Zonguldak yer altı maden işçilerinde fiziksel uygunluk ile bel ağrısı özrü ve ayakta durma dengesi ilişkisi

Yıl 2018, Cilt: 5 Sayı: 3, 173 - 180, 25.12.2018

Kartal Selici Özlem Çinar Özdemir Zuhal Kunduracılar Atınç Kayınova Fürüzan Köktürk

Öz

Amaç: Çalışmanın amacı, Zonguldak’ta özel bir kömür madeni ocağında farklı görevlerde çalışan yer altı maden işçilerinin fiziksel uygunluklarının karşılaştırılması ve işçilerin bel ağrısı özrü ve ayakta durma dengesi ile fiziksel uygunlukları arasındaki ilişkinin incelenmesidir.

Yöntem: Çalışmaya, yer altında üç farklı görevde (usta ve yedek kazmacılar, nakliyat işçileri) çalışan 64 maden işçisi dahil edildi. Fiziksel uygunluk değerlendirmesi için; otur ve uzan testi, sırt kaşıma testi, Ito testi, sandalyeye otur kalk testi ve vücut kütle indeksi kullanıldı. Bel ağrısı özrü Oswestry Özürlülük İndeksi, ayakta durma dengesi ise Biodex denge ölçüm cihazı ile değerlendirildi.

Bulgular: Farklı görevlerde çalışan bireylerin fiziksel uygunluk değerleri benzerdi (p>0,05). Tüm bireylerde lumbar ekstansör enduransı ile bel ağrısı özrü arasında negatif yönlü istatistiksel ilişki bulundu (p<0,05, r=-0,334). Dinamik ayakta durma dengesi puanları ile vücut küitle indeksi arasında pozitif yönlü (p<0,05 r=0,279), sağ ve sol sırt kaşıma testi değerleriyle ise negatif yönlü anlamlı ilişki tespit edildi (p<0,05, r=-0,248; p<0,05, r=-0,292). Statik denge puanları ile fiziksel uygunluk değerleri arasında istatistiksel bir ilişki yoktu (p>0,05).

Sonuç: Fiziksel uygunluk değişkenleriyle bel ağrısı özrü ve ayakta durma dengesi arasında ilişki bulunmuş olması, maden işçilerinin iş sağlığı ve güvenliği açısından fiziksel uygunluklarını artırmaları gerektiği sonucunu çıkarmaktadır. Bunun için maden işçilerinde egzersiz ve fizyoterapinin etkin bir şekilde kullanımı hedeflenmelidir. Böylece maden işçilerin sağlığı daha iyi korunabilir, üretim verimliliği artırılabilir ve iş maliyetleri azaltılabilir.

Anahtar Kelimeler

Kömür madenciliği, Fiziksel uygunluk, Bel ağrısı, Postüral denge, Egzersiz

Relationship between physical fitness, low back pain disability and standing balance in Zonguldak underground coal miners

Öz

Purpose: The aim of this study was to compare the physical fitness of underground miners who work in different duties underground in a private coal mine, Zonguldak and to investigate the relationship between physical fitness parameters, low back pain and standing balance in coal miners.

Methods: Sixty-four coal miners who work in different duties (master and reserve diggers, transport workers) underground participated in the study. Sit and reach test, back scratch test, Ito test, chair stand test and body mass index were used for physical fitness assessment. Low back pain disability was evaluated with Oswestry Disability Index and standing balance was evaluated with Biodex balance assessment device.

Results: Physical fitness values of individuals who work in different duties were similar (p>0.05). A negative statistical correlation was found between lumbar extensor endurance and low back pain disability in all subjects (p<0.05, r=-0.334). Dynamic standing balance scores correlated positively with the body mass index (p<0.05, r=0.279) and correlated negatively with right and left back scratch test values (p<0.05, r=-0.248; p<0.05, r=-0.292). There was no statistical correlation between static balance scores and physical fitness values (p>0.05).

Conclusion: In conclusion, because of presenting the relationship between physical fitness parameters, low back pain disability and standing balance, miners need to improve their physical fitness in terms of occupational health and safety. Therefore, effective use of exercise and physiotherapy among mine workers should be aimed. Thus, miner’s health could be protected better, production efficiency could be increased and work costs could be decreased.

Anahtar Kelimeler

Coal mining, Physical fitness, Low back pain, Postural balance, Exercise

Kaynakça

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