Reliability and Validity of Ratings of Perceived Exertion in Persons With Multiple Sclerosis
Abstract Objective To test the reliability and validity of using the Borg rating of perceived exertion (RPE) scale (ratings 6–20) in persons with multiple sclerosis (PwMS). Design Nonrandomized repeated measures. Setting Research laboratory. Participants Volunteer sample (N=27) comprised of 16 PwMS...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2016-06, Vol.97 (6), p.974-982 |
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| creator | Cleland, Brice T., MS Ingraham, Benjamin A., DO Pitluck, Molly C., MS Woo, Douglas, MD Ng, Alexander V., PhD |
| description | Abstract Objective To test the reliability and validity of using the Borg rating of perceived exertion (RPE) scale (ratings 6–20) in persons with multiple sclerosis (PwMS). Design Nonrandomized repeated measures. Setting Research laboratory. Participants Volunteer sample (N=27) comprised of 16 PwMS (10 women) and 11 age-matched persons without multiple sclerosis (MS) (6 women). Clinical measures included symptomatic fatigue, depression, and MS functional capacity. Interventions A submaximal cycling test was performed to estimate maximal capacity. Participants then pedaled for 2 minutes at 50% and 60% of predicted maximal oxygen consumption per unit time ( V ˙ o2 ), and physiological measures and RPE were obtained (week 1: response protocol). One week later, participants replicated the prescribed V ˙ o2 using the RPE range from week 1 (week 2: reproduction protocol). V ˙ o2 , heart rate, and respiratory quotient were measured continuously; RPE and workload were measured every minute; and blood lactate and mean arterial pressure were measured after exercise. Main Outcome Measures RPE, workload, V ˙ o2 , and heart rate from week 1 to week 2. Results PwMS had greater fatigue ( P |
| doi_str_mv | 10.1016/j.apmr.2016.01.013 |
| format | Article |
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Design Nonrandomized repeated measures. Setting Research laboratory. Participants Volunteer sample (N=27) comprised of 16 PwMS (10 women) and 11 age-matched persons without multiple sclerosis (MS) (6 women). Clinical measures included symptomatic fatigue, depression, and MS functional capacity. Interventions A submaximal cycling test was performed to estimate maximal capacity. Participants then pedaled for 2 minutes at 50% and 60% of predicted maximal oxygen consumption per unit time ( V ˙ o2 ), and physiological measures and RPE were obtained (week 1: response protocol). One week later, participants replicated the prescribed V ˙ o2 using the RPE range from week 1 (week 2: reproduction protocol). V ˙ o2 , heart rate, and respiratory quotient were measured continuously; RPE and workload were measured every minute; and blood lactate and mean arterial pressure were measured after exercise. Main Outcome Measures RPE, workload, V ˙ o2 , and heart rate from week 1 to week 2. Results PwMS had greater fatigue ( P <.01) and disability ( P <.001). Baseline measures were similar between groups and weeks. During exercise, RPE, workload, V ˙ o2 , and heart rate were similar between groups. Both groups had an intraclass correlation coefficient >.86 for RPE, workload, and V ˙ o2 . The intraclass correlation coefficient was comparatively lower for heart rate for both groups (MS group: .72, non-MS group: .83). RPE was highly correlated with V ˙ o2 ( r =.691, P <.001) and workload ( r =.700, P <.001) for the MS group. Conclusions Results suggest that RPE can be reliably reproduced, is valid, and may be used in exercise prescription in mildly to moderately impaired PwMS during cycling exercise.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2016.01.013</identifier><identifier>PMID: 26836954</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Blood Pressure ; Case-Control Studies ; Disability Evaluation ; Disabled Persons ; Exercise ; Fatigue - physiopathology ; Female ; Heart Rate ; Humans ; Lactic Acid - blood ; Male ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - physiopathology ; Oxygen Consumption - physiology ; Perception ; Physical exertion ; Physical Exertion - physiology ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities - standards ; Rehabilitation ; Reproducibility of Results</subject><ispartof>Archives of physical medicine and rehabilitation, 2016-06, Vol.97 (6), p.974-982</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2016 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-9cc26d1e2821ccca9410bfc7f3e28f8d71bdc5b80ef2c37ed00870f0bf277f183</citedby><cites>FETCH-LOGICAL-c444t-9cc26d1e2821ccca9410bfc7f3e28f8d71bdc5b80ef2c37ed00870f0bf277f183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2016.01.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26836954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cleland, Brice T., MS</creatorcontrib><creatorcontrib>Ingraham, Benjamin A., DO</creatorcontrib><creatorcontrib>Pitluck, Molly C., MS</creatorcontrib><creatorcontrib>Woo, Douglas, MD</creatorcontrib><creatorcontrib>Ng, Alexander V., PhD</creatorcontrib><title>Reliability and Validity of Ratings of Perceived Exertion in Persons With Multiple Sclerosis</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To test the reliability and validity of using the Borg rating of perceived exertion (RPE) scale (ratings 6–20) in persons with multiple sclerosis (PwMS). Design Nonrandomized repeated measures. Setting Research laboratory. Participants Volunteer sample (N=27) comprised of 16 PwMS (10 women) and 11 age-matched persons without multiple sclerosis (MS) (6 women). Clinical measures included symptomatic fatigue, depression, and MS functional capacity. Interventions A submaximal cycling test was performed to estimate maximal capacity. Participants then pedaled for 2 minutes at 50% and 60% of predicted maximal oxygen consumption per unit time ( V ˙ o2 ), and physiological measures and RPE were obtained (week 1: response protocol). One week later, participants replicated the prescribed V ˙ o2 using the RPE range from week 1 (week 2: reproduction protocol). V ˙ o2 , heart rate, and respiratory quotient were measured continuously; RPE and workload were measured every minute; and blood lactate and mean arterial pressure were measured after exercise. Main Outcome Measures RPE, workload, V ˙ o2 , and heart rate from week 1 to week 2. Results PwMS had greater fatigue ( P <.01) and disability ( P <.001). Baseline measures were similar between groups and weeks. During exercise, RPE, workload, V ˙ o2 , and heart rate were similar between groups. Both groups had an intraclass correlation coefficient >.86 for RPE, workload, and V ˙ o2 . The intraclass correlation coefficient was comparatively lower for heart rate for both groups (MS group: .72, non-MS group: .83). RPE was highly correlated with V ˙ o2 ( r =.691, P <.001) and workload ( r =.700, P <.001) for the MS group. Conclusions Results suggest that RPE can be reliably reproduced, is valid, and may be used in exercise prescription in mildly to moderately impaired PwMS during cycling exercise.</description><subject>Adult</subject><subject>Blood Pressure</subject><subject>Case-Control Studies</subject><subject>Disability Evaluation</subject><subject>Disabled Persons</subject><subject>Exercise</subject><subject>Fatigue - physiopathology</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Lactic Acid - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - physiopathology</subject><subject>Oxygen Consumption - physiology</subject><subject>Perception</subject><subject>Physical exertion</subject><subject>Physical Exertion - physiology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities - standards</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1v1DAQtRCIbgt_gAPKkUsWj-0kjoSQUFUKUhGoLR8HJMuxJzCLN1nspOr-exxt4cABpJE8M3rvaTxvGHsCfA0c6uebtd1t41rkfM0hh7zHVlBJUWoBX-6zFedclm3byiN2nNIml3Ul4SE7ErWWdVupFft6iYFsR4GmfWEHX3yygfxSjH1xaScavqUl_YDRId2gL85uMU40DgUNSzeNQyo-0_S9eDeHiXYBiysXMI6J0iP2oLch4eO794R9fH12ffqmvHh__vb01UXplFJT2Tonag8o8tjOOdsq4F3vml7mVq99A513Vac59sLJBj3nuuF9xoim6UHLE_bsoLuL488Z02S2lByGYAcc52RAA7Rca179H9q0QjagFM9QcYC6_JkUsTe7SFsb9wa4WQwwG7MYYBYDDIccMpOe3unP3Rb9H8rvjWfAiwMA80JuCKNJjnBw6Cmim4wf6d_6L_-iu0ADORt-4B7TZpzjkFdtwCRhuLlaTmC5AKhzprSSvwBrN6xI</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Cleland, Brice T., MS</creator><creator>Ingraham, Benjamin A., DO</creator><creator>Pitluck, Molly C., MS</creator><creator>Woo, Douglas, MD</creator><creator>Ng, Alexander V., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20160601</creationdate><title>Reliability and Validity of Ratings of Perceived Exertion in Persons With Multiple Sclerosis</title><author>Cleland, Brice T., MS ; Ingraham, Benjamin A., DO ; Pitluck, Molly C., MS ; Woo, Douglas, MD ; Ng, Alexander V., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-9cc26d1e2821ccca9410bfc7f3e28f8d71bdc5b80ef2c37ed00870f0bf277f183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Blood Pressure</topic><topic>Case-Control Studies</topic><topic>Disability Evaluation</topic><topic>Disabled Persons</topic><topic>Exercise</topic><topic>Fatigue - physiopathology</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Lactic Acid - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - physiopathology</topic><topic>Oxygen Consumption - physiology</topic><topic>Perception</topic><topic>Physical exertion</topic><topic>Physical Exertion - physiology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities - standards</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cleland, Brice T., MS</creatorcontrib><creatorcontrib>Ingraham, Benjamin A., DO</creatorcontrib><creatorcontrib>Pitluck, Molly C., MS</creatorcontrib><creatorcontrib>Woo, Douglas, MD</creatorcontrib><creatorcontrib>Ng, Alexander V., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cleland, Brice T., MS</au><au>Ingraham, Benjamin A., DO</au><au>Pitluck, Molly C., MS</au><au>Woo, Douglas, MD</au><au>Ng, Alexander V., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability and Validity of Ratings of Perceived Exertion in Persons With Multiple Sclerosis</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>97</volume><issue>6</issue><spage>974</spage><epage>982</epage><pages>974-982</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To test the reliability and validity of using the Borg rating of perceived exertion (RPE) scale (ratings 6–20) in persons with multiple sclerosis (PwMS). Design Nonrandomized repeated measures. Setting Research laboratory. Participants Volunteer sample (N=27) comprised of 16 PwMS (10 women) and 11 age-matched persons without multiple sclerosis (MS) (6 women). Clinical measures included symptomatic fatigue, depression, and MS functional capacity. Interventions A submaximal cycling test was performed to estimate maximal capacity. Participants then pedaled for 2 minutes at 50% and 60% of predicted maximal oxygen consumption per unit time ( V ˙ o2 ), and physiological measures and RPE were obtained (week 1: response protocol). One week later, participants replicated the prescribed V ˙ o2 using the RPE range from week 1 (week 2: reproduction protocol). V ˙ o2 , heart rate, and respiratory quotient were measured continuously; RPE and workload were measured every minute; and blood lactate and mean arterial pressure were measured after exercise. Main Outcome Measures RPE, workload, V ˙ o2 , and heart rate from week 1 to week 2. Results PwMS had greater fatigue ( P <.01) and disability ( P <.001). Baseline measures were similar between groups and weeks. During exercise, RPE, workload, V ˙ o2 , and heart rate were similar between groups. Both groups had an intraclass correlation coefficient >.86 for RPE, workload, and V ˙ o2 . The intraclass correlation coefficient was comparatively lower for heart rate for both groups (MS group: .72, non-MS group: .83). RPE was highly correlated with V ˙ o2 ( r =.691, P <.001) and workload ( r =.700, P <.001) for the MS group. Conclusions Results suggest that RPE can be reliably reproduced, is valid, and may be used in exercise prescription in mildly to moderately impaired PwMS during cycling exercise.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26836954</pmid><doi>10.1016/j.apmr.2016.01.013</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Blood Pressure Case-Control Studies Disability Evaluation Disabled Persons Exercise Fatigue - physiopathology Female Heart Rate Humans Lactic Acid - blood Male Middle Aged Multiple sclerosis Multiple Sclerosis - physiopathology Oxygen Consumption - physiology Perception Physical exertion Physical Exertion - physiology Physical Medicine and Rehabilitation Physical Therapy Modalities - standards Rehabilitation Reproducibility of Results |
| title | Reliability and Validity of Ratings of Perceived Exertion in Persons With Multiple Sclerosis |
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