• 대한물리치료과학회지
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• 제30권4호
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• pp.29-43
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• 2023

Background: In the rehabilitation of stroke patients, regular physical activity is very important not only as a treatment for maximal functional recovery but also as a strategy to prevent the recurrence of stroke. The purpose of this study was to objectively measure the amount of physical activity in people with stroke, and to examine the differences in motor and cognitive function according to a level of physical activity. Design: A cross-sectional study. Methods: Physical activity (GENEActiv), motor function (Fugl-Meyer Assessment), cognitive function (Montreal Cognitive Assessment-Korean version), and the Korean version of Modified Barthel Index were evaluated in adult stroke patients with hemiplegia. Results: There was no statistically significant difference in the level of physical activity according to the motor and cognitive function. There was no statistically significant difference in motor and cognitive function according to the level of physical activity, but there was a statistically significant difference in the MBI (p<.01). Conclusion: As a result of the difference in the MBI according to the level of physical activity, it was found that the more moderate to vigorous physical activities are performed, the higher the independence in daily living. These results can be interpreted as that the more often you participate in physical activities such as physical therapy (gait training), the better your independence in ADL. Since regular physical activity participation of adult stroke patients can improve daily living performance, it is considered necessary to participate in physical activities such as continuous physical therapy.

• 대한간호학회지
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• 제42권2호
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• pp.199-206
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• 2012

Purpose: This study was done to identify the impact of physical activity on healthcare utilization among Korean adults. Methods: Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the $X^2$-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare. Results: Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors. Conclusion: An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.53-70
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• 2024

Background: The conventional deadlift is a popular exercise for enhancing trunk, core, and lower extremity strength. However, its use in sports medicine is constrained by concerns of lumbar injuries, despite evidence supporting its safety and rehabilitative benefits. To optimize muscle activation using resistive bands in variable resistance therapy, we explored their feasibility in the deadlift. Design: Comparative experimental design Methods: Surface electromyography recorded muscle activity in the trunk and lower extremities during lifting, with normalization to the isometric Floor Lift using Maximal Voluntary Contraction. Kinematics were measured using inclinometer sensors to track hip and trunk sagittal plane angles. To prevent fatigue, each subject only used one of the three pairs of bands employed in the study. Results: Our study involved 45 healthy subjects (mean age: 30.4 ± 6.3 years) with similar baseline characteristics, except for years of lifting and strength-to-years-of-lifting ratio. Various resistance band groups exhibited significantly higher muscle activity than conventional deadlifts during different phases. The minimal resistance band group had notably higher muscle activity in the trunk, core, and lower extremity muscles, particularly in the end phase. The moderate resistance band group showed increased muscle activity in the mid-and end-phases. The maximum resistance band group demonstrated greater muscle activity in specific muscles during the early phase and overall higher activity in all trunk and lower extremity muscles in the mid and end phases of the deadlift (p<0.05). Conclusion: Our findings provide valuable insights into muscle activation with various resistance bands during deadlift exercise in clinical and gym settings. There appears to be a dose-response relationship between increased resistance bandwidth, external load, myoelectric activation, and range.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.134-142
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• 2024

Objective: This study aimed to compare the subjective health status, physical activity index, and perceived stress rate of obese children with those of healthy children through propensity matching analysis and to use the results to help manage obese children. Design: Descriptive correlation study. Methods: This study conducted a secondary analysis using raw data from the National Health and Nutrition Examination Survey. Propensity matching (1:2) was conducted between obese and healthy adolescents. Results: The number of days of physical activity was 1.22 days for the obese adolescent group and 1.01 days for the non-obese adolescent group, which was higher in the obese group (p=0.003). The subjective health status was 3.43 and 3.81 in the obese and non-obese adolescent groups, respectively, showing a higher difference in the normal group (p<0.001). No statistical difference was observed in the perceived stress rate (p=0.871) or strength exercises (p=0.190) between the two groups. Conclusion: This study suggests the need for development measures to effectively improve youth physical activity, muscle-strengthening programs, stress management, and subjective health status in obese and normal groups.

• 대한간호학회지
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• 제45권4호
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• pp.483-494
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• 2015

Purpose: This study identified effects of dietary and physical activity interventions including dietary interventions or physical activity interventions alone or combined dietary-physical activity interventions to improve symptoms in metabolic syndrome including abdominal obesity, high triglycerides, low high density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose through meta-analysis. Methods: Articles on metabolic syndrome X published from 1988 to 2013 were searched through electronic databases, Google Scholar, and reference reviews. Methodological quality was assessed by the checklist, SIGN (Scottish Intercollegiate Guidelines Network). Results: In the meta-analysis, there were 9 articles reporting 13 interventions with 736 participants. Using random effect models, the dietary and/or physical activity interventions showed a lower mean difference in waist circumference ( - 1.30 cm, 95% CI: - 2.44~ - 0.15, p=.027). The combined dietary-physical activity interventions showed a lower mean difference in waist circumference ( - 2.77 cm, 95% CI: - 4.77~ - 0.76, p=.007) and systolic blood pressure ( - 5.44 mmHg, 95% CI: - 10.76~ - 0.12, p=.044). Additionally, interventions of over 24 weeks yielded a lower mean difference in waist circumference ( - 2.78 cm, 95% CI: - 4.69~ - 0.87, p=.004) and diastolic blood pressure ( - 1.93 mmHg, 95% CI: - 3.63~ - 0.22, p=.026). Conclusion: The findings indicate that dietary and/or physical activity interventions for metabolic syndrome reduce central obesity with no adverse effects. This finding provides objective evidences for dietary and physical activity management on metabolic syndrome as an efficient intervention.

• 한국학교보건학회지
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• 제31권3호
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• pp.196-202
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• 2018

Purpose: The purpose of this study was to analyze the relationship between physical activity and energy drinks consumption in Korean Adolescents. Methods: This study was a secondary data analysis using statistics from the 2017(13th) Korea Youth Risk Behavior Web-based Survey. The variables used in the study were physical activity, energy drinks consumption and socio-demographic characteristics such as gender, academic achievement, household economic status and weekly allowance. The data were analyzed by $x^2$ test and multinominal logistic regression and the results were presented in percentage. Results: As the number of days engaging in moderate and vigorous physical activities increased, the response that they consume energy drinks 'more than 5 times a week' also increased. The subjects who participated in a 'moderate' or 'high' level of moderate physical activity consumed 1.4 times more energy drinks than those who do not participate in physical activity. And the subjects who engaged in a 'low' or 'moderate' level of vigorous physical activity consumed about 1.3 times more energy drinks than those who don't work out. Conclusion: As the level and intensity of physical activity increased, the number and frequency of energy drinks consumption increased. The results of this study can be used as basic data for intervention programs to reduce energy drinks consumption and promote proper physical activity.

• Physical Therapy Rehabilitation Science
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• 제6권1호
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• pp.39-44
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• 2017

Objective: The purpose of this study is to show the effectiveness of performing squat exercises at various angles to show the maximum muscle activity of the Vastus Medialis Oblique (VMO) and Biceps femoris (BF). Design: Cross-sectional study. Methods: A total of seventeen healthy young adults (8 males and 9 females) voluntarily participated in the study. All subjects randomly performed three different squat variations as follows: A squat performed with the ankle joint at $0^{\circ}$ of incline, a squat performed with the ankle joint at $5^{\circ}$ of incline, and a squat performed with the ankle joint at $10^{\circ}$ incline. Muscle activity was measured using surface electromyography. Electrodes were placed on the VMO and BF to measure the muscle activity on the various ankle angles for comparison analysis. Results: There was a significant increase in bilateral VMO muscle activation at $10^{\circ}$ of incline compared to $0^{\circ}$ and $5^{\circ}$ (p<0.05). Greater increases in muscle activation and exercise effect was observed with increasing incline angles of the board. Changes in bilateral BF muscle activity were found; however, none were found to be significant. Conclusions: Bilateral VMO activity was found to be significant when the squats were performed at an ankle angle of $10^{\circ}$ of incline when compared to at an ankle angle of $0^{\circ}$ and $5^{\circ}$ of incline. Squats performed on an incline can be recommended as an effective method to facilitate lower extremity muscle activities.

• 농촌지도와개발
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• 제30권4호
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• pp.187-197
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• 2023

The study aims to identify factors related to landscape structure and socioeconomic characteristics that influence adults' physical activity and health. The study analyzes data from 148,643 respondents from the Korea Community Health Survey conducted in 2021. The study measures various factors, including the frequency of physical activity, stress, depression, and landscape metrics of forest patches. Hierarchical multiple regression analysis was used, controlling for socio-demographic characteristics. Larger forest patches and more irregular shapes are associated with higher levels of physical activity among adults. The percentage and area of the forest patch are associated with fewer mental health complaints. Configuration-related landscape metrics such as shape or arrangement of the forest patch did not show a significant association with physical activity. Overall, the study provides insights into how specific characteristics of forest patches in urban areas may influence physical activity and mental health among adults. It emphasizes the importance of green spaces and their potential positive effects on both physical and mental well-being.

• 대한물리치료과학회지
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• 제31권2호
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• pp.75-89
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• 2024

Background: The purpose of this study is to examine the mediating effect of life satisfaction and moderating effect of physical activity on the effect of adolescents' perceived positive parenting on depressed. In addition, the present study explores the role of life satisfaction and physical activity in the relationship between adolescents' perceived positive parenting and depressed, which may help in the reduction and control of adolescent depressed. Design: This study utilizes data from the 2021 Korean Children and Youth Panel Survey. Methods: First, positive parenting attitudes have a significant positive effect on life satisfaction. Second, life satisfaction has a significant negative effect on depressed. Third, life satisfaction has a mediating effect on the relationship between positive parenting and depressed. Fourth, physical activity has a significant negative effect on depressed. Fifth, physical activity has a moderating effect on the relationship between life satisfaction and depressed. Finally, this study confirmed the mediating effect of life satisfaction and moderating effect of physical activity on the relationship between positive parenting attitudes and depressed. Conclusion: This study confirmed that life satisfaction and physical activity are positive resources for depressed in adolescents. Therefore, a system that promotes a positive outlook on life and voluntary physical activity is necessary to prevent and overcome depressed. In addition, it shows the need for arts and physical education as well as entrance examination-oriented subjects in the curriculum. The results of this study may provide a basis for the therapeutic approach of mental health physiotherapy in the treatment of adolescent depressed.

• The Journal of Korean Physical Therapy
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• 제34권1호
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• pp.6-11
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• 2022

Purpose: This study investigated the muscle activity of the lower trapezius (LT) during three different shoulder flexion exercises. Methods: Twenty-three subjects between 20 and 25 years of age were enrolled. The subjects were asked to perform three different shoulder flexion exercises: 1) shoulder flexion in prone (SFP), 2) shoulder flexion in push-up with a swiss ball (SFPUS) and 3) shoulder flexion in a quadruped position with a swiss ball (SFQPS) in random order. The muscle activity of LT during each shoulder flexion exercise was measured by using surface electromyography. The muscle activity of LT was compared using one-way analysis of variance (ANOVA) and Bonferroni post hoc test among three different shoulder flexion exercises. The statistical significance level was set at α=0.01. Results: The muscle activity of LT was significantly different among three different shoulder flexion exercises (SFP, SFPUS, and SFQPS). The LT muscle activity with SFQPS exercise was greater than SFP and SFPUS exercises (p<0.01). There was no significant difference in LT muscle activity between SFP and SFPUS exercises (p>0.01). Conclusion: The LT muscle activity was greater during SFQPS than SFP and SFPUS. Therefore, SFQPS exercise can be recommended for selectively activation of LT muscle.