The Valsalva Maneuver: Its Effect on Intra-abdominal Pressure and Safety Issues During Resistance Exercise

被引:81
作者
Hackett, Daniel A. [1 ]
Chow, Chin-Moi [1 ]
机构
[1] Univ Sydney, Discipline Exercise & Sport Sci, Sydney, NSW 2006, Australia
关键词
blood pressure; spine stability; resistance training; intrathoracic pressure; ARTERIAL BLOOD-PRESSURE; SPONTANEOUS PNEUMOTHORAX; ISOMETRIC-EXERCISE; WEIGHT-LIFTERS; BREATH CONTROL; MUSCLES; HUMANS; ADULTS; IAP;
D O I
10.1519/JSC.0b013e31827de07d
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Hackett, DA and Chow, C-M. The Valsalva maneuver: its effect on intra-abdominal pressure and safety issues during resistance exercise. J Strength Cond Res 27(8): 2338-2345, 2013During resistance exercise, a brief Valsalva maneuver (VM) is unavoidable when lifting heavy loads (>80% of maximal voluntary contraction) or when lifting lighter loads to failure. It has been proposed that the performance of the VM during resistance exercise increases the stability of the spine because of augmented intra-abdominal pressure (IAP). However, resistance trainers are often advised to avoid the VM during resistance exercise because of potential adverse vascular events. The aim of this review was to establish the effect of the VM on IAP and to evaluate if the VM during resistance exercise is a safe practice. Relevant databases were searched to examine the effect of the VM on: (a) IAP and (b) hemodynamics during resistance exercise and reported adverse events. The data show that the VM alone increases IAP and that the VM augment IAP during various resistance exercises. An incremental rise in IAP was observed as the lifting intensity and effort increased, with IAP tending to be lower compared with peak IAP from the VM alone. The VM was associated with an increase in blood pressure during resistance exercise, but the VM alone was associated with greater hemodynamic changes. In conclusion, the VM effectively increases IAP, which may assist with spine stability and trunk rigidity during resistance exercise. The health risks associated with the VM during resistance exercise remain unconfirmed.
引用
收藏
页码:2338 / 2345
页数:8
相关论文
共 53 条
[1]   Diaphragm recruitment during nonrespiratory activities [J].
Al-Bilbeisi, F ;
McCool, FD .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 162 (02) :456-459
[2]   Spontaneous subdural haematoma in anabolic steroids dependent weight lifters: reports of two cases and review of literature [J].
Alaraj, AM ;
Chamoun, RB ;
Dahdaleh, NS ;
Haddad, GR ;
Comair, YG ;
Firsching, R ;
Sa, MC .
ACTA NEUROCHIRURGICA, 2005, 147 (01) :85-88
[3]  
Asplund Chad A, 2003, Curr Sports Med Rep, V2, P63
[4]   Sports-Related Carotid Artery Dissection [J].
Berrouschot, J. ;
Bormann, A. ;
Routsi, D. ;
Stoll, A. .
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE, 2009, 77 (09) :528-531
[5]  
Chapman-Davies Anthony, 2002, Clin Exp Optom, V85, P42
[6]   Lumbar spine stability can be augmented with an abdominal belt and/or increased intra-abdominal pressure [J].
Cholewicki, J ;
Juluru, K ;
Radebold, A ;
Panjabi, MM ;
McGill, SM .
EUROPEAN SPINE JOURNAL, 1999, 8 (05) :388-395
[7]   Can increased intra-abdominal pressure in humans be decoupled from trunk muscle co-contraction during steady state isometric exertions? [J].
Cholewicki, J ;
Ivancic, PC ;
Radebold, A .
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY, 2002, 87 (02) :127-133
[8]   Normal intraabdominal pressure in healthy adults [J].
Cobb, WS ;
Burns, JM ;
Kercher, KW ;
Matthews, BD ;
Norton, HJ ;
Heniford, BT .
JOURNAL OF SURGICAL RESEARCH, 2005, 129 (02) :231-235
[9]  
COMPTON D, 1973, LANCET, V2, P1234
[10]   OBSERVATIONS ON INTRAABDOMINAL PRESSURE AND PATTERNS OF ABDOMINAL INTRA-MUSCULAR ACTIVITY IN MAN [J].
CRESSWELL, AG ;
GRUNDSTROM, H ;
THORSTENSSON, A .
ACTA PHYSIOLOGICA SCANDINAVICA, 1992, 144 (04) :409-418