A STUDY ON RISK FACTOR SPINE LOW BACK PAIN

Khatib Shafiur Rahman*, Mohammad Sultanul Arefin and Nazmul Islam Nissan

ABSTRACT

Background: Chronic low back pain (CLBP) is an important health problem in Bangladeshi adult . Objective: To evaluate the risk factor spine low back pain. Method: This prospective study was carried out in the department of Physical Medicine and Rehabilitation, Dhaka from January 2019 to December 2020 to determine the association between CLBP and family history, smoking, level of education, level of income, level of exercise, bad posture and BMI in adult male. Total 50 patients with CLBP were taken as cases, and 50 adults without CLBP were taken as controls. Data were collected using a structured interviewer-administered questionnaire, enquiring about demographic data and details of risk factors. Results: Majority of the patients belong to <25 years age group and 60% were male. 20.75^% were illiterate and Most of the patients had normal weight. Onset of pain sudden were seen in 23.9% whereas Onset of pain insidiously were seen in 76.1%. In case group 20% cases smoked up to 10 years whereas in control group it was 30%. in case group 50% exercise rare whereas in control group it was 30%. Plus among patients in case group 50% had regular bad posture whereas in control group it was 30%. Chi-square test was done to measure the level of significance. The differences of bad posture between the two groups were statistically significant (p < 0.001). Conclusion: Chronic low back pain was strongly correlated with slouching, physical inactivity, and a middle school education. Chronic low back pain was not substantially related to having a positive family history, routinely smoking, having a high monthly salary, or having a high body mass index. The majority of the patients in this research, both in the case and control groups, did not maintain proper posture while doing everyday tasks and did not engage in moderate to vigorous physical activity on a regular basis. The findings of this research have practical applications in the fields of health promotion, ergonomic assessment and management, good posture, educational program implementation, and shift-based rest breaks.

Keywords: Low back pain (LBP), Chronic low back pain (CLBP), Risk factors.