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체중부하운동과 케어링 처치가 30~40대 장시간 기립 직업군 여성의 심혈관계 변인에 미치는 영향

Effects of weight-bearing exercise and CareRing treatment on cardiovascular variables in 30-40s women with prolonged standing at work

이병선|이만균|최고은
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2019.12|체육과학연구 (Korean Journal of Sport Science)|제30권 제4호|pp. 663-676|DOI 10.24985/kjss.2019.30.4.663

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cardiovascular function혈관탄성케어링심혈관 기능체중부하운동오금정맥weight-bearing exerciseCareRingpopliteal veinvascular elasticity
주제분류체육

초록

[목적] 이 연구의 목적은 체중부하운동과 케어링 처치가 장시간 기립 직업군 중년 여성의 심혈관계 변인에 미치는 영향을 규명하는 것이다. [방법] 이 연구에 참여한 대상자는 하루 8시간 이상 기립 자세로 근무하는 30~45세의 중년 여성 13명으로서, 이들은 30분간의 기립처치, 체중부하운동처치, 그리고 체중부하운동+케어링처치에 counter-balanced order에 따라 반복적으로 참여하였다. 각 처치 전 안정시, 처치 직후, 그리고 회복기 45분 간 심혈관 반응, 오금정맥기능, 그리고 혈관탄성을 측정하여 반복 이원변량분석을 이용하여 세 가지 처치 간, 그리고 각 시점 간에 비교하였다. [결과] 이 연구의 주요 결과는 다음과 같다. 1) 기립처치 시 EDV의 감소, 회복기 중 오금정맥 혈관직경의 불변, 오금정맥 혈류량의 감소 경향, 그리고 baPWV의 증가, 즉 혈관탄성의 저하가 나타났다. 2) 체중부하운동처치 시 CO와 EF의 유의한 증가가 나타났으며, TPR이 유의하게 감소되었다. 오금정맥의 혈류속도와 혈류량이 유의하게 증가되었고, baPWV가 처치 직후부터 전 회복기에 걸쳐 유의하게 감소되어 혈관탄성이 개선되었다. 3) 체중부하운동+케어링처치 시 HR, CO, 그리고 EF가 유의하게 증가되었으며, TPR이 유의하게 감소되었다. 오금정맥의 혈류속도와 혈류량이 증가되었고, 혈관직경이 처치 직후 증가되었으며, 회복기 40분 시점에 안정시에 비하여 감소되었다. 그리고 baPWV가 처치 후 회복기 전반에 걸쳐 유의하게 감소되어 혈관탄성이 개선되었다. [결론] 이상의 결과를 종합해 보면, 30~40대 장시간 기립 직업군 여성의 경우 장시간 유지한 기립 자세에 따라 하지 혈류량이 감소되고 혈관탄성이 저하되었지만, 체중부하운동을 실시한 경우 심박출량과 심박출률이 증가되고 말초혈관저항이 감소되며, 하지 혈관기능과 혈관탄성이 개선되는 등 심혈관계 변인이 개선되었다. 이에 더하여 체중부하운동 중 케어링을 이용한 압박처치를 병행한 경우 체중부하운동만을 처치한 경우에 비하여 하지 혈관기능과 혈관탄성이 더 크게 개선되었다고 결론지을 수 있다.

Abstract

[Purpose] This study was designed to investigate the effects of weight-bearing exercise and CareRing treatment on cardiovascular responses, popliteal vein functions, and vascular elasticity of 30-40s women who had worked longer than eight hours a day in a standing position. [Methods] Thirteen subjects participated in 30 min of standing up treatment (STAND), weight-bearing exercise treatment (EX), and weight-bearing exercise with CareRing treatment (EX+RING). Each subject took part in the three trials repeatedly in a counter-balanced order and proceeded with a wash-out period of at least one week between the respective trials. [Results] The main results were as follows: 1) Significant reduction in EDV, no change in the diameter of popliteal vein, trend of reduction in blood flow of popliteal vein, and increased baPWV, indicating reduction of vascular elasticity of whole body, were shown in the STAND. 2) CO and EF increased significantly, and TPR decreased significantly in the EX. Blood flow velocity and blood flow volume of popliteal vein increased significantly, and baPWV decreased significantly from immediately after the treatment throughout the recovery phase in the EX. 3) HR, CO, and EF increased significantly in the EX+RING. Blood flow velocity and blood flow volume increased significantly in the EX+RING. Diameter of popliteal vein increased significantly immediately after the treatment and decreased significantly at 40 minutes of recovery. TPR and baPWV decreased significantly immediately after treatment compared to the STAND. [Conclusion] It was concluded that weight-bearing exercises would be effective in preventing venous or cardiovascular diseases occurred due to long-standing in 30-40s women, who are at high risk for such diseases. Furthermore, it would be more effective to combine pressure treatment with CareRing during weight-bearing exercises.

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