Effect of Selected Yogic Practices on Pain and Disability in Patients with Lumbar Spondylitis.

AIM: The study was designed to find the effect of selected yogic practices on lumbar spondylitis. MATERIALS AND METHODS: This was a prospective, randomized study without a control trial. A total of 172 participants with lumbar spondylitis (age 21-79 years) from the outpatient department (OPD) of neurosurgery, AIIMS, Bhubaneswar, were randomly assigned to receive yoga therapy. The module of selected yogic practices consisted of pawanamuktasana series 1 (loosening and strengthening), asana, pranayama, and relaxation techniques Yoga Nidra. STATISTICS ANALYSIS: Within groups, comparison was done by paired t-test, and between groups, ANOVA test was carried out to determine the significant difference among the various groups under study. Correlation regression analysis was done to measure the degree of linear relationship between pre- and post-study for various groups. RESULTS: Significant differences were observed with yoga therapy in instant relieve practice group, in short-term practice group, and in long-term practice group (LTPG) with better results in LTPG. CONCLUSION: Selected yoga therapy has got the better result in management of pain in lumbar spondylitis.

Occupational hearing loss of the workmen of an open cast chromite mines.

BACKGROUND: The present work aimed at to describe hearing threshold based on audiometry data of the mine workers based on their age, work station and years of working of an open cast chromite mine in Odisha, India at high fence. MATERIALS AND METHODS: A cross-sectional study of hearing threshold of the subjects of the chromite mine was carried out. Audiometric data of 500 subjects were taken from the hospital of the mines of Sukinda Valley, Jajpur, Odisha, India. The latest audiometry data available during the period 2002 to 2008 was used in the statistical analysis. RESULTS: The age group 50-60 years is found to be the most influential age group suffering significant hearing loss on both the ears. Also, the Work Zone area is found to be most significant area affecting hearing loss on both the ears. However, the subjects having experience of 30-35 and 25-30 years have the most significant hearing loss on the left and right ears, respectively. CONCLUSION: The hearing loss is found to be at 6 kHz, thus the working areas of the subjects working at work zone should be regularly rotated in less noisy areas to reduce the exposure duration. High frequency noise protective device should be advocated among all the subjects in general and HEMMs operators in particulars. Regular audiometry test of all the subjects should be performed to identify the hearing loss of the subjects occurring at 6 kHz. It is essential to perform periodic maintenance of all the HEMMs to keep all the vehicles in good condition those are generating noise at dominating frequency of 4 and 6 kHz.

Hearing Threshold, Loss, Noise Levels and Worker's Profiles of an Open Cast Chromite Mines in Odisha, India.

OBJECTIVES: The aims of the study were to describe the noise levels at an open cast chromite mine in Odisha, India, and the hearing threshold of its workers and to associate their hearing loss with their age, work station and length of employment at the mine. METHODS: We performed a cross-sectional study of the hearing threshold of chromite mine workers. Audiometric data from 500 subjects was collected at the mines' hospital in the Sukinda Valley of Jajpur, Odisha, India. The latest audiometry data available for the period 2002 to 2008 was used in the analysis. Audiometric screening was performed using an audiometer (TRIVENI TAM-25 6025A) in a quiet environment by qualified technicians, audiologists or physicians. Tests were conducted on the subjects after they had completely rested for 16 hours or more after their day shift. RESULTS: A maximum of 262 subjects (52.4%) were employed in the work zone area and a minimum of 2 subjects (0.4%) had less than 5 years working experience. The age of the subjects ranged from 29 to 59 years and their working experience ranged from 4 to 37 years. The subjects' average mean hearing thresholds at 4, 6 and 8 kHz were 21.53 dBA, 23.40 dBA and 21.90 dBA, respectively. The maximum Leq and L90 levels exceeded the prescribed limits for commercial, residential and silence zones. The maximum Leq levels exceeded 95 dBA for large and medium heavy earth moving machineries (HEMMs), both outside and at the operator's position. Hearing loss due to the subjects' work experience was found to be greater than that attributable to age and workstation. CONCLUSION: In our study population, the maximum noise levels for large and medium HEMMs and inside the cabins of HEMMs were found to be more than 95 dBA. This indicates that operators in this particular chromite mine at Odisha, India were exposed to noise levels exceeding 95 dBA for more than 10% of the monitoring time. The subjects' hearing loss was also found to increase for every 10-year age interval and that for every 5 years of work experience at high fence. The subjects' age and experience are significantly associated with hearing loss at all levels for frequencies of 4.0, 6.0, and 8.0 kHz, with older and more experienced workers having a higher incidence of hearing loss.