<![CDATA[Back pain caused by musculoskeletal disorders can usually be exacerbated by activity, this is different from pain in other conditions. Elderly patients may experience back pain caused by vertebral fractures due to osteoporosis, spinal stenosis, spinal osteoarthritis, among other conditions (Smeltzer, 2011). The results of interviews and observations are then discussed in a discussion to determine the factors causing the problem with a fishbone diagram. Discussions for determining the priority of problem solving are carried out using USG analysis (urgency, seriousness, growth). The USG method (urgency, seriousness, growth) is one of the methods to determine the priority of problems and their solutions (Wardani & Minarno, 2021). The next discussion is to determine a strategy for solving problems using a SWOT (strength, weakness, opportunity, threats) analysis. The results of the fishbone analysis on human factors include the limitations of human resources (HR) making the handling of diathermy development with Mc. Kenzi exercise therapy exercise at RSI NU Lamongan is disturbed and the limited land for the medical rehabilitation and physiotherapy clinic of RSI NU Lamongan makes there is no gymnasium in the physiotherapy poly.]]>
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