An adjustable back support assembly coupled to the back of a chair in which a user sits with his back spaced from the chair back. The adjustable back support assembly includes a back support that is pivotally connected to the back of the chair by a hinge. The back support is rotatable at the hinge away from the chair back and towards the back of the user to provide support thereto. The back support assembly also includes a gas cylinder having a retractable piston. The gas cylinder is connected between the back support of the adjustable back support assembly and an upstanding rigid chair backing within the back of the chair. When the retractable piston is forced outwardly from the gas cylinder, a linear pushing force is correspondingly generated by the piston to cause the back support to rotate away from the chair back and towards the back of the user.