Office Program Effects on Pain, Posture, Muscle Physiology, Stress, Ergonomics, and Quality of Life in LBP Workers

Effects of Exercise, Posture Education, and Standing Advice on Pain, Lumbar Posture, Core Stability, Flexibility, Fatigue, Endurance, Ergonomics, Stress, and Quality of Life in Office Workers With Low Back Pain: A Three-Arm RCT

This interventional study aims to evaluate the effectiveness of an office worker's program in reducing low back pain and improving physical and psychosocial outcomes among office employees. The primary objective is to determine the effects of the intervention on pain, lumbar posture, muscle physiology (including core stability, flexibility, fatigue, and endurance), ergonomics, stress levels, and quality of life across different intervention groups.

Participants will be assigned to one of three groups:

Group 1: Exercise program, posture education, and standing advice Group 2: Posture education and standing advice Group 3: standing advice only The study will compare outcomes between groups to identify which combination of interventions provides the greatest benefits for office workers with a tendency to experience low back pain.

Research question: Is there any effect of office worker's program on pain intensity, lumbar posture, muscle physiology, ergonomics, stress and quality of life among office workers with low back pain? Research objective: To determine the effect of office worker's program on pain intensity, lumbar posture, muscle physiology, ergonomics, stress and quality of life Research hypothesis: There is significance different on pain intensity, lumbar posture, muscle physiology, ergonomics, stress and quality of life

Inclusion Criteria:

1. Identified LBP
2. Age between 18 - 60 years old
3. In the office, working in front computer/laptop minimum along 4 hours per day
4. Able to ambulate independently with or without walking aids
5. Controlled comorbidity e.g. DM, HPT, managed asthma and controlled thyroid conditions

Exclusion Criteria:

1. Recumbent
2. Cancer, spinal fracture, neurological disorder (stroke, PBI and soon)
3. Participation in a current fitness program designed to prevent LBP recurrence
4. Spinal operation within the last six months
5. Pregnant
6. Medication (steroid therapy, non-steroidal anti-inflammatory drugs (NSAIDs), opioids, muscle relaxants, antidepressants or anxiolytics)
7. Insufficient to finish outcome measurements and exercise program
8. Participants who do not attend 3 consecutive weeks or 8 consecutive times