Ağır Hadde İşçilerinde Kişiye Özel Tabanlık Kullanımının Ayak Basınç Analizi Üzerine Etkisinin İncelenmesi

Year 2021, Volume: 8 Issue: 2, 283 - 296, 31.08.2021

Gözde Kesikbaş , Gülay Aras Bayram , Candan Algun

https://doi.org/10.21020/husbfd.820490

Abstract

Amaç: Ayakta uzun süre çalışan bireyler için; ağrı, ayak fonksiyonelliği, taban basıncı gibi birçok olumsuz etkileri olan ayak deformiteleri; tendon, ligament, kas, sinir ve kemik-eklem dokularını ilgilendiren sorunlar ile ortaya çıkarak zincir şeklinde tüm vücudu etkiler. Kişiye özel üretilen tabanlıklar sayesinde ayak deformitelerinin meydana getirdiği negatif etkiler büyük oranda azaltılabilmektedir. Çalışmamızda ağır hadde işçilerinde kişiye özel üretilen tabanlık kullanımının, uzun süre ayakta kalmaya bağlı ve ayakta görülen deformitelerden kaynaklanan ağrı ve plantar basınç analizi üzerine olan etkisini incelemek amaçlandı.
Gereç ve Yöntem: Dilovası Organize Sanayi Bölgesinde yer alan Ağır Haddecilik A.Ş.’de çalışan 89 bireyin plantar basınç analizi, anamnez formu, ayak postür analizi kaydedilerek dahil edilme kriterlerine uyan 25 kişi çalışmaya alındı. Anlık çıplak ayak ve tabanlık kullandıktan 1. ve 2. ay sonra ayak basınç analizleri tekrarlandı. Deformitelere özgü bilgisayar destekli tasarım ve üretim yöntemiyle deformiteye özel tabanlık uygulaması yapıldı. Tabanlık kullanımından önce ve sonra katılımcıların; ağrı durumlarını değerlendirmek için “McGill Ağrı Anketi”, ayak postürünü incelemek için “ Ayak Postür İndeksi” ve ayak basınç analizlerini ölçmek içinde statik pedobarografik cihazı (Sensörmedica, İtalya) kullanıldı.
Bulgular: Bireylerin tabanlık kullanımı öncesi ile 8 hafta tabanlık kullanımı sonrası plantar basınç analizleri karşılaştırıldığında; anlık, 1. ve 2. ay ölçümlerinde fark bulundu (p<0,05). Anlık, 1.ve 2. ay Mcgill-Melzack Ağrı Anketi’nde anlamlı bir fark bulundu (p<0,001). Anlık, 1. ve 2. ay ayak postür indeksi medyanları bakımından anlamlı fark bulundu (p=0,022).
Sonuç: Kişiye özel tabanlık kullanımının deformiteye bağlı plantar yük dağılımında meydana gelen değişikliklerin düzeltilebilmesine yardımcı olabileceği ve böylece bireylerin ağrılarının azaltılabileceği gözlemlenmiştir.

Keywords

ağır hadde işçileri, ayak deformitesi, kişiye özel tabanlık, plantar basınç analizi

Investigation of the Effect of Using Custom Made Insoles on Plantar Load Distribution, Foot Posture and Pain in Heavy Metal Workers

Abstract

Purpose: Foot deformities cause many negative effects such as pain, limitation in foot functionality, unbalanced distribution of plantar pressure. These negative effects create problems involving tendons, ligaments, muscles, nerves, and bone-joint tissues, affecting the whole body in the form of a chain. Custom made insoles can reduce the negative effects of foot deformities to a great extent. The aim of our study was to examine the effect of using custom made insoles on plantar load distribution, foot posture, and pain in heavy metalworkers.
Materials and Methods: Of the 89 individuals working as heavy rolling mill workers in a factory, 25 people who met the inclusion criteria were included in the study. Insoles were applied using a computer-aided design and production method specific to deformities. Sociodemographic information of the individuals was recorded. Plantar load distribution was evaluated with bare feet using a static pedobarographic device (Sensörmedica, Italy), foot posture with the “Foot Posture Index” and pain with the “McGill Pain Questionnaire”. Measurements were repeated at the end of the 4th and 8th week in addition to the instantaneous measurement performed at the beginning of the intervention.
Result: Individuals' instantaneous, 4th week and 8th week measurements were compared. There was a significant decrease in forefoot load distribution (p <0.05) and a significant increase in hindfoot load distribution (p <0.05). A positive significant difference was found between the foot posture index medians (p = 0.022). A significant difference was found in the direction of pain reduction due to the results of the Mcgill-Melzack Pain Questionnaire (p <0.001).
Results: It was observed that the use of custom made insoles was effective in providing a balanced distribution of plantar load, correcting the foot posture, and reducing pain.

Keywords

custom made insoles, foot deformity, heavy metal workers, plantar load distribution

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