Physical Classes Research Articles

Investigating introductory and advanced students’ difficulties with entropy and the second law of thermodynamics using a validated instrument

We use the Survey of Thermodynamic Processes and First and Second Laws-Long (STPFaSL-Long), a research-based survey instrument with 78 items at the level of introductory physics, to investigate introductory and advanced students’ difficulties with entropy and the second law of thermodynamics. We present an analysis of data from 12 different introductory and advanced physics classes at four different higher education public institutions in the United States in which the survey was administered in person to more than 1000 students. We find that a widespread unproductive tendency for introductory students to associate the properties of entropy with those of energy leads to many errors based on an idea of “conservation of entropy,” in which entropy increases are balanced by equal entropy decreases. For many of the more advanced students (calculus based and upper level), we detect a tendency to expect entropy increases even in processes in which the entropy does change. We observed a widespread failure to correctly apply the relationship ΔS=Qreversible/T, either by using it for processes to which it does not apply or by applying it incorrectly or completely neglecting it in reversible processes to which it does apply. We also noted that many introductory students are simply not aware that total entropy must increase in any “spontaneous” heat transfer process. Students at all levels were very frequently found to be confused that while net entropy (system+reservoir) in reversible isothermal processes does not change, the entropy of the working substance itself does indeed increase or decrease depending on whether the process is an expansion or compression. Our findings are broadly consistent with prior research findings in this area, expanding upon them and revealing previously unreported aspects of students’ thinking. Moreover, our results reflect several new problem contexts in addition to those reported in prior research, and our sample population includes large numbers of both introductory and advanced students. Our detailed findings related to common student difficulties with entropy and the second law of thermodynamics before and after traditional instruction in college physics courses can potentially help instructors of these courses improve student understanding of these concepts. These findings can also be valuable for developing effective research-based curricula and pedagogies to reduce student difficulties and help students develop a solid grasp of these fundamental thermodynamic concepts. Published by the American Physical Society 2024

Evaluation Method of Intelligent Teaching in Physical Training Classrooms Based on Multimedia Information Retrieval Technology

In different historical periods, people have different demands for Physical Education (PE), and the educational goal of school PE will also change, and the teaching mode and requirements of school PE will also be different. Multimedia information retrieval (IR) technology refers to searching in a large-scale multimedia database according to the content and context of media and media objects. In this paper, the Back Propagation instructional level of physical training class, and model is established. The BPNN is used to analyze the Multimedia IR data, and the simulation and experiment show the effectiveness of the assessment model, which provides a new method for comprehensively, fairly and scientifically evaluating the teaching work. This method is improved by 11.85% compared with the comparative assessment algorithms. The method of using BPNN to evaluate instructional level is easy to operate, which can overcome the shortcomings of traditional assessment methods, and avoid the complicated process of traditional assessment of instructional level.

The influence of magnetic fields and fluctuating currents in the complex of medical rehabilitation on the state of peripheral blood flow in the early postoperative period of breast cancer

Abstract. Taking into account the high prevalence of complications after radical surgical treatment of breast cancer, medical rehabilitation courses were developed and conducted in the early postoperative period (2–4 days after surgery) with the inclusion of physical factors: fluctuating currents, extended local magnetic therapy, general magnetic therapy, as well as physical therapy, training with biofeedback on the support reaction (balance therapy) and individual sessions with a medical psychologist. Purpose. In a comparative aspect, study the indicators of peripheral microcirculation to assess the effectiveness of various methods of magnetic therapy and fluctuarization in patients operated on for breast cancer in the early postoperative period. Material and methods. The study included 107 women operated on for breast cancer 2–4 days after surgery. Using simple randomization, the patients were divided into 3 groups, comparable in age, clinical and functional indicators; at all stages of the study, the patients underwent clinical, functional and laboratory examinations, and questionnaires. In the 1st group (n=35), in the early postoperative period, in the complex of medical rehabilitation, 10 fluctuarization procedures were carried out using an expanded technique; in the 2nd group (n=35), patients received 10 procedures of expanded magnetic therapy; in the 3rd group (n =37) patients received 10 procedures of general magnetic therapy. In addition to physiotherapy, all patients received a complex of physical therapy, balance therapy and classes with a medical psychologist. Results. In the early stages, fluctuating currents seemed more effective, which, due to chaotic changes in the frequency and amplitude of current pulses, help restore conduction along peripheral nerves and activate muscle fiber contractility, improving hemodynamics. It should be noted the effect of extended and general magnetic therapy on improving the contractility of the muscles of the upper limb and the conductivity of peripheral nerve fibers, as well as on the restoration of capillary blood flow. Early signs of the regeneration process are a restructuring of microvascular regulation, namely an increase in the contribution of nutritional blood flow, the activity of myogenic and neurogenic oscillations in hemodynamics, and an increase in blood flow activity.

Мотивация к выполнению норм комплекса ГТО и физическая подготовленность школьников старших классов

The purpose of the article was to identify the main motives that encourage schoolchildren to surrender the GTO standards. The completion of the degree of physical training, according to test exercises, using the GTO standards, as well as the survey of schoolchildren of grades 10-11 (16-17 years), presented the opportunity to indicate the general attitude to the GTO complex and its application in physical culture classes. Due to the studies, the level of physical fitness of schoolchildren of grades 10-11 was indicated and the degree of their readiness to fulfill the standards of the GTO complex was determined. The need for the development of the methodology of physical fitness of schoolchildren for the surrender of the standards of the GTO complex was revealed. During the analysis, according to the experiment, it was found that with the use of the developed complex, indicators of physical fitness have improved compared to the traditional methodology, which will motivate schoolchildren to systematic visits to physical education classes.

EVALUASI KEBUGARAN JASMANI MELALUI HARVARD STEP TEST PADA MAHASISWA PENJASKESREK FKIP UNIVERSITAS ABULYATAMA

Physical fitness is the body's ability to perform an activity without feeling excessive fatigue. Students in following a series of lectures have not shown good physical fitness performance. The effort made is to evaluate physical fitness through the Harvad step test. So that students can improve their training and detect their own fitness level. The purpose of this study was to evaluate physical fitness through the Harvard step test on physical education students health and recreation Faculty of Teacher Training and Education Abulyatama. This type of research is evaluative with a quantitative descriptive approach. Collecting data for this study through the Harvard step test. The population and sample of this study were 30 students of Physical Education Health and Recreation class 2022. The results showed physical fitness through the Harvard step test with an average of 33.47 (very poor), with the following details: 1) Moderate category with a frequency of 1 student (3.33%), 2) Less category with a frequency of 2 students (6.67%), and 3) Very less category with a frequency of 27 students (90.00%). The research concluded that the evaluation of physical fitness through the Harvard step test on students of physical education health and recreation of the Faculty of Teacher Training and Education Abulyatama was in the category of very poor

Synergizing teacher collaboration to foster active learning strategies, student engagement and achievement in physics: a unified analysis across nine countries

This investigation explores the nexus between professional teacher collaboration, active learning methodologies, teaching promoting student engagement in physics classes and physics achievement. Leveraging Trends in International Mathematics and Science Study Advanced 2015 data from 1729 physics instructors across nine countries, it probes the extent to which collaborative practices among teachers influence their teaching to enhance active learning and engagement. Analytical techniques include Spearman correlations, confirmatory factor analysis, and structural equation modeling. Results reveal a robust model, confirmed by a Comparative Fit Index of 0.989 and Tucker–Lewis Index of 0.988, suggesting a good fit with the empirical data, alongside a Root Mean Square Error of Approximation of 0.053. The analysis demonstrates that teacher collaboration (‘Collab’) significantly predicts active learning (‘Active’) with a notable effect (β = 0.344, p < 0.001), which in turn significantly enhances student engagement (‘Engage’) (β = 0.438, p < 0.001). Additionally, ‘Engage’ is also directly influenced by ‘Collab’ (β = 0.174, p < 0.001). Although the relationship between ‘Collab’ and physics achievement (‘Physics’) is weaker, it remains significant (β = 0.063, p = 0.019). These findings support the enhancement of teacher collaboration as a catalyst for active learning and student engagement, which could indirectly foster improvements in physics achievement globally.

Effect of oxygen supplementation on cognitive performance among HEMS providers after acute exposure to altitude: the HEMS II randomized clinical trial

ImportanceEmergency medical services (EMS) providers transiently ascend to high altitude for primary missions and secondary transports in mountainous areas in helicopters that are unpressurised and do not have facilities for oxygen supplementation. The decrease in cerebral oxygen saturation can lead to impairment in attention and reaction time as well as in quality of care during acute exposure to altitude.ObjectiveThe primary aim of the current study was to investigate the effect of oxygen supplementation on cognitive performance in Helicopter EMS (HEMS) providers during acute exposure to altitude.Design, setting, and participantsThis interventional, randomized, controlled, double-blind, cross-over clinical trial was conducted in October 2021. Each trial used a simulated altitude scenario equivalent to 4000 m, in which volunteers were exposed to hypobaric hypoxia with a constant rate of ascent of 4 m/s in an environmental chamber under controlled, replicable, and safe conditions. Trials could be voluntarily terminated at any time. Inclusion criteria were being members of emergency medical services and search and rescue services with an age between 18 and 60 years and an American Society of Anesthesiologists physical status class I.ExposuresEach participant conducted 2 trials, one in which they were exposed to altitude with oxygen supplementation (intervention trial) and the other in which they were exposed to altitude with ambient air supplementation (control trial).Main outcomes and measuresMeasurements included peripheral oxygen saturation (SpO2), cerebral oxygenation (ScO2), breathing and heart rates, Psychomotor Vigilance Test (PVT), Digit-Symbol Substitution Test (DSST), n-Back test (2-BACK), the Grooved Pegboard test, and questionnaires on subjective performance, stress, workload, and positive and negative affect. Paired t-tests were used to compare conditions (intervention vs. control). Data were further analyzed using generalized estimating equations (GEE).ResultsA total of 36 volunteers (30 men; mean [SD] age, 36 [9] years; mean [SD] education, 17 [4] years) were exposed to the intervention and control trials. The intervention trials, compared with the control trials, had higher values of SpO2 (mean [SD], 97.9 [1.6] % vs. 86 [2.3] %, t-test, p = 0.004) and ScO2 (mean [SD], 69.9 [5.8] % vs. 62.1 [5.2] %, paired t-test, p = 0.004). The intervention trials compared with the control trials had a shorter reaction time (RT) on the PVT after 5 min (mean [SD], 277.8 [16.7] ms vs. 282.5 [15.3] ms, paired t-test, p = 0.006) and after 30 min (mean [SD], 276.9 [17.7] ms vs. 280.7 [15.0] ms, paired t-test, p = 0.054) at altitude. While controlling for other variables, there was a RT increase of 0.37 ms for each % of SpO2 decrease. The intervention trials showed significantly higher values for DSST number of correct responses (with a difference of mean [SD], 1.2 [3.2], paired t-test, p = 0.035). Variables in the intervention trials were otherwise similar to those in the control trials for DSST number of incorrect responses, 2-BACK, and the Grooved Pegboard test.Conclusions and relevanceThis randomized clinical trial found that oxygen supplementation improves cognitive performance among HEMS providers during acute exposure to 4000 m altitude. The use of oxygen supplementation may allow to maintain attention and timely reaction in HEMS providers. The impact of repeated altitude ascents on the same day, sleep-deprivation, and additional stressors should be investigated.Trial registration NCT05073406, ClinicalTrials.gov trial registration.

Exploring the influence of leadership styles on psychological well-being and satisfaction of Pilates classes clients

BackgroundThe recent trend of increased indoor activities has significantly influenced daily life, enhancing the popularity of exercises like Pilates. This study explores how Pilates instructors’ leadership styles affect class satisfaction and psychological well-being, addressing the research gap concerning the specific impact of leadership within the context of Pilates classes.MethodsThe study surveyed 388 participants from 39 Pilates studios across South Korea, utilizing a questionnaire to assess leadership styles (transformational, transactional, and servant leadership), class satisfaction, and psychological well-being. Using statistical analyses, leadership styles were assessed for their correlation with class satisfaction and psychological well-being.ResultsFindings revealed that transformational and transactional leadership styles were positively correlated with class satisfaction and psychological well-being. Specifically, transformational leadership significantly enhanced educational satisfaction and personal growth, while transactional leadership most strongly influenced social satisfaction and the sense of purpose in life. Servant leadership was notably effective in improving physical class satisfaction. The study also highlighted the critical role of class satisfaction in promoting psychological well-being among participants.ConclusionThis research underscores the importance of leadership styles in enhancing the Pilates class experience, suggesting that instructors’ leadership approaches can significantly impact participants’ satisfaction and psychological well-being. The study advocates developing training programs that equip Pilates instructors with the skills to adopt effective leadership styles, fostering a more positive and fulfilling class environment.

Three years of COVID-19-related school restrictions and mental health of children and adolescents in Japan

During the 3 years of the COVID-19 pandemic, Japanese children had to live with strict mitigation measures at school, such as eating school lunches silently and wearing masks during physical exercise classes, even after those mitigation measures have been relaxed worldwide. Excursions and other school events were frequently cancelled, especially in 2020 and 2021. This study conducts a retrospective survey on school experiences to understand how the strict mitigation measures were related to children's mental health and well-being. Results revealed school excursion cancellation to be associated with a higher risk of developing depressive symptoms {odds ratio [OR] 1.543 [95% confidence interval (CI) 1.109–2.148]}, and high cancellation rate of other school events to be associated with dissatisfaction in school experience [OR 1.650 (95% CI 1.222–2.228)]. In the subsample analysis, we found that girls and children with no extracurricular activities tended to exhibit depressive symptoms due to the cancellation of school excursions. Overall, the study demonstrated that persistent strict mitigation measures at schools might be a key factor in understanding children’s mental health and psychological well-being during a long-lasting pandemic.

Physical literacy-based intervention for older adults: a cluster randomized controlled trial study protocol.

The ageing population creates concerns and challenges worldwide. The large number of older adults (aged over 65) in Hong Kong continues to rise as people live longer. This may result in heavy burdens on public services and problems such as a shortage of medical resources. The purpose of this study is to implement a physical literacy-based intervention among older adults in Hong Kong in order to achieve the goal of health promotion. A two-arm cluster randomized controlled trial will be employed in this proposed study. Ten daycare centers for the older adults in Hong Kong will be invited to participate in this study. The intervention group will receive functional fitness training and mastering physical literacy class twice a week with buddy peer support, and they will be asked to keep a reflective writing journal on a daily basis for 12 weeks in total. Participants will be evaluated at baseline (week 0), post-intervention (week 12), and at 6-week follow-up (week 18). This will consist of objective and self-reported measures covering elements within physical literacy (i.e., physical competence, motivation and confidence, knowledge and understanding) and also physical activity levels on an individual basis. The study intends to introduce a conceptual framework of physical literacy for the older adults through an intervention that allows older people to develop daily behaviour habits, which should promote active ageing for the older adults and greater self-esteem in later life. After this study, participants may share their positive experiences, and encourage their peers in the community to become physically literate in the future. In the long run, due to the feasibility and sustainability of these potential programs, this proposed study has the potential to connect seniors through social engagement and contribute to healthy living. Clinical trial approval from the National Library of Medicine (Reference number: NCT06137859).

VALIDITY OF GUIDED INQUIRY-BASED PHYSICS LEARNING MODULE

The learning resources used in learning physics class XI SMAN 1 Namorambe is only a package book. In fact, teachers and students are not satisfied with the existing learning resources, therefore a new learning resource is needed and is expected to meet the needs of teachers and students. This research focuses on the development of physics learning modules on sound waves material class XI SMA. This study aims to determine the validity level of the guided inquiry-based module on the subject of sound waves that have been developed. This research is an R &amp; D (Research and Development) development research using the 4-D model which has four main stages, namely the defining stage (define), the design stage (Design), the development stage (Development), and the dissemination stage (disseminate). The research instruments used are validation instruments consisting of validation instruments by material experts and media expert validation instruments. The results showed that the validity level of the guided inquiry-based physics learning module produced was on very valid criteria so it was feasible to use in learning.

Stress, Anxiety and Depression in First-year Medical Undergraduates and Coping Strategies Employed during COVID-19-induced Online Learning: A Cross-sectional Study from North India

Abstract Background: The COVID-19 pandemic, due to its rising uncertainties, was expected to negatively impact the overall psychological functioning of students undergoing first year of medical professional education with changing teaching styles and environmental restraints. Objective: The objective was to assess the impact of this stressful period on the first-year Bachelor of Medicine and Bachelor of Surgery (MBBS) students at an Institute of National importance in North India, by measuring their various emotional states such as stress, anxiety, depression and coping strategies. Methods: This was a descriptive cross-sectional study undertaken in first-year MBBS students who were admitted in February 2021 due to delay in the admission process. Their physical classes were suspended due to the onset of second wave of COVID-19 and underwent a significant shift from conventional classes to a hybrid teaching module involving online classes, minimal face-to-face contact with teachers and almost no practical exposure which is in contrast to the conventional teaching practices. Data collection was done during and in the aftermath of second wave of COVID-19 using the Depression, Anxiety and Stress Scale (DASS-21) to assess emotional state and the Brief-Coping Orientation to Problems Experienced Inventory to measure the coping strategies employed. Results: One hundred and twenty-five students were approached and 80 consented to participate. The 80 students were analysed. Elevated depressive symptomatology scores were found in 46% of students, of which 14% had scores falling in severe category. More than 62% had elevated anxiety scores, of which 26% had severe range of scores, and 37% students had elevated stress scores, of which more than 10% had severe range of scores. Venting, humour and self-blame were found to be the predominant facets of coping styles employed and they had a significant statistical correlation with all three subscales of DASS-21. Conclusion: The study found a significant prevalence of depressive, anxiety and stress symptomatology. These findings emphasise the need for mental health interventions and support programmes for medical college MBBS students to help them cope with the psychological impact of academic and personal stressors.

A Lonely Position. Misrecognition and Belonging Among International Adoptees in Norway

In this article, we use the concepts of recognition and misrecognition to shed light on the subtle manifestation of othering and racism experienced by international adoptees in Norway. Our aim is to deepen understanding of identity formation and belonging among adoptees by examining recognition and misrecognition within two key contexts: encounters with strangers and interactions within the adoptive family. Strangers often perceive adoptees as immigrants or foreigners, failing to recognize their middle-class identity and their belonging to Norway. This misrecognition underscores the intertwined nature of physical appearance, class, and national belonging. Moreover, misrecognition of Norwegian identity not only symbolically separates adoptees from the nation, but also from their adoptive families, compounding the effects of misrecognition. Paradoxically, while family members unequivocally view adoptees as Norwegians, this recognition sometimes entails misrecognition of adoptees’ experiences with othering and racism in the external world, which can lead to a sense of alienation within the family. The dynamics of recognition and misrecognition, both externally and within the intimate sphere, can converge to isolate adoptees, placing them in a lonely position.

Social Tie Benefits Framework for Older Adult Group Physical Activity

ABSTRACT We developed a framework of social benefits of participating in group physical activities for older adults to aid practitioners in translating concepts related to social benefits into the design and evaluation of group physical activities, and challenges to promoting social benefits. Using interpretive description, we developed a draft conceptual framework, which was further developed empirically using focus group data from 18 staff in roles related to promoting social benefits for older adults through group physical activities in a municipality with an Age-Friendly Cities strategy, and informed by interviews with 2 older adults with group physical activity experience. The framework delineated five categories of social benefits (role models, social networks, social participation, social connection, and social support) on a continuum of social tie strength. Challenges related to funding, evaluation, barriers to access, and limitations in knowledge and training. The framework has potential for building understanding of social benefits among practitioners across disciplines, and guiding practitioners to identify relevant social benefits for particular physical activity classes and align them with strategies and evaluation tools. It also has implications for research including developing techniques for training staff to promote social benefits, and for policy such as reducing silos in professional roles and funding.

The investigative learning and its daily applicability

This paper compares the effectiveness of collaborative teaching methods with traditional expository approaches in high school physics classes. Through bibliographical review, it discusses the definitions and differences between collaboration and cooperation to establish clear terminology. Initially, the paper examines the limitations of expository teaching methods and the benefits of collaborative teaching, drawing on Vygotsky’s concepts such as the Zone of Proximal Development (ZPD) and the idea of the most capable pair. It also looks at how these concepts are recommended for classroom use according to official Brazilian documents, like the National Common Core Curriculum (BNCC) and the Law of Guidelines and Bases of National Education (LDB 9394/96). Collaborative teaching through investigative methods significantly improves learning quality and helps students become more employable. Lastly, the paper compares investigative methodologies with approaches from other fields, such as group therapy and pair programming, to highlight their advantages and applicability.

Factors predicting STEM career interest: the mediating role of engagement and epistemic cognition in physics

ABSTRACT This study tested a conceptual model of factors contributing to students’ interest in science, technology, engineering, and mathematics (STEM) careers. The interrelations among STEM career interest, engagement in physics classes, epistemic cognition in physics, gender, the socioeconomic status (SES), and physics grade of students were investigated. A sample of 8513 high school students participated in the study. Latent-variable structural equation modelling was employed. The results revealed that STEM career interest was significantly related to engagement, epistemic cognition, gender, and SES. However, the prediction pattern was non-uniform across the different STEM domains. Thus, disciplinary differences were observed in the factors that significantly predict students' interest in careers. Mediation analysis revealed that student engagement mediated the relation of epistemic cognition and gender to STEM career interest and physics grade. Epistemic cognition mediated the relationship between SES and STEM career interest. Significant gender and SES-related differences were also observed and are discussed herein.

Gravity train of variable mass

The gravity train is a virtual vehicle that travels in a tunnel across Earth, and its motion due to only gravity is a simple harmonic oscillator. It can run at a constant velocity by appropriately exhausting fuel. In this case, the train obeys the equation of motion for a variable mass system. We discuss the mass and energy reduction of the gravity train during travel and find the optimal conditions for economical travel. This study is suitable for university students in physics classes.

Post-Pandemic Evaluation: Impact of Covid-19 Pandemic on Medical Students’ Mental Health, Self-Esteem, Social Interactions, and Academic Progression in Malaysia

Covid-19 pandemic has brought drastic and unprecedented challenges to the medical education and medical students, affecting them physically, mentally and emotionally. While progressing through the post-pandemic recovery phase, it is crucial to comprehensively evaluate the pandemic’s consequences and tackle the underlying problems. To investigate the impact of Covid-19 pandemic on medical students’ mental health, social well-being, and academic progression. A cross-sectional study was carried out with voluntary sampling of students from both government and private medical schools in Malaysia. A self-administered online survey form containing three validated psychological tools was distributed (Hospital Anxiety and Depression Scale HADS, Rosenberg Self-esteem Scale, NIH Toolbox Social Relationship Scales). There were also questions regarding the challenges faced by medical students and their academic performance during Covid-19 pandemic. Scores of each questionnaire were tabulated, analyzed and interpreted according to their specific cut-points. Two hundred and thirteen responses were received. 89.2% (n = 190) were domestic students while 10.8% (n = 23) were international students. Out of 32 medical universities in Malaysia, the participants were from 19 of them (9 public and 10 private universities). About half of the participants had contracted Covid-19 infection during the study period (n = 124, 58.2%). Majority had chosen “Lack of on-campus learning and training session causing incompetency” as the most relevant impact of Covid-19 on their academic progression (n = 85, 39.9%). Above 90% of participants passed their Final Academic Assessment in 2020 (91.5%) and 2021 (93.9%). About half of them (n = 86, 40.4%) were having symptoms considerable of anxiety while only 19.2% (n = 41) were having symptoms considerable of depression. Majority had normal self-esteem (n = 177, 83.1%). For social relationship, around two-third of them had great social support and companionship. However, more than half had social distress. The median for the period of time having absolute online classes, absolute physical classes and hybrid classes were 18, 4, and 9 months, respectively. Having absolute online classes of &gt;18 months was associated significantly with higher perceived hostility (16.49vs. 14.47, p = .012). In addition, being infected with Covid-19 was associated significantly with higher self-esteem (26.88vs. 25.85, p = .009). Large proportion of students were affected by Covid-19 pandemic. Absolute online classes has huge impact on emotions of medical students especially from the aspect of perceived hostility. Hence, implementation of online medical education during Covid-19 era requires modifications and improvements.

보디빌딩의 정체성 문제: 스포츠인가? 공연예술인가?

보디빌딩의 정체성 문제: 스포츠인가? 공연예술인가?

Nefopam as a multimodal analgesia in thoracoscopic surgery: a randomized controlled trial.

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive procedure. However, some patients still experience severe pain after VATS. Pain after VATS can disturb deep breathing and coughing, and can increase postoperative pulmonary complications. Therefore, multidisciplinary pain management is emphasized for enhanced recovery after VATS. Nefopam is a centrally-acting, non-opioid, non-steroidal analgesic drug, and its pain reduction effect in many surgeries has been reported. We sought to determine whether administration of nefopam is effective as multimodal analgesia in VATS. This study enrolled patients aged 19 years or older, and scheduled for elective VATS lobectomy with American Society of Anesthesiologists (ASA) physical class I-III. Forty-six participants were randomly divided into a group receiving nefopam (group N), and a control group (group O) in a 1:1 ratio. The study participants, and the researcher collecting the data were blinded to the group allocation. For the group N, nefopam 20 mg was administered before surgical incision and also at the end of surgery while chest tube was inserted. For the group O, normal saline 100 mL was administered. The primary outcome of this study was the pain score, by verbal numerical rating scale, at rest and upon coughing. Forty-five participants (group N =22, group O =23) were involved in the statistical analysis. Nefopam reduced pain at rest at 0 h [8 (IQR, 5-10) vs. 4 (IQR, 2-7), P=0.01], and at 0-1 h [5 (IQR, 5-8) vs. 3 (IQR, 2-5), P=0.001]. Pain upon coughing decreased with nefopam at 0 h [9 (IQR, 6-10) vs. 6 (IQR, 2-8), P=0.009], 0-1 h [6 (IQR, 5-8) vs. 5 (IQR, 2-6), P=0.001], and at 12-24 h [4 (IQR, 3-7) vs. 3 (IQR, 1-4), P=0.03]. Injection of 20 mg of nefopam before incision and at the end of surgery relieved postoperative pain at 0 h, 1 h at rest and at 0 h, 1 h, 12-24 h with coughing after VATS. Therefore, nefopam can serve as a useful component of multimodal analgesia for pain management after VATS. ClinicalTrials.gov (NCT05173337).