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저항성 운동에서 Valsalva Maneuver 호흡기법의 효과와 위험성

Effects and Risks of Valsalva Maneuver Respiration Technique during Resistance Exercise

김주영|한아름|김승현|이용수|이명천|양상진|이건재
대한운동학회 (Korean Acadaemy of Kinesiology)|2013.04|아시아 운동학 학술지 (The Asian Journal of Kinesiology)|제15권 제2호|pp. 35-46|DOI 10.15758/jkak.2013.15.2.35

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발살바 메뉴버 호흡기법저항성 운동Valsalva mameuver respiration techniqueResistance exercise

초록

[서론] 발살바 메뉴버 호흡기법은 성문을 닫고 흉곽과 복부의 압력을 높이는 것으로 저항성 운동에서 많이 사용된다. 발살바 메뉴버 호흡기법에 대한 효과가 선행연구를 통해 다양하게 보고되고 있지만 그에 따른 위험성 또한 보고되고 있어 아직까지도 논란이 되고 있다. [방법] 본 연구는 발살바 메뉴버 호흡기법에 대한 선행연구를 고찰하여 발살바 메뉴버 호흡기법의 기전에서부터 효과, 위험성, 권고사항 등을 살펴보았다. [결과] 저항성 운동에서의 발살바 메뉴버 호흡기법은 척추의 안정성을 확보하여 무거운 중량을 들어 올리는데 있어서 도움을 주며 저항성 운동 기술의 효과적인 수행을 가능하게 하고 부상의 위험성을 감소시킬 수 있지만 급격한 혈압 변화, 안과 질환, 뇌혈류 변화 및 뇌압 상승 등의 위험성 또한 가지고 있다. [결론] 운동사들은 저항성 운동 전 반드시 운동 참여자에게 기초적인 호흡기법부터 교육해야 하고 발살바 메뉴버 호흡기법과 관련한 권고사항을 잘 전달할 수 있어야 한다. 그리고 운동 참여자와의 상담을 통해 병력에 대한 정보를 정확하게 파악하고 발살바 메뉴버 호흡기법의 적용에 있어서 개별성을 고려해야 저항성 운동에서의 안전뿐만 아니라 운동 효과를 극대화시킬 수 있을 것이다.

Abstract

[INTRODUCTION] The pressure in the abdomen and the thoracic with closing the glottis by Valsalva maneuver respiration technique. Valsalva maneuver respiration technique is often used for resistance exercise. Since both advantageous effects and risks have variously been reported from previous studies, the Valsalva maneuver respiration technique is still in the middle of controversy. [METHOD] This study includes previous studies dealing the Valsalva maneuver respiration technique and other issues regarding Valsalva maneuver respiration technique to its effects, risks and recommendations. [RESULT] In resistance exercises, this respiration technique increase the stability of spine, so it helps for the person to lift heavy weight, therefore, resistance exercise skills are effectively performed and risks of injury is reduced. However, this respiration technique has the risks such as rapid change in blood pressure, eye diseases, change in amount of cerebral blood flow, and increase of intracranial pressure. [CONCLUSION] An exercise specialist must educate the basic respiration technique to the exercise participants before starting the resistance exercise and can effectively deliver the recommendations related to the Valsalva maneuver respiration technique. And the exercise specialist should accurately grasp the information about the participant's medical history through the counseling and should consider the individuality in applying the Valsalva maneuver respiration technique to different participants in order to secure the safety in doing exercise and to maximize the exercise effects.

참고문헌 (57)

  1. 곽혜원, "Valsalva Maneuver에 따른 정상 성인의 지속적 혈류역동 변화", Journal of korean biological nursing science, 11(1), pp.68~76 (2009), 기초간호학회
  2. 송해윤, "고부하 역기 운동시 체위 변화에 따른 안압변화", 대한안과학회지, 50(12), pp.1831~1839 (2009), 대한안과학회
  3. 한상철, "대학 보디빌딩 선수들의 중량 저항운동시호흡법이 혈압에 미치는 영향", 한국여성체육학회지, 10(1), pp.63~68 (1996)
  4. 정일규, "운동형태 및 valsalva maneuver가 뇌혈류에 미치는 영향", 한국사회체육학회지, (23), pp.403~410 (2005), 한국사회체육학회
  5. 정의윤, "역기를 든 후 반복적으로 발생한 발살바망막증 1예", 대한안과학회지, 45(6), pp.25~25 (2004), 대한안과학회
  6. Baechle, T. R., "Essentials of strength training and conditioning" (2008), Human Kinetic
  7. Balbay, Y., "Effects of Valsalva maneuver on QT dispersion in patients with ischemic heart diseases", Angiology, 52(11), pp.735~741 (2001)
  8. Carlson, A. P., "Large cerebellar hemorrhage during trumpet playing: importance of blood pressure elevation during the valsalva maneuver: case report", Neurosurgery, 62(6), pp.E1377~ (2008)
  9. Childs, J. D., "The Impact of the Valsalva maneuver during resistance exercise", Strength and Conditioning Journal, 21(2), pp.54~55 (1999)
  10. Cholewicki, J., "Lumbar spine stability can be augmented with an abdominal belt and", or increased intra-abdominal pressure, 1999, pp.8(5), 388~395
  11. Cresswell, A. G., "Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man", Acta Physiologica Scandinavica, 144(4), pp.409~418 (1992)
  12. Dickerman, R. D., "Intra-ocular pressure changes during maximal isometric contraction: does this reflect intra-cranial pressure or retinal venous pressure?", Neurological Research, 21(3), pp.243~246 (1999)
  13. Dickerman, R. D., "Middle cerebral artery blood flow velocity in elite power athletes during maximal weight-lifting", Neurological Research, 22(4), pp.337~340 (2000)
  14. Essendrop, M., "Increase in spinal stability obtained at levels of intra-abdominal pressure and back muscle activity realistic to work situations", Applied Ergonomics, 33(5), pp.471~476 (2002)
  15. Essendrop, M., "Intra-abdominal pressure and activation of abdominal muscles in highly trained participants during sudden heavy trunk loadings", Spine, 29(21), pp.2445~2451 (2004)
  16. Findley, B. W., "Is the Valsalva Maneuver a Proper Breathing Technique?", Strength and Conditioning Journal, 25(4), pp.52~53 (2003)
  17. Finnoff, J. T., "Acute hemodynamic effects of abdominal exercise with and without breath holding", Archives of Physical Medicine and Rehabilitation, 84(7), pp.1017~1022 (2003)
  18. Gauchotte, G., "MDCT in the lateral decubitus position with Valsalva maneuver in the evaluation of abdominal wall hernias", Journal de Radiologie, 89(9 Pt 1), pp.1113~1116 (2008)
  19. Gindea, A. J., "Doppler echocardiographic flow velocity measurements in the superior vena cava during the Valsalva maneuver in normal subjects", American Journal of Cardiology, (20), pp.1387~1391 (1990)
  20. Hackett, D. A, "The Valsalva maneuver: Its effect on IAP and safety issues during resistance exercise", Journal of Strength and Conditioning research (2012)
  21. Hagins, M., "The effects of breath control on intra-abdominal pressure during lifting tasks", Spine, 29(4), pp.464~469 (2004)
  22. Harman, E. A., "Intra-abdominal and intra-thoracic pressures during lifting and jumping", Medicine and Science in Sports and Exercise, 20(2), pp.195~201 (1988)
  23. Hassan, M., "Valsalva haemorrhagic retinopathy after push-ups", Lancet, 377(9764), pp.504~ (2011)
  24. Haykowsky, M. J., "Aneurysmal subarachnoid hemorrhage associated with weight training: three case reports", Clinical Journal of Sport Medicine, 6(1), pp.52~55 (1996)
  25. Haykowsky, M., "Left ventricular wall stress during leg-press exercise performed with a brief Valsalva maneuver", Chest, 119(1), pp.150~154 (2001)
  26. Haykowsky, M. J., "Resistance exercise, the Valsalva maneuver, and cerebrovascular transmural pressure", Medicine and Science in Sports and Exercise, 35(1), pp.65~68 (2003)
  27. Hemborg, B., "Intra-abdominal pressure and trunk muscle activity during lifting. IV. The causal factors of the intra-abdominal pressure rise", Scandinavian Journal of Rehabilitation Medicine, 17(1), pp.25~38 (1985)
  28. Ikeda, E. R., "The valsalva maneuver revisited: the influence of voluntary breathing on isometric muscle strength", Journal of Strength and Conditioning Research, 23(1), pp.127~132 (2009)
  29. Jellinek, E. H., "The Valsalva manoeuvre and antonio valsalva (1666-1723)", Journal of the Royal Society of Medicine, 99(9), pp.448~451 (2008)
  30. Jones, S. L., "Sudden retrosternal pain in a young weight lifter", Hospital Practice, 32(7), pp.158~159 (1997)
  31. Kawabata, M., "Changes in intra-abdominal pressure and spontaneous breath volume by magnitude of lifting effort: highly trained athletes versus healthy men", European Journal of Applied Physiology, 109(2), pp.279~286 (2010)
  32. Kocak, N., "Unilateral Purtscher-like retinopathy after weight-lifting", European Journal of Ophthalmology, 13(4), pp.395~397 (2003)
  33. Krings, J., "Effects of the Valsalva Maneuver on Postexercise Hypotension in Resistance Trained, College Age Students", Journal of Undergraduate Kinesiology, 2(2), pp.19~24 (2007)
  34. Lepley, A. S., "Effects of weightlifting and breathing technique on blood pressure and heart rate", Journal of Strength and Conditioning Research, 24(8), pp.2179~2183 (2010)
  35. Linsenbardt, S. T., "Effect of breathing techniques on blood pressure response to resistance exercise", British Journal of Sports Medicine, 26(2), pp.97~100 (1992)
  36. Looga, R., "The Valsalva manoeuvre--cardiovascular effects and performance technique: a critical review", Respiratory Physiology and Neurobiology, 147(1), pp.39~49 (2005)
  37. MacDougall, J. D., "Arterial blood pressure response to heavy resistance exercise", Journal of Applied Physiology, 58(3), pp.785~790 (1985)
  38. Matsuyama, T., "Perimesencephalic nonaneurysmal subarachnoid hemorrhage caused by physical exertion", Neurologia medico-chirurgica, 46(6), pp.277~281 (2006)
  39. Nachemson, A. L., "Valsalva maneuver biomechanics. Effects on lumbar trunk loads of elevated intraabdominal pressures", Spine, (5), pp.476~479 (1986)
  40. Narloch, J. A., "Influence of breathing technique on arterial blood pressure during heavy weight lifting", Archives of Physical Medicine and Rehabilitation, 76(5), pp.457~462 (1995)
  41. McArdle, W. D., "Exercise Physiology: Energy, Nutrition, and Human Performance" (1981), Lea & Febiger
  42. Niewiadomski, W., "Effects of a brief Valsalva manoeuvre on hemodynamic response to strength exercises", Clinical Physiology and Functional Imaging, 32(2), pp.145~157 (2012)
  43. O’Connor, P., "Effects of breathing instruction on blood pressure responses during isometric exercise", Physical Therapy, 69, pp.757~761 (1989)
  44. Ogren, J. A., "Impaired cerebellar and limbic responses to the valsalva maneuver in heart failure", Cerebellum, 11(4), pp.931~938 (2012)
  45. Porth, C. J., "The Valsalva maneuver: mechanisms and clinical implications", Heart & Lung : The Journal of Critical Care, 13(5), pp.507~518 (1984)
  46. Rafuse, P. E., "Effects of Valsalva's manoeuvre on intraocular pressure", Canadian Journal of Ophthalmology, 29(2), pp.73~76 (1994)
  47. Schievink, W. I., "Circumstances surrounding aneurysmal subarachnoid hemorrhage", Surgical Neurology, 32(4), pp.266~722 (1989)
  48. Schuman, J. S., "Increased intraocular pressure and visual field defects in high resistance wind instrument players", Ophthalmology, 107(1), pp.127~133 (2000)
  49. Smith, M. L., "Valsalva's maneuver revisited: a quantitative method yielding insights into human autonomic control", American Journal of Physiology, 271(3 Pt 2), pp.1240~1249 (1996)
  50. Sperry, K., "Achalasia, the Valsalva maneuver, and sudden death: a case report", Journal of Forensic Sciences, 39(2), pp.547~551 (1994)
  51. Taylor, D., "The Valsalva Manoeuvre: A critical review", South Pacific Underwater Medicine Society Journal, 26(1), pp.8~13 (1996)
  52. Tsai, L. M., "Abnormal hemodynamic response to Valsalva maneuver in patients with atrial septal defect evaluated by Doppler echocardiography", Chest, 98(5), pp.1175~1178 (1990)
  53. Vakos, J. P., "Electromyographic activity of selected trunk and hip muscles during a aquat lift: Effect of varying the lumbar posture", Spine, 19, pp.687~695 (1994)
  54. van Meurs, J. C., "Suprachoroidal hemorrhage following a valsalva maneuver", Archives of Ophthalmology, 111(8), pp.1025~1026 (1993)
  55. Wostyn, P., "The Valsalva maneuver and Alzheimer's disease: is there a link?", Current Alzheimer Research, 6(1), pp.59~68 (2009)
  56. Zebrowska, A., "Cardiovascular effects of the valsalva maneuver during static arm exercise in elite power lifting athletes", Advances in Experimental Medicine and Biology, 755, pp.335~342 (2013)
  57. Zhang, R., "Cerebral hemodynamics during the Valsalva maneuver: insights from ganglionic blockade", Stroke, 35(4), pp.843~847 (2012)

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