• 대한간호학회지
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• 제50권2호
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• pp.242-254
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• 2020

Purpose: The purpose of this study was to examine the effects of smart-phone app-based walking exercise programs for taxi drivers on self-efficacy and outcome expectations for exercise, health-related quality of life, walking as an exercise, and physiological indexes. Methods: A nonequivalent control group with a pre-post-test design was used. The subjects were recruited in G metropolitan city. Subjects were assigned to the experimental (n=31) or control groups (n=30). The smart phone app-based walking exercise program consisted of educations via the app, twelve short message services, and one individual telephone counseling session, which was spread over 12 weeks. Results: Self-efficacy, outcome expectations, and health-related quality of life had significantly higher pre-post test differences in scores in the experimental group. Additionally, blood pressure, body mass index, and waist circumference had significantly decreased prepost-test difference levels in the experimental group. Walking as an exercise (which consisted of days walked, number of steps walked, and amount of time walked) had significantly increased in the experimental group after 7~12 weeks in the period following the intervention program rather than 1~6 weeks after the program. Conclusion: The smart phone app-based walking exercise program based on the self-efficacy theory demonstrates a significant effect on improving self-efficacy, outcome expectations physical activities, and health-related quality of life for taxi drivers. Therefore, it is recommended to actively use the program as a tool to promote self-efficacy, physical activities, and health behaviors in taxi drivers.

• 대한물리의학회지
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• 제15권3호
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• pp.51-59
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• 2020

PURPOSE: The purpose of this study was to provide clinical basic data to reduce pain and improve function by comparing neck muscle activity and neck alignment using self-stretching and passive stretching exercises for chronic neck pain caused by forward head posture. METHODS: The subjects were divided into 15 subjects assigned to perform self-stretching exercise and 15 subjects assigned to perform passive stretching exercise. The intervention was conducted for a total of 4 weeks. The muscle activity in the neck was measured by surface electromyography (EMG) before intervention, and craniovertebral and cranial rotation angles were measured by X-ray. The 4-week intervention was conducted and the above items re-measured in the same manner and analyzed. RESULTS: Muscle activity within both groups after intervention using self-stretching or passive stretching exercise was significantly different (p < .05)(p < .01). Neck alignment of both groups was significantly different (p < .001)(p < .01). Further, muscle activities of the upper trapezius and splenius capitis muscles showed significant differences (p<.05). Lastly, neck alignment showed statistically significant difference (p < .05). CONCLUSION: Self-stretching exercise activated motor nerves as a posture correction exercise, thereby improving inhibition of muscle activity, muscle contraction delay, and pathological conditions of the muscle. For future research, interventions of self-stretching exercise will be needed for patients with chronic back pain accompanied by forward head posture, and various clinical studies on postural improvement of forward head posture by maintaining a normal muscle tone state are needed.

• 한국컴퓨터정보학회논문지
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• 제23권10호
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• pp.143-149
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• 2018

The purpose of this study was to construct and validate a middle - aged exercise adherence model. The model was designed based on self - determination theory. Participants were 215 middle-aged men and women aged 40-60 who had been exercising for more than six months. Data was collected from four big cities of Seoul, Busan, Gwangju and Daejeon in Korea, using a questionnaire consisting of basic psychological needs, intrinsic motivation, social support, and exercise adherence. Data were analyzed with SPSS 19.0 and AMOS 20.0. Social support and exercise adherence of the questionnaire were partially revised and verified by confirmatory factor analysis. The results of the study were as follows. The model's fit indices: GFI = .938, AGFI) = .915, NFI = .912, CFI = .941, and RMSEA = 0.041. The model satisfied the model fit of the structural model equation. This study model based on self - determination theory was confirmed that basic psychological needs, intrinsic motivation, and social support were important factors for the middle - aged's exercise adherence. Basic psychological need and intrinsic motivation had a direct influence on the adherence of exercise, and social support indirectly influenced the exercise adherence through intrinsic motivation. Both basic psychological needs and social support directly affected internal motivation. The most influential factor in the middle - aged's exercise adherence was intrinsic motivation. In conclusion, it was found that intrinsic motivation such as interest and fun is important for the middle - aged to continue the exercise. Also, the basic psychological needs were important for middle aged's exercise adherence. The results of this study will provide basic data for restoring or maintaining health by continuing exercise. Strategies that enhance intrinsic motivation are needed when a chronic ill person needs to continue long-term exercising.

• 기본간호학회지
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• 제15권4호
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• pp.467-474
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• 2008

Purpose: To examine the effects of Tai Chi exercise (TCE) on depression, quality of life and self-efficacy in patients with Parkinson's disease (PD). Method: A nonequivalent control-group pre and posttest design was used. Of the 30 participants 15 were assigned to the experimental group and 15 to the control group. The experimental group participated in 8 weeks of TCE which included one day of exercise with instructor on site and 3 days of self-exercise at home guided by a videotape. Results: The 8 weeks of TCE were found to be significantly effective in enhancing quality of life and self-efficacy. However there was no significant difference in the level of depression. Conclusion: These results suggest that TCE has positive effect on quality of life and self-efficacy in patients with PD. Research over an extended period with the TCE intervention is recommended to identify further effects.

• 근관절건강학회지
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• 제15권2호
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• pp.130-139
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• 2008

Purpose: The purpose of this study was to examine the effect of Tai Chi exercise on muscle strength, grip strength, flexibility, pain, depression and self-efficacy in patients with osteoarthritis. Method: With a quasi-experimental design, 46 persons with osteoarthritis were assigned into an experimental group (n=22) or a control group (n=24). Muscle strength, grip strength, flexibility, pain, depression and self-efficacy were measured both before and after the exercise. Data were analyzed with SPSS WIN using descriptive statistics, t-test, and ANCOVA. Results: The mean age of the subjects was 68 years in the experimental group and 64 years in the control group. After controlling for age and pre-test outcome variables, muscle strength scores (F=-14.8, p= .00), grip strength scores (Rt: F=8.40, p= .01), and self-efficacy (F=47.3, p= .00) improved more in the experimental group than the control group. Joint pain scores (F=15.0, p= .00) and depression scores (F=14.7, p= .00) decreased in the experimental group. Conclusion: Tai Chi exercise is likely to be an effective nursing intervention to improve muscle strength, grip strength, and self-efficacy and reduce pain and depression for patients with osteoarthritis.

• 한국직업건강간호학회지
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• 제13권2호
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• pp.130-139
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• 2004

Purpose: The purpose of this study is to examine the effect of stretching exercise education on female workers' behavior for preventing musculoskeletal diseases. Method: This study educated occupational health nurses working in Seoul and Kyunggi area for stretching exercise methods and then had them educate female workers in each workplace for the stretching exercise methods. The subjects of this study were 205 female workers and the research period was from June to October 2003. Results: The female workers' self-efficacy on stretching exercise increased significantly. The female workers' perceived susceptibility on stretching exercise increased significantly. As for change in practical intention on preventive behavior for musculoskeletal diseases, those who replied to have a plan to exercise regularly and to want to participate in stretching exercise class increased significantly. According to whether to have subjective musculoskeletal symptoms or not, self-efficacy increased significantly after education in both workers with such symptoms and those without, and perceived susceptibility and cue to action increased significantly after education in workers without such symptoms. Conclusion: It is necessary to develop programs to increase self-efficacy and health belief and to apply them to female workers to prevent musculoskeletal diseases. In addition, it is necessary to provide repeated education for female workers' steady practice of preventive behavior.

• 대한정형도수물리치료학회지
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• 제16권2호
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• pp.48-52
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• 2010

Object: The aim of this study is to descrive the effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients(CTS) Method: 13 patients with CTS participated in this study. They were from 18 to 70 years old and mean age was 25.3. In the evalutaion, gripping with grip dynamometer, strength of gripping with precision pinchmeter, pain level with visual analogue scale. All measurement of each subject were measure at pre- treatment and post treatment(after 1week) and post treattment(after 2 weeks) stage. The physical therapy program consisted of neurodynamic technique and self management exercise. SPSS 12.0 program was used to compile result. Result: The grip, pinch, VAS-P were significantly difference between pre-treatment and post treatment(after 2weeks)(p<.05) Conclusion: This study suggest that 3weeks neurodynamic technique and self management exercise improved grip and pinch strength and decrease pain score.

• 부모자녀건강학회지
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• 제11권1호
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• pp.61-72
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• 2008

This study is a descriptive research attempted to examine the exercise practice of junior high school students and figure out their changing process, decision-making balance, and self-efficacy according to the exercise practice so that they can be utilized as fundamental data for developing exercise intervention programs for junior high school students. The study subjects were students from five junior high schools in B City. Total 600 questionnaires were distributed, and 554 responded ones were analyzed. The collected data were analyzed using SPSS/Win 10.0. According to the results of analyzing the subjects with the exercise changing stage tool, exercise non-practice group including the precontemplation stage, contemplation stage, and preparation stage occupies 57.6% while the exercise practice group including the action stage and maintenance stage consists of 42.4%. And according to the results of discriminating analysis setting total 10 factors of transtheoretical model variables as predictive factors to predict each group based on whether they practice exercise or not, it was found out that the subordinate factors of the changing process, consciousness-raising (F=33.98, p=.000), self-cognitive decision (F=21.55, p=.000), contrary condition provision (F=84.67, p=.000), helping relationship (F=28.52, p=.000), reinforced thinking (F=14.15, p=.000), and stimulus control (F=54.64, p=.000), and the subordinate factors of the decision-making balance, beneficial factors (F=15.65, p= .000) and hindering factors (F=8.58, p=.004), and self-efficacy (F=78.60. p=.000) were significant predictive factors and discriminating variables. Based on the research findings above, it will be necessary to develop exercise intervention programs sufficiently reflecting the changing process, decision-making balance, and self-efficacy suitably for the subjects and make strategies to encourage their active participation and exercise maintenance, through verifying transtheoretical model variables according to whether the junior high school students practice exercise or not.

• 근관절건강학회지
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• 제18권2호
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• pp.238-248
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• 2011

Purpose: The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method: The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with ${\chi}^2$-test, t- test, Repeated measures ANOVA using the SPSS program. Result: There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion: Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4588-4597
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• 2012

본 연구는 관절염 환자의 통증 및 운동 장애성 지각과 관련 요인을 파악하기 위하여 대전광역시 C대학병원에 관절염으로 내원하는 환자 중 설문에 동의한 류마티스 관절염 환자군 89명과 골관절염 환자군 51명, 총 140명을 대상으로 2011년 2월부터 9월까지 자가기입식 설문조사를 실시하여 다음과 같은 결과를 얻었다. 모든 환자군의 운동 장애성 지각 정도는 교육수준과 가구총소득(월)이 낮을수록 높았다. 류마티스 환자군의 통증 정도는 주관적 건강 상태가 나쁠수록, 운동 장애성 지각 정도는 관절염 외 다른 질환을 가지고 있는 경우와 주관적 건강 상태가 나쁠수록 높았다. 골관절염 환자군의 통증 정도는 관절염 유병기간이 길수록, 주관적 건강 상태가 나쁠수록 높았다. 모든 환자군의 운동 장애성 지각 정도는 운동단계가 계획 전 단계로 갈수록 높게 나타났다. 다중회귀분석을 실시한 결과 모든 환자군의 통증에 가장 영향력이 큰 변수는 주관적 건강 상태에서 '매우 나쁨'이었다. 다변량 회귀분석에서 운동 장애성 지각에 영향을 주는 변수는 류마티스 환자에서 운동단계, 교육수준이 있었고, 골관절염 환자는 운동단계, 가구총소득(월)이 있었다. 결론적으로 관절염 환자의 통증 및 운동 장애성 지각 정도는 교육수준, 가구총소득(월), 주관적 건강상태, 운동단계 등 여러 변수들과 관련성이 있었으며, 앞으로 운동 프로그램을 개발할 때 이런 변수를 고려할 필요가 있다는 것을 시사해 준다.