Rating of Perceived Exertion, Heart Rate, and Oxygen Consumption in Adults with Multiple Sclerosis

1992 ◽  
Vol 9 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Leona J. Holland ◽  
Marcel Bouffard ◽  
Denise Wagner
Keyword(s):  
Multiple Sclerosis ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Exercise Intensity ◽  
Perceived Exertion ◽  
Generalizability Theory ◽  
Rating Of Perceived Exertion ◽  
Arm Cranking ◽  
Arm Ergometer ◽  
Arm Cranking Exercise

The reliability of oxygen consumption (VO2), heart rate (HR), and rating of perceived exertion (RPE) at three different workloads was examined during an arm cranking exercise task. Nine persons with multiple sclerosis (MS) and confined to a wheelchair each performed two sessions of discontinuous, submaximal aerobic test on an arm ergometer. Comparisons of the test scores and generalizability theory were used to analyze the data. Both HR and VO2 were found to be reliable measures under the conditions used in this study. RPE at the same workloads was found to be rather unreliable. Overall, the use of RPE as an indicator of exercise intensity instead of HR appears to be unjustified by the results of this study. Therefore, practitioners who want a quick and efficient method of measuring exercise intensity should use HR instead of RPE for persons with multiple sclerosis.

An Assessment of the Validity and Reliability of Two Perceived Exertion Rating Scales among Hong Kong Children

2002 ◽  
Vol 95 (3_suppl) ◽  
pp. 1047-1062 ◽  
Author(s):  
Mee-Lee Leung ◽  
Pak-Kwong Chung ◽  
Raymond W. Leung
Keyword(s):  
Heart Rate ◽  
Hong Kong ◽  
Oxygen Consumption ◽  
Exercise Intensity ◽  
Power Output ◽  
Perceived Exertion ◽  
Rating Scales ◽  
Rating Of Perceived Exertion ◽  
Validity And Reliability ◽  
Effort Rating

This study evaluated the validity and reliability of the Chinese-translated (Cantonese) versions of the Borg 6–20 Rating of Perceived Exertion (RPE) scale and the Children's Effort Rating Table (CERT) during continuous incremental cycle ergometry with 10- to 11-yr.-old Hong Kong school children. A total of 69 children were randomly assigned, with the restriction of groups being approximately equal, to two groups using the two scales, CERT ( n = 35) and RPE ( n = 34). Both groups performed two trials of identical incremental continuous cycling exercise (Trials 1 and 2) 1 wk. apart for the reliability test. Objective measures of exercise intensity (heart rate, absolute power output, and relative oxygen consumption) and the two subjective measures of effort were obtained during the exercise. For both groups, significant Pearson correlations were found for perceived effort ratings correlated with heart rate ( rs ≥ .69), power output ( rs ≥ .75), and oxygen consumption ( rs ≥ .69). In addition, correlations for CERT were consistently higher than those for RPE. High test-retest intraclass correlations were found for both the effort ( R = .96) and perceived exertion ( R = 89) groups, indicating that the scales were reliable. In conclusion, the CERT and RPE scales, when translated into Cantonese, are valid and reliable measures of exercise intensity during controlled exercise by children. The Effort rating may be better than the Perceived Exertion scale as a measure of perceived exertion that can be more validly and reliably used with Hong Kong children.

scholarly journals Objective and subjective measures of exercise intensity during thermo-neutral and hot yoga

2018 ◽  
Vol 43 (4) ◽  
pp. 397-402 ◽  
Author(s):  
Corinne N. Boyd ◽  
Stephanie M. Lannan ◽  
Micah N. Zuhl ◽  
Ricardo Mora-Rodriguez ◽  
Rachael K. Nelson
Keyword(s):  
Oxygen Consumption ◽  
Light Intensity ◽  
Exercise Intensity ◽  
Perceived Exertion ◽  
Maximal Oxygen Consumption ◽  
Rating Of Perceived Exertion ◽  
Moderate Intensity ◽  
Subjective Measures ◽  
Moderate Intensity Exercise ◽  
Constant Intensity

While hot yoga has gained enormous popularity in recent years, owing in part to increased environmental challenge associated with exercise in the heat, it is not clear whether hot yoga is more vigorous than thermo-neutral yoga. Therefore, the aim of this study was to determine objective and subjective measures of exercise intensity during constant intensity yoga in a hot and thermo-neutral environment. Using a randomized, crossover design, 14 participants completed 2 identical ∼20-min yoga sessions in a hot (35.3 ± 0.8 °C; humidity: 20.5% ± 1.4%) and thermo-neutral (22.1 ± 0.2 °C; humidity: 27.8% ± 1.6%) environment. Oxygen consumption and heart rate (HR) were recorded as objective measures (percentage of maximal oxygen consumption and percentage of maximal HR (%HRmax)) and rating of perceived exertion (RPE) was recorded as a subjective measure of exercise intensity. There was no difference in exercise intensity based on percentage of maximal oxygen consumption during hot versus thermo-neutral yoga (30.9% ± 2.3% vs. 30.5% ± 1.8%, p = 0.68). However, exercise intensity was significantly higher during hot versus thermo-neutral yoga based on %HRmax (67.0% ± 2.3% vs. 60.8% ± 1.9%, p = 0.01) and RPE (12 ± 1 vs. 11 ± 1, p = 0.04). According to established exercise intensities, hot yoga was classified as light-intensity exercise based on percentage of maximal oxygen consumption but moderate-intensity exercise based on %HRmax and RPE while thermo-neutral yoga was classified as light-intensity exercise based on percentage of maximal oxygen uptake, %HRmax, and RPE. Despite the added hemodynamic stress and perception that yoga is more strenuous in a hot environment, we observed similar oxygen consumption during hot versus thermo-neutral yoga, classifying both exercise modalities as light-intensity exercise.

Making the Grade: An Exploration of Incline Running on a Bodyweight-Supportive Treadmill

2020 ◽  
pp. 1-5
Author(s):  
Megan Wagner ◽  
Kevin D. Dames
Keyword(s):  
Heart Rate ◽  
Oxygen Consumption ◽  
Repeated Measures ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Treadmill Running ◽  
Metabolic Effects ◽  
Metabolic Demand ◽  
Experimental Conditions ◽  
Cross Sectional

Context: Bodyweight-supporting treadmills are popular rehabilitation tools for athletes recovering from impact-related injuries because they reduce ground reaction forces during running. However, the overall metabolic demand of a given running speed is also reduced, meaning athletes who return to competition after using such a device in rehabilitation may not be as fit as they had been prior to their injury. Objective: To explore the metabolic effects of adding incline during bodyweight-supported treadmill running. Design: Cross-sectional. Setting: Research laboratory. Participants: Fourteen apparently healthy, recreational runners (6 females and 8 males; 21 [3] y, 1.71 [0.08] m, 63.11 [6.86] kg). Interventions: The participants performed steady-state running trials on a bodyweight-supporting treadmill at 8.5 mph. The control condition was no incline and no bodyweight support. All experimental conditions were at 30% bodyweight support. The participants began the sequence of experimental conditions at 0% incline; this increased to 1%, and from there on, 2% incline increases were introduced until a 15% grade was reached. Repeated-measures analysis of variance was used to compare all bodyweight-support conditions against the control condition. Main Outcome Measures: Oxygen consumption, heart rate, and rating of perceived exertion. Results: Level running with 30% bodyweight support reduced oxygen consumption by 21.6% (P < .001) and heart rate by 12.0% (P < .001) compared with the control. Each 2% increase in incline with bodyweight support increased oxygen consumption by 6.4% and heart rate by 3.2% on average. A 7% incline elicited similar physiological measures as the unsupported, level condition. However, the perceived intensity of this incline with bodyweight support was greater than the unsupported condition (P < .001). Conclusions: Athletes can maintain training intensity while running on a bodyweight-supporting treadmill by introducing incline. Rehabilitation programs should rely on quantitative rather than qualitative data to drive exercise prescription in this modality.

Oxygen Consumption, Heart Rate, Rating of Perceived Exertion, and Systolic Blood Pressure with Water Treadmill Walking

2008 ◽  
Vol 16 (1) ◽  
pp. 14-23 ◽  
Author(s):  
David R. Dolbow ◽  
Richard S. Farley ◽  
Jwa K. Kim ◽  
Jennifer L. Caputo
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Systolic Blood Pressure ◽  
Perceived Exertion ◽  
Cardiovascular Responses ◽  
Treadmill Walking ◽  
Rating Of Perceived Exertion ◽  
Water Treadmill

The purpose of this study was to examine the cardiovascular responses to water treadmill walking at 2.0 mph (3.2 km/hr), 2.5 mph (4.0 km/hr), and 3.0 mph (4.8 km/hr) in older adults. Responses to water treadmill walking in 92 °F (33 °C) water were compared with responses to land treadmill walking at 70 °F (21 °C) ambient temperature. After an accommodation period, participants performed 5-min bouts of walking at each speed on 2 occasions. Oxygen consumption (VO2), heart rate (HR), systolic blood pressure (SBP), and rating of perceived exertion (RPE) were significantly higher during therapeutic water treadmill walking than during land treadmill walking. Furthermore, VO2, HR, and RPE measures significantly increased with each speed increase during both land and water treadmill walking. SBP significantly increased with each speed during water treadmill walking but not land treadmill walking. Thus, it is imperative to monitor HR and blood pressure for safety during this mode of activity for older adults.

scholarly journals Effect of Progressive Fatigue on Session RPE

2020 ◽  
Vol 5 (1) ◽  
pp. 15 ◽  
Author(s):  
Andrea Fusco ◽  
William Sustercich ◽  
Keegan Edgerton ◽  
Cristina Cortis ◽  
Salvador J. Jaime ◽  
...  
Keyword(s):  
Heart Rate ◽  
Regression Analysis ◽  
Oxygen Consumption ◽  
Perceived Exertion ◽  
Linear Regression Analysis ◽  
Negative Relationship ◽  
Rating Of Perceived Exertion ◽  
Training Intensity ◽  
Multilevel Regression ◽  
Sensitive Tool

Rating of perceived exertion (RPE) and session RPE (sRPE) are reliable tools for predicting exercise intensity and are alternatives to more technological and physiological measurements, such as blood lactate (HLa) concentration, oxygen consumption and heart rate (HR). As sRPE may also convey some insights into accumulated fatigue, the purpose of this study was to examine the effects of progressive fatigue in response to heavier-than-normal training on sRPE, with absolute training intensity held constant, and determine its validity as marker of fatigue. Twelve young adults performed eight interval workouts over a two-week period. The percentage of maximal HR (%HRmax), HLa, RPE and sRPE were measured for each session. The HLa/RPE ratio was calculated as an index of fatigue. Multilevel regression analysis showed significant differences for %HRmax (p = 0.004), HLa concentration (p = 0.0001), RPE (p < 0.0001), HLa/RPE ratio (p = 0.0002) and sRPE (p < 0.0001) across sessions. Non-linear regression analysis revealed a very large negative relationship between HLa/RPE ratio and sRPE (r = −0.70, p < 0.0001). These results support the hypothesis that sRPE is a sensitive tool that provides information on accumulated fatigue, in addition to training intensity. Exercise scientists without access to HLa measurements may now be able to gain insights into accumulated fatigue during periods of increased training by using sRPE.

Assessment of the SyncAV fusion pacing algorithm on exercise capacity in patients with cardiac resynchronisation therapy device

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
PG Green ◽  
D Holdsworth ◽  
C Monteiro ◽  
T Betts ◽  
N Herring
Keyword(s):  
Heart Rate ◽  
Oxygen Consumption ◽  
Exercise Capacity ◽  
Perceived Exertion ◽  
Biventricular Pacing ◽  
Left Ventricular ◽  
Rating Of Perceived Exertion ◽  
Cardiac Resynchronization ◽  
Gold Standard Method ◽  
Av Conduction

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): British Heart Foundation (BHF) and Local Departmental Research Funding Background Fusion pacing as part of cardiac resynchronization therapy (CRT) requires correct timing of left ventricular pacing to right ventricular activation.  The SyncAV algorithm, available in Quadra Allure and Assura CRT devices, is designed to allow optimal fusion pacing by dynamic reassessment of intrinsic atrio-ventricular (AV) conduction to adjust the paced/sensed AV delay. However, it is unclear whether AV optimisation continues to maintain resynchronisation during exercise, or whether potential loss of fusion pacing with changes in intrinsic AV conduction could lead to decreased exercise capacity. Cardio-pulmonary exercise testing (CPET) is the gold standard method for assessing exercise performance. Purpose To assess exercise capacity using the SyncAV algorithm for fusion pacing, compared with conventional biventricular pacing with fixed AV delays (AVD) for CRT. Methods  Patients at least 6 months post-CRT implant were recruited in a prospective single-centre randomized single-blind crossover study.  Patients performed 2 CPET tests at least 1 week apart, with randomization to either SyncAV with fusion pacing or conventional biventricular pacing with a fixed AVD of 120ms. All other programming was optimised to produce the narrowest QRS duration possible at rest in each case. Results Nine patients (5 male, age 70 ± 10 years, mean ± standard deviation) were recruited, with both ischaemic and non-ischaemic aetiology of heart failure.  All had clinical or echocardiographic response to CRT.  There was no difference in peak oxygen consumption (V̇O2max) between programming (1.47 ± 0.57 vs 1.50 ± 0.65 l/min for fixed AVD and SyncAV groups respectively, p = 0.59), or oxygen consumption at anaerobic threshold (VT1) (0.72 ± 0.20 vs 0.74 ± 0.25 l/min, p = 0.57). There was no difference in oxygen pulse (V̇O2/heart rate - a surrogate of stroke volume) at peak (12.3 ± 3.8 vs 13 ± 5.0 ml/beat , p = 0.28) or VT1 (8.4 ± 2.2 vs 8.7 ± 2.1 ml/beat, p = 0.67) and also no change in time to V̇O2max (1400 ± 491 vs 1367 ± 543 seconds, p = 0.38) or VT1 (518 ± 211 vs 534 ± 200 seconds, p = 0.75).  Average heart rate at the median stage of exercise showed no difference between programming (96 ± 18 vs 93 ± 15 bpm respectively, p = 0.32).  There was no difference in BORG Rating of Perceived Exertion (BORG-RPE) score at either peak exercise (median 19 [interquartile range (IQR) 2] vs 17 [IQR 2], p = 0.23) or at the median stage of exercise (median 13 [IQR 1] vs 13 [IQR 2], p = 0.30).  Conclusion Fusion pacing using the SyncAV algorithm does not appear to improve exercise capacity compared to optimised conventional biventricular pacing with fixed AVD.

scholarly journals Are Heart Rate and Rating of Perceived Exertion Effective to Control Indoor Cycling Intensity?

2020 ◽  
Vol 17 (13) ◽  
pp. 4824
Author(s):  
Rui Canário-Lemos ◽  
José Vilaça-Alves ◽  
Tiago Moreira ◽  
Rafael Peixoto ◽  
Nuno Garrido ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Uptake ◽  
Body Mass ◽  
Exercise Intensity ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Strong Correlations ◽  
Special Instrumentation ◽  
The Way

Indoor cycling’s popularity is related to the combination of music and exercise leading to higher levels of exercise intensity. It was our objective to determine the efficacy of heart rate and rating of perceived exertion in controlling the intensity of indoor cycling classes and to quantify their association with oxygen uptake. Twelve experienced males performed three indoor cycling sessions of 45 min that differed in the way the intensity was controlled: (i) oxygen uptake; (ii) heart rate; and (iii) rating of perceived exertion using the OMNI-Cycling. The oxygen uptake levels were significantly higher (p = 0.007; μp2 = 0.254) in oxygen uptake than heart rate sessions. Oxygen uptake related to body mass was significantly higher (p < 0.005) in the oxygen uptake sessions compared with other sessions. Strong correlations were observed between oxygen uptake mean in the oxygen uptake and rating of perceived exertion sessions (r =0.986, p < 0.0001) and between oxygen uptake mean in the oxygen uptake and heart rate sessions (r = 0.977, p < 0.0001). Both heart rate and rating of perceived exertion are effective in controlling the intensity of indoor cycling classes in experienced subjects. However, the use of rating of perceived exertion is easier to use and does not require special instrumentation.

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