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Extrapulmonary – Treatable traits
Published in Vibeke Backer, Peter G. Gibson, Ian D. Pavord, The Asthmas, 2023
Vibeke Backer, Peter G. Gibson, Ian D. Pavord
The subjective perception of exertion in patients with asthma is often assessed using the Borg scale, which ranges from 6 (very easy) to 20 (maximal stress). Originally, Borg chose this range of values to reflect the heart rate of healthy individuals doing physical work: the Borg score can be multiplied by ten to compare the subjective perception of exertion to heart rate during the work in question.
Optimizing Function and Physical Health in Frail Adults
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Cardiovascular events are most often associated with vigorous intensity activities and are extremely rare when engaging in mild to moderate level physical activity as occurs with frail older adults. Some ways in which to decrease any possible cardiovascular risks include being aware of underlying comorbidities that may impact endurance and starting at a low intensity and building up slowly. Establishing the intensity of any activity can be done using a subjective assessment on the part of the frail older individual using the Borg Rating of Perceived Exertion (RPE) scale (Table 28.4). The individual is asked to rate, on a scale of 6 (very, very light activity exertion) to 20 (very, very hard physical activity exertion) how they perceive their physical activity. For older adults with cognitive impairment, caregivers should ask how hard the older adult thinks they are working rather than ask them to assign a number to the level of intensity. An RPE score on the Borg measure that falls between 12 and 16 correlates with reaching 60 to 80% of the targeted heart rate, or a moderate intensity of physical activity (Borg Ratings of Perceived Exertion, 2020).
Exercise and pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Health benefits could be derived from mild to moderate exercise routines at an intensity of training of 12 to 14 on the 20-point Borg Scale of Rating of Perceived Exertion (RPE). The RPE scale was first introduced by Borg (24). An RPE of 12 to 14 will correspond to a physical activity that will be perceived “somewhat hard” at the most by the exercising subject and could be more easily monitored than target heart rates.
The effect of Preoperative threshold inspiratory muscle training in adults undergoing cardiac surgery on postoperative hospital stay: a systematic review
Published in Physiotherapy Theory and Practice, 2023
Adele Cook, Laura Smith, Callum Anderson, Nicole Ewing, Ashley Gammack, Mark Pecover, Nicole Sime, Helen F. Galley
Five studies (Chen et al., 2019; Hulzebos et al., 2006a, 2006b; Savci et al., 2011; Valkenet et al., 2017) increased the inspiratory load incrementally. Chen et al. (2019) and both studies by Hulzebos et al. (2006a); Hulzebos et al. (2006b) based the decision to increase the load on the rate of perceived exertion of participants, using the Borg CR-10 Scale (Borg, 1982). The Borg Scale is based on the intensity of exertion perceived by the individual, correlating with physiological parameters such as heart rate and blood lactate levels (Borg, 1982). In the two studies in which this scale was used, inspiratory load was increased when the rate of perceived exertion was less than five. It is thought that scores close to five can be used to quantify the anaerobic threshold during exercise (Zamunér et al., 2011).
The effect of an interval fatigue protocol on Vestibular/Ocular Motor Screening (VOMS) performance
Published in Brain Injury, 2020
Jenna Ratka, Kelly Cheever, Jamie L. Mansell, Ryan T. Tierney
A 20-minute interval fatigue protocol was used during this study as previously utilized in the literature (10). The protocol consisted of seven stations in the following order: a 5-minute jog, 3 minutes of sprints up and down the length of a standard basketball court, 2 minutes of push-ups, 2 minutes of sit-ups, 3 minutes of 12-inch step-ups, 3 minutes of sprints, and a 2-minute run during which participants were instructed to maintain the fastest pace possible for the entire 2 minutes. HR was measured using a Polar A370 wrist unit in bpm at 5-minute intervals throughout the 20-minute fatigue protocol (Polar Electro Inc., Lake Success, NY). RPE was assessed using the Borg 15-point rating scale. The Borg scale ranges from 6 (no exertion at all) to 20 (maximum exertion) and measures the subjective level of exertional fatigue that the participant believes he/she is experiencing through exercise. The Borg scale has been validated as a tool assessing exhaustion regardless of age, sex, and fitness level (23,24).
Evaluation of supervised multimodal prehabilitation programme in cancer patients undergoing colorectal resection: a randomized control trial
Published in Acta Oncologica, 2018
Guillaume Bousquet-Dion, Rashami Awasthi, Sarah-Ève Loiselle, Enrico M. Minnella, Ramanakumar V. Agnihotram, Andreas Bergdahl, Francesco Carli, Celena Scheede-Bergdahl
At baseline, participants in both study groups were assessed by a staff kinesiologist and prescribed exercise following the guidelines of the American College of Sports Medicine [13]. The whole-body exercise prescription consisted of aerobic and resistance training, which was personalized to each participant’s fitness level. Aerobic exercise intensity was prescribed based on the rate of perceived exertion (Borg scale) and from the 6MWD measurements obtained at baseline. The resistance exercises prescribed were based on eight repetitions maximum test, which provides a submaximal estimation of the patient’s maximal strength. Participants were prescribed to perform 3–4 days per week 30 minutes of moderate intensity aerobic activity (60–70% of maximal heart rate calculated from the Karvonen formula, after verification that the patient was not on any drug that could affect the heart rate response) consisting of either walking, cycling or jogging (according to patient abilities and preference). The resistance training consisted of eight exercises targeting major muscle groups of the core, upper and lower limbs and to be performed 3–4 times per week in up to two sets of a range of 8–15 repetitions, dependent on volitional fatigue. The Borg scale was provided to the patients in an information booklet in order to assist in the determination of appropriate exercise intensity at home. Patients were given an elastic resistance band (Theraband®) that was matched to their fitness level, as well as a pedometer to encourage them to participate in daily walks. This component was started by the PREHAB + group prior to surgery and by the REHAB group after discharge from the hospital.