• 대한간호학회지
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• 제16권1호
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• pp.49-54
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• 1986

As patients on bed rest perform repeated Valsalva maneuver, it is necessary for them to prevent the-danger inherent in repeated Valsalva maneuver through intelligent rehabilitative nursing care. In this regard, it seems to be important to furnish a scientific rationale underlying rehabilitative nursing care. This study was undertaken to find the effects of repeated Valsalva maneuver upon circulation of nor-mal men. The subjects for this study were twenty normal and healthy college students of age from 19 to 26. For the first time, the ECG of standard 12 leads was recorded and the blood pressure was measured under the resting state. And the subjects performed Valsalva maneuver for 10 seconds, then expired air for 2 seconds. After the subjects carried out in this menner for 1 minute, the ECG and the blood pres-sure were recorded and measured again. The Changes of heartbeats, systolic and diastolic pressures after the practice of repeated Valsalva maneuver were compared with those of the letting state. The results obtained were as follows : 1. The heartbeats after the practice of repeated Valsalva maneuver generally increased but did not show statistical significance. 2. The systolic pressure measured after the practice of repeated Valsalva maneuver was higher than that of the resting state. 3. The diastolic pressure measured after the practice of repeated Valsalva maneuver was higher than that of the resting state.

• 한국전문물리치료학회지
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• 제5권1호
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• pp.30-43
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• 1998

The purposes of this study were to examine the effect of two different pelvic alignments and the Valsalva maneuver on electromyographic (EMG) activity of the erector spinae during squat lifting and lowering, and to find an efficient method for squat lifting and lowering. Twenty hea1thy men in their twenties lifted and lowered loads using four different methods: 1) anterior pelvic tilt position with the Valsalva maneuver, 2) anterior pelvic tilt position without the Valsalva maneuver, 3) posterior pelvic tilt with the Valsalva maneuver, 4) posterior pelvic tilt without the Valsalva maneuver. The EMG activity of erector spinae was recorded during both lifting and lowering with each method. The EMG activity of each individual was normalized to EMG activity produced by muscle during maximal voluntary contraction. Two-way analysis of variance for repeated measures ($2{\times}2$) was used to analyze the effect of the two factors: 1) pelvic tilt position (anterior pelvic tilt, posterior pelvic tilt), 2) the Valsalva maneuver (with and without). Analysis was performed separately for the lifting and lowering. The results were as follows: 1) EMG activity of erector spinae was greater when the pelvis was tilted anteriorly than when the pelvis was tilted posteriorly during squat lifting and squat lowering. 2) There was no difference between EMG activity of erector spinae with the Valsalva maneuver and EMG activity of erector spinae without the Valsalva maneuver during squat lifting and squat lowering. These results suggest that the greater EMG activity of erector spinae with an anterior pelvic tilt position during squat lifting and squat lowering may ensure optimal muscular support for the spine while handling loads, but the Valsalva maneuver may have less effect on erector spinae.

• 대한물리치료과학회지
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• 제27권3호
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• pp.75-83
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• 2020

Background: The effect of the Valsalva maneuver applied in resistance exercise has shown contradictory results. This study aims to investigate the effect of the Valsalva maneuver on resistance exercise by examining the changes that occur by applying the Valsalva maneuver during trunk flexion and extension resistance exercise in healthy adults. Design: Randomized controlled trial. Methods: 34 healthy adults were conveniently recruited. According to the with or without Valsalva maneuver, the flexion and extension of the trunk were measured and evaluated. Results: Paired t test showed that there was a statistically significant difference in maximum torque of trunk flexion in the resistance exercise with Valsalva maneuver. However, there was no statistically significant difference in trunk extension (p<.05), in the total and average work of trunk flexion and extension (p<.05). Conclusion: The results of this study in which the difference in the amount of exercise according to the application of the Valsalva maneuver was not significant, show that the practice of the Valsalva maneuver, which has a risk of injury, should be avoided in rehabilitation exercises.

• Korean Journal of Anesthesiology
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• 제71권6호
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• pp.453-458
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• 2018

Background: Pain on injection is a limitation with propofol use. The effect of the Valsalva maneuver on pain during propofol injection has not been studied. This maneuver reduces pain through the sinoaortic baroreceptor reflex arc and by distraction. We aimed to assess the efficacy of the Valsalva maneuver in reducing pain during propofol injection. Methods: Eighty American Society of Anesthesiologists class I adult patients undergoing general anesthesia were enrolled and divided into two groups of 40 each. Group I (Valsalva) patients blew into a sphygmomanometer tube raising the mercury column up to 30 mmHg for 20 seconds, while Group II (Control) patients did not. Anesthesia was induced with 1% propofol immediately afterwards. Pain was assessed on a 10-point visual analog scale (VAS), where 0 represented no pain, and 10, the worst imaginable pain, and a 4-point withdrawal response score, where 0 represented no pain, and 3, the worst imaginable pain. Scores were presented as median (interquartile range). Results: We analyzed the data of 70 patients. The incidence of pain was significantly lower in the Valsalva than in the control group (53% vs. 78%, P = 0.029). The withdrawal response score was significantly lower in the Valsalva group (1.00 [0.00-1.00] vs. 2.00 [2.00-3.00], P < 0.001). The VAS score was significantly lower in the Valsalva group (1.00 [0.00-4.00] vs. 7.00 [6.25-8.00], P < 0.001). Conclusions: A prior Valsalva maneuver is effective in attenuating injection pain due to propofol; it is advantageous in being a non-pharmacological, safe, easy, and time-effective technique.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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• pp.85.2-85
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• 1976

Harford는 구씨관기능의 측정에 impedance audiometry의 진단학적 가치를 설명한 바 있다. 고막에 천공이 없는 경우 중이강내의 과도한 음압은 tympanogram에 의해 간접적으로 구씨관기능부전을 나타내는 것은 주지의 사실이다. 구씨관기능이 정상인 경우 valsalva maneuver에 의해 고막은 외측으로 밀려나갈 것이며 이것은 balance meter needle의 운동을 야기시킬 것이다. 이에 저자들은 고막, 중이, 구씨관기능이 모두 정상소견을 보이는 사람을 대상으로 valsalva maneuver에 의해 야기될 수 있는 balance meter needle의 운동거리를 측정함으로써 정상인에서의 구씨관에 의한 중이강의 공기체적의 변동양을 조사하였다. 즉, electroacoustic bridge (Madsen ZO 70) with silicone rubber probe tip을 사용하여 고막, 중이, 구씨관기능이 모두 정상인 사람에서 valsalva maneuver에 의한 balance meter needle의 운동범위는 1.0~4.0(평균치 $1.6{\pm}0.06$)이었으며, 그 치가 1.0미만인 경우에는 어떤 정도의 구씨관기능의 저하 내지 부전을 진단할 수 있는 것으로 생각되어 impedance audiometry에 의한 구씨관기능검사의 의의를 고찰하며 보고하는 바이다

• Journal of Korean Biological Nursing Science
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• 제11권1호
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• pp.68-76
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• 2009

Purpose: The purpose of this study was to evaluate the hemodynamic changes in degree and duration that occur during Valsalva maneuver (VM). Furthermore, we wanted to investigate the patterns and mechanisms of physiological hemodynamic control. Method: Thirty six healthy college students were recruited from Y university. Each participant was provided with written informed consent. Blood pressure (BP), heart rate (HR), cardiac output (CO) were continuously recorded using the Finometer. Result: During the phase I of VM, means of systolic and diastolic pressures were increased by 32.15% and 38.28%, respectively, compared with basal values. HR and CO were decreased by 9.91% and 13.01%, respectively. Immediately after the maneuver (phase III), systolic and diastolic pressures were decreased by 5.05% and 6.24%, respectively, compared with those obtained in the phase II. HR and CO were elevated by 13.33% and 11.93%, respectively, compared to the levels of earlier phases. BPs were represented with overshoot in the phase IV, and recovered by baseline values about 20 sec after VM. Conclusion: These results demonstrated that hemodynamic changes are variable in the event of VM even in healthy humans. It will be valuable to accumulate more quantitative hemodynamic information in special populations such as the elderly and the patients with cardiovascular problems.

• Journal of Yeungnam Medical Science
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• 제23권2호
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• pp.227-231
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• 2006

기도가 닫힌 상태에서 강하게 숨을 뿜어내는 발살바법은 망막의 정맥압을 상승시키고 이에 따라 망막 출혈을 유발시킬 수 있다. 힘든 배변을 경험한 55세 남자가 우안의 중심시력 감소로 인해 본원을 방문하였다. 전신적인 질환으로 고혈압, 만성 변비를 앓고 있었고 동공을 산대하여 정밀 안저검사를 한 결과 유두 한 개 정도 크기의 망막전 출혈과 황반와주위로 작은 크기의 망막내 출혈이 관찰되었다. 특별한 치료없이 망막 출혈은 자연 흡수되어 시력은 정상으로 회복되었다. 배변으로 인해 급작스런 시력감퇴를 나타낸 발살바 망막증을 경험하였기에 보고하는 바이다.

• 센서학회지
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• 제20권2호
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• pp.118-123
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• 2011

Heart related diseases mainly caused by heavy work load and increasing stress in human daily life. Therefore, researches on mobile healthcare monitoring for daily life has been carried out. Notably, wearable healthcare monitoring system which has least restriction has been tried to provide an emergency alert of abnormal heart rate. In this study, we developed chair type unconstrained BCG measurement system which able to perform continuous heart status monitoring at the office and daily life in the unconstrained way. Furthermore, adaptive threshold is used to detect the heart rate from BCG signals. The HRV(heart rate variability) is calculated from heart rate interval. ECG signal measured using conventional method and BCG signal measured using unconstraint system are carried out simultaneously for the purpose of performance evaluation. From the comparison result, BCG signal shows a similar heart beat characteristic as ECG signal. This proves the possibility of practical implementation of unconstraint healthcare monitoring system. In addition, medical examination like valsalva maneuver is performed to observe the changes in HRV due to stress. By performing valsalva maneuver, heart is said to be placed under an artificial physical stress condition. Under this artificial physical stress condition, the time and frequency domain of HRV parameters are evaluated.

• Journal of Chest Surgery
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• 제24권12호
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• pp.1214-1219
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• 1991

From July 1988 to January 1991 six patients, aged 29 to 70 years underwent transfemoral thrombectomy for the treatment of deep vein thrombosis. Preoperative venograms showed thrombi in the following locations: calf veins[five], superficial femoral or popliteal veins [four], common femoral veins[three], and iliac veins[three], Durations of symptoms before admission were from 1 day to 20days. Operations were performed under local anesthesia and all the patients were requested for doing Valsalva maneuver during thrombectomies. All patients were received heparin pre-and postoperatively, which was switched to Coumadin for preventing of rethrombosis. One patient was transferred to other hospital 4 months after operation due to regional reason, and the remained five patients were evaluated with a mean follow-up time of 20 months. There was no evidence of postoperative pulmonary embolism. Three of five patients were clinically asymptomatic. One complained of the heaviness of involved leg in the evening, and the other had discomfort on walking Even though our cases were a few in number, we concluded that thrombectomy is a valuable treatment modality of deep vein thrombosis.

• 대한임상검사과학회지
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• 제56권3호
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• pp.228-235
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• 2024

경두개 초음파(transcranial doppler ultrasonography, TCD)를 이용한 난원공 개존증(patent foramen ovale)의 이상 유무를 측정하는 방법은 경식도 심장초음파검사(transesophageal echocardiography, TEE)에 비해 간단하고 비용이 저렴하며 비침습적이기 때문에 보다 효과적인 방법이다. 특이도 및 양성 예측도도 높기 때문에 TEE를 시행하기 어렵거나 합병증 고위험군인 경우 좋은 대체 검사가 될 수 있다. 그래서 본 연구에서는 TCD를 통해 보다 효과적이고 정확한 검사결과를 얻기 위한 방법으로 blood 사용 유무와 환자 자세에 따른 실증적 결과 비교를 통해 적절한 방법을 제안함으로써 진단에 도움을 주고자 한다. Blood 사용 여부와 환자 자세에 따른 결과를 비교하였고, 양쪽 중간대뇌동맥(middle cerebral artery)이 모두 관찰된 환자를 대상으로 하였다. 그리고 측두부창이 불량인 경우는 뇌바닥동맥(basilar artery)으로 대체해서 비교하였다. Blood를 혼합했을 때 positive가 더 많은 것으로 나타났다. Resting과 supine position using valsalva maneuver (VM) 보다 sitting position using VM에서 positive가 더 많은 것으로 나타났고 정확도도 더 높은 것으로 나타났다. 이에 blood를 혼합한 상태에서 sitting position using VM 방법이 가능하다면 시행하는 것이 좋을 것으로 생각된다.