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Title: Low back pain and lumbar angles in Turkish coal miners

Abstract

This study was designed to assess the incidence of low back pain among Turkish coal miners and to investigate the relationship between angles of the lumbar spine and low back pain in coal miners. Fifty underground workers (Group I) and 38 age-matched surface workers (Group II) were included in the study. All the subjects were asked about low back pain in the past 5 years. The prevalence of low back pain was higher in Group I than in Group II (78.0%, 32.4%, respectively, P {lt} 0.001). The results of the study showed that low back pain occurred in 78.0% of Turkish coal miners. Although the nature of the occupation may have influenced coal miners' lumbar spinal curvature, lumbar angles are not a determinant for low back pain in this population. Further extensive studies involving ergonomic measurements are needed to validate our results for Turkish coal mining industry.

Authors:
; ; ;  [1]
  1. Zonguldak Karaelmas University, Zonguldak (Turkey). Faculty of Medicine
Publication Date:
OSTI Identifier:
20885715
Resource Type:
Journal Article
Resource Relation:
Journal Name: American Journal of Industrial Medicine; Journal Volume: 50; Journal Issue: 2
Country of Publication:
United States
Language:
English
Subject:
01 COAL, LIGNITE, AND PEAT; COAL MINERS; TURKEY; PAIN; VERTEBRAE; SKELETON

Citation Formats

Sarikaya, S., Ozdolap, S., Gumustas, S., and Koc, U. Low back pain and lumbar angles in Turkish coal miners. United States: N. p., 2007. Web. doi:10.1002/ajim.20417.
Sarikaya, S., Ozdolap, S., Gumustas, S., & Koc, U. Low back pain and lumbar angles in Turkish coal miners. United States. doi:10.1002/ajim.20417.
Sarikaya, S., Ozdolap, S., Gumustas, S., and Koc, U. Thu . "Low back pain and lumbar angles in Turkish coal miners". United States. doi:10.1002/ajim.20417.
@article{osti_20885715,
title = {Low back pain and lumbar angles in Turkish coal miners},
author = {Sarikaya, S. and Ozdolap, S. and Gumustas, S. and Koc, U.},
abstractNote = {This study was designed to assess the incidence of low back pain among Turkish coal miners and to investigate the relationship between angles of the lumbar spine and low back pain in coal miners. Fifty underground workers (Group I) and 38 age-matched surface workers (Group II) were included in the study. All the subjects were asked about low back pain in the past 5 years. The prevalence of low back pain was higher in Group I than in Group II (78.0%, 32.4%, respectively, P {lt} 0.001). The results of the study showed that low back pain occurred in 78.0% of Turkish coal miners. Although the nature of the occupation may have influenced coal miners' lumbar spinal curvature, lumbar angles are not a determinant for low back pain in this population. Further extensive studies involving ergonomic measurements are needed to validate our results for Turkish coal mining industry.},
doi = {10.1002/ajim.20417},
journal = {American Journal of Industrial Medicine},
number = 2,
volume = 50,
place = {United States},
year = {Thu Feb 15 00:00:00 EST 2007},
month = {Thu Feb 15 00:00:00 EST 2007}
}
  • Twenty subjects (6 male, 14 female) with low back pain were examined by two experienced and licensed chiropractic doctors (E1 and E2). Both examiners examined the patients using a Toftness Electromagnetic Radiation Receiver (EMRR) and by manual palpation (MP) of the spinous processes. Interexaminer reliability was calculated at three sites (L3, L4, L5) for the following combinations: (a) E1,MP--E2,MP; (b) E1,EMRR--E2,EMRR; (c) E1,MP--E2,EMRR; and (d) E2,MP--E1,EMRR, and intraexaminer reliability was calculated for the following variables: (e) E1,MP--E1,EMRR; and (f) E2,MP--E2,EMRR. Results of a Kappa coefficient analysis for interexaminer reliability of the stated combinations and at the specific sites were: (a)more » -0.071, 0.400, 0.200; (b) -0.013, 0.100, -0.120; (c) 0.286, 0.300, 0.200; (d) -0.081, 0.000, 0.048. These results predominantly indicate a poor to fair interexaminer reliability. The results of a Kappa coefficient analysis for intraexaminer reliability of the stated combinations were: (e) 0.111, 0.400, 0.737; (f) 0.000, 0.100, 0.368. These results indicate a poor to fair reliability. It was concluded that in subjects with low back pain the EMRR may not be a reliable indicator of spinal joint dysfunction.« less
  • Back pain is the commonest cause of absence among coal miners. However, the degree of morbidity is variable. To determine whether the susceptible individual can be identified, ultrasound was used to measure the spinal canal diameters of 204 miners. The results show that those men with the longest histories and the longest times off work and those who had to leave the coalface or who left the industry--i.e., those with the greatest morbidity--had significantly narrower canals. Ultrasonic measurement of the spinal canal diameter is safe and noninvasive. Its use should be further evaluated as part of a preemployment screening proceduremore » for back pain.« less
  • Back pain is the commonest cause of absence among coal miners. However, the degree of morbidity is variable. To determine whether the susceptible individual can be identified, ultrasound was used to measure the spinal canal diameters of 204 miners. The results show that those men with the longest histories and the longest times off work and those who had to leave the coalface or who left the industry, i.e., those with the greatest morbidity, had significantly narrower canals. Ultrasonic measurement of the spinal canal diameter is safe and noninvasive. Its use should be further evaluated as part of a preemploymentmore » screening procedure for back pain. 7 references, 8 figures, 7 tables.« less
  • Purpose. The spine is an important source of pain and disability, affecting two thirds of adults at some time in their lives. Treatment in these patients is mainly conservative medical management, based on medication, physical therapy, behavioral management, and psychotherapy, surgery being limited to elective cases with neurologic deficits. This study was carried out to evaluate the efficacy of percutaneous nucleoplasty in patients affected by painful diskal protrusions and contained herniations. Methods. From February 2004 to October 2005, 72 patients (48 men, 24 women; mean age 48 years) affected by lumbar disk herniation were treated with nucleoplasty coblation. All patientsmore » were evaluated clinically and with radiography and MRI in order to confirm the presence of lumbalgic and/or sciatalgic pain, in the absence of major neurologic deficit and with lack of response after 6 weeks of conservative management. Results. Average preprocedural pain level for all patients was 8.2 (on a visual analog scale of 1 to 10), while the average pain level at 12 months follow-up was 4.1. At the 1 year evaluation, 79% of patients demonstrated a statistically significant improvement in numeric pain scores (p < 0.01): 17% (12 patients) were completely satisfied with complete resolution of symptoms, and 62% (43 patients) obtained a good result. Conclusion. Our data indicate that nucleoplasty coblation is a promising treatment option for patients with symptomatic disk protrusion and herniation who present with lumbalgic and/or sciatalgic pain, have failed conservative therapies, and are not considered candidates for open surgery.« less
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