causa ischialgia. Methods: Research using the Case Report method was carried out at Dr. Harjono S Ponorogo Hospital in a 66-year-old male patient diagnosed with physiotherapy for low back pain et. causa ischialgia with complaints of lower back pain and feeling pain radiating to the right hind thigh. Patients were given intervention in the form of exercise therapy which was carried out 1 week 2 times. Result: The exercise therapy which was carried out 3 times resulted in a decrease in pain, an increase in muscle strength, an increase in trunk LGS, there was no increase in functional activity, and there was an increase in measurements of the risk of falling. Conclusion: Based on the research using Case Report, it shows that physiotherapy management with the exercise therapy method in cases of low back pain et. causa ischialgia, as a whole the evaluation results found an increase.

THE RELATIONSHIP OF WORK POSTURE AND INDIVIDUAL FACTORS WITH COMPLAINTS OF LOWER BACK PAIN IN BRICK WORKING WORKERS IN JAMBI SELATAN

Low back pain is a common musculoskeletal complaint. This study was conducted to determine the relationship between work posture and individual factors with complaints of low back pain in brick-making workers in the southern Jambi district. This type of research was conducted using observational research with a cross sectional approach. The number of samples is 66 brick-making workers in Kecamatan Jambi Selatan. The research results are; workers who experience work postures with a RULA value of 7 must implement changes as much as 15.2% as soon as possible, workers who experience work postures with a RULA value of 5-6 must conduct investigations and repairs immediately as much as 25.8%, workers who have work postures with RULA 3-4 values may require a change of 31.8%, Workers who have a work posture with a RULA value of 1-2 good work postures and can be accepted as many as 18 workers 27.3%; The age of workers at risk is 75.8% and there are 25.8% of workers who have an abnormal IMT and are at risk. There is a relationship between work posture (p-vlue = 0.05), and age (p-value = 0.014) on complaints of low back pain in workers but there is no relationship (p-value = 0.322) between IMT and complaints of low back pain in workers. Brick-making workers in Kecamatan Jambi Selatan. It is hoped that this research will provide input for brick-making workers in Kecamatan Jambi Selatan to pay attention to work postures and conduct an examination to the health center or to the nearest clinic if they experience complaints or symptoms to reduce the risk of disease severity. Keywords: Work posture; age; lower back pain; brick worker

Characteristics of Low Back Pain in Medical Students of Muhammadiyah Jakarta University Class of 2019 After Online Class for One Semester

Introduction: Lower back pain (LBP) is a complaint that is often felt by everyone in everyday life. In 2010 the Global Burden of Disease Study estimated low back pain to be one of the top ten diseases and injuries with the highest number in the world. According to research conducted by Altinel in 2008, about 62% of adults experience LBP as a result of sitting too long in the wrong position. The wrong sitting attitude of someone at work will affect the unfavorable results of their work. Method: This research is a descriptive analytic survey research, which aims to know about low back pain of the students of the Medical Education Study Program Class of 2019. approach used in this study is "cross sectional study", with a total sample of 113 respondents. Result: From the 113 respondents the results of research conducted through a questionnaire, there were 59 respondents (52.2%) who were researched having a low back pain. In the category based on the length of study, 59 respondents (52.2%) experienced LBP complaints and the results of statistical analysis (P = 0.030) where there was a significant relationship between the length of study and LBP complaints. In the category of the relationship between sitting position when doing online, there were 59 respondents (52.2%) and the results of statistical analysis (P = 0.526), there was no significant relationship in the position category when doing online with LBP complaints and in the sitting position category when learning was obtained 59 respondents (52.2%) and the results of statistical analysis (P = 0.183), namely that there was no significant relationship in the category of learning position with LBP complaints. Conclusion: There is no significant relationship between learning position and length of study with complaints of low back pain in students of 2019 Medicine Program of Muhammadiyah Jakarta University. Because, the improper sitting position and duration of study are not solely factor that lead to low back pain.

Risk Factors Correlated with Subjective Complaints of Low Back Pain in Blending Process at PT. X, 2022

Introduction: Blending section workers are at risk for Low Back Pain complaints seen from every work process. Objective: The purpose of this study was to determine the risk factors currelated with subjective complaints of Low Back Pain in blending process at PT X. Method: The research used was observational research with a cross sectional design. The study population was blending process at PT X totaling 48 people. Result and Discussion: The results of this study indicate the prevalence of subjective complaints of Low Back Pain with moderate pain complaints felt by 76.7% of blending process. The statistical test results show that the work attitude variable (p=0.008 <0.05), the working period variable (p=0.000 <0.05), the age variable (p=0.000 <0.05), the Body Mass Index variable (p=0.815>0.05), the load weight variable (p=0.008 <0.05), the disease history variable (p=0.454>0.05) and the smoking habit variable (p=0.028 <0.05). Conclusion: Work attitude, work period, age, weight, and smoking habits have a relationship with subjective complaints of Low Back Pain in blending process PT X.

Tadpole Sign in Filum Terminale Paragangliomas

Two normotensive male patients came with complaints of low back pain. Contrast-enhanced magnetic resonance imaging of the lumbosacral spine revealed an enhancing intradural extramedullary lesion (at the L4-L5 vertebral level in the first patient and at the L2-L3 vertebral level in the second patient). The tumor resembled the head and caudal blood vessels the tail of a tadpole, thereby giving the "tadpole sign." This sign is an important radiologic and histopathologic correlate, which is helpful in preoperative diagnosis of spinal paraganglioma.

Faktor-Faktor yang Berhubungan dengan Keluhan Subjektif Low Back Pain pada Penjahit di Pasar Istana Anak-Anak Kota Jambi Tahun 2022

Sewing is one of the risky jobs to experience low back pain (LBP) this is due to working with long sitting and non-ergonomic work positions. The Jambi City Children's Palace Market is the central tailor in Jambi City. The results of the observation showed that from 10 tailors, 7 experienced pain in the lower back when sewing. The purpose of the study was to determine the factors associated with complaints of LBP on tailors at the Children's Palace Market. The study used a cross sectional design. The research was conducted at the Istana Children's Market in Jambi City on 10-31 May 2022. The research population was all tailors at the Istana Anak Market. The research sample was 30 tailors at the Children's Palace Market in Jambi City. The research instrument was a questionnaire and RULA. Data collection techniques using interviews and observations of respondents' work attitudes. Data were analyzed using chi square test. As many as 53.3% of respondents have complaints of low back pain, 53.3% of respondents work with high-risk work attitudes, 60.0% of respondents work with risky work durations and 63.3% of respondents have long tenures. The results of the bivariate analysis showed that there was a relationship between work attitude (p=0.000) and tenure (p=0.011) with complaints of low back pain in tailors at the Children's Palace Market, Jambi City. There is no relationship between work duration (p-0.159) and complaints of low back pain in tailors at the Children's Palace Market, Jambi City.

Factors Associated with Complaints of Low Back Pain in Areca Peeling Workers

Introduction: An unnatural working attitude causing the body to deviate from its default posture is one of the contributing factors to the low back pain (LBP) experienced by workers. For instance, areca peeling workers often adopt a posture of sitting hunched over for extended periods. Therefore, this research aimed to identify factors related to a history of LBP among areca peeling workers in Dataran Pinang Village, Kuala Betara District, West Tanjung Jabung Regency. Methods: Using a sample size of 66 respondents, this quantitative research adopted a cross-sectional design and a simple random sampling method. The instruments used included questionnaires, observation, and documentation, and the data were analyzed both univariately and bivariately, with chi-square analysis as the statistical test. Results: The statistical analysis showed no correlation between work time, work duration, repetition, and LBP. However, there was a correlation between LBP and work attitude (0.051<0.05) in areca peeling workers. Conclusion: A relationship exists between work attitude of areca peeling workers and the occurrence of LBP. Therefore, it is advisable for workers who experienced complaints of LBP to perform tasks correctly. This approach would reduce the number of repetitive activities (repetitions) conducted.

Analysis Factors that Affect Low Back Pain in Medical Students during the Study from Home

Background: Low Back Pain (LBP) is a health problem that affects performance in working. Indonesia is a country affected by the COVID-19 pandemic, so a study from the home policy has been issued. This study aimed to determine the association between the factors that affect LBP in Medical Students at the Faculty of Medicine, University of Mataram during the study from home. Methods: This study is an observational analytic study design with the cross-sectional approach. The population of this study is Medical Students, Faculty of Medicine, University of Mataram with total sample of 185 people. Collecting data using questionnaires and analyzed using univariate, bivariate, and multivariate analysis. Results: According to univariate analysis, amount of LBP complaints (53 people). Based on bivariate analysis, the p-value of gender factor (0.000); body mass index factor (0.840); social-economy status factor (0.499); sitting position factors (sitting position while studying factor (0.008), sitting location while studying factor (0.046), chair shape while studying factor (0.286), body position while studying factor (0.037), legs position while studying factor (0.339), back support use while studying factor (0.455), table use while studying factor (0.010), elbows position while studying factor (0.627), stretching between study time factor (0.372), duration in each stretch factor (0.389), time range between stretch factor (0.311)), and sitting duration factor (0.011). Based on multivariate analysis, the strength of the association (OR) to LBP are sitting position factor (sitting position while studying factor) (8.232), sitting duration factor (1.956), and gender factor (0.187). Conclusion: The dominant factors to LBP are gender factor, sitting position factor (sitting position while studying factor), and sitting duration factor. The factor that has the strongest association with LBP is sitting position factor (sitting position while studying factor).

The Effect of Intraabdominal Visceral and Subcutaneous Adipose Volume and Muscle Volume on Lumbar Vertebrae Degeneration.

This study aimed to investigate the effect of the volume of subcutaneous, visceral, and total adipose tissue, and paravertebral muscles in patients with lumbar vertebrae degeneration (LVD) through computerized tomography (CT) images. One forty-six patients with a complaint of lower back pain (LBP) between January 2019 and December 2021 were included in the study. CT scans of all patients were analyzed retrospectively for abdominal visceral, subcutaneous, and total fat volume, and also paraspinal muscle volume measurements and analysis of lumbar vertebrae degeneration (LVD) using designated software. In CT images, each intervertebral disc space was evaluated in terms of the presence of osteophytes, loss of disc height, sclerosis in the end plates, and spinal stenosis to investigate the presence of degeneration. Each level was scored according to the presence of findings, with 1 point for each finding. The total score at all levels (L1-S1) was calculated for each patient. An association was observed between the loss of intervertebral disc height and the amount of visceral, subcutaneous, and total fat volume at all lumbar levels (p˂0.05). The amount of all fat volume measurements also showed association with osteophyte formation (p˂0.05). An association was found between sclerosis and the amount of all fat volume at all lumbar levels (p˂0.05). It was observed that spinal stenosis at the lumbar levels was not associated with the amount of fat (total, visceral, subcutaneous) at any level (p˃0.05). No association was found between the amount of adipose and muscle volumes and vertebral pathologies at any level (p˃0.05). The abdominal visceral, subcutaneous, and total fat volumes are associated with lumbar vertebral degeneration and loss of disc height. Paraspinal muscle volume does not show an association with vertebral degenerative pathologies.

Analyzing Predictors of Low Back Pain Among Farmers in Bayung Gede, Kintamani, Bangli: A Case Report Study

Occupational health disease is mostly caused by unsafe working conditions. However, there is a lack of information about occupational and health safety among informal workers, including farmers in Bayung Gede, Bangli, Bali Province. As reported by the Health Department of Bangli, there was a high prevalence of complaints of low back pain (45%). It has been hypothesized that an unergonomic working position might trigger this condition. Thus, this study aimed to analyze predictors of low back pain among farmers in Bayung Gede village Kintamani, Bangli. A case report study was conducted among ten farmers in Bayung Gede village, Kintamani Bangli, on March 2022. Participants were recruited using convenience sampling techniques, and measurements used were sociodemographic, Nordic body map (NBM) and REBA assessment. As a result of the REBA assessment, it was found that there were 7 participants (70%) who were at high risk of low back pain, and 55% were in nonergonomic working positions. Thus, this factor can be identified as the main predictor of low back pain among farmers in Bayung Gede village, Bali. This finding has shown that non-ergonomic working positions might be a crucial factor which leads to low back pain as an occupational health disease. Thus, it also can contribute as a health recommendation for the local health department to minimize occupational health disease among informal workers.
 Keywords: occupational health, low back pain, farmers

Asymptomatic Azygos Vein Cement Embolism: A Potential Risk of Cement Injection via Cannulated Screw: A case report

Objective: Vertebroplasty is a method that stabilizes the fracture and relieves pain by injecting cement into the vertebral body that has lost its height for some reason. Cement injection can also be done through kyphoplasty and cannulated screw. During the injection, protrusion of the cementum from the corpus is a complication that must be avoided in this procedure. Cement extending out of the corpus may cause pulmonary cement embolism (PCE) via the azygos vein. Case: A 76-year-old female patient was admitted to our clinic with the complaint of low back pain that had been going on for one year. The patient, who did not have motor or sensory deficits in the examination, described neurogenic claudication at 200 meters as well as sensitivity in the lumbar region. An osteoporotic collapse fracture in the L1 vertebra was detected in the patient's imaging. Transpedicular fixation, decompression, and cement-augmented pedicle screw were applied to the patient. After the operation, vena azygos cement embolism was detected in the thoracolumbar computed tomography (CT) scan conducted for follow-up. Although detailed tests were performed for pulmonary embolism (PCE), no findings were detected in the asymptomatic patient. During the follow-up examination after discharge, the patient did not report any respiratory complaints, pain in the lumbar region, or neurogenic claudication complaints. Conclusion: PCE may develop after cement leakage into the azygos vein during cement injection. Although most PCEs remain asymptomatic, sometimes serious or even fatal sequelae have been reported. Cement overflows not reflected in fluoroscopy during the procedure can be detected by post-procedure imaging, and patients can be protected from serious complications.

A case of malignant melanoma presented with lombar vertebra fracture

Aims: Malignant melanoma is a type of skin cancer with a very poor prognosis. It is the most common skin cancer. Metastases are frequently observed in malignant melanoma, which can have a very aggressive course, even without skin findings. Here, we aimed to report a malignant melanoma case presenting with lumbar vertebra fracture, which is a unique form of presentation. Case description: A 31-year-old male patient was admitted to the internal medicine outpatient clinic with complaints of low back pain and inability to walk 15 days ago. After the first hour sedimentation value was found to be 101 in the examinations of the patient who came with the complaint of low back pain, he was referred to the hematology department with the preliminary diagnosis of multiple myeloma. Bone marrow aspiration and biopsy was performed. Non-hematopoietic cells were observed in bone marrow aspiration. L2 vertebra fracture was detected in lumbar MRI of the patient with bilateral limitation of movement in the lower extremities. The patient with L2 vertebral fracture was transferred to the neurosurgery service for operation. The patient was diagnosed with malignant melanoma after the frozen biopsy sent after the operation and the previous bone marrow biopsy. Conclusions: Bone marrow infiltration can be seen in malignant melanoma patients. However, a malignant melanoma patient presented with lombar vertebra fracture has not been reported before in the literature.

Complaints of Low Back Pain in Tailors

Low back pain (LBP) is one of the musculoskeletal disorders as a result of incorrect ergonomics. The impact caused by low back pain is bad posture, stiffness, pinched nerve, and muscle weakness. This study aims to determine the relationship between ages, years of service, length of sitting, work posture, and the chair’s ergonomics with complaints of low back pain in tailors at Pasar Petisah, Kota Medan, with 35 workers based on inclusion and exclusion criteria. The research tools are interviews, observations, and filling out questionnaires. This sampling technique is used purposive sampling methods. Data were analyzed using the STATCAL application with a 5% chi-square test. Based on the result, we concluded that there is a long relationship between ages (p=0,02), years of service (p=0,04), length of sitting (p=0,01), and work posture (p=0,03) with the occurrence of low back pain tailors. Tailors in the Petisah Market in Medan City are at risk for complaints of low back pain based on age, long years of service, a risky length of sitting, and a risky work posture. If the workers ignore low back pain, the impact is the emergence of serious problems such as stiffness in the spine, fractures, pinched nerves, and can even cause death.