• 대한물리의학회지
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• 제7권3호
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• pp.283-291
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• 2012

Purpose : The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists' implementation of evidence-based practice for people with stroke. Methods : The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results : 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion : Lack of education, negative perceptions about research and physical therapists' role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.

• 대한물리의학회지
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• 제2권2호
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• pp.243-250
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• 2007

Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years. Methods : This study reviewed the literature to definite the management and a cause of shoulder subluxation with hemiplegia patients after stroke. Various modalities have been suggested for realigning the glenohumeral joint, but their use is controversial. The purpose of this paper is to review critically the evidence base in order to inform the clinical decision-making process for physiotherapists working in neurology. Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations. Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.67-76
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• 2015

Objectives: This study performed to verify Korea National Health and Examination Survey(KNHAES) to monitor recommended physical activity(PA) and to propose an monitoring tools for evidence-based PA projects. Methods: The characteristics of the Global Physical Activity Questionnaire(GPAQ) and its reliability and validity were overviewed based on the current scientific evidence in the field of PA. Relevant articles were identified through multiple sources including PubMed, Science Direct, Scopus, CINAHL, ASP, RISS4U, and KISS. Results: The GPAQ has strong points over the Short Form of International Physical Activity Questionnaire(IPAQ-SF) as a monitoring tool to meet recommended PA levels for three domains separately and reflecting a better understanding about walking. Its reliability and validity also were reported as acceptable in existing studies overall. Some limitations of this questionnaire, however, need to be addressed to improve its quality. Conclusions: For monitoring of evidenced-based physical activity projects, we considered that it is able to be provided an opportunity for in-depth discussion among academic experts and policy-makers about the necessity of complements for KNHAES and applying new tools, and it could be the basis for development of physical activity monitoring tool in the future.

• 산학경영연구
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• 제16권
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• pp.61-76
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• 2003

스포츠센터의 참여수요의 절대적인 증가로 공급자 중심에서 소비자 중심의 사업환경 변화에 따라서 노후화된 많은 스포츠센터는 시설규모 및 부대시설의 한계로 인한 이용의 혼잡성을 초래하여 소비자의 불만족요인으로 작용하고 있으며, 스포츠시설 공간과 운동기구 및 부대시설의 쾌적성 유지를 통한 소비자 만족도 향상을 위한 경영전략수립을 요구받고 있다. 따라서 본 연구에서는 상업용 스포츠센터의 물리적 증거의 중요성을 확인하고 이러한 물리적 증거가 전반적 서비스품질과 고객만족과 애호도에 어떠한 영향을 미치는지에 대해 고찰하여 마케팅 관리적 시사점을 도출하고자 실증분석을 실시하였다. 연구결과 물리적 증거요인이 스포츠센터의 서비스품질과 고객만족에 정(+)의 영향을 미치는 것으로 나타났고, 또한 유형적 단서들에 대한 긍정적 지각으로 형성된 서비스품질과 고객만족의 향상이 고객애호도로 연결되어 진다는 것을 확인할 수 있었다.

• 유통과학연구
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• 제11권11호
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• pp.57-61
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• 2013

Purpose - This study aimed to understand the influence of visible factors directly shown to and experienced by consumers such as physical evidence, and invisible factors obtained through acquaintances or other experienced consumers such as word-of-mouth, in the discount stores' marketing communication on impulse buying intention and store loyalty. Research Design, Data, and Methodology - This study examined the effect of factors in discount stores' marketing communication, for instance, physical evidence, word-of-mouth, and buying impulse intention. The questionnaire survey resulted in 68 completed questionnaires. Results - Physical evidence and word-of-mouth have a statistically significant positive effect on store loyalty. The results of regression analysis regarding whether visible or invisible factors have more impact showed that word-of-mouth has a statistically significant positive effect on store loyalty. With regard to impulse buying intention, only word-of-mouth was statistically significant. Conclusion These results suggested that visible and invisible factors that appeal to customers are very important. In particular, the results suggested that stores should create invisible factors (e.g., positive word-of-mouth) for their customers.

• Ocean and Polar Research
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• 제25권4호
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• pp.633-644
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• 2003

The distribution and abundance of Antarctic krill (Euphausia superba), particularly in the South Atlantic, has traditionally been viewed as primarily determined by the flow of the Antarctic Circumpolar Current. Krill are viewed as being particles on a conveyor belt that carries them around the Antarctic continent resulting in a single circumpolar population. The evidence to support this viewpoint is largely circumstantial and there is very little direct evidence available of krill being moved by the currents-krill flux. There is also considerable biological and physical evidence which suggests that other factors may play a dominant role in the life history and distribution of krill. This review examines the evidence fur krill flux and also examines evidence that does not accord with this theory. The management implications of assuming krill flux are outlined and some lines for future research are suggested.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7499-7503
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• 2014

Physical inactivity has reached epidemic levels in developed countries and is being recognized as a serious public health problem. Recent evidence shows a high percentages of individuals worldwide who are physically inactive, i.e. do not achieve the WHO's present recommendation of 150 minutes of moderate to vigorous intensity per week in addition to usual activities. Living in sedentary lifestyle is one of the leading causes of deaths and a high risk factor for several chronic diseases, like cancer, cardiovascular disease, diabetes type 2, and osteoporosis. This article summarizes evidence for relative risk of the civilization diseases attributable to physical inactivity and the most important conclusions available from the recent investigations computing the economic costs specific to physical inactivity. The findings provide health and economic arguments needed for people to understand the meaning of a sedentary lifestyle. This may be also useful for public health policy in the creation of programmes for prevention of physical inactivity.

• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.3993-4003
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• 2013

Scientific evidence for the primary prevention of cancer caused by physical activity of regular moderate-intensity or greater is rapidly accumulating in this field. About 300 epidemiologic studies on the association between physical activity and cancer risk have been conducted worldwide. The objectives of this paper were three-fold: (i) to describe briefly the components of physical activity and its quantification; (ii) to summarize the most important conclusions available from comprehensive reports, and reviews of the epidemiologic individual and intervention studies on a role physical activity in cancer prevention; (iii) to present proposed biological mechanisms accounting for effects of activity on cancer risk. The evidence of causal linked physical activity and cancer risk is found to be strong for colon cancer - convincing; weaker for postmenopausal breast and endometrium cancers - probable; and limited suggestive for premenopausal breast, lung, prostate, ovary, gastric and pancreatic cancers. The average risk reductions were reported to be 20-30%. The protective effects of physical activity on cancer risk are hypothesized to be through multiple interrelated pathways: decrease in adiposity, decrease in sexual and metabolic hormones, changes in biomarkers and insulin resistance, improvement of immune function, and reduction of inflammation. As there are several gaps in the literature for associations between activity and cancer risk, additional studies are needed. Future research should include studies dealing with limitations in precise estimates of physical activity and of a lack of consensus on what defines sedentary behavior of individuals and those linked with the proposed biomarkers to cancer risk and controlled exercise intervention trials.

• Journal of Preventive Medicine and Public Health
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• 제46권sup1호
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• pp.12-21
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• 2013

Several epidemiological studies have shown that exercise (EX) and physical activity (PA) can prevent or delay the onset of different mental disorders, and have therapeutic benefits when used as sole or adjunct treatment in mental disorders. This review summarizes studies that used EX interventions in patients with anxiety, affective, eating, and substance use disorders, as well as schizophrenia and dementia/mild cognitive impairment. Despite several decades of clinical evidence with EX interventions, controlled studies are sparse in most disorder groups. Preliminary evidence suggests that PA/EX can induce improvements in physical, subjective and disorder-specific clinical outcomes. Potential mechanisms of action are discussed, as well as implications for psychiatric research and practice.

• 대한물리치료과학회지
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• 제11권1호
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• pp.36-42
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• 2004

무릎 골관절염을 가진 환자에게 근거에 기초한 물리치료 접근법으로 15번 임상 치료하였다. 이 환자의 두가지 중요한 손상을 고려하여(stiffness and pain) 두가지의 물리치료 방법이 시행되었으며 그 결과는 Western Ontario and McMaster Universities osteoarthritis (OA) index (WOMAC)로 측정 되었다. 이 임상 연구를 통해 도수치료와 치료적운동법, 그리고 TENS(Transcutaneous Electrical Nerve Stimulation)의 적용이 무릎 골관절염을 가진 환자의 경직(stiffness)과 통증(pain)을 경감시킬수도 있으며 기능을 향상 시킬 수도 있음을 관찰할 수 있었다.