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ERGONOMIC IMPACT OF LIFTING ACTIVITIES ON LOW BACK PAIN IN MALANG’S SANITARY WARE INDUSTRY

*Rubayat Indradi orcid  -  Department of Occupational Medicine, Medical Faculty, Universitas Muhammadiyah Malang., Indonesia
Marinda Rahman  -  Faculty of Medicine, Universitas Muhammadiyah Malang, Indonesia
Febri Endra Budi Setyawan  -  Department of Public Health, Faculty of Medicine, Universitas Muhammadiyah Malang, Indonesia
Open Access Copyright 2026 Rubayat Indradi, Marinda Rahman, Febri Endra Budi Setyawan
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Abstract

Background: Low back pain (LBP) is a common musculoskeletal disorder linked to repetitive ergonomic tasks, resulting in discomfort and reduced productivity. In Malang’s sanitary ware industry, workers frequently perform lifting and carrying tasks. Workers involved in lifting activities are particularly vulnerable to these risks. Objective: This research sought to address gaps in knowledge about the relationship between ergonomic factors and LBP severity among this occupational setting. Methods: Observational-analytic study was conducted on August-October 2022 using a cross-sectional survey of workers in Malang’s sanitary ware industry, with the size of the research sample were 42 participants. Data were collected through questionnaires and analyzed using the Somers’ D correlation test in SPSS. Ethical clearance was obtained, and participants provided informed consent. Results: The analysis demonstrated a significant relationship between lifting activities and LBP complaints. The correlation strength indicated a weak association, but most workers reported moderate LBP severity, highlighting ergonomic challenges in the workplace (p = 0.032, r = 0.315). Conclusion: This study underscores the ergonomic impact of lifting activities on LBP among industrial workers. The findings highlight the necessity of ergonomic interventions to mitigate LBP risks. Future studies should focus on implementing and evaluating long-term ergonomic strategies to improve occupational health outcomes in similar industries.

Keywords: ergonomic; low back pain; musculoskeletal; occupational health; workers

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  1. GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050. Lancet Rheumatol. 2023;5(6):e316–29. doi: 10.1016/S2665-9913(23)00098-X
  2. Jahn A, Andersen JH, Seidler A, Christiansen DH, Dalbøge A. Occupational mechanical exposures as risk factors for chronic low-back pain: systematic review and meta-analysis. Scand J Work Environ Health. 2023;49(6):453–65. doi: 10.5271/sjweh.4114
  3. Sauter M, Barthelme J, Müller C, Liebers F. Manual handling of heavy loads and low back pain among different occupational groups: results of the 2018 BIBB/BAuA employment survey. BMC Musculoskelet Disord. 2021;22:956. doi: 10.1186/s12891-021-04819-z
  4. Susihono W, Adiatmika IPG. The effects of ergonomic intervention on musculoskeletal complaints and fatigue in the traditional metal casting industry. Heliyon. 2021;7(2):e06171. doi: 10.1016/j.heliyon.2021.e06171
  5. Makkiyah FA, Sinaga TA, Khairunnisa N. Risk factors associated with lower back pain in middle-aged adults: a study from Indonesia. J Korean Neurosurg Soc. 2022;66(2):190–8. doi: 10.3340/jkns.2021.0278
  6. Jahn A, Andersen JH, Christiansen DH, Seidler A, Dalbøge A. Occupational mechanical exposures as risk factor for chronic low-back pain: a systematic review and meta-analysis. Scand J Work Environ Health. 2023;49(6):421–437. doi: 10.5271/sjweh.4114
  7. Sauter UH, Barthelme R, Müller M, Liebers F. Manual handling of heavy loads and low back pain: a systematic review. BMC Musculoskelet Disord. 2021;22:1008. doi: 10.1186/s12891-021-04819-z
  8. P, Kingma I, Boot CRL, Bongers PM, van Dieën JH. Cumulative mechanical low-back load at work is a determinant of low-back pain. Occup Environ Med. 2014;71(5):332–337. doi: 10.1136/oemed-2013-101862
  9. Bláfoss R, Aagaard P, Clausen T, Andersen LL. Association of objectively measured lifting load with low-back pain, stress, and fatigue: a prospective cohort study. Scand J Work Environ Health. 2024;50(1):11–21. doi: 10.5271/sjweh.4127
  10. Gupta N, Bjerregaard SS, Yang L, et al. Does occupational forward bending of the back increase long-term sickness absence risk? Scand J Work Environ Health. 2022;48(8):651–661. doi: 10.5271/sjweh.4047
  11. Tsuboi Y, Oka T, Nakatsuka K, Isa T, Ono R. Effectiveness of workplace active rest programme on low back pain in office workers: a stepped-wedge cluster randomised trial. BMJ Open. 2021;11:e040101. doi: 10.1136/bmjopen-2020-040101
  12. Cheung JH, Huang HM, Wong L. Effects of an active break and postural shift intervention on preventing neck and low-back pain among high-risk office workers: cluster RCT. Scand J Work Environ Health. 2021;47(4):306–317. doi: 10.5271/sjweh.3949
  13. Saraceni N, Kent P, Ng L, et al. To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? J Orthop Sports Phys Ther. 2020;50(3):121–130. doi: 10.2519/jospt.2020.9218
  14. Swain CTV, Pan F, Owen PJ, Schmidt H, Belavy DL. No consensus on causality of spine postures or physical exposure and low back pain: a systematic review of systematic reviews. J Biomech. 2020;102:109312. doi: 10.1016/j.jbiomech.2019.08.006
  15. Waters TR, Putz-Anderson V, Garg A, Fine LJ. Revised NIOSH equation for the design and evaluation of manual lifting tasks. Ergonomics. 1993;36(7):749–776. doi: 10.1080/00140139308967940
  16. NIOSH. Applications Manual for the Revised NIOSH Lifting Equation. DHHS (NIOSH) Publication 94-110 (Revised 9/2021). doi: 10.26616/NIOSHPUB94110revised092021
  17. Punt M, Nematimoez M, van Dieën JH, Kingma I. Real-time feedback to reduce low-back load in lifting and lowering. J Biomech. 2020;102:109513. doi: 10.1016/j.jbiomech.2019.109513
  18. Nail-Ulloa I, Zabala M, Sesek R, Chen H, Schall MC Jr, Gallagher S. Estimating Compressive and Shear Forces at L5-S1 using Optical and Inertial Motion Capture Systems during Lifting. Sensors. 2024;24(6):1941. doi: 10.3390/s24061941
  19. Richarz HU, Tamayo A, Rahmig J, Siepmann T, Barlinn J. The impact of mechanical devices for lifting and transferring of patients on low back pain and musculoskeletal injuries in health care personnel: a systematic review and meta-analysis. J Occup Health. 2023;65(1):e12380. doi: 10.1002/1348-9585.12423
  20. Brauer C, Mikkelsen S, Pedersen EB, et al. Occupational lifting predicts hospital admission due to low back pain in airport baggage handlers: a cohort study. Int Arch Occup Environ Health. 2020;93:111–122. doi: 10.1007/s00420-019-01470-z
  21. Kuijer PPFM, Verbeek JHAM, Visser B, et al. An evidence-based multidisciplinary practice guideline to reduce the burden of LBP due to lifting at work. J Occup Med Toxicol. 2014;9:26. doi: 10.1186/2052-4374-26-16
  22. Kuijer PPFM, van der Wilk S, Evanoff B, Viikari-Juntura E, Coenen P. What have we learned about risk assessment and interventions to prevent work-related MSD and support work participation? Scand J Work Environ Health. 2024;50(5):317–328. doi: 10.5271/sjweh.4172
  23. Ribeiro DC, Milosavljevic S, Terry J, Abbott JH. Effectiveness of a lumbopelvic monitor and feedback device to change postural behaviour: the ELF cluster randomized controlled trial. Occup Environ Med. 2020;77(7):462–469. doi: 10.1136/oemed-2019-106293
  24. Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–2367. doi: 10.1016/S0140-6736(18)30480-X
  25. Parry SP, Coenen P, Shrestha N, O’Sullivan PB, Maher C, Straker L. Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers. Cochrane Database Syst Rev. 2019;(11):CD012487. doi: 10.1002/14651858.CD012487.pub2

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