Three-Point Method of Prescribing Exercise with Ratings of Perceived Exertion is Valid for Cardiac Patients

1996 ◽  
Vol 83 (2) ◽  
pp. 384-386 ◽  
Author(s):  
Christopher C. Dunbar ◽  
William W. Edwards ◽  
E. L. Glickman-Weiss ◽  
Patricia Conley ◽  
Antonio Quiroz
Keyword(s):  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Perceived Exertion ◽  
Exercise Prescription ◽  
Point Method ◽  
Cardiac Patients ◽  
Ratings Of Perceived Exertion ◽  
Graded Exercise Test ◽  
Standard Procedures ◽  
Graded Exercise

It is often difficult to use heart rate to prescribe exercise for cardiac patients due to the effects of medications and procedures such as cardiac transplantation. Ratings of Perceived Exertion (RPE) is the preferred method of regulating exercise intensity in these situations. An RPE-based exercise prescription has previously depended on perceptual data from a maximal Graded Exercise Test (GXT). Recently, using 13 healthy subjects, we validated a Three-point RPE for prescribing exercise using RPE which can be used when ratings from a GXT are not available. Currently, we examined the accuracy of this method for developing target RPEs for patients in Phase II cardiac rehabilitation. Such target RPEs did not differ from those obtained using standard procedures. We conclude that the Three-point Method is valid for preparing RPE-based exercise prescriptions for Phase II cardiac rehabilitation patients.

A New Method for Prescribing Exercise: Three-Point Ratings of Perceived Exertion

1996 ◽  
Vol 82 (1) ◽  
pp. 139-146 ◽  
Author(s):  
Christopher C. Dunbar ◽  
Michael I. Kalinski ◽  
Robert J. Robertson
Keyword(s):  
Perceived Exertion ◽  
Exercise Prescription ◽  
Cycle Ergometer ◽  
New Method ◽  
Clinical Settings ◽  
Ratings Of Perceived Exertion ◽  
Graded Exercise Test ◽  
Treadmill Speed ◽  
Graded Exercise ◽  
The Mean

An accurate exercise prescription for ratings of perceived exertion has previously depended on data from a maximal graded exercise test during which RPE was measured. In many clinical settings RPE is not measured; in many fitness settings maximal testing is not feasible. A new method using treadmill speed or power output of a cycle ergometer at an RPE of 13 from a submaximal test which can be used in these situations is described. We evaluated the accuracy of this method at 50%, 60%, 70%, and 85% VO2max. A total of 160 target RPEs were developed using traditional procedures and the new method. No significant differences between RPEs obtained with the two techniques were found. The mean difference was less than one unit of RPE. It appears that the new method is valid for intensities of 50% to 85% VO2max and that data from either the cycle ergometer or the treadmill can be used to prepare exercise prescriptions.

A Pilot Study Comparing Physiological Responses of Phase III Cardiac Patients to Recumbent and Upright Exercise Using the RPE Scale

2005 ◽  
Vol 100 (2) ◽  
pp. 357-361 ◽  
Author(s):  
Meir Magal ◽  
Robert F. Zoeller
Keyword(s):  
Heart Rate ◽  
Pilot Study ◽  
Cardiac Rehabilitation ◽  
Perceived Exertion ◽  
Physiological Responses ◽  
Cardiac Patients ◽  
Phase Iii ◽  
Ratings Of Perceived Exertion ◽  
Physiological Differences ◽  
Stepping Exercise

Ratings of perceived exertion (RPE) are used for exercise programming of cardiac rehabilitation patients, whenever it is difficult to use heart rate to set intensity due to medication or other factors. This investigation examined the physiological responses to two stepping exercise modes (upright and recumbent) at the same RPE. Analysis indicated significant physiological differences between the modes of exercise which may be mediated by postural differences. Specifically, the physiological responses to the recumbent exercise, but not the upright exercise, had the expected relationship with RPE, with recumbent stepping requiring less physiological effort than the upright stepping at the same RPE. As such, we cannot recommend with confidence that the prescription for upright exercise be made based on data from recumbent exercise or vice-versa.

scholarly journals Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test

2020 ◽  
Vol 7 (2) ◽  
pp. 15
Author(s):  
Megan Mytinger ◽  
Rachael K. Nelson ◽  
Micah Zuhl
Keyword(s):  
Perceived Exertion ◽  
Exercise Prescription ◽  
Stress Test ◽  
Evidence Based ◽  
Peripheral Artery ◽  
Core Component ◽  
Graded Exercise Test ◽  
Disease States ◽  
Graded Exercise ◽  
Artery Disease

Aerobic exercise is a core component of cardiac rehabilitation (CR). Leading organizations recommend that the exercise prescriptions should be based on a symptom limited baseline graded exercise test (GXT). However, recent evidence suggests that only ~30% of CR clinics perform baseline GXTs. Consequently, exercise prescriptions including exercise progression in CR are not following standard exercise prescription guidelines. Therefore, the purpose of this review is to provide clinicians with evidence-based techniques for prescribing exercise in the absence of a baseline GXT. Intensity indicators (e.g., heart rate, perceived exertion) are reviewed, along with special exercise considerations for various disease states (e.g., heart failure, peripheral artery disease, and coronary artery disease). Baseline exercise testing remains the gold standard approach for prescribing exercise among heart disease patients, however, clinicians must be prepared to safely develop and monitor patients when a baseline GXT is not performed.

Prediction of peak oxygen uptake from sub-maximal ratings of perceived exertion elicited during a graded exercise test in obese women

2009 ◽  
Vol 46 (6) ◽  
pp. 1150-1153 ◽  
Author(s):  
Jeremy B. J. Coquart ◽  
Christine Lemaire ◽  
Alain-Eric Dubart ◽  
Claire Douillard ◽  
David-Pol Luttenbacher ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Peak Oxygen Uptake ◽  
Obese Women ◽  
Ratings Of Perceived Exertion ◽  
Graded Exercise Test ◽  
Graded Exercise

EARLY PHASE II CARDIAC REHABILITATION WITHOUT A PRELIMINARY GRADED EXERCISE TEST?

1995 ◽  
Vol 27 (Supplement) ◽  
pp. S219
Author(s):  
D. Cotter ◽  
K. Kacer ◽  
B. Franklin ◽  
D. Bakalyar ◽  
A. Sickmiller ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Exercise Test ◽  
Early Phase ◽  
Graded Exercise Test ◽  
Graded Exercise

The Slope Method for Prescribing Exercise with Ratings of Perceived Exertion (RPE)

1996 ◽  
Vol 83 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Christopher C. Dunbar ◽  
Diego A. Bursztyn
Keyword(s):  
Perceived Exertion ◽  
Maximal Exercise ◽  
Peak Exercise ◽  
Ratings Of Perceived Exertion ◽  
Simple Method ◽  
Graded Exercise Test ◽  
Slope Method ◽  
Graded Exercise ◽  
The Mean ◽  
Using Data

The Borg Ratings of Perceived Exertion scale (RPE) has been shown to be a valuable tool for prescribing exercise; however, use of RPE-based exercise prescriptions in field settings has often been problematic because RPE data derived from maximal exercise testing are needed. We describe a simple method for obtaining target RPEs for exercise training from submaximal exercise data. Target RPEs for 50%, 60%, 70%, and 85% VO2peak exercise intensities obtained using the new method did not differ significantly from those obtained using data from a maximal graded exercise test. The mean difference was less than one RPE unit and was not significant (p<.05). Therefore, the Slope Method appears to be valid for developing RPE-based exercise prescriptions.

Exercise Duration Affects Session Ratings of Perceived Exertion as a Function of Exercise Intensity

2021 ◽  
pp. 003151252110184
Author(s):  
Raille Silva de Jesus ◽  
Rebecca Évelyn Santos Batista ◽  
Vinícius Moura Eça Santos ◽  
David Ohara ◽  
Eduardo da Silva Alves ◽  
...  
Keyword(s):  
Exercise Intensity ◽  
Perceived Exertion ◽  
Exercise Duration ◽  
Dependent Manner ◽  
Practical Relevance ◽  
Specific Training ◽  
Ratings Of Perceived Exertion ◽  
Slow Speed ◽  
Graded Exercise Test ◽  
Graded Exercise

Session ratings of perceived exertion (sRPE) are considered a practical marker of whole session exercise intensity, but its relationship to exercise volume has remained unclear. We analyzed the effects of exercise duration at different intensities on overall and differentiated sRPE. Sixteen males ( Mage = 22.6, SD = 2.2 years; Mheight = 176.4, SD = 5.8 cm; Mweight = 74.0, SD = 5.9 kg; and Mbody fat = 9.4, SD = 2.2%) performed 15 and 30 minute runs at speeds associated with RPE levels of two (weak), three (moderate) and five (strong) on Borg’s CR-10 scale during a previous graded exercise test. We used Foster’s scale to access sRPE 30 minutes after each trial. Significant increases in sRPE were found with increases in running speed (p < 0.01, η G2 = 0.48) and duration (p < 0.01, η G2 = 0.16), with a significant speed X duration interaction (p < 0.01, η G2 = 0.10). In addition, there was a significant effect for sRPE type (p = 0.01, η G2 = 0.05) in that overall sRPE was slightly lower than sRPE differentiated to legs and higher than sRPE differentiated to breathing through the trials. Changes in sRPE from 15 to 30-minute trials were minimal for the slow speed and weak sRPE (Cohen´s dz = 0.04 – 0.25) but got higher at the moderate (Cohen´s dz = 0.88 – 1.06) and strong (Cohen´s dz = 1.94 – 2.50) speeds and sRPEs. Thus, exercise duration affects sRPE in an intensity dependent manner. This finding has practical relevance for prescribing exercise, suggesting a need to target specific training loads or aims to optimize trainees’ retrospective perceptions of the exercise experience.

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