Dikiş Diken Kadınlarda Boyun Ağrısının ve Postüral Özelliklerin İncelenmesi

Year 2022, , 573 - 590, 31.12.2022

Fatma Betül Derdiyok , Emre Serdar Atalay

https://doi.org/10.21020/husbfd.1024417

Abstract

Amaç: Araştırmanın amacı, dikiş dikme aktivitesinin 20-60 yaş aralığındaki kadınların postürü ve servikal bölge ağrısı üzerine etkisini incelemektir.
Gereç ve Yöntem: Araştırma 20- 60 yaş aralığında son 6 aydır haftada en az 3 saat dikiş diken toplam 62 kadın ile yapılmıştır. Kadınların meslekleri, Boyun Özür İndeksi (BÖİ) ve Fiziksel aktivite [FIT skoru (Frequency- Intense- Time)] İndeksi verileri online anketler ile alınmıştır. Kadınların anterior ve lateral postürü online görüntülü ve yüz yüze yapılan görüşmelerde değerlendirilmiş ve New York Postür Değerlendirme Yöntemi (NYPDY) üzerinde puanlandırılmıştır.
Bulgular: Değerlendirmeye alınan kadınların yaş ortalaması 43,08 ± 10,18 yıldı. Çalışmaya 26 haftanın en az 5 günü mesleki amaçlı, 36 haftanın en az 1 günü hobi amaçlı dikim yapan kadın katıldı. Katılımcıların Boyun Özürlülük Sorgulama İndeksi skor ortalaması 9,90 ± 6,52, FIT skor ortalaması 17,56 ± 17,94 ve New York Postür Değerlendirme Testi skor ortalaması 54,04 ± 6,26 bulundu. Ayrıca postür değerlendirme sonuçlarına göre %58,1 oranına omuzlarda eşitsizlik ve %62,9 oranda hafif omuz protraksiyonu; boyun postürlerinde %80,6 oranında baş anterior tilti olduğu görülmüştür. Kadınların postürleri ve boyun özürlülük derecesi arasında 0,385 (p=0,01) değerinde negatif korelasyon olduğu görülmüştür.
Sonuç: Katılımcıların boyun özürlülük derecesi “hafif özürlülük”, fiziksel aktivite düzeyleri “sedanter”, postürleri “çok iyi” olarak bulunmuştur. Katılımcıların postürü ile boyun özürlülük derecesi arasında negatif bir ilişki olduğu görülmüştür. Katılımcıların çoğunda omuz ve servikal bölge postürlerinde olumsuz etkilenim olduğu saptanmıştır. Bu nedenle dikiş diken kadınlarda boyun ve omuz postürlerini düzeltici yaklaşımlar üzerinde yoğunlaşılabileceğini düşünmekteyiz. Dikiş diken kadınların postürleri ve boyun ağrılarını inceleyen ve daha fazla katılımcı dahil edilerek yapılacak çalışmalara ihtiyaç vardır.

Keywords

Dikiş dikmek, postür, boyun ağrısı

Thanks

Çalışmamıza katılan tüm kadınlara teşekkürlerimizi sunarız.

Investigation Of Neck Pain And Postural Features In Sewing Women

Abstract

Objectives: The aim of this study was to examine the effect of sewing activity on posture and cervical pain in women between the ages of 20-60.
Materials and Methods: The research was carried out with 62 women between the ages of 20 and 60 who have sewn at least 3 hours a week for the last 6 months. The demographic information (age, occupation) of women, Neck Disability Index (NDI) and FIT (Frequency- Intense- Time) Score Index data were obtained online with a questionnaire. Anterior and lateral posture analyzes were scored on the New York Posture Assessment Test in online video interviews and face-to-face interviews.
Results: The mean age of the women included in the study was 43.08 ± 10.18 years. Women working in sewing houses (n=29) and sewing in their own houses (n=33) participated in the study. The mean score for the Neck Disability Inquiry Index was 9.90 ± 6.52, the FIT score index score average was 17.56 ± 17.94, and the New York Posture Assessment Test mean score was 54.04 ±6.26. In addition, according to the results of posture evaluation, 58.1 % of the shoulders were uneven and 62.9 % of them were mild shoulder protraction; It was observed that 80.6 % of neck postures had head anterior tilt. It was observed that there was a negative correlation of 0.385 (p=0.01) between the postures of the women and the degree of neck disability.
Conclusion: The neck disability level of the participants was found to be "mild disability", their physical activity level "sedentary", and their postures "very good". A negative correlation was observed between the participants’ posture and the degree of neck disability. It was observed that most of the participants had poor posture on their shoulder and neck vertebrae. For this reason, we think that we can focus on corrective approaches to the neck and shoulder postures of women who sew studies involving more participants are needed to examine the postures and neck pains of women who are sewing.

Keywords

Sewing, Posture, Neck Pain, Dikiş dikmek, postür, boyun ağrısı

References

• Andersen, J. H., & Gaardboe, O. (1993). Musculoskeletal disorders of the neck and upper limb among sewing machine operators: a clinical investigation. American journal of industrial medicine, 24(6), 689-700.
• Aghili, M. M., Asilian, H., & Poursafa, P. (2012). Evaluation of musculoskeletal disorders in sewing machine operators of a shoe manufacturing factory in Iran. J Pak Med Assoc, 62(3 Suppl 2), S20-5.
• Aslan, E., Karaduman, A., Yakut, Y., Aras, B., Simsek, I. E., & Yaglý, N. (2008). The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine, 33(11), E362-E365.
• Braun, B. L., & Amundson, L. R. (1989). Quantitative assessment of head and shoulder posture. Archives of physical medicine and rehabilitation, 70(4), 322-329.
• Biadgo, G. H., Tsegay, G. S., Mohammednur, S. A., & Gebremeskel, B. F. (2021). Burden of Neck Pain and Associated Factors Among Sewing Machine Operators of Garment Factories in Mekelle City, Northern Part of Ethiopia, A Cross-Sectional Study. Safety and Health at Work, 12(1), 51-56.
• Coşkun, S. (2019). Diş Hekimlerinin Çalışma Postürü, Kas İskelet Sistemi Ağrıları ve Vücut Farkındalık Düzeyleri Arasındaki İlişki.
• Delleman, N. J., & Dul, J. (2002). Sewing machine operation: workstation adjustment, working posture, and workers’ perceptions. International Journal of Industrial Ergonomics, 30(6), 341-353.
• Griegel-Morris, P., Larson, K., Mueller-Klaus, K., & Oatis, C. A. (1992). Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Physical therapy, 72(6), 425-431.
• Habib, M. (2015). Ergonomic risk factor identification for sewing machine operators through supervised occupational therapy fieldwork in Bangladesh: A case study. Work, 50(3), 357-362.
• Kasari, D. (1976). The effects of exercise and fitness on serum lipids in college women. Unpublished Master's Thesis University of Montana, 46.
• Kaushik, A., Patra, P., HOD, P., & Dolphin, P. G. (2014). Upper extremity and neck disability in male hairdressers with concurrent changes in pinch strength: an observational study, 4, 46–52.
• Khatun, T. (2018). Prevalence of neck pain among the female Sewing machine operators (Doctoral dissertation, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
• Lau, K. T., Cheung, K. Y., Chan, M. H., Lo, K. Y., & Chiu, T. T. W. (2010). Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Manual therapy, 15(5), 457-462.
• Lee, H., Chung, H. & Park, S. (2016) The Analysis of severity of forward head posture with observation and photographic method. Journal of the Korean Society of Physical Medicine. [online] 10, (3), 9–17.
• Magee, D. J. (1998). Orthopedic physical assessment. Journal of hand therapy, 11, 286-286.
• Otman SA, Köse N. (2018) Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. 10.Baskı. Ankara: Hipokrat yayıncılık.
• Raine, S., & Twomey, L. T. (1997). Head and shoulder posture variations in 160 asymptomatic women and men. Archives of physical medicine and rehabilitation, 78(11), 1215-1223.
• Richards, K. V., Beales, D. J., Smith, A. J., O'Sullivan, P. B., & Straker, L. M. (2016). Neck posture clusters and their association with biopsychosocial factors and neck pain in Australian adolescents.
• Shah, P., Patel, M. (2019). Postural changes among sewing machine operators due to non- specific neck pain: an observational study, Journal of Emerging Technologies and Innovative Research, 6(5), 2969-2976.
• Vihma, T., Nurminen, M., & Mutanen, P. (1982). Sewing-machine operators' work and musculo-skeletal complaints. Ergonomics, 25(4), 295-298.
• Wagachchi, D. T., Jayamanne, M. S., Adikari, A. M. L. U. K., Kodagoda, I. D. L., Mudalige, Y. T., & Perera, G. A. D. (2020). Prevalence of forward head posture and its’ relationship with neck pain among sewing machine operators in two selected garment factories in Kaluthara district, -(-), 13th International Research Conference General Sir John Kotelawala Defence University 37-43.
• Westgaard, R. H., & Jansen, T. (1992). Individual and work related factors associated with symptoms of musculoskeletal complaints. II. Different risk factors among sewing machine operators. Occupational and Environmental Medicine, 49(3), 154-162.
• Yip, C. H. T., Chiu, T. T. W., & Poon, A. T. K. (2008). The relationship between head posture and severity and disability of patients with neck pain. Manual therapy, 13(2), 148-154.