Distribution and Frequency of Lactic Acid Among Trans Metro Pekanbaru (TMP) Bus Drivers Experiencing Low Back Pain
Article Sidebar
Main Article Content
Abstract
Occupational musculoskeletal disorders, specifically low back pain, severely impact public transport drivers. This observational study comprehensively investigated the direct correlation between hyperlactatemia and lumbar severity among Trans Metro Pekanbaru bus operators. Evaluating exactly sixty validated respondents, we carefully assessed occupational determinants, nutritional status, and smoking habits. Results robustly revealed that pain symptoms dominantly afflicted drivers aged 46 to 55 years (46.7%) alongside those enduring over five years of occupational exposure (66.7%). Paradoxically, 70% of symptomatic drivers were active smokers, while 56.7% actually possessed normal nutritional status. Continuous mechanical vibration combined with prolonged rigid sitting postures directly induce paraspinal muscle ischemia, ultimately forcing sustained anaerobic glycolysis. The subsequent localized lactic acid accumulation significantly inhibits optimal contractility and severely exacerbates chronic lumbar conditions. Consequently, executing mandatory workplace structural reengineering, specifically installing dynamic dampening seats, alongside scheduling mandatory dynamic stretching routines, remains extremely vital to effectively prevent irreversible occupational musculoskeletal disabilities advancing globally.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
How to Cite
Share
References
Ardian, Hengky, and Ria Anggraini. “A Comprehensive Analysis of Hyperlactatemia Biomarkers and Clinical Manifestations of Low Back Pain Among Oil Palm Plantation Workers.” Smart: Journal of Healthcare (SHealth) 1, no. 1 (2026): 23–40. https://ejournal.smartpedia.co.id/index.php/SHealth/article/view/33.
Ateeq, Ali, Abd Al-Aziz Al-refaei, Mohammed Alzoraiki, Marwan Milhem, Ali Nasser Al-Tahitah, and Abdulhadi Ibrahim. “Sustaining Organizational Outcomes in Manufacturing Firms: The Role of HRM and Occupational Health and Safety.” Sustainability 16, no. 3 (January 25, 2024): 1035. https://doi.org/10.3390/su16031035.
Cha, Eun-woo, Sae-mi Jung, Il-ho Lee, Dae Hwan Kim, Eui Hyek Choi, In-ah Kim, Yong-kyu Kim, et al. “Approval Status and Characteristics of Work-Related Musculoskeletal Disorders among Korean Workers in 2020.” Annals of Occupational and Environmental Medicine 34, no. 1 (2022). https://doi.org/10.35371/aoem.2022.34.e31.
Crowe, Sarah, Kathrin Cresswell, Ann Robertson, Guro Huby, Anthony Avery, and Aziz Sheikh. “The Case Study Approach.” BMC Medical Research Methodology 11, no. 1 (December 27, 2011): 100. https://doi.org/10.1186/1471-2288-11-100.
Daud, Aziah, Ijlal Syamim Mohd Basri, Elyas Ahmad, Suhaily Mohd Hairon, Nor Azali Azmir, Azlis Sani Md Jalil, and Rusli Nordin. “Determinants of Work-Related Musculoskeletal Disorders Among Food Delivery Riders in Eastern Peninsular Malaysia: An Ergonomic Risk Assessment.” Healthcare 13, no. 6 (March 15, 2025): 645. https://doi.org/10.3390/healthcare13060645.
Fatoye, Francis, Tadesse Gebrye, Chidozie Emmanuel Mbada, and Ushotanefe Useh. “Clinical and Economic Burden of Low Back Pain in Low- and Middle-Income Countries: A Systematic Review.” BMJ Open 13, no. 4 (April 2023): e064119. https://doi.org/10.1136/bmjopen-2022-064119.
Ferreira, Manuela L, Katie de Luca, Lydia M Haile, Jaimie D Steinmetz, Garland T Culbreth, Marita Cross, Jacek A Kopec, et al. “Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021.” The Lancet Rheumatology 5, no. 6 (June 2023): e316–29. https://doi.org/10.1016/S2665-9913(23)00098-X.
Hakim, Sally, and Amira Mohsen. “Work-Related and Ergonomic Risk Factors Associated with Low Back Pain among Bus Drivers.” Journal of Egyptian Public Health Association 92, no. 3 (December 1, 2017): 195–201. https://doi.org/10.21608/epx.2017.16405.
Hossian, Mosharop, Mohammad Hayatun Nabi, Ahmed Hossain, Mohammad Delwer Hossain Hawlader, and Nadira Sultana Kakoly. “Individual and Occupational Factors Associated With Low Back Pain: The First-Ever Occupational Health Study Among Bangladeshi Online Professionals.” Journal of Preventive Medicine and Public Health 55, no. 1 (January 31, 2022): 98–105. https://doi.org/10.3961/jpmph.21.565.
Jia, Jingwen, Mingtao Zhang, Zhenyu Cao, Zhijing Yang, Xuchang Hu, Shuanhu Lei, Yibao Zhang, Wenting Leng, and Xuewen Kang. “Prevalence of and Risk Factors for Low Back Pain among Professional Drivers: A Systematic Review and Meta-Analysis.” Journal of Orthopaedic Surgery and Research 19, no. 1 (September 9, 2024): 551. https://doi.org/10.1186/s13018-024-04999-z.
Joseph, Leonard, Miles Standen, Aatit Paungmali, Raija Kuisma, Patraporn Sitilertpisan, and Ubon Pirunsan. “Prevalence of Musculoskeletal Pain among Professional Drivers: A Systematic Review.” Journal of Occupational Health 62, no. 1 (January 17, 2020). https://doi.org/10.1002/1348-9585.12150.
Kee, Dohyung. “Characteristics of Work-Related Musculoskeletal Disorders in Korea.” International Journal of Environmental Research and Public Health 20, no. 2 (January 6, 2023): 1024. https://doi.org/10.3390/ijerph20021024.
Mendes, Hyago Gabriel Oliveira, Bianca de Moraes Tomaz, Ana Carolina Coelho-Oliveira, Juliana Pessanha de Freitas, Márcia Cristina Moura-Fernandes, Marco Antônio de Souza-Gama, Francisco José Salustiano da Silva, et al. “The Consequences of Mechanical Vibration Exposure on the Lower Back of Bus Drivers: A Systematic Review.” Applied Sciences 11, no. 21 (October 25, 2021): 9986. https://doi.org/10.3390/app11219986.
Nabi, Mohammad Hayatun, Mohammad Delwer Hossain Hawlader, Farah Naz, Saleka Raihana Siddiquea, Mehedi Hasan, Mosharop Hossian, and Koustuv Dalal. “Low Back Pain among Professional Bus Drivers: A Cross-Sectional Study from Bangladesh.” BMC Public Health 23, no. 1 (June 19, 2023): 1172. https://doi.org/10.1186/s12889-023-16018-7.
Rezaei, Ehsan, Fatemeh Shahmahmoudi, Faezeh Makki, Fatemeh Salehinejad, Hassan Marzban, and Zahra Zangiabadi. “Musculoskeletal Disorders among Taxi Drivers: A Systematic Review and Meta-Analysis.” BMC Musculoskeletal Disorders 25, no. 1 (August 23, 2024): 663. https://doi.org/10.1186/s12891-024-07771-w.
Sisala Mohammed, Iddrisu, Mohammed Hardi Abdulai, Mudasir Mohammed Ibrahim, Hannah Buasilenu, Issahaka Abdulai Baako, Brenda Abena Nyarko, Abubakari Wuni, and Camillus Buunaaisie. “Prevalence of Workplace‐Related Musculoskeletal Disorders Among Nurses and Midwives in a Tertiary Healthcare Facility: A Descriptive Cross‐Sectional Survey.” Nursing Open 11, no. 11 (November 21, 2024). https://doi.org/10.1002/nop2.70098.
Trifu, Alina, Eduard Smîdu, Daniel Onuț Badea, Eugenia Bulboacă, and Vergilică Haralambie. “Applying the PRISMA Method for Obtaining Systematic Reviews of Occupational Safety Issues in Literature Search.” Edited by G.A. Găman. MATEC Web of Conferences 354 (January 6, 2022): 00052. https://doi.org/10.1051/matecconf/202235400052.
Vatovec, Rok, Žiga Kozinc, and Matej Voglar. “The Effects of Isometric Fatigue on Trunk Muscle Stiffness: Implications for Shear-Wave Elastography Measurements.” Sensors 22, no. 23 (December 4, 2022): 9476. https://doi.org/10.3390/s22239476.
Yang, Hantao, Xuandu Chen, Jun Chen, Yansong Dong, Yafang Huang, Lei Qin, Jie Tan, and Weihong Yi. “The Pathogenesis and Targeted Therapies of Intervertebral Disc Degeneration Induced by Cartilage Endplate Inflammation.” Frontiers in Cell and Developmental Biology 12 (December 2, 2024). https://doi.org/10.3389/fcell.2024.1492870.