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Changes in ratings of perceived exertion and psychological affect in the early stages of exercise.

The purpose of this study was to examine differences in the rating of perceived exertion (RPE) and affect, as assessed by a bipolar feeling scale (FS) during cycle ergometry in a steady-state and a nonsteady-state condition in active and inactive individuals. 71 subjects completed a self-report questionnaire on physical activity and were assigned to two groups, a low-active group of 16 men and 18 women and a high-active group of 18 men and 19 women. On Day 1 all subjects completed a sub-maximal exercise test to predict maximum oxygen uptake (VO2max) from which work rates corresponding to 60% and 90% VO2max were calculated. On Day 2 half of the subjects completed a work rate equivalent to 60% VO2max whilst the other half completed a 90% VO2max work rate. On Day 3 alternative work rates were completed. RPE and FS were recorded after 2 and 4 min, at each work rate on both days. Mixed-model, 4-factor (gender x group x work rate x time) analyses of variance with repeated measures on work rate and time were conducted on the FS and RPE data. RPE was higher after 4 min, at both intensities, and there was a greater increase in RPE between 2 and 4 min, at the 90% than the 60% work rate. Rated feeling was more positive at the 60% work rate, high-active subjects were more positive than low-active subjects and rated feeling was lower in Minute 4 for both groups. The following interactions were observed: rated feeling was more negative after 4 min. for the low-active group compared to the high-active group at 2 and 4 min. and the low-active group reported more negative feeling at the 90% work rate compared to the 60% work rate while the high-active group did not change significantly. Timing of the RPE is important if used to prescribe exercise intensity. Further, low-active subjects should be encouraged to exercise at moderate intensities and discouraged from focusing on how they feel immediately before they finish a session.

Adult↗

Perceived exertion and metabolic responses of women during aerobic dance exercise.

The relationship between ratings of perceived exertion (RPE) and metabolic responses was examined during aerobic dance exercise with combined arm and leg movements. 16 women with previous aerobic dance instructional experience performed three consecutive trials of 8 min. each of aerobic dance exercise at a cadence of 124 and 138 beats.min.-1. Estimates of RPE reported at the end of each trial were significantly different across the trials while heart rate and % maximum heart rate were significantly different between Trials 1 and 3. Correlations and partial correlations between RPE and all metabolic variables were not significant across trials and with trials combined except for ventilation. Results indicated that RPE should not be used singularly as an indicator of exercise intensity during aerobic dance exercise.

Adult↗

Viewing music videotapes during exercise and ratings of perceived exertion.

30 men 18 to 25 years of age participated in two treatments presented in counterbalanced order. They exercised for 6 min. on a Monarch cycle ergometer at a workload of 122.5 W while viewing and listening to music videotapes or exercised in a quiet environment. External stimuli in the viewing and listening to music videotapes did not distract subjects from assessing their exertion during exercise.

Adolescent↗

The slope method for prescribing exercise with ratings of perceived exertion (RPE).

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% VO2 peak 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.

Adult↗

Three-point method of prescribing exercise with ratings of perceived exertion is valid for cardiac patients.

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.

Adult↗

On the current status of rated perceived exertion.

This paper chronicles the psychophysical principles which led to the development of the Ratings of Perceived Exertion (RPE) scale by Borg in 1970 and a concise, comprehensive summary of research on the scale. The current status of research is examined by discussion of several important areas within the field including psychophysical scaling, scale development, psychometrics, and applications. Physiological and psychological approaches are examined and the need for an interdisciplinary approach is addressed.

Anxiety↗

Differentiated ratings of perceived exertion and physiological responses during aerobic dance steps by impact/type of arm movement.

Overall ratings of perceived exertion, i.e., undifferentiated RPE, are often used as indicators of exercise intensity during walking, jogging, and cycling; however, conflicting results concerning RPE during aerobic dance exercise have been reported, and the use of differentiated RPE, i.e., local RPE and central RPE, has not been investigated. The purposes of this study were to assess local, central, and over-all RPE, and physiological responses [heart rate (HR); % HRmax; absolute and relative VO2;% VO2 max, ventilation (VE), ventilatory equivalent (VE.VO2(-1); and oxygen pulse] during aerobic dance exercise varied by Arm Movement (Static Arm vs Dynamic Arm) and Impact (High vs Low). Trained women (N = 25; max VO2 = 50.4 +/- 7.5 ml.kg-1.min.-1) completed four aerobic dance steps. No RPE were significantly correlated with heart rate or VO2; however, for all steps all RPE were significantly (r = .40-.62) correlated with VE.VO2(-1) or VE. No interactions were present for RPE or physiological variables, and main effects were noted for Impact and Arm Movement. All RPE were greater for High Impact and for Static Arm Movement. Because VE and VE.VO2(-1) were correlated with Overall RPE for all steps, this may suggest that participants "attended to" perceived changes in respiratory phenomena during aerobic dance exercise. It appears that during combined arm-and-leg aerobic dance exercise the use of Overall RPE is sufficient to assess perceptual sensations associated with the intensity of the exercise. Changes in Overall RPE were proportionate to objective measures of exercise intensity, i.e., HR and VO2; however, it is recommended that both HR and Overall RPE be used to assess fully a participant's objective and subjective responses during aerobic dance exercise.

Adult↗

Predicting performance in ski and swim championships: effectiveness of mood, perceived exertion, and dispositional optimism.

Two studies were performed with young athletes to investigate the utility of three psychological tests regarding the prediction of sport performance: the Profile of Mood States. Ratings of Perceived Exertion, and Dispositional Optimism. In Study 1, young male and female cross-country skiers and ski-marksmen in final preparation for the Junior National Swedish Championships were tested. Measured 5 wk. before both competitions, the higher the optimism (LOT), the better performance. In Study 2, which tested young swimmers in preparation for the Senior National Swedish Championships, competitors who had the highest scores on optimism performed less well during the competitions. The results are interpreted to indicate that optimism presents an important factor for predicting achievement in sports.

Adult↗

Ratings of perceived exertion and energy expenditure during light to moderate activity.

The object of this investigation was to establish a group-normalized perceptual response, using the Borg 15-category rating of perceived exertion (RPE) scale, that is consistent with the Surgeon General's recommendations for physical activity intensity. This normalized response is defined as a range of RPEs corresponding to a target physiological outcome during exercise common to a specified group of individuals. 24 college-age students (12 men; 12 women) underwent a progressive exercise test administered on a semi-recumbent leg cycle machine to estimate VO2 peak and 12 6-min. exercise trials on a combined arm and leg exercise machine. Three trials were conducted per day, and at least 24 hr. separated testing sessions. RPEs between 7 and 10 were consistently estimated during trials categorized as light to moderately intense (35 to 53% VO2 peak). These exercise intensities resulted in an energy expenditure of between 5.38 (SD=1.37) to 7.56 (SD=0.60) and 3.58 (SD=0.58) to 5.30 (SD=0.97) kcal x min.(-1) for these men and women, respectively. RPEs corresponding to 7: extremely light to 10: very light or light are sufficient in healthy young college students to achieve the target activity with respect to exercise intensity. Therefore, this group-normalized perceptual response, i.e., RPE=7 to 10, may be expressed as a prescriptive reference enabling college-age individuals to produce an exercise intensity designed to promote health and studied longitudinally to assess the effects long term.

Adult↗

Ratings of perceived exertion throughout an ultramarathon during carbohydrate ingestion.

Ratings of perceived exertion (RPE) and their relation to selected physiological mediators during endurance exercise have been limited to laboratory settings. The present study characterized the pattern of change in perceptual responses and examined the relation between RPE and selected physiological variables during a long competitive sporting event, i.e., an ultramarathon race (68 km). A single-group design was employed in which all of the 28 subjects provided their perceptual ratings 11.9 +/- 0.2) and heart rate (HR) (138 +/- 3) periodically (every 5 km) throughout the ultramarathon, and selected physiological responses were measured before, once during (32 km), and immediately after the race. Runners drank approximately 1,000 ml of carbohydrate beverage each hour (60 gm carbohydrate hr.(-1)) and ate 2 or 3 carbohydrate gel packs per hour (25 gm each(-1)). RPE increased significantly throughout the course of the ultramarathon. No significant correlations were found between RPE and HR at any time throughout the ultramarathon. RPE averaged 10.4 +/- 0.4 at the beginning of the race (6.4 km) and 15.4 +/- 0.4 at the conclusion of the race. Subjects maintained 76.9 +/- 1.1% of maximal heart rate; however, there was a tendency for heart rate to drop significantly after 32 km. Significant time main effects were found for serum glucose, insulin, and cortisol throughout the race. However, no significant correlations were found between RPE and any of these physiological mediators. These data indicate that during an ultramarathon race there is a progressive increase in RPE without an accompanying increase in HR or decrease in blood glucose. Therefore, during competitive self-paced exercise the perceptual responses may be mediated through other neurological and physiological mechanisms.

Adult↗

Modalities of submaximal exercises on ratings of perceived exertion by young girls: a pilot study.

This pilot study compared the rating of perceived exertion scores (RPE) in young girls for two modalities of exercises (running vs cycling) performed at the same absolute heart rate. 23 girls, ages 8 to 11 years, from a gymnastic club performed graded, intermittent, and submaximal running and cycling exercises at a similar absolute heart rate (+/-5 bpm). These exercises consisted of three stages of 3 min. duration separated by 1-min. recovery intervals. RPE was estimated using the Children's Effort Rating Table scale at the end of each stage of each exercise. Mean ratings were only significantly different during cycling, compared to running for the Stage 3 (cycling 5.3+/-2.7 and running 7.0+/-1.9, p < .05). During low exercise intensity, measured as heart rate, the modality of exercise does not seem to affect RPE. In contrast, with high heart rates, RPE are higher during cycling than running, so it is necessary to take account of the type of exercise.

Attitude↗

Sex differences in naturally occurring leg muscle pain and exertion during maximal cycle ergometry.

This investigation examined the role of sex in perceptions of leg muscle pain during exercise. Males (N = 26; age = 23.2 +/- 3.9) and females (N = 26; age = 21.9 +/- 3.5) matched on weekly energy expenditure completed a ramped maximal cycle ergometry test. Leg muscle pain thresholds were determined and pain intensity ratings as well as ratings of perceived exertion were obtained during and after exercise. The power output at pain threshold was lower in females (129.9 +/- 46.5 watts) compared to males (148.2 +/- 56.6 watts). Peak power output and peak pain intensity ratings were lower (P < 0.001) in females (211.3 +/- 39.1 watts; 5.5 +/- 2.9) compared to males (303.6 +/- 27.5 watts; 8.5 +/- 2.3). A Sex X Relative Intensity (i.e., % peak power output) ANOVA revealed that females reported lower pain ratings at each relative intensity examined (F = 17.7; df = 1.50; p < 0.001). The primary conclusion of this investigation is that females rate naturally occurring leg muscle pain as less intense than males when data are relativized to peak power output.

Adult↗

Functional and psychosocial consequences of disease and experience of pain and exertion in a group of rheumatic patients considered for active training. Result of a survey in Bollnäs Medical District. I.

The purpose of this study was to select and describe a group of RA patients within a defined area who had, on clinical grounds, been considered for active training. The material consisted of 69 patients with classical or definite RA. It comprised half of the RA patients known to the clinic. The patients were assessed by means of a questionnaire, functional tests with rating of activity-induced pain, a cycling-test with rating of perceived exertion, and an interview by a psychologist. Subjective disease consequences were pain and stiffness. 38% of the patients never or seldom exercised. 72% wished to increase their activity but were prevented by pain. The functional tests indicated slow performance and considerable pain in activities of daily life. The interview disclosed above all, a low degree of self-confidence. Generalized pain and functional impairment correlated slightly with psychosocial factors. The results of the study indicate the need for active training as one strategy to alleviate pain and to maintain functional capacity in RA patients.

Adaptation, Psychological↗

Cardiovascular adjustments and perceived exertion during exercise on the BAPS board.

The Biomechanical Ankle Platform System (BAPS) is widely used in medical rehabilitation; however, the cardiovascular demand and subjective acceptability of the BAPS rehabilitation exercise are presently not documented. The purpose of this study was to evaluate the pattern and magnitude of the cardiovascular adjustments and rating of perceived exertion (RPE) during an acute bout of exercise on the wobble board. Twenty healthy (mean age 24.2 +/- 2.9 years old) subjects exercised for 10 min each on the BAPS board on two different occasions. One test was performed using the small hemisphere board while the other test was performed with the large hemisphere board. The subjects' heart rate (HR), blood pressure (BP), cutaneous blood flow (BF), skin temperature (ST) at the ankle joint, local and overall RPE responses were monitored at specific time periods. Micro-circulation, skin temperature and heart rate were monitored with the LaserFlo Blood Perfusion Monitor, the Physitherm thermocouple and the Cardiotach recorder, respectively. The subjects' rating of perceived effort during exercise was obtained with a 15-point category scale. The result showed significant perturbation of the cardiovascular system during the BAPS exercise. Similarly, both local and overall RPE increased as the duration of exercise increased. The BF and RPE during the large hemisphere exercise session were significantly higher than the small hemisphere session. The subjects' subjective report following the exercise suggests the need for caution in the use of the BAPS board exercise for frail patients and also patients with lower extremity joint pathologies.

Adaptation, Physiological↗

Swimming headache followed by exertional and coital headaches.

Seven patients who developed a similar headache syndrome are described. They first developed severe, exploding headaches while swimming, and subsequently experienced less severe headaches during physical exertion. They also developed headaches during sexual activity, which were similar to the previous headaches brought on by swimming. Majority of them were women in their thirties or forties. These symptoms were gradually subsided with or without medication after several weeks or months. The possible pathogenesis of this headache syndrome is discussed.

Adult↗

Chronic exertional compartment syndrome of the foot. A case report.

The author describes a case of chronic exertional compartment syndrome of the foot affecting a 19-year-old male triathlete. Relevant anatomy, subjective symptoms, and clinical examination are discussed. Diagnostic confirmation, as achieved with compartment-pressure testing, is also presented, as is surgical treatment through decompressive fasciotomy of the affected compartment.

Adolescent↗