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

2020 ◽  
pp. 1-5
Author(s):  
Megan Wagner ◽  
Kevin D. Dames

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.

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 502-510
Author(s):  
Oyéné Kossi ◽  
Justine Lacroix ◽  
Maxence Compagnat ◽  
Jean Christophe Daviet ◽  
Stéphane Mandigout

Aim: To test the validity of Borg&rsquo;s 6&ndash;20 rating of perceived exertion scale in assessing the exertion intensity over a multi-activity session in young and older adults.Materials and methods: This cross-sectional study included 56 healthy participants. All participants underwent a single session of activities including working on a computer, treadmill walking, biking, and treadmill running. Results: Results showed a non-significant correlation between the overall perceived exertion and energy expenditure in young people (Rho=&minus;0.05, p=0.75) and in older adults (Rho=&minus;0.05, p=0.78) for the whole session. However, results showed that older adults perceived significantly higher exertion compared to young people while working on a computer, walking and running, whereas they presented lower energy expenditure while resting and working on a computer. Conclusions: Combining the perceived exertion method with other commonly used methods to estimate exercise intensity would be recommended for older adults.


2020 ◽  
Vol 15 (10) ◽  
pp. 1476-1479
Author(s):  
Jordan L. Fox ◽  
Cody J. O’Grady ◽  
Aaron T. Scanlan

Purpose: To compare the concurrent validity of session-rating of perceived exertion (sRPE) workload determined face-to-face and via an online application in basketball players. Methods: Sixteen semiprofessional, male basketball players (21.8 [4.3] y, 191.2 [9.2] cm, 85.0 [15.7] kg) were monitored during all training sessions across the 2018 (8 players) and 2019 (11 players) seasons in a state-level Australian league. Workload was reported as accumulated PlayerLoad (PL), summated-heart-rate-zones (SHRZ) workload, and sRPE. During the 2018 season, rating of perceived exertion (RPE) was determined following each session via individualized face-to-face reporting. During the 2019 season, RPE was obtained following each session via a phone-based, online application. Repeated-measures correlations with 95% confidence intervals were used to determine the relationships between sRPE collected using each method and other workload measures (PL and SHRZ) as indicators of concurrent validity. Results: Although all correlations were significant (P < .05), sRPE obtained using face-to-face reporting demonstrated stronger relationships with PL (r = .69 [.07], large) and SHRZ (r = .74 [.06], very large) compared with the online application (r = .29 [.25], small [PL] and r = .34 [.22], moderate [SHRZ]). Conclusions: Concurrent validity of sRPE workload was stronger when players reported RPE in an individualized, face-to-face manner compared with using a phone-based online application. Given the weaker relationships with other workload measures, basketball practitioners should be cautious when using player training workloads predicated on RPE obtained via online applications.


2019 ◽  
Vol 14 (9) ◽  
pp. 1244-1249 ◽  
Author(s):  
Chelsie E. Winchcombe ◽  
Martyn J. Binnie ◽  
Matthew M. Doyle ◽  
Cruz Hogan ◽  
Peter Peeling

Purpose: To determine the reliability and validity of a power-prescribed on-water (OW) graded exercise test (GXT) for flat-water sprint kayak athletes. Methods: Nine well-trained sprint kayak athletes performed 3 GXTs in a repeated-measures design. The initial GXT was performed on a stationary kayak ergometer in the laboratory (LAB). The subsequent 2 GXTs were performed OW (OW1 and OW2) in an individual kayak. Power output (PWR), stroke rate, blood lactate, heart rate, oxygen consumption, and rating of perceived exertion were measured throughout each test. Results: Both PWR and oxygen consumption showed excellent test–retest reliability between OW1 and OW2 for all 7 stages (intraclass correlation coefficient > .90). The mean results from the 2 OW GXTs (OWAVE) were then compared with LAB, and no differences in oxygen consumption across stages were evident (P ≥ .159). PWR was higher for OWAVE than for LAB in all stages (P ≤ .021) except stage 7 (P = .070). Conversely, stroke rate was lower for OWAVE than for LAB in all stages (P < .010) except stage 2 (P = .120). Conclusions: The OW GXT appears to be a reliable test in well-trained sprint kayak athletes. Given the differences in PWR and stroke rate between the LAB and OW tests, an OW GXT may provide more specific outcomes for OW training.


2002 ◽  
Vol 95 (3_suppl) ◽  
pp. 1047-1062 ◽  
Author(s):  
Mee-Lee Leung ◽  
Pak-Kwong Chung ◽  
Raymond W. Leung

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.


2008 ◽  
Vol 16 (1) ◽  
pp. 14-23 ◽  
Author(s):  
David R. Dolbow ◽  
Richard S. Farley ◽  
Jwa K. Kim ◽  
Jennifer L. Caputo

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.


2020 ◽  
Vol 33 ◽  
Author(s):  
Jessica Américo Fiel ◽  
Edilene do Socorro Nascimento Falcão Sarges ◽  
Clara Narcisa Silva Almeida ◽  
Renato da Costa Teixeira ◽  
Laura Maria Tomazi Neves

Abstract Introduction: The Glittre-ADL (TGlittre) test was developed to assess functional capacity in a group of activities of daily living, but little is known about the physiological responses expected during its implementation. Objective: To evaluate the physiological responses induced by TGlittre in COPD patients and compare them with those induced by the 6-minute walk test (6MWT). Method: This is a cross-sectional study involving 15 elderly patients with COPD (70±6 years and predicted FEV1 of 47±16%). The TGlittre and 6MWT were performed on two different days, evaluating heart rate, peripheral oxygen saturation and perceived exertion in the 1st, 4th and 6th minutes of the 6MWT and at the start, after each lap and the end of TGlittre. After the normality test (Shapiro-Wilk), the Wilcoxon test was applied to compare the functional tests, and Spearman’s correlation coefficient to assess the association between variables. Results: At the end of TGlittre, heart rate was faster than in the 6MWT (106.7±21.9 vs 96.4±16.2bpm, p = 0.02). The other physiological variables were similar at the end of both tests. Heart rate at the end of TGlittre correlated with the final heart rate in the 6MWT (r = 0.69; p = 0.002). Conclusion: TGlittre induced a faster heart rate than in the 6MWT, with increased metabolic demand, but with similar ventilatory responses.


2020 ◽  
Vol 5 (1) ◽  
pp. 15 ◽  
Author(s):  
Andrea Fusco ◽  
William Sustercich ◽  
Keegan Edgerton ◽  
Cristina Cortis ◽  
Salvador J. Jaime ◽  
...  

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.


1999 ◽  
Vol 9 (4) ◽  
pp. 434-442 ◽  
Author(s):  
Samuel N. Cheuvront ◽  
Robert J. Moffatt ◽  
Kyle D. Biggerstaff ◽  
Shawn Bearden ◽  
Paul McDonough

Claims that ENDUROX™ enhances performance by altering metabolic responses to exercise were tested. In a double-blind crossover design, 10 male subjects were randomly assigned to consume 400 mg of placebo or 800 mg ENDUROX™ for 7 days. Cycle ergometry was performed for 30 minutes at 25%, followed by 10 min at 65% of peak oxygen consumption. After a 1-week washout period, subjects performed the identical exercise protocol following 7 days of reciprocal supplemental conditions. Expired gases were collected and analyzed continuously for oxygen consumption, minute ventilation, and respiratory exchange ratio. Heart rate, blood pressure, rating of perceived exertion, blood lactate, and serum glycerol data were also collected at regular intervals. A two-way ANOVA with repeated measures revealed no significant main or interaction effects involving group differences (p > 0.05) between trials for any variable during rest, 25% or 65% (VO2 peak), or recovery. Our findings do not support the ergogenic claims for ENDUROX™.


2016 ◽  
Vol 41 (10) ◽  
pp. 1077-1082 ◽  
Author(s):  
James M. Green ◽  
Alyssa Olenick ◽  
Caroline Eastep ◽  
Lee Winchester

Caffeine (CAF) blunts estimated ratings of perceived exertion (RPE) but the effects on RPE production are unclear. This study examined effects of acute caffeine ingestion during treadmill exercise where participants exercised at prescribed RPE 4 and 7. Recreational runners (maximal oxygen consumption = 51.4 ± 9.8 mL·kg−1·min−1) (n = 16) completed a maximal treadmill test followed by trials where they selected treadmill velocity (VEL) (1% grade) to produce RPE 4 and RPE 7 (10 min each). RPE production trials followed CAF (6 mg·kg−1) or placebo (PLA) (counterbalanced) ingestion. Participants were blinded to treadmill VEL but the Omni RPE scale was in full view. Repeated-measures ANOVA showed a main effect (trial) for VEL (CAF ∼5 m·min−1 faster) for RPE 4 (p = 0.07) and RPE 7 (p = 0.03). Mean heart rate and oxygen consumption responses were consistently higher for CAF but failed to reach statistical significance. Individual responses to CAF were labeled positive using a criterion of 13.4 m·min−1 faster for CAF (vs. PLA). Ten of 32 trials (31%) were positive responses. In these, systematic increases were observed for heart rate (∼12 beats·min−1) and oxygen consumption (∼5.7 mL·kg−1·min−1). Blunted/stable respiratory exchange ratio values at higher VEL for positive responders suggest increased free fatty acid reliance during CAF. In conlusion, mean results show a mild effect of CAF during RPE production. However, individual responses more clearly indicate whether a true effect is possible. Trainers and individuals should consider individual responses to ensure effectively intensity regulation.


EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
PG Green ◽  
D Holdsworth ◽  
C Monteiro ◽  
T Betts ◽  
N Herring

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.


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