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    Öğe
    Analysis of occupational accidents and musculoskeletal system problems of butchers in Hatay
    (Ondokuz Mayis Universitesi, 2021) Öz, Fatma; Akkuş, Tuğçe; Keskin, Mahmut; Hallaçeli, Hasan
    Although musculoskeletal system injuries are frequently seen in the area of meat industry, studies on this topic are insufficient. The purpose of this study it to identify the occupational accidents and musculoskeletal problems of butcher shop workers in the city of Hatay. A survey consisting of 32 questions was given to 69 butchers who work in the city of Hatay with 38.20±1.32 in a face-to-face interview. Their social status, activities in the butcher shop, past injuries and activities after their injuries were questioned with the survey. It was determined that the butchers were most frequently injured in their hand and finger area (60.9%). It was determined that 40.6% of the butchers had an accident in the last 5 years; their injuries were mostly non-dominant hand injuries and infections were seen in 15.9% of the butchers after their injuries. It was found that the most frequent injuries took place during the hanging of carcasses; carelessness played an important role in getting injured; use of sharp tools led to injuries in 97.1% of the butchers and that 2.9% of the butchers were left with permanent handicaps after their injuries. It was determined that hand-finger injuries and back pain complaints were frequently seen in butcher shop workers and that they do not use any protective equipment to avoid injuries. Therefore, it was concluded that the necessary analyses need to be done on the butcher shop workers and that training should be provided for them on protective precautions and posture problems. © 2021 Ondokuz Mayis Universitesi. All rights reserved.
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    Öğe
    Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods
    (2020) Öz, Fatma; Çiçekcibaşı, Aynur Emine; Atcı, Nesrin; Keleş, Fatma Öztürk; Yucekaya, Bircan; Hüzmeli, Esra Doğru; Damlar, İbrahim
    Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p<0.05). The depth of the mandibular fossa was significantly shallower in the TMD group (p<0.05). The most commonly encountered condylar shape was convex in the TMD group (63.6%), but flat (58.8%) in the control group. No statistically significant relationship was observed between condyle type and fossa depth (p>0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.